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Alexithymia: Relationship to personality disorders
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].”
From Symptom severity and mindreading in narcissistic personality disorder. (2018) · cites this paper as [28]
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Metadata
- Authors
- Bach, M., de Zwaan, M., Ackard, D., Nutzinger, D. O., & Mitchell, J. E.
- Affiliations
- University of Vienna (AT)
- Corresponding author
- Bach, Michael
- Venue
- Comprehensive Psychiatry
- Publisher
- Elsevier BV
- Published
- 1994-05
- Volume
- 35
- Issue
- 3
- Pages
- 239-243
- ISSN
- 0010-440X (ISSN-L)
- 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
- 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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