Alexithymia and somatic amplification in chronic pain
Abstract
A controlled study was undertaken to assess alexithymia and somatic amplification among 50 medical outpatients with chronic pain referred for psychiatric consultation. Data were collected on demographics; DSM-IV diagnoses; and measures of anxiety, depression, and alexithymia, assessed with the Toronto Alexithymia Scale (TAS-20), as well as somatic amplification, assessed with the Somatosensory Amplification Scale (SAS). Data analysis revealed low scores on the TAS-20 and SAS for the pain patients, compared with a control group without pain. In this sample, depression and anxiety were the primary determinants of alexithymia and somatic amplification, rather than pain. These findings suggest that psychological markers for chronic pain may be different from those for other somatoform disorders.
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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
- Kosturek, A., Gregory, R. J., Sousou, A. J., & Trief, P.
- Affiliations
- State University of New York (US)
- Corresponding author
- Gregory, Robert J.
- Venue
- Psychosomatics
- Publisher
- Elsevier BV
- Published
- 1998-09
- Volume
- 39
- Issue
- 5
- Pages
- 399-404
- ISSN
- 0033-3182 (ISSN-L)
- OpenAlex
- W1992633911
- Cited by
- 75
- References
- 32
- Citations by year
- 2025: 3 · 2024: 2 · 2021: 3 · 2020: 4 · 2019: 2 · 2018: 3 · 2017: 4 · 2016: 2 · 2015: 3 · 2014: 2 · 2013: 1 · 2012: 1
- FWCI
- 2.49
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Psychosomatics (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 › Anesthesiology and Pain Medicine › Pain Management and Treatment
- Keywords
- alexithymia, chronic pain, anxiety, depression, somatosensory amplification, somatoform disorders, Toronto Alexithymia Scale, psychiatric consultation
- MeSH terms
- Affective Symptoms, Analysis of Variance, Chronic Disease, Female, Humans, Male, Pain, Personality Inventory, Psychometrics, Retrospective Studies, Somatoform Disorders, Chi-Square Distribution, Linear Models
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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