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Predictive Value of Alexithymia: A Prospective Study in Somatizing Patients
Abstract
In the present study, the potential role of alexithymia in predicting the long-term treatment outcome was investigated prospectively in 30 patients with DSM-III-R somatoform disorders and anxiety disorders. Using SCID interviews, diagnoses were assessed before inpatient treatment and 2 years after discharge. Patients who met criteria for DSM-III-R undifferentiated somatoform disorder at follow-up exhibited higher pretreatment alexithymia scores (as measured by the TAS) as compared with patients who showed remission of their somatoform disorder or patients who never had met criteria for a somatoform disorder. As a result stepwise logistic regression analyses, high alexithymia scores emerged as a significant predictor of persistent somatization, independent of other measures of psychopathology, sociodemographic variables, and measures of illness severity.
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“Because alexithymia was found to be related to impoverished general functioning in somatoform disorders (2, 11–21), following the classification of the Diagnostic and Statistical Manual of Mental Disorders (DSM)-IV-TR (22) and other precursors of SSRD, as described in DSM-5 (23), general functioning also may be a relevant outcome of treatment.”
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Items 101–124 of 124
Reese, J. B. (2008) · Rutgers University Community Repository (Rutgers University) · doi:10.7282/t3j966nf · Cited by 3
Tan, Y., An, X., Cao, M., & den Bergh, O. V. (2024) · Frontiers in Psychology · doi:10.3389/fpsyg.2024.1392351 · Cited by 2
“Some scholars have pointed out that alexithymia is a continuous and significant indicator that can predict somatization (Bach and Bach, 1995).”
BackgroundPsychological Stress and Male Infertility
Basu, S. (2014) · Springer eBooks · doi:10.1007/978-1-4939-1040-3_10 · Cited by 3
Somatização e Alexitimia: Um Estudo nos Cuidados de Saúde Primários
Almeida, V., & Machado, P. P. P. (2004) · Portuguese National Funding Agency for Science, Research and Technology (RCAAP Project by FCT) · Cited by 2
Somatoform and Factitious Disorders
Iezzi, T., Duckworth, M. P., & Adams, H. E. (2005) · Kluwer Academic Publishers eBooks · doi:10.1007/0-306-47377-1_9 · Cited by 2
Bruton, A. M., Ast, H. K., O’Brien, J. R., Zwickey, H. L., Wilson, A. C., Price, C. J., & Colgan, D. D. (2025) · Integrative Medicine Reports · doi:10.1177/27683222251375956 · Cited by 3
Brownless, B., & Scott, J. L. (2022) · Clinical Psychology Forum · doi:10.53841/bpscpf.2022.1.352.14 · Cited by 1
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
“Research suggests that at the root of alexithymia may be at least 2 mechanisms: emotion perception dysregulation, and symbolic mislabeling of somatic percepts.(22,41,48-50) Poor emotion self-awareness may increase pain perception, along with an elevation of resting sympathetic arousal.”
BackgroundMcNeill, P. D. (2015) · Australasian Journal of Paramedicine · Cited by 1
Alexithymie: Kompetenzdefizit oder (motivierte) Hemmung?
Schaible, R., Dahme, B., †, A. R., Bach, M., Lupke, U., & Nutzinger, D. O. (2002) · Zeitschrift für Klinische Psychologie und Psychotherapie · doi:10.1026/0084-5345.31.3.194 · Cited by 1
Self-citationSystems measures of word use and differential diagnosis
Strand, P. S., Badalamenti, A. F., Weatherwax, A. T., & LANGS, R. J. (1997) · Journal of Psychopathology and Behavioral Assessment · doi:10.1007/bf02229180 · Cited by 1
“This constellation has repeatedly been shown to be related to psychiatric illness (Krystal, Giller, & Ciccetti, 1986; Parker, Taylor, Bagby, & Acklin, 1993; Haviland, Shaw, MacMurray, & Cummings, 1988; Schmidt, Jiwany, & Treasure, 1993; Taylor, Parker, & Bagby, 1990), particularly psychosomatic disorders ( Bach & Bach…”
Patients With Conversion Disorder and Medical Controls: Comparing Emotional Awareness
Alsaid-Habia, T. (2012) · Digital Scholarship - UNLV (University of Nevada Reno) · Cited by 1
Evaluación neuropsicológica de la alexitimia y del procesamiento emocional en pacientes oncológicos
Gil, M., & Portellano, J. A. (2005) · Complutensian Scientific Journals (Complutense University of Madrid) · doi:10.5209/rev_psic.2005.v2.n1.16940
“Bach y Bach, señalan la alexitimia como posible predictor premórbido, factor mantenedor de trastorno e indicador pronóstico de la respuesta terapéutica(5).”
BackgroundAlexithymia in vertigo patients
Sunami, K., Yamamoto, H., Koshimo, N., et al. (2009) · Equilibrium Research · doi:10.3757/jser.68.447
Alexithymia in Chemical Dependence: An Approach to Assessment and Treatment
Freed, P. E., & York, L. N. (1998) · Journal of Addictions Nursing · doi:10.3109/10884609809041799
“Alexithymia is also seen as one of many possible risk factors in susceptibility to disease (Weiner, 1982), and it has been associated with a variety of psychosomatic illness (Bach and Bach, 1995; North and Alpers, 1994; Schwarz et al., 1993).”
BackgroundSaha, B. B., Thu, K., & Wijayanta, A. T. (2018) · Evergreen · doi:10.5109/1957499
Калинин, В. В., Zemlyanaya, A. A., Subbotin, K. Y., et al. (2021) · Psikhiatriya · doi:10.30629/2618-6667-2021-19-2-55-62
Morschitzky, H. (2000) · Springer eBooks · doi:10.1007/978-3-7091-3814-4_8
Alexithymia in Hemodialysis Patients
Degmečić, D., Pojatić, Đ., Pezerović, D., & Jelinčić, I. (2025) · Springer eBooks · doi:10.1007/978-3-031-32046-0_147-1
Alexithymia in Hemodialysis Patients
Degmečić, D., Pojatić, Đ., Pezerović, D., & Jelinčić, I. (2025) · Springer eBooks · doi:10.1007/978-3-031-73363-5_147
Alexithymie bei Frauen mit Inkontinenz: TAS versus LEAS!
Strock, B. (2011) · University of Vienna · doi:10.25365/thesis.14678
Merlo, E. M., Tutino, R., Myles, L. A. M., Lia, M. C., & Minasi, D. (2024) · Figshare · doi:10.6084/m9.figshare.26721831
Metadata
- Authors
- Bach, M., & Bach, D.
- Affiliations
- University of Vienna (AT)
- Venue
- Psychotherapy and Psychosomatics
- Publisher
- S. Karger AG
- Published
- 2010-02-18
- Volume
- 64
- Issue
- 1
- Pages
- 43-48
- ISSN
- 0033-3190 (ISSN-L)
- 1423-0348
- OpenAlex
- W2039507729
- Cited by
- 123
- References
- 0
- Citations by year
- 2025: 3 · 2024: 4 · 2022: 3 · 2021: 2 · 2020: 4 · 2019: 1 · 2018: 3 · 2017: 2 · 2016: 3 · 2015: 4 · 2014: 7 · 2013: 4 · 2012: 7
- FWCI
- 4.80
- 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 › Psychiatry and Mental health › Fibromyalgia and Chronic Fatigue Syndrome Research
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Keywords
- alexithymia, somatoform disorders, somatization, treatment outcome prediction, long-term remission, anxiety disorders, undifferentiated somatoform disorder, disease severity
- MeSH terms
- Adolescent, Adult, Affective Symptoms, Anxiety Disorders, Behavior Therapy, Combined Modality Therapy, Female, Humans, Male, Middle Aged, Prospective Studies, Psychiatric Status Rating Scales, Psychometrics, Sick Role, Somatoform Disorders, Treatment Outcome
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