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Dealing with Feelings: Characterization of Trait Alexithymia on Emotion Regulation Strategies and Cognitive-Emotional Processing
Open accessAbstract
BACKGROUND: Alexithymia, or "no words for feelings", is a personality trait which is associated with difficulties in emotion recognition and regulation. It is unknown whether this deficit is due primarily to regulation, perception, or mentalizing of emotions. In order to shed light on the core deficit, we tested our subjects on a wide range of emotional tasks. We expected the high alexithymics to underperform on all tasks. METHOD: Two groups of healthy individuals, high and low scoring on the cognitive component of the Bermond-Vorst Alexithymia Questionnaire, completed questionnaires of emotion regulation and performed several emotion processing tasks including a micro expression recognition task, recognition of emotional prosody and semantics in spoken sentences, an emotional and identity learning task and a conflicting beliefs and emotions task (emotional mentalizing). RESULTS: The two groups differed on the Emotion Regulation Questionnaire, Berkeley Expressivity Questionnaire and Empathy Quotient. Specifically, the Emotion Regulation Quotient showed that alexithymic individuals used more suppressive and less reappraisal strategies. On the behavioral tasks, as expected, alexithymics performed worse on recognition of micro expressions and emotional mentalizing. Surprisingly, groups did not differ on tasks of emotional semantics and prosody and associative emotional-learning. CONCLUSION: Individuals scoring high on the cognitive component of alexithymia are more prone to suppressive emotion regulation strategies rather than reappraisal strategies. Regarding emotional information processing, alexithymia is associated with reduced performance on measures of early processing as well as higher order mentalizing. However, difficulties in the processing of emotional language were not a core deficit in our alexithymic group.
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“This construct is not entirely equivalent to emotional dysregulation (operationalised by Maddox et al. with the Emotion Regulation Scale [75]), but encapsulates the latter in combination with difficulty identifying and understanding one’s emotions [76, 77].”
From A 'choice', an 'addiction', a way 'out of the lost': Exploring self-injury in autistic people without intellectual disability (2019) · cites this paper as [76]
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Cites
Development and validation of brief measures of positive and negative affect: The PANAS scales.
Watson, D., Clark, L. A., & Tellegen, A. (1988) · Journal of Personality and Social Psychology · doi:10.1037/0022-3514.54.6.1063 · Cited by 32,433
Gross, J. J., & John, O. P. (2003) · Journal of Personality and Social Psychology · doi:10.1037/0022-3514.85.2.348 · Cited by 11,929 · cited 10×
“Emotion regulation was measured with the Emotion Regulation Questionnaire (ERQ) [20].”
BackgroundMethodInfluentialBagby, R. M., Parker, J. D. A., & Taylor, G. J. (1994) · Journal of Psychosomatic Research · doi:10.1016/0022-3999(94)90005-1 · Cited by 5,293
(1980) · Medical Entomology and Zoology · Cited by 4,712
Gross, J. J. (1998) · Journal of Personality and Social Psychology · doi:10.1037//0022-3514.74.1.224 · Cited by 4,671 · cited 1×
“Expressive suppression is a way of response modulation involving inhibition of emotion-expressive behavior [27].”
BackgroundEkman, P. (1976) · Medical Entomology and Zoology · Cited by 4,345
The Prevalence of ‘Alexithymic’ Characteristics in Psychosomatic Patients
Sifneos, P. E. (2010) · Psychotherapy and Psychosomatics · doi:10.1159/000286529 · Cited by 2,818
Development and neurophysiology of mentalizing
Frith, U., & Frith, C. D. (2003) · Philosophical Transactions of the Royal Society of London. Series B: Biological Sciences · doi:10.1098/rstb.2002.1218 · Cited by 2,306
Baron‐Cohen, S., Jolliffe, T., Mortimore, C., & Robertson, M. (1997) · Journal of Child Psychology and Psychiatry · doi:10.1111/j.1469-7610.1997.tb01599.x · Cited by 1,970
(1997) · Medical Entomology and Zoology · Cited by 1,407
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Kannan, C. (2021) · Cronfa (Swansea University) · doi:10.23889/suthesis.58265
Alkhatib, M. A. H. (2022) · Omdurman Islamic University Journal · doi:10.52981/oiuj.v18i1.2242
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Bello, I. B., Akinnawo, E. O., Akpunne, B. C., & Olusa, A. O. (2022) · Psychology · doi:10.4236/psych.2022.133031
Parruti, G., Vadini, F., Sozio, F., Mazzotta, E., Ursini, T., Polilli, E., Stefano, P. D., Tontodonati, M., Verrocchio, M. C., Fulcheri, M., et al. (2014) · PLoS ONE · doi:10.1371/annotation/ee9c345b-884e-412c-a455-f73df01c6df5
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Kimhy, D., Ospina, L. H., Beck-Felts, K., Lister, A., Omene, C. O., Bodenhausen, G. V., & Mittal, V. A. (2023) · Psychiatry Research · doi:10.1016/j.psychres.2023.115376
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Serçe, R., & Bişkin, S. Ö. (2024) · Buca eğitim fakültesi dergisi (Online)/Buca Eğitim Fakültesi dergisi · doi:10.53444/deubefd.1333228
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Fujino, J., Qian, C., & Tei, S. (2024) · Springer eBooks · doi:10.1007/978-3-031-32046-0_51-1
Eskiyurt, R., Atkan, F., & Özkan, B. (2024) · Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi · doi:10.37989/gumussagbil.1180184
Karami, T., Behboodi, M., & Janangir, P. (2024) · KMAN Counseling and Psychology Nexus · doi:10.61838/kman.psychnexus.2.2.15
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Köten, E. (2025) · Kafkas Üniversitesi Sosyal Bilimler Enstitüsü Dergisi · doi:10.56597/kausbed.1717162
Nowicki, P. (2026) · Kwartalnik Naukowy Fides et Ratio · doi:10.34766/4cw73675
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Arnaud, S. (2018) · theses.fr (ABES) · doi:10.70675/c352894dz747bz4135zbeceza9aada92c36e
Pakulanon, S. (2019) · theses.fr (ABES) · doi:10.70675/e1914476z3772z45f0zbcafzbb365b163682
Emotion dysregulation in autistic adults : an ecological, self-report, and physiological approach
Costache, M. E. (2024) · theses.fr (ABES) · doi:10.70675/575e0a4az1174z4c91z976cz320b40c5304a
Yoshioka, Y. (2026) · Imagination Cognition and Personality · doi:10.1177/02762366261449745
Unraveling Transphobia: Role of Socio-Emotional Factors
Sohi, K. K., Kaur, M. M., & Kapur, D. D. (2026) · International journal of research and scientific innovation · doi:10.51244/ijrsi.2026.1304000262
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Gorobets, E. A. (2026) · RUDN Journal of Language Studies Semiotics and Semantics · doi:10.22363/2313-2299-2026-17-1-221-235
Trinkler, I. (2025) · Dunod eBooks · doi:10.3917/dunod.poisb.2025.01.1555
Liu, Q., Gao, Y., Naragon‐Gainey, K., Preece, D. A., Hanran-Smith, A., Liu, L., & Becerra, R. (2026) · Emotion · doi:10.1037/emo0001710
The association between smartphone addiction and alexithymia: a three-level meta-analysis
Chen, Y., Huang, M., & Zhang, W. (2026) · Current Psychology · doi:10.1007/s12144-026-09888-8
Keke, M. E. (2026) · Havacılık ve Uzay Çalışmaları Dergisi · doi:10.52995/jass.1952810
Shannon, T. C. J., Cravens, L. E., & Pond, R. S. (2026) · Behavioral Sciences · doi:10.3390/bs16091579
Alexithymia: Current status and future prospects
Preece, D. A., & Gross, J. J. (2026) · Journal of Affective Disorders · doi:10.1016/j.jad.2026.122516
Alexithymia and everyday interpersonal emotion regulation
Geiger, E. J., Ditzer, J., Joormann, J., Barnow, S., & Pruessner, L. (2026) · Personality and Individual Differences · doi:10.1016/j.paid.2026.114103
Metadata
- Authors
- Swart, M., Kortekaas, R., & Aleman, A.
- Affiliations
- University Medical Center Groningen (NL)
- Corresponding author
- Swart, Marte
- ORCID
- Aleman, André
- Venue
- PLoS ONE
- Publisher
- Public Library of Science (PLoS)
- Published
- 2009-06-03
- Volume
- 4
- Issue
- 6
- Pages
- e5751
- ISSN
- 1932-6203 (ISSN-L)
- PMC
- PMC2685011
- OpenAlex
- W2133156861
- Cited by
- 338
- References
- 49
- Citations by year
- 2026: 14 · 2025: 16 · 2024: 21 · 2023: 16 · 2022: 25 · 2021: 29 · 2020: 24 · 2019: 34 · 2018: 31 · 2017: 20 · 2016: 21 · 2015: 27 · 2014: 18 · 2013: 23 · 2012: 8
- FWCI
- 3.39
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- PLoS ONE (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- RePEc: Research Papers in Economics (submittedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- University of Groningen research database (University of Groningen / Centre for Information Technology) (submittedVersion, cc-by)
- Funders
- European Science Foundation (044035001)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Life Sciences › Neuroscience › Cognitive Neuroscience › Neural and Behavioral Psychology Studies
- Keywords
- emotion regulation, emotion regulation strategies, emotional suppression, emotion reappraisal, emotional prosody, emotional semantics, emotional learning, empathy
- MeSH terms
- Adult, Affective Symptoms, Cognition, Emotions, Empathy, Female, Humans, Learning, Male, Personality, Surveys and Questionnaires, Semantics, Reproducibility of Results
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