Is alexithymia related to psychosomatic disorder and somatizing?
Abstract
The purpose of this study was to examine the relationship among alexithymia (as measured by the Toronto Alexithymia Scale--TAS and the scored version of the Archetypal 9 Test--SAT9), the presence or absence of classical psychosomatic disease, and the experience and expression of physical signs and symptoms. Subjects included thirty-two physical signs and symptoms. Subjects included thirty-two in-patients on a psychosomatic medicine unit (somatizing group), thirty-one out-patients who presented to a psychology clinic (psychiatric group), and thirty-four dental patients (comparison group). All subjects completed the TAS, the SAT9, the Hypochondriasis scale of the Minnesota Multiphasic Personality Inventory (MMPI Hs), the Physical Malfunctioning subscale of the MMPI (MMPI Physm), the Somatic Complaints subscale of the MMPI (MMPI Somc), the Hypochondriasis and Denial scales of the Basic Personality Inventory (BPI Hs and BPI Dn), and a demographic questionnaire. Age was significantly correlated with some of the TAS subscales (p < 0.001). There was no significant differences in SAT9 or TAS scores among the three subject groups (SAT9 F(2, 87) = 1.88, p = 0.16; TAS F(2, 92) = 2.91, p = 0.06). MMPI Hs, MMPI Physm, MMPI Somc, BPI Hs could significantly predict TAS (R = 0.46, F(4, 89) = 6.06, p = 0.0002) but not SAT9 scores (R = 0.26, F(5, 84) = 1.54, p = 0.20). Neither TAS (F(2, 92) = 2.13, p = 0.12) or SAT9 (F(2, 87) = 0.095, p = 0.91) scores differed significantly between subjects grouped according to whether they had none, one, or two or more classical psychosomatic disorders.(ABSTRACT TRUNCATED AT 250 WORDS)
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Alexithymia is related to impoverished general functioning in somatoform disorders.
“Because alexithymia was found to be related to impoverished general functioning in somatoform disorders (2, 11–21), following the classification of the Diagnostic and Statistical Manual of Mental Disorders (DSM)-IV-TR (22) and other precursors of SSRD, as described in DSM-5 (23), general functioning also may be a relevant outcome of treatment.”
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- Authors
- Cohen, K., Auld, F., & Brooker, H.
- Affiliations
- University of Windsor (CA)
- Corresponding author
- Cohen, Karen
- Venue
- Journal of Psychosomatic Research
- Publisher
- Elsevier BV
- Published
- 1994-02
- Volume
- 38
- Issue
- 2
- Pages
- 119-127
- ISSN
- 0022-3999 (ISSN-L)
- OpenAlex
- W1993938145
- Cited by
- 84
- References
- 28
- Citations by year
- 2024: 1 · 2022: 1 · 2021: 3 · 2020: 3 · 2019: 3 · 2018: 3 · 2017: 1 · 2015: 1 · 2014: 2 · 2013: 3 · 2012: 2
- FWCI
- 2.74
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Psychosomatic Research (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
- Health Sciences › Medicine › Psychiatry and Mental health › Fibromyalgia and Chronic Fatigue Syndrome Research
- Health Sciences › Medicine › Psychiatry and Mental health › Medicine, History, and Philosophy
- Keywords
- alexithymia, psychosomatic disorders, somatization, somatic symptoms, health anxiety, denial, Toronto Alexithymia Scale, psychiatric patients, dental patients, personality traits
- MeSH terms
- Adult, Affective Symptoms, Anxiety Disorders, Depressive Disorder, Female, Humans, Male, Middle Aged, MMPI, Personality Inventory, Psychophysiologic Disorders, Risk Factors, Sick Role, Somatoform Disorders
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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