Effects of childhood trauma on somatization in major depressive disorder: the role of alexithymia
Abstract
Background Childhood trauma (CT) is often associated with later psychopathology, including depression, somatization, and alexithymia. The aim of the present study was to investigate the relationships of CT with somatization and alexithymia. Moreover, the effect of specific subtypes of trauma on alexithymia and somatization was also investigated.Methods The present study was conducted on 100 outpatients with major depressive disorder (MDD) and 50 age and gender matched healthy controls (HC). Data were collected on each of the participants, including the Childhood Trauma Questionnaire (CTQ-28), the Hamilton Anxiety Rating Scale (HARS), the Hamilton Depression Rating Scale (HDRS), a 20-item Toronto Alexithymia Scale (TAS), and a somatization subscale of the Symptom Check List-Revised Form (SCL-90 R). Patient groups were divided into two categories according to the TAS-20 cut-off score. Reliability and validity were assessed, and factor analyses were conducted on the CTQ-28. Next, the relationships among CT subtypes, alexithymia, and somatization were investigated using Pearson's and partial correlation analysis. Additionally, the types of CT that predict alexithymia and somatization were also investigated.Results Significantly higher scores on the clinical variables were noted in the patient group compared with the control group, except for physical neglect on the CTQ. The partial correlation of the CT types with somatization and alexithymia showed that the HARS, HDRS, somatization subscale of the SCL-90 R (for alexithymia), and the TAS-total (for somatization) were covariates. None of the CT types was correlated with somatization, whereas physical abuse and emotional neglect were correlated with alexithymia. Moreover, emotional abuse and emotional neglect predicted scores on the TAS and on the somatization subscale of the SCL-90 R. Conclusions CT is associated with alexithymia and ongoing somatic complaints. Alexithymia contributes to the emergence of somatic symptoms in MDD, particularly following CT. Somatization also contributes to alexithymia. Interestingly, the present study found that the relationship of emotional neglect and physical abuse with alexithymia was independent from somatization. Taken together, these results indicate that emotional abuse and neglect predict the later emergence of alexithymia and somatization.
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There was a positive correlation between CTQ and RADS-2 at baseline (r = 0.52, p < 0.01).
“We conducted baseline assessment of early trauma (CTQ) and verified a positive correlation between CTQ and depression symptoms (RADS-2) at baseline (r = 0.52, p < 0.01), which has been consistently found in previous studies (33, 67).”
Cites
Hamilton, M. (1960) · Journal of Neurology, Neurosurgery & Psychiatry · doi:10.1136/jnnp.23.1.56 · Cited by 32,817 · see citing works
The assessment of anxiety states by rating
HAMILTON, M. (1959) · British Journal of Medical Psychology · doi:10.1111/j.2044-8341.1959.tb00467.x · Cited by 11,455 · see citing works
Development and validation of a brief screening version of the Childhood Trauma Questionnaire
Bernstein, D. P., Stein, J. A., Newcomb, M. D., Walker, E., Pogge, D., Ahluvalia, T., Stokes, J., Handelsman, L., Medrano, M., Desmond, D., et al. (2003) · Child Abuse & Neglect · doi:10.1016/s0145-2134(02)00541-0 · Cited by 6,419 · see citing works
Bagby, R. M., Parker, J. D. A., & Taylor, G. J. (1994) · Journal of Psychosomatic Research · doi:10.1016/0022-3999(94)90005-1 · Cited by 5,293 · see citing works
The Hopkins Symptom Checklist (HSCL): A self-report symptom inventory
Derogatis, L. R., Lipman, R. S., Rickels, K., Uhlenhuth, E. H., & Covi, L. (1974) · Behavioral Science · doi:10.1002/bs.3830190102 · Cited by 4,604 · see citing works
Structured clinical interview for DSM-IV axis I disorders : SCID-I : clinical version : scoresheet
First, M. B., Spitzer, R. L., Gibbon, M., & Williams, J. B. W. (1997) · American Psychiatric Press eBooks · Cited by 3,101 · see citing works
The twenty-item Toronto Alexithymia scale—II. Convergent, discriminant, and concurrent validity
Bagby, R. M., Taylor, G. J., & Parker, J. D. A. (1994) · Journal of Psychosomatic Research · doi:10.1016/0022-3999(94)90006-x · Cited by 2,431 · see citing works
The link between childhood trauma and depression: insights from HPA axis studies in humans
Heim, C., Newport, D. J., Mletzko, T., Miller, A. H., & Nemeroff, C. B. (2008) · Psychoneuroendocrinology · doi:10.1016/j.psyneuen.2008.03.008 · Cited by 1,704 · see citing works
An international study of the relation between somatic symptoms and depression
Simon, G. E., VonKorff, M., Piccinelli, M., Fullerton, C., & Ormel, J. (1999) · New England Journal of Medicine · doi:10.1056/nejm199910283411801 · Cited by 1,303 · see citing works
Childhood adversity and adult psychiatric disorder in the US National Comorbidity Survey
KESSLER, R. C., DAVIS, C. G., & KENDLER, K. S. (1997) · Psychological Medicine · doi:10.1017/s0033291797005588 · Cited by 1,298 · see citing works
Disorders of Affect Regulation
Taylor, G. J., Bagby, R. M., Parker, J. D. A., & Grotstein, J. S. (1997) · Cambridge University Press eBooks · doi:10.1017/cbo9780511526831 · Cited by 1,129 · see citing works
BARSKY, A. J., Orav, E. J., & Bates, D. W. (2005) · Archives of General Psychiatry · doi:10.1001/archpsyc.62.8.903 · Cited by 912 · see citing works
Spitzer, R. L. (1995) · JAMA · doi:10.1001/jama.274.19.1511 · Cited by 769 · see citing works
Anxiety and Depression in Later Life: Co-Occurrence and Communality of Risk Factors
Beekman, A. T. F., de Beurs, E., van Balkom, A. J. L. M., Deeg, D. J. H., van Dyck, R., & van Tilburg, W. (2000) · American Journal of Psychiatry · doi:10.1176/ajp.157.1.89 · Cited by 669 · see citing works
Depression is strongly associated with alexithymia in the general population
Honkalampi, K. M., Hintikka, J., Tanskanen, A. J., Lehtonen, J., & Viinamäki, H. T. (2000) · Journal of Psychosomatic Research · doi:10.1016/s0022-3999(99)00083-5 · Cited by 663 · see citing works
Spertus, I. L., Yehuda, R., Wong, C. M., Halligan, S., & Seremetis, S. V. (2003) · Child Abuse & Neglect · doi:10.1016/j.chiabu.2003.05.001 · Cited by 509 · see citing works
Health-Related Quality of Life in Primary Care Patients With Mental Disorders
Spitzer, R. L., Kroenke, K., Linzer, M., Hahn, S. R., Williams, J. B. W., deGruy, F. V., Brody, D. S., & Davies, M. (1995) · JAMA · doi:10.1001/jama.1995.03530190025030 · Cited by 505 · see citing works
Childhood sexual abuse, stressful life events and risk for major depression in women
KENDLER, K. S., KUHN, J. W., & PRESCOTT, C. A. (2004) · Psychological Medicine · doi:10.1017/s003329170400265x · Cited by 475 · see citing works
Hovens, J. G. F. M., Wiersma, J., Giltay, E. J., van Oppen, P., Spinhoven, P., Penninx, B. W. J. H., & Zitman, F. G. (2009) · Acta Psychiatrica Scandinavica · doi:10.1111/j.1600-0447.2009.01491.x · Cited by 422 · see citing works
Katon, W. J., Sullivan, M. D., & Walker, E. A. (2001) · Annals of Internal Medicine · doi:10.7326/0003-4819-134-9_part_2-200105011-00017 · Cited by 416 · see citing works
Are Reports of Childhood Abuse Related to the Experience of Chronic Pain in Adulthood?
Davis, D. A., Luecken, L. J., & Zautra, A. (2005) · Clinical Journal of Pain · doi:10.1097/01.ajp.0000149795.08746.31 · Cited by 388 · see citing works
The importance of childhood trauma and childhood life events for chronicity of depression in adults
Wiersma, J. E., Hovens, J. G. F. M., van Oppen, P., Giltay, E. J., van Schaik, D. J. F., Beekman, A. T. F., & Penninx, B. W. J. H. (2009) · The Journal of Clinical Psychiatry · doi:10.4088/jcp.08m04521 · Cited by 358 · see citing works
Relationship of childhood maltreatment to the onset and course of major depression in adulthood
Bernet, C. Z., & Stein, M. B. (1999) · Depression and Anxiety · doi:10.1002/(sici)1520-6394(1999)9:4 · Cited by 289 · see citing works
Mapping the Road From Childhood Trauma to Adult Somatization: The Role of Attachment
Waldinger, R. J., Schulz, M. S., BARSKY, A. J., & Ahern, D. K. (2006) · Psychosomatic Medicine · doi:10.1097/01.psy.0000195834.37094.a4 · Cited by 272 · see citing works
Aguilera, M., Arias, B., Wichers, M., Barrantes-Vidal, N., Moya, J., Villa, H., van Os, J., Ibáñez, M. I., Ruipérez, M. A., Ortet, G., et al. (2009) · Psychological Medicine · doi:10.1017/s0033291709005248 · Cited by 265 · see citing works
Childhood adversities in patients with fibromyalgia and somatoform pain disorder
Imbierowicz, K., & Egle, U. T. (2003) · European Journal of Pain · doi:10.1016/s1090-3801(02)00072-1 · Cited by 236 · see citing works
Oudenhove, L. V., Vandenberghe, J. U., Geeraerts, B., Vos, R. D., Persoons, P., Fischler, B., Demyttenaere, K., & Tack, J. F. (2008) · Gut · doi:10.1136/gut.2008.158162 · Cited by 185 · see citing works
Affect dysregulation and alexithymia
Bagby, M. R., & Taylor, G. J. (1997) · Cambridge University Press eBooks · doi:10.1017/cbo9780511526831.005 · Cited by 173 · see citing works
Schoedl, A. F., Costa, M. C. P., Mari, J. J., Mello, M. F., Tyrka, A. R., Carpenter, L. L., & Price, L. H. (2010) · Journal of Child Sexual Abuse · doi:10.1080/10538711003615038 · Cited by 164 · see citing works
Hund, A. R., & Espelage, D. L. (2006) · Child Abuse & Neglect · doi:10.1016/j.chiabu.2005.11.003 · Cited by 150 · see citing works
Prevalence and association of somatic symptoms in patients with Major Depressive Disorder
Vaccarino, A. L., Sills, T. L., Evans, K., & Kalali, A. H. (2008) · Journal of Affective Disorders · doi:10.1016/j.jad.2008.01.009 · Cited by 141 · see citing works
Predictors of somatic symptoms in depressive disorder
Sayar, K., Kirmayer, L. J., & Taillefer, S. (2003) · General Hospital Psychiatry · doi:10.1016/s0163-8343(02)00277-3 · Cited by 138 · see citing works
Cunningham, H. (1998) · The American Historical Review · doi:10.1086/ahr/103.4.1195 · Cited by 135 · see citing works
KAPLAN, M. J., & KLINETOB, N. A. (2000) · The Journal of Nervous and Mental Disease · doi:10.1097/00005053-200009000-00006 · Cited by 133 · see citing works
Clinical features of survivors of sexual abuse with major depression☆
Zlotnick, C., Mattia, J. I., & Zimmerman, M. (2001) · Child Abuse & Neglect · doi:10.1016/s0145-2134(00)00251-9 · Cited by 130 · see citing works
Histories of childhood trauma in adult hypochondriacal patients
BARSKY, A. J., Wool, C., Barnett, M. C., & Cleary, P. D. (1994) · American Journal of Psychiatry · doi:10.1176/ajp.151.3.397 · Cited by 128 · see citing works
Teicher, M. H., Samson, J. A., Polcari, A., & Andersen, S. L. (2009) · The Journal of Clinical Psychiatry · doi:10.4088/jcp.08m04235 · Cited by 100 · see citing works
Hamilton depresyon derecelendirme ölçeği (HDDÖ)'nin geçerliliği- güvenirliliği ve klinikte kullanımı
Akdemir, A., DÖNBAK, S., Dağ, İ., Türkçapar, M. H., Işcan, N., & Özbay, H. (1996) · Cited by 80 · see citing works
Childhood Maltreatment in Patients With Somatization Disorder
Spitzer, C., Barnow, S., Gau, K., Freyberger, H. J., & Grabe, H. J. (2008) · Australian & New Zealand Journal of Psychiatry · doi:10.1080/00048670701881538 · Cited by 75 · see citing works
Childhood sexual abuse and affective symptoms in women: a general population study
Hill, J., DAVIS, R., Byatt, M., BURNSIDE, E., Rollinson, L., & Fear, S. C. (2000) · Psychological Medicine · doi:10.1017/s0033291799003037 · Cited by 71 · see citing works
Affects, Trauma, and Mechanisms of Symptom Formation: A Tribute to John C. Nemiah, MD (1918–2009)
Taylor, G. J. (2010) · Psychotherapy and Psychosomatics · doi:10.1159/000320119 · Cited by 63 · see citing works
Adult Somatic Preoccupation and Its Relationship to Childhood Trauma
Sansone, R. A., Wiederman, M. W., & Sansone, L. A. (2001) · Violence and Victims · doi:10.1891/0886-6708.16.1.39 · Cited by 58 · see citing works
Childhood emotional abuse and dissociation in patients with conversion symptoms
Şar, V., İslam, S., & Öztürk, E. (2009) · Psychiatry and Clinical Neurosciences · doi:10.1111/j.1440-1819.2009.02012.x · Cited by 53 · see citing works
Hamilton anksiyete değerlendirme öiçeği, değerlendiriciler arası güvenirlik ve geçerlik çalışması
Yazici, M., Demir, B., Tanrıverdi, N., Karaağaoğlu, E., & Yolaç, P. (1998) · Turkish Journal of Psychiatry · Cited by 34 · see citing works
Psychological Trauma, Physical Health and Somatisation
Ng, V., & Norwood, A. E. (2000) · Annals of the Academy of Medicine Singapore · doi:10.47102/annals-acadmedsg.v29n5p658 · Cited by 9 · see citing works
Güleç, H., & Yenel, A. (2010) · Journal of Clinical Psychiatry · Cited by 7 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Humphreys, K. L., LeMoult, J., Wear, J. G., Piersiak, H. A., Lee, A., & Gotlib, I. H. (2020) · Child Abuse & Neglect · doi:10.1016/j.chiabu.2020.104361 · Cited by 591 · see citing works
The role of language in emotion: predictions from psychological constructionism
Lindquist, K. A., MacCormack, J. K., & Shablack, H. (2015) · Frontiers in Psychology · doi:10.3389/fpsyg.2015.00444 · Cited by 400 · see citing works
Rief, W., & Martin, A. (2014) · Annual Review of Clinical Psychology · doi:10.1146/annurev-clinpsy-032813-153745 · Cited by 251 · see citing works
Tang, W., Hu, T., Yang, L., & Xu, J. (2020) · Personality and Individual Differences · doi:10.1016/j.paid.2020.110131 · Cited by 128 · see citing works
Serafini, G., Gonda, X., Pompili, M., Rihmer, Z., Amore, M., & Engel‐Yeger, B. (2016) · Child Abuse & Neglect · doi:10.1016/j.chiabu.2016.09.013 · Cited by 128 · see citing works
Berzenski, S. R. (2018) · Development and Psychopathology · doi:10.1017/s0954579418000020 · Cited by 119 · see citing works
Hoppen, T. H., & Chalder, T. (2018) · Clinical Psychology Review · doi:10.1016/j.cpr.2018.08.002 · Cited by 110 · see citing works
Pros and cons of a wandering mind: a prospective study
Ottaviani, C., & Couyoumdjian, A. (2013) · Frontiers in Psychology · doi:10.3389/fpsyg.2013.00524 · Cited by 107 · see citing works
Development of alexithymic personality features
Karukivi, M. (2014) · World Journal of Psychiatry · doi:10.5498/wjp.v4.i4.91 · Cited by 90 · see citing works
The Relation of Alexithymic Traits to Affective Theory of Mind
Demers, L. A., & Koven, N. S. (2015) · The American Journal of Psychology · doi:10.5406/amerjpsyc.128.1.0031 · Cited by 74 · see citing works
How do Maternal PTSD and Alexithymia Interact to Impact Maternal Behavior?
Schechter, D. S., Suardi, F., Manini, A., Cordero, M. I., Rossignol, A. S., Merminod, G., Gex‐Fabry, M., Moser, D. A., & Serpa, S. R. (2014) · Child Psychiatry & Human Development · doi:10.1007/s10578-014-0480-4 · Cited by 68 · see citing works
Alexithymia in individuals maltreated as children and adolescents: a meta‐analysis
Khan, A. N., & Jaffee, S. R. (2022) · Journal of Child Psychology and Psychiatry · doi:10.1111/jcpp.13616 · Cited by 69 · see citing works
Myers, L., Matzner, B., Lancman, M., Perrine, K. R., & Lancman, M. E. (2013) · Epilepsy & Behavior · doi:10.1016/j.yebeh.2012.11.054 · Cited by 62 · see citing works
The developmental roots of dissociation: A multiple mediation analysis.
Schimmenti, A. (2016) · Psychoanalytic Psychology · doi:10.1037/pap0000084 · Cited by 62 · see citing works
Ceruso, A., Martínez-Cengotitabengoa, M., Peters‐Corbett, A., Díaz-Gutiérrez, M. J., & Martínez‐Cengotitabengoa, M. (2020) · Neuropsychobiology · doi:10.1159/000506484 · Cited by 62 · see citing works
Henje, E., Duncan, L. G., Ho, T. C., Connolly, C. G., LeWinn, K. Z., Chesney, M. A., Hecht, F. M., & Yang, T. T. (2014) · Frontiers in Human Neuroscience · doi:10.3389/fnhum.2014.00630 · Cited by 63 · see citing works
To know or not to know? Mentalization as protection from somatic complaints
Ballespí, S., Vives, J., Alonso, N., Sharp, C., Jiménez, M. S. R., Fonagy, P., & Barrantes‐Vidal, N. (2019) · PLoS ONE · doi:10.1371/journal.pone.0215308 · Cited by 63 · see citing works
Brown, S., Fite, P. J., Stone, K. J., Richey, A., & Bortolato, M. (2017) · Psychological Trauma Theory Research Practice and Policy · doi:10.1037/tra0000279 · Cited by 58 · see citing works
Kefeli, M. C., Goldsmith, R. E., Yıldırım, A., & Boysan, M. (2017) · Psychiatry Research · doi:10.1016/j.psychres.2017.12.026 · Cited by 58 · see citing works
Effects of DBT-Based Interventions on Alexithymia: A Systematic Review
Salles, B. M., Maturana de Souza, W., dos Santos, V. A., & Mograbi, D. C. (2023) · Cognitive Behaviour Therapy · doi:10.1080/16506073.2022.2117734 · Cited by 50 · see citing works
Lüdtke, J., In‐Albon, T., Michel, C., & Schmid, M. (2016) · Psychiatry Research · doi:10.1016/j.psychres.2016.02.026 · Cited by 48 · see citing works
Morina, N., Schnyder, U., Klaghofer, R., Müller, J., & Martin-Söelch, C. (2018) · BMC Psychiatry · doi:10.1186/s12888-018-1680-4 · Cited by 48 · see citing works
Hopelessness and its correlates with clinical outcomes in an outpatient setting.
Serafini, G., Lamis, D., Aguglia, A., Amerio, A., Nebbia, J., Geoffroy, P., Pompili, M., & Amore, M. (2019) · Journal of Affective Disorders · doi:10.1016/j.jad.2019.11.144 · Cited by 47 · see citing works
Aceto, P., Lai, C., Perilli, V., Sacco, T., Modesti, C., Raffaelli, M., & Sollazzi, L. (2016) · Physiology & Behavior · doi:10.1016/j.physbeh.2016.04.032 · Cited by 45 · see citing works
Taycan, O., Özdemir, A., & Taycan, S. E. (2016) · Nöro Psikiyatri Arşivi · doi:10.5152/npa.2016.12385 · Cited by 47 · see citing works
Dahoun, T., Nour, M., McCutcheon, R., Adams, R. A., Bloomfield, M., & Howes, O. (2019) · Translational Psychiatry · doi:10.1038/s41398-019-0627-y · Cited by 40 · see citing works
Zou, Z., Huang, Y., Wang, J., He, Y., Min, W., Xu, C., Wang, J., & Zhou, B. (2016) · Journal of Affective Disorders · doi:10.1016/j.jad.2016.07.027 · Cited by 42 · see citing works
Chen, L., Xu, L., You, W., Zhang, X., & Ling, N. (2017) · BMC Psychiatry · doi:10.1186/s12888-017-1443-7 · Cited by 42 · see citing works
Liu, Y., Shen, Q., Duan, L., Xu, L., Xiao, Y., & Zhang, T. (2024) · BMC Psychiatry · doi:10.1186/s12888-024-05809-w · Cited by 45 · see citing works
Influencing factors of alexithymia in Chinese medical students: a cross-sectional study
Zhu, Y., Luo, T., Liu, J., & Qu, B. (2017) · BMC Medical Education · doi:10.1186/s12909-017-0901-8 · Cited by 41 · see citing works
Karaca-Dinç, P., Oktay, S., & Batıgün, A. D. (2021) · BMC Psychiatry · doi:10.1186/s12888-021-03532-4 · Cited by 45 · see citing works
Hébert, M., Boisjoli, C., Blais, M., & Oussaïd, E. (2017) · Psychiatry Research · doi:10.1016/j.psychres.2017.12.022 · Cited by 39 · see citing works
Relations between Alexithymia and Depressive and Anxiety Disorders and Personality
Honkalampi, K. M., Berardis, D. D., Vellante, F., & Viinamäki, H. T. (2018) · Cambridge University Press eBooks · doi:10.1017/9781108241595.011 · Cited by 36 · see citing works
Medically Unexplained Symptoms
Isaac, M., & Paauw, D. S. (2014) · Medical Clinics of North America · doi:10.1016/j.mcna.2014.01.013 · Cited by 35 · see citing works
Dissociative Depression Among Women with Fibromyalgia or Rheumatoid Arthritis
Kılıç, Ö., Şar, V., Taycan, O., Poyraz, C. A., Turgut Can, E. R. O. L., Tecer, Ö., Emül, M., & Özmen, M. (2013) · Journal of Trauma & Dissociation · doi:10.1080/15299732.2013.844218 · Cited by 36 · see citing works
Henje Blom, E., Tymofiyeva, O., Chesney, M. A., Ho, T. C., Moran, P., Connolly, C. G., Duncan, L. G., Baldini, L., Weng, H. Y., Acree, M., et al. (2017) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2016.00208 · Cited by 33 · see citing works
Khosravani, V., Berk, M., Bastan, F. S., Ardestani, S. M. S., & Wrobel, A. L. (2021) · International Journal of Psychiatry in Clinical Practice · doi:10.1080/13651501.2021.1879867 · Cited by 32 · see citing works
Bordalo, F., & Carvalho, I. P. (2021) · Journal of Affective Disorders · doi:10.1016/j.jad.2021.10.029 · Cited by 32 · see citing works
Kick, L., Schleicher, D., Ecker, A., Kandsperger, S., Brunner, R. M., & Jarvers, I. (2024) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2024.1412229 · Cited by 41 · see citing works
Lamela, D. J. P. D. V., & Figueiredo, B. (2013) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2013.04.001 · Cited by 29 · see citing works
Attachment, Trauma, and Alexithymia
Schimmenti, A., & Caretti, V. (2018) · Cambridge University Press eBooks · doi:10.1017/9781108241595.010 · Cited by 30 · see citing works
Edwards, E. R., Rose, N. L. J., Gromatsky, M. A., Feinberg, A., Kimhy, D., Doucette, J. T., Goodman, M. S., McClure, M. M., Pérez-Rodríguez, M. M., New, A. S., et al. (2021) · Journal of Personality Disorders · doi:10.1521/pedi_2021_35_513 · Cited by 29 · see citing works
Dorsal Anterior Cingulate Thickness Is Related to Alexithymia in Childhood Trauma-Related PTSD
Demers, L. A., Olson, E. A., Crowley, D. J., Rauch, S. L., & Rosso, I. M. (2015) · PLoS ONE · doi:10.1371/journal.pone.0139807 · Cited by 29 · see citing works
Pei, C., Fan, C., Luo, H., Bai, A., Ni, S., Luo, M., Huang, J., Zhou, Y., & Huo, L. (2023) · Journal of Affective Disorders · doi:10.1016/j.jad.2023.05.095 · Cited by 26 · see citing works
Trichotillomania and emotion regulation: Is symptom severity related to alexithymia?
Rufer, M., Bamert, T., Klaghofer, R., Moritz, S., Schilling, L., & Weidt, S. (2014) · Psychiatry Research · doi:10.1016/j.psychres.2014.03.029 · Cited by 25 · see citing works
Elevated moral condemnation of third-party violations in multiple sclerosis patients
Patil, I., Young, L., Sinay, V. J., & Gleichgerrcht, E. L. (2016) · Social Neuroscience · doi:10.1080/17470919.2016.1175380 · Cited by 25 · see citing works
Adverse childhood experiences and alexithymia in patients with major depressive disorder
Honkalampi, K. M., Flink, N., Lehto, S. M., Ruusunen, A. A., Koivumaa-Honkanen, H. T., Valkonen‐Korhonen, M., & Viinamäki, H. T. (2019) · Nordic Journal of Psychiatry · doi:10.1080/08039488.2019.1667430 · Cited by 22 · see citing works
Feyzioğlu, A., Sayıner, A. C. T., Özçelik, D., Altun, F. T., & Budak, E. N. (2022) · Current Psychology · doi:10.1007/s12144-022-02988-1 · Cited by 20 · see citing works
Adamowicz, J. L., Sirotiak, Z., & Thomas, E. B. K. (2022) · Psychological Trauma Theory Research Practice and Policy · doi:10.1037/tra0001315 · Cited by 24 · see citing works
Minnich, A. M., Gordon, K. H., Kwan, M. Y., & Troop‐Gordon, W. (2016) · Psychology of Men & Masculinity · doi:10.1037/men0000060 · Cited by 20 · see citing works
Alexithymia and depression in the recovery of chronic pain patients: a follow-up study
Saariaho, A., Saariaho, T., Mattila, A. K., Ohtonen, P. P., Joukamaa, M. I., & Karukivi, M. (2017) · Nordic Journal of Psychiatry · doi:10.1080/08039488.2016.1275782 · Cited by 20 · see citing works
Zhang, C., Li, G., Fan, Z., Tang, X., & Zhang, F. (2020) · Psychology Research and Behavior Management · doi:10.2147/prbm.s288647 · Cited by 21 · see citing works
Hamel, C., Rodrigue, C., Clermont, C., Hébert, M., Paquette, L., & Dion, J. (2024) · Scientific Reports · doi:10.1038/s41598-024-56909-2 · Cited by 27 · see citing works
Brown, S., Fite, P. J., & Bortolato, M. (2022) · Child Abuse & Neglect · doi:10.1016/j.chiabu.2022.105591 · Cited by 18 · see citing works
Bruns, D. L., & Disorbio, J. M. (2014) · Psychological Injury and Law · doi:10.1007/s12207-014-9206-y · Cited by 16 · see citing works
Khayyat-Abuaita, U. (2016) · Cited by 15 · see citing works
The interconnection between social media addiction, alexithymia and empathy in medical students
Ursoniu, S., Bredicean, A. C., Șerban, C. L., Rivis, I. A., Bucur, A., Papavă, I., & Giurgi-Oncu, C. (2024) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2024.1467246 · Cited by 14 · see citing works
Liu, Y., Li, M., Gao, Y. H., Zhang, C., Wang, Y., Liu, X., Yang, S., & Li, J. (2023) · Journal of Affective Disorders · doi:10.1016/j.jad.2023.04.059 · Cited by 13 · see citing works
Traditional C hinese medicinal herbal tea consumption, self‐reported somatization, and alexithymia
Chio, P. H., & Zaroff, C. M. (2014) · Asia-Pacific Psychiatry · doi:10.1111/appy.12161 · Cited by 12 · see citing works
Dahoun, T., Calcia, M., Veronese, M., Bloomfield, P. S., Marques, T. R., Turkheimer, F., & Howes, O. D. (2019) · Brain Behavior and Immunity · doi:10.1016/j.bbi.2019.05.023 · Cited by 12 · see citing works
You, J. S., Lee, C. W., Park, J. Y., Jang, Y., Yu, H., Yoon, J., Kwon, S. S., Oh, S., Park, Y. S., Ryoo, H. A., et al. (2022) · Psychiatry Investigation · doi:10.30773/pi.2022.0114 · Cited by 11 · see citing works
Tang, W., Xu, D., & Xu, J. (2020) · Personality and Individual Differences · doi:10.1016/j.paid.2020.109881 · Cited by 11 · see citing works
Psychopathological symptoms as a function of trauma, dreams, and inhibitions.
Yu, C. K.-C. (2014) · Dreaming · doi:10.1037/a0038438 · Cited by 10 · see citing works
Ogrodniczuk, J. S., Joyce, A. S., & Abbass, A. A. (2014) · Psychotherapy and Psychosomatics · doi:10.1159/000363769 · Cited by 9 · see citing works
Vergallito, A., Mattavelli, G. C., Gerfo, E. L., Anzani, S., Rovagnati, V., Speciale, M., Vinai, P., Vinai, P., Vinai, L., & Lauro, L. J. R. (2020) · Frontiers in Psychology · doi:10.3389/fpsyg.2020.00433 · Cited by 9 · see citing works
Alexithymia in food-allergic versus healthy children and young adults
Polloni, L., Gregori, D., Ferruzza, E., Oricoli, C., Lazzarotto, F., Bonaguro, R., Toniolo, A., Celegato, N., & Muraro, A. M. (2015) · Journal of Health Psychology · doi:10.1177/1359105315600235 · Cited by 9 · see citing works
Wade-Bohleber, L., Boeker, H., Grimm, S., Gärtner, M., Ernst, J., Recher, D., Buergi, N., Seifritz, E., & Richter, A. (2020) · Journal of Affective Disorders · doi:10.1016/j.jad.2020.05.110 · Cited by 7 · see citing works
Tanacıoğlu, B., & Süslü, D. P. (2023) · Türk Psikolojik Danışma ve Rehberlik Dergisi · doi:10.17066/tpdrd.1265528.4 · Cited by 9 · see citing works
Lee, S., & Kim, B. (2021) · Psychological Reports · doi:10.1177/00332941211012622 · Cited by 8 · see citing works
The Role of Alexithymia in the Incidence of Poststroke Depression
Hung, T., Chou, S., & Su, J. (2015) · The Journal of Nervous and Mental Disease · doi:10.1097/nmd.0000000000000408 · Cited by 8 · see citing works
Trastornos somatomorfos y síntomas somáticos funcionales en niños y adolescentes
Moreno, M. R. P., González, I. M., Gómez‐Vallejo, S., & Moreno, D. M. (2021) · Revista de Psiquiatría Infanto-Juvenil · doi:10.31766/revpsij.v38n2a4 · Cited by 7 · see citing works
Jesline, J., Romate, J., Diya, E., & Rajkumar, E. (2025) · BMC Psychology · doi:10.1186/s40359-025-02856-0 · Cited by 14 · see citing works
Davila, C., Hill, D. J., McCormick, A. S., & Villarreal, A. L. (2020) · Contemporary School Psychology · doi:10.1007/s40688-020-00286-w · Cited by 8 · see citing works
Shi, Y., Zhang, Q., Xu, G., Wang, S., Chen, C., Liu, Z., Geng, F., Wang, J., Luo, X., Wen, X., et al. (2025) · Scientific Reports · doi:10.1038/s41598-025-08423-2 · Cited by 6 · see citing works
Melin, E. O., Svensson, R., Dereke, J., & Hillman, M. (2021) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2021.672931 · Cited by 5 · see citing works
van Sleeuwen, C., van Zuiden, M., Koch, S. B. J., Frijling, J. L., Veltman, D. J., Olff, M., & Nawijn, L. (2023) · European Journal of Psychotraumatology · doi:10.1080/20008066.2023.2281187 · Cited by 6 · see citing works
Löffler‐Stastka, H., Dietrich, D., Sauter, T., Fittner, M., & Steinmair, D. (2021) · World Journal of Meta-Analysis · doi:10.13105/wjma.v9.i6.474 · Cited by 5 · see citing works
Willoughby, K., Atallah, S., Arbeau, K., Pearce, J., Ketelaars, T., & Pierre, J. S. (2024) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph21111441 · Cited by 5 · see citing works
Liang, L., Zhu, W., Yang, J., & Wang, F. (2021) · Psychology Health & Medicine · doi:10.1080/13548506.2021.2005249 · Cited by 4 · see citing works
Vinai, P., Speciale, M., Vinai, P., Vinai, P., Bruno, C., Ambrosecchia, M., Ardizzi, M., Lackey, S., Ruggiero, G. M., & D, V. G. M. (2015) · Journal of Rational-Emotive & Cognitive-Behavior Therapy · doi:10.1007/s10942-015-0205-z · Cited by 4 · see citing works
Multimodal psychotherapy in the management of somatization disorder
Kumar, R., & Jahan, M. (2020) · Industrial Psychiatry Journal · doi:10.4103/ipj.ipj_11_17 · Cited by 4 · see citing works
Jimenez, X. F., Salerno, K. E., & Funk, M. C. (2015) · The Journal of Nervous and Mental Disease · doi:10.1097/nmd.0000000000000401 · Cited by 4 · see citing works
Ye, Q., Zhang, S.-Y., He, X.-L., Yang, Y., Ni, K., Yang, H., Wei, W., Preece, D. A., Chan, R. C. K., Li, B.-M., et al. (2025) · Child Abuse & Neglect · doi:10.1016/j.chiabu.2025.107877 · Cited by 3 · see citing works
Zhang, Q., Liu, Q., Jia, M., Zhang, S., Zhang, L., & Cong, Z. (2026) · Frontiers in Psychology · doi:10.3389/fpsyg.2026.1754917 · Cited by 3 · see citing works
Use of lifeline technique in cognitive-behavioral-systemic family therapy
Poletto, M. P., Kristensen, C. H., de Oliveira, R. G., & Boeckel, M. G. (2015) · Revista Brasileira de Terapia Comportamental e Cognitiva · doi:10.31505/rbtcc.v17i1.790 · Cited by 3 · see citing works
An Integrated Treatment of Psychosomatic Symptoms and Disorders of the Self: The Role of Alexithymia
Catrone, C. (2021) · Psychoanalytic Social Work · doi:10.1080/15228878.2020.1809475 · Cited by 3 · see citing works
Yüksel, M. Y., & YAVUZ, E. (2023) · Uluslararası Sosyal Bilimler Akademi Dergisi · doi:10.47994/usbad.1174880 · Cited by 3 · see citing works
Shaffer, A. E., Zegarac, M. C., & Peterson, C. M. (2023) · Child maltreatment solutions network · doi:10.1007/978-3-031-33739-0_9 · Cited by 3 · see citing works
Firoozabadi, A., Bellissimo, N., Ghanizadeh, A. J., & Nesseri, A. T. (2015) · Springer eBooks · doi:10.1007/978-3-319-17326-9_12 · Cited by 3 · see citing works
Çetinkaya, H. Z., Alpar, G., & Arıcak, O. T. (2017) · Neuropsychiatric Investigation · doi:10.5455/nys.20180114113242 · Cited by 3 · see citing works
Clarke, S. B. (2015) · University of Minnesota Digital Conservancy (University of Minnesota) · Cited by 4 · see citing works
Childhood trauma in people with psychosis: implications for emotion awareness and regulation
Miller, S. A., Ospina, L. H., Ozomaro, B., Ballon, J. S., McEvoy, J. P., Jarskog, L. F., Stroup, T. S., & Kimhy, D. (2025) · Psychosis · doi:10.1080/17522439.2025.2516460 · Cited by 2 · see citing works
Ekbäck, E., Rådmark, L., Granåsen, G., Svärling, R., Sörlin, M., Schönbeck, C., & Henje, E. (2023) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2023.1130035 · Cited by 2 · see citing works
Serafini, G., Engel‐Yeger, B., Gonda, X., Pompili, M., Ríhmer, Z., Girardi, P., & Amore, M. (2016) · European Neuropsychopharmacology · doi:10.1016/s0924-977x(16)31375-x · Cited by 2 · see citing works
Huh, H. J., Lee, S. Y., Lee, S. S., & Chae, J. (2021) · Psychiatry Investigation · doi:10.30773/pi.2020.0187 · Cited by 2 · see citing works
Bridging the trauma-adult attachment connection through somatic movement
Shafir, T. B. (2015) · Body Movement and Dance in Psychotherapy · doi:10.1080/17432979.2015.1067256 · Cited by 2 · see citing works
Goetzmann, L., Olliges, E., Ruettner, B., Meißner, K., Ladwig, K., Møller, C. H., Deftu-Kloes, D., Pohl, S., Richardt, G., Burgdorf, C., et al. (2020) · Heart and Mind · doi:10.4103/hm.hm_76_19 · Cited by 2 · see citing works
Elevated moral condemnation of third-party violations in multiple sclerosis patientsPreprint
Patil, I., Young, L., Sinay, V. J., & Gleichgerrcht, E. L. (2017) · doi:10.31234/osf.io/4kbj7 · Cited by 2 · see citing works
Yuan, X., Long, H., Sun, J., Zhang, K., & Hu, L. (2025) · Personality and Individual Differences · doi:10.1016/j.paid.2025.113404 · Cited by 1 · see citing works
- Authors
- Güleç, M. Y., Altintaş, M., İnanç, L., Bezgin, Ç. H., Koca, E. K., & Güleç, H.
- Venue
- Journal of Affective Disorders
- Publisher
- Elsevier BV
- Published
- 2013-03
- Volume
- 146
- Issue
- 1
- Pages
- 137-141
- ISSN
- 0165-0327 (ISSN-L)
- OpenAlex
- W2010816586
- Cited by
- 125
- References
- 46
- Citations by year
- 2026: 4 · 2025: 9 · 2024: 7 · 2023: 13 · 2022: 6 · 2021: 12 · 2020: 10 · 2019: 9 · 2018: 6 · 2017: 9 · 2016: 11 · 2015: 14 · 2014: 11 · 2013: 4
- FWCI
- 6.60
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Affective Disorders (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
- Social Sciences › Psychology › Clinical Psychology › Child Abuse and Trauma
- Social Sciences › Psychology › Clinical Psychology › Psychoanalysis and Psychopathology Research
- Keywords
- childhood trauma, somatization, alexithymia, major depressive disorder, emotional abuse, emotional neglect, physical abuse, somatic symptoms, trauma subtypes
- MeSH terms
- Adult, Affective Symptoms, Major Depressive Disorder, Factor Analysis, Statistical, Female, Humans, Male, Middle Aged, Surveys and Questionnaires, Somatoform Disorders, Reproducibility of Results, Case-Control Studies, Adult Survivors of Child Abuse
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