Intact physiological response to arousal with impaired emotional recognition in alexithymia
Abstract
Background The purpose of the present study was to clarify the relationship between the recognition of emotion and physiological response to emotion (i.e. arousal) in alexithymia. Methods This study investigated differences in physiological arousal state, as measured by continuous heart rate, electrodermal activity (EDA) and self-reported emotional intensity before and after exposure to an emotionally arousing or neutral videotape among 41 high- or low-alexithymic young adult participants. Results Across subjects, emotionally negative stimuli produced increased physiological arousal. However, high-alexithymic participants exposed to the arousing videotape did not report increased subjective emotional intensity, as did low-alexithymic participants. In addition, the baseline EDA of high-alexithymic participants was significantly higher than that of the low-alexithymic participants. Conclusions Results support the prediction that alexithymia leads to a decoupling between subjective and physiological arousal when exposed to emotionally negative stimuli. This decoupling may increase alexithymic individuals' risks for stress-related illness.
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Individuals with high alexithymia seem less able to report their state of arousal accurately.
“Individuals with high alexithymia also seem less able to report their state of arousal accurately (Gaigg et al., 2016; Nandrino et al., 2012; Stone and Nielson, 2001).”
From Atypical interoception as a common risk factor for psychopathology: A review (2021) · cites this paper as Stone and Nielson, 2001
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A Longitudinal Study of Hormonal Reactions Accompanying Life Events in Recently Resettled Refugees
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- Authors
- Stone, L. A., & Nielson, K. A.
- Affiliations
- Marquette University (US)
- ORCID
- Nielson, Kristy A.
- Venue
- Psychotherapy and Psychosomatics
- Publisher
- S. Karger AG
- Published
- 2001
- Volume
- 70
- Issue
- 2
- Pages
- 92-102
- ISSN
- 0033-3190 (ISSN-L)
- 1423-0348
- OpenAlex
- W2041896858
- Cited by
- 138
- References
- 49
- Citations by year
- 2026: 2 · 2025: 7 · 2024: 3 · 2022: 9 · 2021: 8 · 2020: 4 · 2019: 7 · 2018: 8 · 2017: 7 · 2016: 8 · 2015: 5 · 2014: 5 · 2013: 5 · 2012: 8
- FWCI
- 3.01
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Psychotherapy and Psychosomatics (publishedVersion)
- PubMed (publishedVersion)
- e-Publications@Marquette (Marquette University) (submittedVersion)
- Funders
- Marquette University
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Heart Rate Variability and Autonomic Control
- Health Sciences › Medicine › Psychiatry and Mental health › Fibromyalgia and Chronic Fatigue Syndrome Research
- Keywords
- alexithymia, emotion recognition, physiological arousal, heart rate, electrodermal activity, emotional valence, stress-related disorders, emotional self-awareness
- MeSH terms
- Adult, Affect, Affective Symptoms, Arousal, Awareness, Female, Galvanic Skin Response, Heart Rate, Humans, Male, Surveys and Questionnaires, Stress, Psychological
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