Association of alexithymia and depression symptom severity in adults aged 50 years and older
Open accessAbstract
Objectives Alexithymia is a characteristic style of thinking and feeling involving deficits in the recognition of emotions. It is associated with depression onset and severity in younger adults, but researchers have not yet examined the association between alexithymia and depression severity in clinically depressed older adults.Design Cross-sectional.Participants One hundred thirty-four patients aged 50 years or older with a confirmed Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition Axis I mood disorder and currently receiving mental health treatment.Measures Alexithymia was measured using the Toronto Alexithymia Scale-20, a 20-item measure with subscales assessing difficulty identifying feelings, difficulty describing feelings (DDF), and externally oriented thinking. Depression symptom severity was measured using the Beck Depression Inventory, Second Edition (BDI-II).Results Total alexithymia scores were independently related to depressive symptom severity after controlling for demographics, cognitive functioning, and illness burden. DIF and DDF subscale scores were also independently associated with BDI-II scores.Conclusion The association between alexithymia and depression symptom severity could be attributed to difficulties in recognizing and describing negative emotions and resulting delays in seeking mental health treatment. Future research should focus on modifiable risk factors related to difficulties identifying and describing feelings.
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Elevated alexithymia in older adults is associated with poor physical and mental health.
“a body of evidence indicates that elevated alexithymia in older adults is associated with poor physical and mental health (Bamonti et al., 2010; Hintistan et al., 2013; Waldstein et al., 2002).”
From Atypical interoception as a common risk factor for psychopathology: A review (2021) · cites this paper as Bamonti et al., 2010
The Discussion reports that alexithymia was associated with more severe depressive symptoms in psychiatric patients aged 50 and older, supporting the mental-health part of the claim. The paper accounts for medical illness burden but does not establish that alexithymia is associated with poor physical health in older adults. (LLM, conf=0.87)
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- Authors
- Bamonti, P. M., Heisel, M. J., Topciu, R. A., Franus, N., Talbot, N. L., & Duberstein, P. R.
- Affiliations
- University of Rochester Medicine (US)
- Western University (CA)
- Corresponding author
- Duberstein, Paul R.
- Venue
- The American Journal of Geriatric Psychiatry
- Publisher
- Elsevier BV
- Published
- 2010-01
- Volume
- 18
- Issue
- 1
- Pages
- 51-56
- ISSN
- 1064-7481 (ISSN-L)
- PMC
- PMC3071987
- OpenAlex
- W2042317859
- Cited by
- 90
- References
- 38
- Citations by year
- 2026: 2 · 2025: 8 · 2024: 4 · 2023: 13 · 2022: 7 · 2021: 3 · 2020: 10 · 2019: 6 · 2018: 3 · 2017: 2 · 2016: 9 · 2015: 7 · 2014: 7 · 2013: 3 · 2012: 2
- FWCI
- 1.23
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- American Journal of Geriatric Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- Canadian Institutes of Health Research
- National Institute of Mental Health (K24MH072712, R01MH060285)
- 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 › Pharmacology › Treatment of Major Depression
- Keywords
- alexithymia, depression severity, older adults, difficulty identifying feelings, difficulty describing feelings, externally oriented thinking, emotional awareness, mood disorders, mental health treatment seeking, Toronto Alexithymia Scale-20, Beck Depression Inventory-II
- MeSH terms
- Affective Symptoms, Aging, Cognition, Depression, Educational Status, Female, Health Status, Humans, Male, Middle Aged, Psychiatric Status Rating Scales, Severity of Illness Index, Sex Factors
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