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Alexithymia in somatoform and depressive disorders
Abstract
Objective Alexithymia and its association with attribution styles, amplification and illness attitudes was studied among subjects with somatoform disorders, depressive disorders and normal subjects.Methods Two groups of 30 subjects each, bearing diagnoses of somatoform disorder and depressive disorder respectively (ICD-10 DCR), and one group of 30 normal controls were recruited. The study subjects were assessed using the Toronto Alexithymia Scale and scales for assessing attribution styles, amplification and illness attitudes.Results Mean alexithymia scores in the somatoform (60.4) and depressive disorder groups (62.5) were higher than in normal subjects (54.2). In the somatoform disorder group, total alexithymia and 'difficulty describing feelings' scores positively correlated with psychological attribution (the latter correlation was also noted in the depressive disorder group), but not with the illness attitudes, amplification, somatic attribution scores or any of the sociodemographic variables. Compared with normal subjects, those with somatoform and depressive disorder had greater difficulty in identifying bodily sensations and feelings. Subjects with depressive disorder had more difficulty in expressing feelings compared to somatoform disorder subjects.Conclusions While total alexithymia scores do not differentiate somatoform from depressive disorders, the two diagnostic groups do differ in that depressed subjects have greater difficulty in expressing feelings. However, all three groups had mean scores within the non-alexithymic range. Alexithymia and difficulty in expressing feelings were associated with psychological attribution of innocuous bodily sensations in the somatoform disorder group suggesting that alexithymic subjects are more able to psychologize bodily symptoms than non-alexithymic subjects. Somatoform and depressive disorder subjects and normals differ from each other in certain alexithymic characteristics, which could have potential therapeutic implications.
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“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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Metadata
- Authors
- Duddu, V, Isaac, M. K., & Chaturvedi, S. K.
- Affiliations
- National Institute of Mental Health and Neurosciences (IN)
- Corresponding author
- Duddu, V
- Venue
- Journal of Psychosomatic Research
- Publisher
- Elsevier BV
- Published
- 2003-05
- Volume
- 54
- Issue
- 5
- Pages
- 435-438
- ISSN
- 0022-3999 (ISSN-L)
- OpenAlex
- W2018956941
- Cited by
- 103
- References
- 22
- Citations by year
- 2026: 1 · 2025: 2 · 2024: 6 · 2023: 3 · 2022: 5 · 2021: 5 · 2020: 8 · 2019: 5 · 2018: 12 · 2017: 3 · 2016: 8 · 2015: 8 · 2014: 6 · 2013: 8 · 2012: 5
- FWCI
- 1.02
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Psychosomatic Research (publishedVersion)
- PubMed (publishedVersion)
- UWA Profiles and Research Repository (UWA) (submittedVersion)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Health Sciences › Medicine › Psychiatry and Mental health › Fibromyalgia and Chronic Fatigue Syndrome Research
- Keywords
- alexithymia, somatoform disorders, depressive disorders, attribution style, psychological attribution, difficulty describing feelings, attitudes toward illness, amplification
- MeSH terms
- Adult, Affective Symptoms, Cross-Sectional Studies, Depressive Disorder, Female, Humans, Male, Somatoform Disorders
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