Effects of Mindfulness-Based Interventions on Alexithymia: A Systematic Review
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Question Alexithymia has been found to be modifiable through treatment, with associated clinical benefits. Recent studies have begun to test the potential of mindfulness-based interventions to reduce alexithymia, using skills-based, group training to improve non-judgemental, present-moment awareness. The objective of this review therefore was to conduct a systematic synthesis to assess the current state of knowledge about the effect of mindfulness-based interventions on alexithymia to inform clinical practice. Study selection and analysis We carried out a systematic review of the literature and found four randomised controlled trials of the effect of mindfulness-based interventions on alexithymia, with a combined total of 460 participants. Findings A random-effects meta-analysis, combining study endpoint data, showed a statistically significant effect of mindfulness-based treatment on alexithymia (Toronto Alexithymia Scale) compared with the control group (mean difference=−5.28, 95% CI −9.28 to −1.28, p=0.010). Subgroup analysis was conducted to investigate sources of heterogeneity (I2=52%). Heterogeneity was reduced when the meta-analysis was restricted to interventions of a similar duration (3 months or less). Conclusions Findings from our study should be replicated in further research with larger samples; however, the results indicate that mindfulness-based interventions may be an effective treatment in reducing alexithymia.
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We would expect to see a reduction rather than an increase in ALX over time.
“More importantly, we would expect to see a reduction rather than an increase in ALX over time (see Norman et al., 2019).”
From Self-guided mindfulness and cognitive behavioural practices reduce anxiety in autistic adults: A pilot 8-month waitlist-controlled trial of widely available online tools. (2020) · cites this paper as Norman et al., 2019
The Conclusions and clinical implications (p. 3) report that mindfulness-based interventions reduced alexithymia relative to controls at the end of the study period. This supports expecting a reduction in that setting, but not a general expectation that alexithymia will decrease over time without such an intervention. (LLM, conf=0.83)
Experimental — accuracy not yet measuredWe found two systematic reviews on interventional studies of psychological therapy, but they are only thematized on dialectical behavioral therapy (DBT) and mindfulness-based interventions.
“We found two systematic reviews on interventional studies of psychological therapy [35,36], but they are only thematized on dialectical behavioral therapy (DBT) and mindfulness-based interventions.”
From Psychological Treatments for Alexithymia: A Systematic Review (2024) · cites this paper as [36]
The review excluded non-psychological studies and mindfulness and DBT because there were already systematic reviews on such therapies improving alexithymia.
“We excluded non-psychological studies and also mindfulness and DBT since there were already systematic reviews on such therapies improving alexithymia [35,36].”
From Psychological Treatments for Alexithymia: A Systematic Review (2024) · cites this paper as [36]
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How Mindfulness and Acceptance Could Help Psychiatrists Predict Alexithymia Among Students
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PREMIERS INDICES DE VALIDITÉ DE LA VERSION QUÉBÉCOISE DU TAS-20 AVEC DES ADOLESCENTS QUÉBÉCOIS
Lapointe, F., & Wiethaeuper, D. (2021) · Revue québécoise de psychologie · doi:10.7202/1081262ar
- Authors
- Norman, H., Marzano, L., Coulson, M., & Oskis, A.
- Affiliations
- Middlesex University London (GB)
- Corresponding author
- Norman, Hilary
- Venue
- Evidence Based Mental Health
- Publisher
- BMJ
- Published
- 2018-08-04
- Volume
- 22
- Issue
- 1
- Pages
- 36-43
- ISSN
- 1362-0347 (ISSN-L)
- 1468-960X
- PMC
- PMC10270453
- OpenAlex
- W2883429522
- Cited by
- 128
- References
- 55
- Citations by year
- 2026: 19 · 2025: 18 · 2024: 27 · 2023: 20 · 2022: 11 · 2021: 16 · 2020: 15 · 2019: 2
- FWCI
- 1.25
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Evidence-Based Mental Health (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Goldsmiths (University of London) (acceptedVersion)
- Middlesex University Research Repository (Middlesex University Of London) (acceptedVersion)
- HighWire Press Open Archive (submittedVersion)
- UEA Digital Repository (University of East Anglia) (submittedVersion)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
- Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Keywords
- mindfulness-based interventions, alexithymia, Toronto Alexithymia Scale, treatment effects, group training, present-moment awareness
- MeSH terms
- Network Meta-Analysis, Affective Symptoms, Humans, Outcome Assessment, Health Care, Mindfulness
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