Alexithymia and cancer pain: the effect of psychological intervention
Abstract
BACKGROUND: Alexithymia is likely to be involved in the pain experience of cancer patients, but the extent to which psychological interventions may modify both pain and alexithymia is unclear. METHODS: A group of 52 consecutive cancer patients were enrolled in a 6-month multicomponent psychological intervention trial, and compared to 52 control patients who received standard medical care. Validated scales for pain, alexithymia, coping with disease, illness behavior, psychological distress, and psychosocial functioning were administered at baseline and 6 months later. RESULTS: Pain was strongly associated with alexithymia and several psychological dimensions. Although at baseline patients in the intervention group had worse psychological and somatic health, at follow-up their level of pain intensity, alexithymia, and somatic concerns had significantly improved compared to control patients. Patients in the intervention group showed dramatic improvements in pain perception, alexithymia, and other psychological variables, while control patients showed an unexpected significant worsening of alexithymia, depression, and adjustment to disease. Multiple regression showed that psychological intervention and alexithymia were both independently associated with the reduction in pain perception. CONCLUSIONS: These findings confirm the close association between alexithymia and pain, and show that multicomponent psychological intervention may significantly reduce both alexithymia and cancer pain. Although the present findings need replication, they should strongly encourage clinicians to provide patients with psychological interventions targeting alexithymic difficulties and helping patients to cope better with both feelings and somatic perception.
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Recent studies found that specifically focusing on alexithymia during treatment improved treatment outcomes in terms of symptom reduction and general functioning.
“Recent studies found that specifically focusing on alexithymia during treatment improved treatment outcomes in terms of symptom reduction and general functioning (5–9), but the results of a 2013 systematic review (10) were inconclusive, and was suggested that development of evidence-based treatments are necessary (10).”
Cites
The Hospital Anxiety and Depression Scale
Zigmond, A. S., & Snaith, R. P. (1983) · Acta Psychiatrica Scandinavica · doi:10.1111/j.1600-0447.1983.tb09716.x · Cited by 47,139 · see citing works
The clinical evaluation of chemotherapeutic agents in cancer
Karnofsky, D. A. (1949) · Medical Entomology and Zoology · Cited by 2,933 · see citing works
The Effect of Group Psychosocial Support on Survival in Metastatic Breast Cancer
Goodwin, P. J., Leszcz, M., Ennis, M., Koopmans, J., Vincent, L., Guther, H., Drysdale, E., Hundleby, M., Chochinov, H. M., Navarro, M., et al. (2001) · New England Journal of Medicine · doi:10.1056/nejmoa011871 · Cited by 891 · see citing works
Carlson, L. E., Speca, M., Faris, P., & Patel, K. D. (2007) · Brain, Behavior, and Immunity · doi:10.1016/j.bbi.2007.04.002 · Cited by 688 · see citing works
Development of a questionnaire measure of adjustment to cancer: the MAC scale
Watson, M., Greer, S., Young, J., Inayat, Q., Burgess, C., & Robertson, B. (1988) · Psychological Medicine · doi:10.1017/s0033291700002026 · Cited by 666 · see citing works
Osborn, R. L., Demoncada, A. C., & Feuerstein, M. (2006) · The International Journal of Psychiatry in Medicine · doi:10.2190/eufn-rv1k-y3tr-fk0l · Cited by 621 · see citing works
Lumley, M. A., Neely, L. C., & Burger, A. J. (2007) · Journal of Personality Assessment · doi:10.1080/00223890701629698 · Cited by 535 · see citing works
Cleeland, C. S., Gonin, R., Baez, L., Loehrer, P. J., & Pandya, K. J. (1997) · Annals of Internal Medicine · doi:10.7326/0003-4819-127-9-199711010-00006 · Cited by 516 · see citing works
Cognitive-processing bias in chronic pain: a review and integration.
Pincus, T., & Morley, S. (2001) · Psychological Bulletin · doi:10.1037/0033-2909.127.5.599 · Cited by 501 · see citing works
A biobehavioral model of cancer stress and disease course.
Andersen, B. L., Kiecolt‐Glaser, J. K., & Glaser, R. (1994) · American Psychologist · doi:10.1037//0003-066x.49.5.389 · Cited by 480 · see citing works
Cancer pain and its impact on diagnosis, survival and quality of life
Mantyh, P. W. (2006) · Nature reviews. Neuroscience · doi:10.1038/nrn1914 · Cited by 443 · see citing works
The validity and reliability of pain measures in adults with cancer
Jensen, M. P. (2003) · The Journal of Pain · doi:10.1054/jpai.2003.1 · Cited by 427 · cited 1× · see citing works
“To avoid multiple redundant associations, the following 3 pain dimensions were selected: intensity of pain (perceived level of pain ranging from 0 to 10), interference of pain (averaged score of 7 daily living functions – general activity, mood, walking ability, normal work, interpersonal relationships, sleep, and enj…”
MethodCancer Pain and Psychosocial Factors
Zaza, C., & Baine, N. (2002) · Journal of Pain and Symptom Management · doi:10.1016/s0885-3924(02)00497-9 · Cited by 386 · see citing works
Bagby, R. M., Taylor, G. J., Parker, J. D. A., & Dickens, S. E. (2005) · Psychotherapy and Psychosomatics · doi:10.1159/000089224 · Cited by 359 · see citing works
Patterns of illness behaviour in patients with intractable pain
Pilowsky, I., & Spence, N. D. (1975) · Journal of Psychosomatic Research · doi:10.1016/0022-3999(75)90026-4 · Cited by 283 · see citing works
Biobehavioral outcomes following psychological interventions for cancer patients.
Andersen, B. L. (2002) · Journal of Consulting and Clinical Psychology · doi:10.1037//0022-006x.70.3.590 · Cited by 207 · see citing works
Predictive value of alexithymia in patients with eating disorders: A 3-year prospective study
Speranza, M., Loas, G., Wallier, J., & Corcos, M. (2007) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2007.03.008 · Cited by 204 · see citing works
Alexithymia and Outcome in Psychotherapy
Grabe, H., Frommer, J., Ankerhold, A., Ulrich, C., Gröger, R., Franke, G., Barnow, S., Freyberger, H., & Spitzer, C. (2008) · Psychotherapy and Psychosomatics · doi:10.1159/000119739 · Cited by 188 · see citing works
Beresnevaite, M. (2000) · Psychotherapy and Psychosomatics · doi:10.1159/000012378 · Cited by 173 · see citing works
Alexithymia and anger in patients with fibromyalgia
Sayar, K., Güleç, H., & Topbaş, M. (2004) · Clinical Rheumatology · doi:10.1007/s10067-004-0918-3 · Cited by 162 · see citing works
Alexithymia as Predictor of Treatment Outcome in Patients with Functional Gastrointestinal Disorders
Porcelli, P., Bagby, R. M., Taylor, G. J., Carne, M. D., Leandro, G., & Todarello, O. (2003) · Psychosomatic Medicine · doi:10.1097/01.psy.0000089064.13681.3b · Cited by 159 · see citing works
McCallum, M., Piper, W. E., Ogrodniczuk, J. S., & Joyce, A. S. (2003) · Psychology and Psychotherapy Theory Research and Practice · doi:10.1348/147608303765951177 · Cited by 136 · see citing works
Psychometric properties of the Toronto Alexithymia Scale (TAS-20) for substance users
Cleland, C., Magura, S., Foote, J., Rosenblum, A., & Kosanke, N. (2005) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2004.11.002 · Cited by 125 · see citing works
Use of the diagnostic criteria for psychosomatic research in oncology
Grassi, L., Sabato, S., Rossi, E., Biancosino, B., & Marmai, L. (2005) · Psychotherapy and Psychosomatics · doi:10.1159/000083168 · Cited by 123 · see citing works
Grassi, L. G., Travado, L., Gil, F., Sabato, S., & Rossi, E. G. (2004) · Journal of Affective Disorders · doi:10.1016/j.jad.2004.07.004 · Cited by 116 · see citing works
Ogrodniczuk, J. S., Piper, W. E., & Joyce, A. S. (2005) · Comprehensive Psychiatry · doi:10.1016/j.comppsych.2004.08.005 · Cited by 100 · see citing works
Chen, E. (2000) · Journal of Pediatric Psychology · doi:10.1093/jpepsy/25.4.269 · Cited by 92 · see citing works
Ogrodniczuk, J. S., Piper, W. E., & Joyce, A. S. (2004) · American Journal of Psychotherapy · doi:10.1176/appi.psychotherapy.2004.58.2.150 · Cited by 81 · see citing works
RCT of a psychological intervention for patients with cancer: I. Mechanisms of change.
Andersen, B. L., Shelby, R. A., & Golden-Kreutz, D. M. (2007) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.75.6.927 · Cited by 76 · see citing works
Fifty Years with the Hamilton Scales for Anxiety and Depression
Bech, P. (2009) · Psychotherapy and Psychosomatics · doi:10.1159/000214441 · Cited by 71 · see citing works
Alexithymia, coping, and illness behavior correlates of pain experience in cancer patients
Porcelli, P., Tulipani, C., Maiello, E., Cilenti, G., & Todarello, O. (2006) · Psycho-Oncology · doi:10.1002/pon.1115 · Cited by 61 · see citing works
Are difficulties perceiving and expressing emotions associated with low-back pain?
Mehling, W. E., & Krause, N. (2005) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2004.05.007 · Cited by 61 · see citing works
Psychosocial interventions for cancer patients
Daniels, J., & Kissane, D. W. (2008) · Current Opinion in Oncology · doi:10.1097/cco.0b013e3283021658 · Cited by 60 · see citing works
Alexithymia and pain in temporomandibular disorder
Glaros, A. G., & Lumley, M. A. (2005) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2005.05.007 · Cited by 59 · see citing works
Inhibition of Emotional Expression in Breast Cancer Patients
Servaes, P., Vingerhoets, A. J. J. M., Vreugdenhil, G., Keuning, J. J., & Broekhuijsen, A. M. (1999) · Behavioral Medicine · doi:10.1080/08964289909596735 · Cited by 57 · see citing works
Fava, G. A., N., W. T., & Sonino, N. (2011) · Advances in psychosomatic medicine · doi:10.1159/isbn.978-3-8055-9854-5 · Cited by 45 · see citing works
Effectiveness of an hypnotic imagery intervention on reducing alexithymia
Gay, M., Hanin, D., & Luminet, O. (2008) · Contemporary Hypnosis · doi:10.1002/ch.344 · Cited by 37 · see citing works
A Multidimensional Model for Understanding Cancer Pain
Wool, M. S., & Mor, V. (2005) · Cancer Investigation · doi:10.1080/07357900500360032 · Cited by 36 · see citing works
Wang, Z.-X. (2008) · World Journal of Gastroenterology · doi:10.3748/wjg.14.931 · Cited by 21 · see citing works
The Influence of Alexithymia on Persistent Symptoms of Dyspepsia after Laparoscopic Cholecystectomy
Porcelli, P., Lorusso, D., Taylor, G. J., & Bagby, R. M. (2007) · The International Journal of Psychiatry in Medicine · doi:10.2190/r781-2897-7218-0r32 · Cited by 18 · see citing works
Flagged first, then by citations
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Effect of Alexithymia on the Process and Outcome of Psychotherapy: A Programmatic Review
Ogrodniczuk, J. S., Piper, W. E., & Joyce, A. S. (2011) · Psychiatry Research · doi:10.1016/j.psychres.2010.04.026 · Cited by 249 · see citing works
Psychoanalysis and Empirical Research
Taylor, G. J., & Bagby, R. M. (2013) · Journal of the American Psychoanalytic Association · doi:10.1177/0003065112474066 · Cited by 209 · see citing works
Changes in Alexithymia Following Psychological Intervention: A Review
Cameron, K., Ogrodniczuk, J., & Hadjipavlou, G. (2014) · Harvard Review of Psychiatry · doi:10.1097/hrp.0000000000000036 · Cited by 192 · see citing works
Johannsen, M., Farver, I., Beck, N., & Zachariae, R. (2013) · Breast Cancer Research and Treatment · doi:10.1007/s10549-013-2503-4 · Cited by 113 · see citing works
Shibata, M., Ninomiya, T., Jensen, M. P., Anno, K., Yonemoto, K., Makino, S., Iwaki, R., Yamashiro, K., Yoshida, T., Imada, Y., et al. (2014) · PLoS ONE · doi:10.1371/journal.pone.0090984 · Cited by 102 · see citing works
Kojima, M. (2012) · BioPsychoSocial Medicine · doi:10.1186/1751-0759-6-21 · Cited by 115 · see citing works
Genetic influences on alexithymia and their relationship with depressive symptoms
Picardi, A., Fagnani, C., Gigantesco, A., Toccaceli, V., Lega, I., & Stazi, M. A. (2011) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2011.02.016 · Cited by 86 · see citing works
Alexithymia in Cancer Patients: Review of the Literature
Vries, A. M. M. D., Forni, V., Voellinger, R., & Stiefel, F. (2012) · Psychotherapy and Psychosomatics · doi:10.1159/000330888 · Cited by 77 · see citing works
Ogrodniczuk, J. S., Sochting, I., Piper, W. E., & Joyce, A. S. (2012) · Psychology and Psychotherapy Theory Research and Practice · doi:10.1111/j.2044-8341.2011.02032.x · Cited by 56 · see citing works
Alexithymia in multiple sclerosis: A systematic review of literature
Chalah, M. A., & Ayache, S. (2017) · Neuropsychologia · doi:10.1016/j.neuropsychologia.2017.07.034 · Cited by 56 · see citing works
Alexithymia in Gastroenterology and Hepatology: A Systematic Review
Carrozzino, D., & Porcelli, P. (2018) · Frontiers in Psychology · doi:10.3389/fpsyg.2018.00470 · Cited by 54 · see citing works
Porcelli, P., Guidi, J., Sirri, L., Grandi, S., Grassi, L. G., Ottolini, F., Pasquini, P., Picardi, A., Rafanelli, C., Rigatelli, M., et al. (2013) · General Hospital Psychiatry · doi:10.1016/j.genhosppsych.2013.04.005 · Cited by 51 · see citing works
Alexithymia and Physical Illness: A Psychosomatic Approach
Porcelli, P., & Taylor, G. J. (2018) · Cambridge University Press eBooks · doi:10.1017/9781108241595.009 · Cited by 47 · see citing works
Somatization and somatic symptom presentation in cancer: A neglected area
Grassi, L. G., Caruso, R., & Nanni, M. G. (2013) · International Review of Psychiatry · doi:10.3109/09540261.2012.731384 · Cited by 46 · see citing works
Fava, G. A., N., W. T., & Sonino, N. (2011) · Advances in psychosomatic medicine · doi:10.1159/isbn.978-3-8055-9854-5 · Cited by 45 · see citing works
Makino, S., Jensen, M. P., 有村, 達., 小幡, 哲., Anno, K., Iwaki, R., Kubo, C., Sudo, N., & Hosoi, M. (2012) · Clinical Journal of Pain · doi:10.1097/ajp.0b013e3182579c63 · Cited by 43 · see citing works
Facial mimicry, facial emotion recognition and alexithymia in post-traumatic stress disorder
Passardi, S., Peyk, P., Rufer, M., Wingenbach, T. S. H., & Pfaltz, M. C. (2019) · Behaviour Research and Therapy · doi:10.1016/j.brat.2019.103436 · Cited by 43 · see citing works
Porcelli, P., Carne, M. D., & Leandro, G. (2016) · Comprehensive Psychiatry · doi:10.1016/j.comppsych.2016.11.010 · Cited by 41 · see citing works
Zorzella, K. P. M., Muller, R. T., Cribbie, R. A., Bambrah, V., & Classen, C. C. (2019) · Psychological Trauma Theory Research Practice and Policy · doi:10.1037/tra0000433 · Cited by 43 · see citing works
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Lanzara, R., Conti, C. M., Camelio, M., Cannizzaro, P., Lalli, V., Bellomo, R. G., Saggini, R., & Porcelli, P. (2020) · Frontiers in Psychology · doi:10.3389/fpsyg.2020.545881 · Cited by 42 · see citing works
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Grandi, S., Sirri, L., Wise, T. N., Tossani, E., & Fava, G. A. (2011) · Psychotherapy and Psychosomatics · doi:10.1159/000328576 · Cited by 37 · see citing works
Eaton, L. H., Brant, J. M., McLeod, K., & Yeh, C. H. (2017) · Clinical journal of oncology nursing · doi:10.1188/17.cjon.s3.54-70 · Cited by 33 · see citing works
Temporal Stability of Alexithymia in Cancer Patients Following a Psychological Intervention
Porcelli, P., Tulipani, C., Di Micco, C., Spedicato, M. R., & Maiello, E. (2011) · Journal of Clinical Psychology · doi:10.1002/jclp.20839 · Cited by 31 · see citing works
Self-citationPrinciples of Psychosomatic Assessment
Fava, G. A., Sonino, N., & Wise, T. N. (2011) · Advances in psychosomatic medicine · doi:10.1159/000329997 · Cited by 27 · see citing works
Ogrodniczuk, J. S., Kealy, D., Hadjipavlou, G. A., & Cameron, K. (2018) · Cambridge University Press eBooks · doi:10.1017/9781108241595.014 · Cited by 27 · see citing works
Psychodynamic interventions in cancer care I: psychometric results of a randomized controlled trial
Ludwig, G., Krenz, S., Zdrojewski, C., Bot, M., Rousselle, I., Stagno, D., Luethi, F., Leyvraz, S., & Stiefel, F. (2013) · Psycho-Oncology · doi:10.1002/pon.3374 · Cited by 24 · see citing works
Review of Nonverbal Communication in Parent–Child Relationships: Assessment and Intervention
Colegrove, V. M., & Havighurst, S. S. (2016) · Journal of Child and Family Studies · doi:10.1007/s10826-016-0563-x · Cited by 26 · see citing works
Assessment of Personality in Psychosomatic Medicine: Current Concepts
Cosci, F. (2011) · Advances in psychosomatic medicine · doi:10.1159/000330014 · Cited by 23 · see citing works
Fernández-Jiménez, E., Pérez-San-Gregorio, M. Á., Taylor, G. J., Bagby, R. M., Ayearst, L. E., & Izquierdo, G. (2013) · International Journal of Clinical and Health Psychology · doi:10.1016/s1697-2600(13)70027-9 · Cited by 18 · see citing works
de Vroege, L., Emons, W. H. M., Sijtsma, K., & van der Feltz-Cornelis, C. M. (2018) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2018.00292 · Cited by 17 · see citing works
Preti, A., Sancassiani, F., Cadoni, F., & Carta, M. G. (2013) · Clinical Practice and Epidemiology in Mental Health · doi:10.2174/1745017901309010069 · Cited by 17 · see citing works
Hasuo, H., Ishiki, H., Matsuoka, H., & Fukunaga, M. (2020) · Journal of Palliative Medicine · doi:10.1089/jpm.2020.0371 · Cited by 13 · see citing works
Yeung, N. C. Y., Wang, L., Ji, L., Lü, Q., & Lu, G. (2020) · European Journal of Oncology Nursing · doi:10.1016/j.ejon.2020.101760 · Cited by 10 · see citing works
Measuring Illness Behavior in Patients With Systemic Sclerosis
Merz, E. L., Malcarne, V. L., Roesch, S. C., Sharif, R., Harper, B. E., Draeger, H. T., González, E. B., Nair, D. K., McNearney, T. A., Assassi, S., et al. (2012) · Arthritis Care & Research · doi:10.1002/acr.21874 · Cited by 9 · see citing works
Alexithymia in radiologically isolated syndrome
Joly, H., Gerbier, É., Zerlini, M., Fabre, R., Landes-Château, C., Mondot, L., Cohen, M., & Lebrun‐Frénay, C. (2024) · Multiple Sclerosis and Related Disorders · doi:10.1016/j.msard.2024.105905 · Cited by 8 · see citing works
Effectiveness of rhythmic movement therapy: Case study of alexithymia
Malkina-Pykh, I. G. (2013) · Body Movement and Dance in Psychotherapy · doi:10.1080/17432979.2013.804435 · Cited by 8 · see citing works
Porcelli, P., Cozzolongo, R., Lanzilotta, E., Giannuzzi, V., & Leandro, G. (2014) · Psychotherapy and Psychosomatics · doi:10.1159/000360821 · Cited by 8 · see citing works
Ruth, S., & Padmakumari, P. (2014) · International Journal of Psychology and Behavioral Sciences · Cited by 7 · see citing works
Identifying therapies to effectively reduce alexithymia: A systematic review and meta-analysis
Mazza, A. D., Davis, P., Johnson, L., Larkin, F., & Cole, S. N. (2026) · Journal of Affective Disorders · doi:10.1016/j.jad.2026.121167 · Cited by 5 · see citing works
Clinical characteristics of alexisomia in patients with incurable cancer
Hasuo, H., & Sakai, K. (2021) · Annals of Palliative Medicine · doi:10.21037/apm-21-1503 · Cited by 5 · see citing works
Alexithymia May Be Associated With Depression in Early-Stage Breast Cancer Patients
Eraslan, P., İlhan, A. H., Karaçin, C., & Öksüzoğlu, B. Ç. (2022) · Cureus · doi:10.7759/cureus.29519 · Cited by 5 · see citing works
Treatment of disorders of emotional comprehension, expression, and emotional semantics
Nadeau, S. E. (2021) · Handbook of clinical neurology · doi:10.1016/b978-0-12-822290-4.00013-x · Cited by 5 · see citing works
Hasuo, H., Sakuma, H., & Fukunaga, M. (2020) · Journal of Palliative Medicine · doi:10.1089/jpm.2019.0257 · Cited by 5 · see citing works
La douleur du cancer est biopsychosociale
Benezech, J.-P. (2016) · Douleurs Évaluation - Diagnostic - Traitement · doi:10.1016/j.douler.2016.09.001 · Cited by 4 · see citing works
A systematic review of evidence about the role of alexithymia in chronic back pain
Kapadi, R., Elander, J., & Bateman, A. H. (2021) · Health Psychology Update · doi:10.53841/bpshpu.2021.30.1.3 · Cited by 4 · see citing works
Partial Hospitalization Treatment of the Alexithymic Patient: A Case Study
Joyce, A. S., Nordhagen, A., Ogrodniczuk, J. S., Stovel, L., & Bjorge, A. (2015) · Journal of Clinical Psychology · doi:10.1002/jclp.22152 · Cited by 4 · see citing works
Lv, G., Jing, R., Gai, W., Luan, H., Ping, L., & Yang, C. (2024) · Journal of Affective Disorders · doi:10.1016/j.jad.2024.12.087 · Cited by 3 · see citing works
Pitluk, M., Gabyzon, M. E., & Engelhard, E. S. (2021) · The Arts in Psychotherapy · doi:10.1016/j.aip.2021.101821 · Cited by 3 · see citing works
Kapadi, R., Elander, J., & Bateman, A. H. (2024) · Substance Use & Misuse · doi:10.1080/10826084.2024.2320373 · Cited by 2 · see citing works
“Studies of people with depression (Spek et al., 2008) and cancer (Tulipani et al., 2010) have shown that interventions can reduce alexithymia.”
BackgroundAlexithymia and Breast Cancer Surgery: A Systematic Review
Berardis, D. D., Marini, S., Iasevoli, F., Mazza, M., Valchera, A., Fornaro, M., Perna, G., Orsolini, L., Carano, A., Girinelli, G., et al. (2016) · Journal of Advances in Medicine and Medical Research · doi:10.9734/bjmmr/2016/25934 · Cited by 3 · see citing works
DA AÇÃO À EMOÇÃO: O PSICODRAMA NO TRATAMENTO DA OBESIDADE
Da, E. (2014) · Cited by 2 · see citing works
Nonterah, C. W., Marek, R. J., Borckardt, J. J., & Balliet, W. E. (2019) · Psychological Reports · doi:10.1177/0033294119896058 · Cited by 2 · see citing works
Psychosomatic Approach to Clinical Practice
Tossani, E., & Fava, G. A. (2013) · Springer eBooks · doi:10.1007/978-1-4614-7119-6_7 · Cited by 2 · see citing works
Alexithymia phenomenology in psychology: innovative explanatory-functional psychological paradigm
Ivanchenko, A., TIMCHENKO, O., Заика, Е. В., & ZAVGORODNYA, O. (2022) · Minerva Psychiatry · doi:10.23736/s2724-6612.22.02367-3 · Cited by 1 · see citing works
Feeling Physical Pain While Depressed: The Effect of Alexithymia
Smirni, D., Beadle, J. N., & Paradiso, S. (2020) · Annals of Clinical Psychiatry · doi:10.12788/acp.0009 · Cited by 1 · see citing works
Ogrodniczuk, J. S., Piper, W. E., & Joyce, A. S. (2011) · Gruppenpsychotherapie und Gruppendynamik · doi:10.13109/grup.2011.47.2.94 · Cited by 1 · see citing works
Conclusions and Future Directions
Taylor, G. J., Bagby, R. M., & Luminet, O. (2018) · Cambridge University Press eBooks · doi:10.1017/9781108241595.020 · Cited by 1 · see citing works
An examination of the relationship between Alexithymia and health anxiety
Zeng, G. (2015) · Murdoch University Research Portal
Hasuo, H., Ishiki, H., Matsuda, Y., Matsuoka, H., Hiramoto, S., Kinkawa, J., & Nojima, M. (2021) · Research Square · doi:10.21203/rs.3.rs-374768/v1
Measuring Illness Behavior in Patients With Systemic Sclerosis
Merz, E. L., Malcarne, V. L., Roesch, S. C., Sharif, R., Harper, B. E., Draeger, H. T., González, E. B., Nair, D. K., Assassi, S., & Mayes, M. D. (2012) · PsycEXTRA Dataset · doi:10.1037/e641022012-001
Associations among Childhood Trauma, Alexithymia, and Empathy: A Bayesian Network Analysis
Chen, Y.-J., Liu, Z.-Y., Bian, T.-Y., Xiang, Y., & Yang, H. (2026) · Journal of Child & Adolescent Trauma · doi:10.1007/s40653-026-00837-y
Chalghaf, N., Chokri, I., Dhahbi, W., Ceylan, H. İ., Ștefănică, V., Guelmami, N., & Dergaa, I. (2026) · Frontiers in Psychology · doi:10.3389/fpsyg.2026.1705694
- Authors
- Tulipani, C., Morelli, F., Spedicato, M. R., Maiello, E., Todarello, O., & Porcelli, P.
- Affiliations
- Casa Sollievo della Sofferenza (IT)
- University of Bari Aldo Moro (IT)
- Gastroenterology Hospital "Saverio de Bellis" (IT)
- Venue
- Psychotherapy and Psychosomatics
- Publisher
- S. Karger AG
- Published
- 2010
- Volume
- 79
- Issue
- 3
- Pages
- 156-163
- ISSN
- 0033-3190 (ISSN-L)
- 1423-0348
- OpenAlex
- W2034411578
- Cited by
- 61
- References
- 40
- Citations by year
- 2026: 3 · 2024: 3 · 2022: 2 · 2021: 5 · 2020: 5 · 2019: 3 · 2018: 5 · 2017: 2 · 2016: 4 · 2015: 2 · 2014: 5 · 2013: 9 · 2012: 4
- FWCI
- 5.02
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Psychotherapy and Psychosomatics (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Health Sciences › Medicine › Psychiatry and Mental health › Medicine, History, and Philosophy
- Keywords
- alexithymia, cancer pain, psychological intervention, multicomponent intervention, pain perception, coping with illness, psychological distress, depression, adaptation to illness, somatic symptoms, psychosocial functioning
- MeSH terms
- Adaptation, Psychological, Adult, Affective Symptoms, Female, Follow-Up Studies, Humans, Italy, Male, Middle Aged, Neoplasms, Pain, Pain Measurement, Patient Care Team, Personality Inventory, Psychometrics, Psychotherapy, Referral and Consultation, Social Adjustment, Illness Behavior
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Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
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