ArticlePloS one2025
The relationship between stigma and alexithymia and their impact on satisfaction with care among people living with chronic obstructive pulmonary disease (COPD): A path analysis.
Article in PloS one, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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Who cites it
1 citing paper in PubMed.
- Exploring the interplay of discrimination perception, alexithymia, and shyness among hearing-impaired college students: a network approach.Frontiers in psychiatry · 2026Article
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5 authors.
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Abstract
introductionStigma is a common experience for individuals diagnosed with chronic obstructive pulmonary disease (COPD). It may elicit a set of emotional responses, consistent with alexithymia, that hinders conversations with healthcare providers. Alexithymia describes a set of cognitive-affective traits linked with difficulty identifying and distinguishing emotions. This study explored whether anticipated stigma in healthcare settings among patients with COPD is associated with alexithymia and whether it predicts satisfaction with care from healthcare providers.
methodsAn online survey comprising validated questions was distributed between May and June 2024 to individuals who self-reported a doctor-diagnosis of COPD. Participants were recruited from advertisements on social media, online COPD support groups, and previous related studies. Correlation and multiple linear regression analyses were conducted to examine relationships between variables. Structural equation modelling (SEM) was used to explore these relationships through path analysis.
resultsRespondents (n = 123) ranged in age from 33 to 90 years. Greater anticipated stigma was associated with higher levels of alexithymia (r = 0.278, p = 0.002) and lower satisfaction with care (r = -0.462, p < 0.001). In the path analysis, social support emerged as a mediating factor between alexithymia and anticipated stigma. As alexithymia increased, satisfaction with social support decreased, which was associated with higher anticipated stigma and reduced satisfaction with care from healthcare providers.
conclusionThis study helps clarify the association between alexithymia and anticipated stigma among people with COPD and how this impacts satisfaction with care. The findings signal a need to raise awareness of alexithymia and implement interventions to reduce stigma and enhance social support resources.
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