Alexithymia in multiple sclerosis: Relationship with fatigue and depression
Abstract
OBJECTIVE: The aim of this study was to investigate the prevalence of alexithymia in a sample of patients with multiple sclerosis (MS) and to further evaluate the association between alexithymia and the occurrence of common disabling MS-related symptoms such as fatigue and depression. METHODS: Fifty-eight relapsing-remitting MS patients treated with interferon (IFN)-beta-1a underwent a complete neurological evaluation, including Expanded Disability Status Scale score assessment. Alexithymia, depressive symptoms and fatigue were assessed using the 20-item Toronto Alexithymia Scale, Beck Depression Inventory and Fatigue Severity Scale. RESULTS: Prevalence of alexithymia was 13.8%, with 27.6% of patients presenting borderline alexithymia. Sixty-seven per cent of the patients complained of fatigue while 29.3% of them were depressed. Higher levels of fatigue and depression were found in alexithymic patients when compared with non-alexithymic patients. Results from logistic regressions showed that alexithymia significantly contributes to the severity of fatigue and depression. CONCLUSIONS: Alexithymia was associated with increased severity of fatigue and depression.
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High levels of alexithymia have been observed in conditions such as HIV, diabetes, multiple sclerosis, and cancer.
“high levels of alexithymia have also been observed in conditions such as human immunodeficiency virus (HIV) (McIntosh et al., 2014), diabetes (Mnif et al., 2014; Topsever et al., 2006), multiple sclerosis (Bodini et al., 2008; Chahraoui et al., 2014; Prochnow et al., 2011), and cancer (although evidence is limited; De Vries et al., 2012)”
From Atypical interoception as a common risk factor for psychopathology: A review (2021) · cites this paper as Bodini et al., 2008
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- Authors
- Bodini, B., Mandarelli, G., Tomassini, V., Tarsitani, L., Pestalozza, I., Gasperini, C., Lenzi, G. L., Pancheri, P., & Pozzilli, C.
- Affiliations
- Sapienza University of Rome (IT)
- Azienda Ospedaliera San Camillo-Forlanini (IT)
- Corresponding author
- Pozzilli, C.
- Venue
- Acta Neurologica Scandinavica
- Publisher
- Hindawi Limited
- Published
- 2008-07
- Volume
- 118
- Issue
- 1
- Pages
- 18-23
- ISSN
- 0001-6314 (ISSN-L)
- 1600-0404
- OpenAlex
- W2042293853
- Cited by
- 59
- References
- 40
- Citations by year
- 2026: 2 · 2024: 3 · 2023: 4 · 2022: 1 · 2021: 6 · 2020: 4 · 2019: 2 · 2018: 2 · 2017: 6 · 2016: 4 · 2015: 6 · 2014: 3 · 2013: 5 · 2012: 2
- FWCI
- 2.11
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Acta Neurologica Scandinavica (publishedVersion)
- PubMed (publishedVersion)
- ORCA Online Research @Cardiff (Cardiff University) (submittedVersion)
- IRIS Research product catalog (Sapienza University of Rome) (submittedVersion)
- Research Portal (King's College London) (submittedVersion)
- CINECA IRIS Institutional Research Information System (University of Bari Aldo Moro) (submittedVersion)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
- Health Sciences › Medicine › Pathology and Forensic Medicine › Multiple Sclerosis Research Studies
- Health Sciences › Medicine › Psychiatry and Mental health › Fibromyalgia and Chronic Fatigue Syndrome Research
- Keywords
- alexithymia, multiple sclerosis, relapsing-remitting multiple sclerosis, fatigue, depression, interferon beta-1a, prevalence, disability severity, Toronto Alexithymia Scale
- MeSH terms
- Adult, Affective Symptoms, Depressive Disorder, Fatigue, Female, Humans, Male, Middle Aged, Multiple Sclerosis, Psychological Tests, Risk Factors, Self Concept, Cohort Studies, Prevalence
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