ArticlePloS one2015
Cognitive alexithymia is associated with the degree of risk for psychosis.
Article in PloS one, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled it.
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Who cites it
16 citing papers in PubMed, 2 syntheses or guidelines pooled it, 41 citations in OpenAlex.
- Alexithymia in Schizophrenia and Psychosis Vulnerability: A Systematic Review and Meta-Analysis.Journal of clinical psychology · 2025Pooled it
- Psychosis risk screening in different populations using the Prodromal Questionnaire: A systematic review.Early intervention in psychiatry · 2018Pooled it
- The Effect of Alexithymia, Metacognitive Beliefs and Self-Efficacy on Disability in Patients With Schizophrenia: A Cross-Sectional Study.Journal of psychiatric and mental health nursing · 2026Article
- Alexithymia in schizophrenia spectrum disorders and dissociative disorders: two meta-analytic reviews.Schizophrenia (Heidelberg, Germany) · 2026Review
- The effect of perceived parental rejection on depression in high school students: the chain mediating role of rumination and alexithymia.Frontiers in psychology · 2025Article
- Mediating role of alexithymia in relationship between cyberbullying and psychotic experiences in adolescents.BMC psychology · 2024Article
- Moderating effect of alexithymia between problem gambling and psychotic experiences in university students.BMC psychiatry · 2024Article
- The percentage and clinical correlates of alexithymia in stable patients with schizophrenia.European archives of psychiatry and clinical neuroscience · 2023Article
- Perceptive and affective impairments in emotive eye-region processing in alexithymia.Social cognitive and affective neuroscience · 2022Article
- Social-specific impairment of negative emotion perception in alexithymia.Social cognitive and affective neuroscience · 2022Article
- Alexithymia in Patients With Substance Use Disorders and Its Relationship With Psychiatric Comorbidities and Health-Related Quality of Life.Frontiers in psychiatry · 2021Article
- The impact of emotion awareness and regulation on psychotic symptoms during daily functioning.NPJ schizophrenia · 2020Article
- The role of aberrant salience and alexithymia in psychotic experiences of non-treatment-seeking adolescent immigrants compared with natives.Neuropsychiatric disease and treatment · 2019Article
- Alexithymia and reactive aggression: The role of the amygdala.Psychiatry research. Neuroimaging · 2018Article
- Psychometric Properties of the Bermond-Vorst Alexithymia Questionnaire (BVAQ) in the General Population and a Clinical Population.Frontiers in psychiatry · 2018Article
- Describe Your Feelings: Body Illusion Related to Alexithymia in Adolescence.Frontiers in psychology · 2016Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors at 6 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Alexithymia is a personality construct denoting emotion processing problems. It has been suggested to encompass two dimensions: a cognitive and affective dimension. The cognitive dimension is characterized by difficulties in identifying, verbalizing and analyzing emotions, while the affective dimension reflects the level of emotional arousal and imagination. Alexithymia has been previously proposed as a risk factor for developing psychosis. More specifically, the two alexithymia dimensions might be differentially related to the vulnerability for psychosis. Therefore, we examined the two dimensions of alexithymia, measured with the BVAQ in 94 siblings of patients with schizophrenia, 52 subjects at ultra-high risk (UHR) for developing psychosis, 38 patients with schizophrenia and 109 healthy controls. The results revealed that siblings and patients had higher levels of cognitive alexithymia compared to controls. In addition, subjects at UHR for psychosis had even higher levels of cognitive alexithymia compared to the siblings. The levels of affective alexithymia in siblings and patients were equal to controls. However, UHR individuals had significantly lower levels of affective alexithymia (i.e. higher levels of emotional arousal and fantasizing) compared to controls. Alexithymia was further related to subclinical levels of negative and depressive symptoms. These findings indicate that alexithymia varies parametrically with the degree of risk for psychosis. More specifically, a type-II alexithymia pattern, with high levels of cognitive alexithymia and normal or low levels of affective alexithymia, might be a vulnerability factor for psychosis.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.