Alexithymia: Relationship to personality disorders

Bach, Michael; de Zwaan, Martina; Ackard, Diann; Nutzinger, Detlev O.; Mitchell, James E.

doi:10.1016/0010-440x(94)90197-x

Cited by 113Psychosomatic Disorders and Their TreatmentsPersonality Disorders and PsychopathologyPersonality Traits and Psychology

Alexithymia: Relationship to personality disorders

Bach, Michael, de Zwaan, Martina, Ackard, Diann, Nutzinger, Detlev O., Mitchell, James E.·1994·Comprehensive Psychiatry

DOI 10.1016/0010-440x(94)90197-x

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Abstract

Previous studies suggested an association of alexithymia with other personality models, as well as with various psychiatric syndromes. However, with regard to current diagnostic systems, the clinical validity of alexithymia remains to be established. In a sample of 182 psychiatric outpatients, the lifetime prevalence of DSM-III-R axis I disorders was determined by Structured Clinical Interview for DSM-III-R (SCID) interviews. In addition, DSM-III-R personality disorders were assessed using the Personality Diagnostic Questionnaire-Revised (PDQ-R). On the Toronto Alexithymia Scale (TAS), 17% of the sample scored in the alexithymic range. A series of stepwise multiple regression analyses were performed, exhibiting no relationship between alexithymia and any of the DSM-III-R axis I lifetime diagnoses. In contrast, schizotypal, dependent, and avoidant personality dimensions, as well as a lack of histrionic features, emerged as significant predictors of alexithymia, which further supports the conceptualization of alexithymia as a personality dimension.

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“while other studies carried out on samples of patients with Personality Disorders (PD) established no such connection between narcissism and alexithymia [28, 29].”
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Are alexithymia and schizoid personality disorder synonymous diagnoses?
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Alexithymia and Personality Pathology
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The implication of alexithymia in personality disorders: a systematic review
Chaim, C. H., Almeida, T. M., Albertin, P. D. V., Santana, G. L., Siu, E. R., & Andrade, L. H. (2024) · BMC Psychiatry · doi:10.1186/s12888-024-06083-6 · Cited by 29 · see citing works
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Authors: Bach, M., de Zwaan, M., Ackard, D., Nutzinger, D. O., & Mitchell, J. E.
Affiliations: University of Vienna (AT)
Corresponding author: Bach, Michael
ORCID: Bach, Michael
Ackard, Diann
Mitchell, James E.
Venue: Comprehensive Psychiatry
Publisher: Elsevier BV
Published: 1994-05
Volume: 35
Issue: 3
Pages: 239-243
ISSN: 0010-440X (ISSN-L)
DOI: 10.1016/0010-440x(94)90197-x
OpenAlex: W2068981672
Cited by: 113
References: 39
Citations by year: 2026: 1 · 2025: 2 · 2024: 2 · 2023: 5 · 2022: 2 · 2021: 8 · 2020: 4 · 2018: 3 · 2017: 3 · 2016: 3 · 2015: 1 · 2014: 6 · 2013: 9 · 2012: 12
FWCI: 2.09
Type: journal article
Language: en
Open access: closed
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: Comprehensive Psychiatry (publishedVersion)
PubMed (publishedVersion)
DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
Topics: Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
Social Sciences › Psychology › Clinical Psychology › Personality Traits and Psychology
Keywords: alexithymia, personality disorders, schizotypal personality, dependent personality, avoidant personality, personality factors, psychiatric outpatients, Toronto Alexithymia Scale
MeSH terms: Adult, Affective Symptoms, Combined Modality Therapy, Diet, Reducing, Female, Humans, Middle Aged, Obesity, Personality Disorders, Personality Inventory, Psychiatric Status Rating Scales, Psychometrics, Psychotherapy, Group

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Alexithymia: Relationship to personality disorders

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