General Hospital Psychiatry
Volume 27, Issue 4 , Pages 244-249 , July 2005

Somatization and alexithymia in young adult Finnish population

Preliminary results of this study have been presented in an abstract at the 2nd Conference on Epidemiological Longitudinal Studies in Europe in Oulu, Finland, 12th–14th June 2002.

  • Juha T. Karvonen, MD

      Affiliations

    • Department of Psychiatry, Oulu University Hospital, FIN-90029 OYS, Oulu, Finland
    • Corresponding Author InformationCorresponding author. Tel.: +358 8 315 6910; fax: +358 8 336 169.
    • ,
  • Juha Veijola, MD, PhD

      Affiliations

    • Department of Psychiatry, University of Oulu, P.O. Box 5000, FIN-90014 University of Oulu, Oulu, Finland
    • Muurola Psychiatric Hospital, Hospital District of Lapland, FIN-97140 Totonvaara, Finland
    • ,
  • Pirkko Kokkonen, MD

      Affiliations

    • Department of Psychiatry, Oulu University Hospital, FIN-90029 OYS, Oulu, Finland
    • ,
  • Kristian Läksy, MD, PhD

      Affiliations

    • Department of Psychiatry, Oulu University Hospital, FIN-90029 OYS, Oulu, Finland
    • ,
  • Jouko Miettunen, PhD

      Affiliations

    • Department of Psychiatry, University of Oulu, P.O. Box 5000, FIN-90014 University of Oulu, Oulu, Finland
    • Department of Public Health Science and General Practice, P.O. Box 5000, FIN-90014 University of Oulu, Oulu, Finland
    • ,
  • Matti Joukamaa, MD, PhD

      Affiliations

    • Department of Social Psychiatry, Tampere School of Public Health, FIN-33014 University of Tampere, Tampere, Finland
    • Department of Psychiatry, Tampere University Hospital, P.O. Box 2000, FIN-33521 Tampere, Finland

Received 5 January 2005 ,Accepted 18 April 2005.

References 

  1. Isaac M, Janca A. Somatization — a culture-bound or universal syndrome?. J Ment Health. 1996;5:219–222
  2. Kirmayer LJ, Young A. Culture and somatization: clinical, epidemiological, and ethnographic perspectives. Psychosom Med. 1998;60:420–430
  3. Lipowski ZJ. Somatization: the concept and its clinical application. Am J Psychiatry. 1988;145:1358–1368
  4. Mayou R. Somatization. In:  Fava GA,  Freyberger H editor. Handbook of psychosomatic medicine. Connecticut: International Universities Press; 1998;p. 41–67
  5. Kellner R. Somatization. Theories and research. J Nerv Ment Dis. 1990;178:150–160
  6. De Gucht V, Heiser W. Alexithymia and somatisation. A quantitative review of the literature. J Psychosom Res. 2003;54:425–434
  7. American Psychiatric Association . Diagnostic and statistical manual of mental disorders. 4th ed.. Washington (DC): American Psychiatric Association; 1994;
  8. World Health Organization . International statistical classification of disease and related health problems. 10th ed.. Geneva: World Health Organization; 1992;
  9. Sifneos PE. The prevalence of alexithymic characteristics in psychosomatic patients. Psychother Psychosom. 1973;22:255–262
  10. Taylor GJ. Alexithymia: concept, measurement, and implications for treatment. Am J Psychiatry. 1984;141:725–732
  11. Taylor GJ, Bagby RM, Parker JDA. Disorders of affect regulation: alexithymia in medical and psychiatric illness. Cambridge: Cambridge University Press; 1997;
  12. Honkalampi K, Koivumaa-Honkanen H, Tanskanen A, et al. Why do alexithymic features appear to be stable? A 12-month follow-up study of a general population. Psychother Psychosom. 2001;70:247–253
  13. Kooiman CG, Bolk JH, Brand R, Trijsburg RW, Rooijmans HG. Is alexithymia a risk factor for unexplained physical symptoms in general medical outpatients?. Psychosom Med. 2000;62:768–778
  14. Rantakallio P. Groups at risk in low birth weight infants and perinatal mortality. Acta Paediatr Scand. 1969;193:1–71
  15. Rantakallio P. The longitudinal study of the northern Finland birth cohort of 1966. Paediatr Perinat Epidemiol. 1988;2:59–88
  16. Kokkonen P, Karvonen JT, Veijola J, et al. Prevalence and sociodemographic correlates of alexithymia in a population sample of young adults. Compr Psychiatry. 2001;42:471–476
  17. Karvonen JT, Veijola J, Jokelainen J, et al. Somatization disorder in young adult population. Gen Hosp Psychiatry. 2004;26:9–12
  18. American Psychiatric Association . Diagnostic and statistical manual of mental disorders. 3rd, revised ed.. Washington (DC): American Psychiatric Association; 1987;
  19. Bagby RM, Parker JD, Taylor GJ. The Twenty-Item Toronto Alexithymia Scale: I. Item selection and cross- validation of the factor structure. J Psychosom Res. 1994;38:23–32
  20. Parker JD, Taylor GJ, Bagby RM. The 20-Item Toronto Alexithymia Scale: III. Reliability and factorial validity in a community population. J Psychosom Res. 2003;55:269–275
  21. Taylor GJ, Bagby RM, Parker JD. The 20-Item Toronto Alexithymia Scale: IV. Reliability and factorial validity in different languages and cultures. J Psychosom Res. 2003;55:277–283
  22. Bagby RM, Taylor GJ, Parker JD. The Twenty-Item Toronto Alexithymia Scale: II. Convergent, discriminant, and concurrent validity. J Psychosom Res. 1994;38:33–40
  23. Joukamaa M, Miettunen J, Kokkonen P, et al. Psychometric properties of the Finnish 20-item Toronto Alexithymia Scale. Nord J Psychiatry. 2001;55:123–127
  24. Veijola J, Jokelainen J, Läksy K, et al. The Hopkins Symptom Checklist-25 in screening DSM-III-R axis-I disorders. Nord J Psychiatry. 2003;57:119–123
  25. Derogatis LR, Lipman RS, Covi L. SCL-90: an outpatient psychiatric rating scale — preliminary report. Psychopharmacol Bull. 1973;9:13–28
  26. Sandanger I, Moum T, Ingebrigtsen G, et al. Concordance between symptom screening and diagnostic procedure: the Hopkins Symptom Checklist-25 and the Composite International Diagnostic Interview I. Soc Psychiatry Psychiatr Epidemiol. 1998;33:345–354
  27. Taylor GJ. Recent developments in alexithymia theory and research. Can J Psychiatry. 2000;45:134–142
  28. Lundh LG, Simonsson-Sarnecki M. Alexithymia, emotion, and somatic complaints. J Pers. 2001;69:483–510
  29. Reid S, Wessely S, Crayford T, Hotopf M. Frequent attenders with medically unexplained symptoms: service use and costs in secondary care. Br J Psychiatry. 2002;180:248–253
  30. De Gucht V, Fischler B. Somatization: a critical review of conceptual and methodological issues. Psychosomatics. 2002;43:1–9
  31. Swartz M, Landerman R, George LK, Blazer DG, Escobar JI. Somatization disorder. In:  Robins LN,  Regier DA editor. Psychiatric disorders in America. New York (NY): The Free Press; 1991;p. 220–257
  32. Kroenke K. Studying symptoms: sampling and measurement issues. Ann Intern Med. 2001;134:844–853
  33. Portegijs PJ, van der Horst FG, Proot IM, et al. Somatization in frequent attenders of general practice. Soc Psychiatry Psychiatr Epidemiol. 1996;31:29–37
  34. Lane RD, Sechrest L, Riedel R. Sociodemographic correlates of alexithymia. Compr Psychiatry. 1998;39:377–385
  35. Suslow T, Donges US, Kersting A, Arolt V. 20-Item Toronto Alexithymia Scale: do difficulties describing feelings assess proneness to shame instead of difficulties symbolizing emotions?. Scand J Psychol. 2000;41:329–334
  36. Muller J, Buhner M, Ellgring H. Is there a reliable factorial structure in the 20-item Toronto Alexithymia Scale? A comparison of factor models in clinical and normal adult samples. J Psychosom Res. 2003;55:561–568
  37. Kooiman CG, Spinhoven P, Trijsburg RW. The assessment of alexithymia: a critical review of the literature and a psychometric study of the Toronto Alexithymia Scale-20. J Psychosom Res. 2002;53:1083–1090
  38. Lane RD, Sechrest L, Reidel R, et al. Impaired verbal and nonverbal emotion recognition in alexithymia. Psychosom Med. 1996;58:203–210
  39. Bermond B, Vorst HC, Vingerhoets AJ, Gerritsen W. The Amsterdam Alexithymia Scale: its psychometric values and correlations with other personality traits. Psychother Psychosom. 1999;68:241–251
  40. Haviland MG, Warren WL, Riggs ML. An observer scale to measure alexithymia. Psychosomatics. 2000;41:385–392
  41. Haviland MG, Warren WL, Riggs ML, Gallacher M. Psychometric properties of the Observer Alexithymia Scale in a clinical sample. J Pers Assess. 2001;77:176–186
  42. Escobar JI, Burnam MA, Karno M, Forsythe A, Golding JM. Somatization in the community. Arch Gen Psychiatry. 1987;44:713–718
  43. Simon GE, von Korff M. Somatization and psychiatric disorder in the NIMH Epidemiologic Catchment Area study. Am J Psychiatry. 1991;148:1494–1500
  44. Katon W, Lin E, von Korff M, et al. Somatization. A spectrum of severity. Am J Psychiatry. 1991;148:34–40
  45. Gureje O, Simon GE. The natural history of somatization in primary care. Psychol Med. 1999;29:669–676
  46. Khan AA, Khan A, Harezlak J, Tu WZ, Kroenke K. Somatic symptoms in primary care: etiology and outcome. Psychosomatics. 2003;44:471–478
  47. Honkalampi K, Hintikka J, Tanskanen A, Lehtonen J, Viinamäki H. Depression is strongly associated with alexithymia in the general population. J Psychosom Res. 2000;48:99–104
  48. Statistical yearbook of the social insurance institution. Helsinki: Social Insurance Institution; 1998;
  49. Health care visits 1985–2002. Helsinki: National Research and Development Centre for Welfare and Health; 2004;
  50. Reid S, Crayford T, Richards S, Nimnuan C, Hotopf M. Recognition of medically unexplained symptoms — do doctors agree?. J Psychosom Res. 1999;47:483–485

PII: S0163-8343(05)00061-7

doi: 10.1016/j.genhosppsych.2005.04.005

General Hospital Psychiatry
Volume 27, Issue 4 , Pages 244-249 , July 2005

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