The assessment of alexithymia in medical settings: implications for understanding and treating health problems

Lumley, Mark A.; Neely, Lynn C.; Burger, Amanda J.

doi:10.1080/00223890701629698

Cited by 535Psychosomatic Disorders and Their TreatmentsAnxiety, Depression, Psychometrics, Treatment, Cognitive ProcessesPsychological Testing and Assessment

The assessment of alexithymia in medical settings: implications for understanding and treating health problems

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Lumley, Mark A., Neely, Lynn C., Burger, Amanda J.·2007·Journal of Personality Assessment

DOI 10.1080/00223890701629698PMC PMC2931418

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Abstract

The construct of alexithymia encompasses the characteristics of difficulty identifying feelings, difficulty describing feelings, externally oriented thinking, and a limited imaginal capacity. These characteristics are thought to reflect deficits in the cognitive processing and regulation of emotions and to contribute to the onset or maintenance of several medical and psychiatric disorders. In this article, we review recent methods for assessing alexithymia and examine how assessing alexithymia can inform clinical practice. Alexithymia is associated with heightened physiological arousal, the tendency to notice and report physical symptoms, and unhealthy compulsive behaviors. Alexithymic patients may respond poorly to psychological treatments, although perhaps not to cognitive-behavioral techniques, and it is unclear whether alexithymia can be improved through treatment. Interpretive problems regarding alexithymia include its overlap with other traits, whether it is secondary to illness or trauma, the possibility of subtypes, and low correlations among multiple measures. Nonetheless, we encourage the assessment of alexithymia in applied settings.

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Difficulties in emotional awareness are related to somatosensory amplification, which may increase physical sensations related to pain.
“Research indicates that difficulties in emotional awareness are related to somatosensory amplification, experiencing normal somatic sensations as intense, which may increase physical sensations related to pain.11”
From ‘All these things don’t take the pain away but they do help you to accept it’: making the case for compassion-focused therapy in the management of persistent pain (2020) · cites this paper as [11]
In “Does Alexithymia Contribute to Symptom Reporting and Health Care Utilization?” (page unavailable), the paper says alexithymia may lead to somatosensory amplification and reports an association with pain reports. It defines amplification as noticing and being concerned about the body, but does not specifically say that normal sensations are experienced as intense or that pain-related physical sensations themselves increase. (LLM, conf=0.82)
Experimental — accuracy not yet measured
Overall, while alexithymia scores can change (low absolute stability), relative stability is fairly high.
“Overall, it appears that while alexithymia scores can change (low absolute stability), relative stability is fairly high (see Lumley et al., 2007 for a review).”
From Atypical interoception as a common risk factor for psychopathology: A review (2021) · cites this paper as Lumley et al., 2007

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Authors: Lumley, M. A., Neely, L. C., & Burger, A. J.
Affiliations: Wayne State University (US)
ORCID: Lumley, Mark A.
Burger, Amanda J.
Venue: Journal of Personality Assessment
Publisher: Informa UK Limited
Published: 2007-11-14
Volume: 89
Issue: 3
Pages: 230-246
ISSN: 0022-3891 (ISSN-L)
1532-7752
DOI: 10.1080/00223890701629698
PMC: PMC2931418
OpenAlex: W2074668350
Cited by: 535
References: 159
Citations by year: 2026: 32 · 2025: 23 · 2024: 33 · 2023: 28 · 2022: 21 · 2021: 48 · 2020: 31 · 2019: 38 · 2018: 40 · 2017: 23 · 2016: 32 · 2015: 35 · 2014: 33 · 2013: 31 · 2012: 22
FWCI: 9.26
Type: journal article
Language: en
Open access: bronze
doi.org
Locations: Journal of Personality Assessment (publishedVersion)
PubMed (publishedVersion)
PubMed Central (acceptedVersion)
DigitalCommons-Cedarville (Cedarville University) (submittedVersion)
Funders: Foundation for the National Institutes of Health
Arthritis Foundation
National Institute on Aging (AG009203, R01AG009203)
National Institute of Arthritis and Musculoskeletal and Skin Diseases (R01AR049059, AR049059)
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
Social Sciences › Psychology › Applied Psychology › Psychological Testing and Assessment
Keywords: alexithymia, emotion regulation, emotion recognition, physiological arousal, compulsive behavior, treatment response, cognitive behavioral therapy, personality traits, health disorders, mental illness
MeSH terms: Affect, Affective Symptoms, Cognition, Diagnosis, Differential, Humans, Medical History Taking, Personality Inventory, Psychometrics, Psychotherapy, Group, Cognitive Behavioral Therapy, Diagnostic and Statistical Manual of Mental Disorders

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The assessment of alexithymia in medical settings: implications for understanding and treating health problems

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