Cited by 193Psychosomatic Disorders and Their TreatmentsAnxiety, Depression, Psychometrics, Treatment, Cognitive ProcessesFibromyalgia and Chronic Fatigue Syndrome Research

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Somatoform disorders as disorders of affect regulation

Waller, Elisabeth, Scheidt, Carl Eduard·2004·Journal of Psychosomatic Research

DOI 10.1016/s0022-3999(03)00613-5

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Abstract

Objective To determine the role of undifferentiated and dysregulated affects in somatoform disorders by using a multimethod assessment approach of alexithymia. Methods Forty patients with ICD-10 somatoform disorders (SoD) and 20 healthy controls, matched for age, education and sex, were included in the study. Alexithymia was assessed using the Toronto Alexithymia Scale (TAS-20), the Affect Consciousness Interview (ACI), and the Levels of Emotional Awareness Scale (LEAS). All classifications were made blinded with regard to clinical status. Results Scores of the ACI and the TAS-20 showed that alexithymia is higher in SoD than in healthy controls. No differences were found on the LEAS. In terms of the multidimensionality of the alexithymia construct, our results indicate a specific positive association between SoD and a proneness to experience undifferentiated affects. The three subfactors of the TAS-20 were differentially related to non-self-report measures of alexithymia and to negative affectivity (NA). Only the cognitive facet of the TAS-20 (externally oriented thinking [EOT]) was related to the LEAS and the ACI. In contrast, the affective facets of the TAS-20-difficulties identifying feelings (DIF) and difficulties describing feelings (DDF)-were substantially related to NA. Conclusion The findings highlight the important role of impaired affect regulation and NA in the process of somatization.

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Authors: Waller, E., & Scheidt, C. E.
Affiliations: University Medical Center Freiburg (DE)
Corresponding author: Waller, Elisabeth
Venue: Journal of Psychosomatic Research
Publisher: Elsevier BV
Published: 2004-09
Volume: 57
Issue: 3
Pages: 239-247
ISSN: 0022-3999 (ISSN-L)
DOI: 10.1016/s0022-3999(03)00613-5
OpenAlex: W1764258630
Cited by: 193
References: 58
Citations by year: 2026: 2 · 2024: 5 · 2023: 4 · 2022: 10 · 2021: 5 · 2020: 4 · 2019: 9 · 2018: 18 · 2017: 9 · 2016: 15 · 2015: 13 · 2014: 6 · 2013: 18 · 2012: 14
FWCI: 2.88
Type: journal article
Language: en
Open access: closed
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: Journal of Psychosomatic Research (publishedVersion)
PubMed (publishedVersion)
FreiDok plus (Universitätsbibliothek Freiburg) (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: somatoform disorders, alexithymia, emotion regulation, negative affectivity, somatization, Toronto Alexithymia Scale, Levels of Emotional Awareness Scale, externally oriented thinking
MeSH terms: Adult, Affect, Affective Symptoms, Awareness, Female, Humans, Male, Surveys and Questionnaires, Somatoform Disorders, Self Efficacy

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Somatoform disorders as disorders of affect regulation

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