Background: Controversy still exists concerning the stability of the alexithymia construct. Also, although alexithymia has been found to be related in a theoretically meaningful way to other personality constructs such as the ‘Big Five’ factors, few studies have investigated its relationship with influential constructs such as temperament and character, and attachment security. Methods: Two hundred twenty-one undergraduate and graduate students were administered the Toronto Alexithymia Scale (TAS-20), the State-Trait Anxiety Inventory (STAI), the Zung Depression Scale (ZDS), the Temperament and Character Inventory (TCI-125), the Big Five Questionnaire (BFQ), and the Experiences in Close Relationships (ECR) questionnaire. After 1 month, 115 participants completed again the TAS-20, STAI, and ZDS. Results: Alexithymia was only moderately correlated with depression and anxiety. Both the absolute and relative stability of TAS-20 total and subscale scores was high, and a negligible portion of their change over time was accounted for by changes in depression or anxiety. In separate multiple regression models including also gender, age, depression and anxiety, TAS-20 total and subscale scores were correlated with low energy/extraversion, low emotional stability, openness, low friendliness/agreeableness; harm avoidance, low self-directedness, low cooperativeness, low reward dependence; attachment-related avoidance and anxiety. Conclusions: Our findings lend support for both absolute and relative stability of alexithymia, corroborate an association between alexithymia and insecure attachment, and contribute to a coherent placing of alexithymia in the broader theoretical network of personality constructs.

Keywords:
Alexithymia, Alexithymia, stability, Temperament, Character, Attachment style
1.
Sifneos PE: The prevalence of ‘alexithymic’ characteristics in psychosomatic patients. Psychother Psychosom 1973;22:255–262.
2.
Taylor GJ, Bagby RM: New trends in alexithymia research. Psychother Psychosom 2004;73:68–77.
3.
Taylor GJ, Bagby RM, Parker JDA: Disorders of Affect Regulation: Alexithymia in Medical and Psychiatric Illness. Cambridge University Press, Cambridge, 1997.
4.
Porcelli P, Taylor GJ, Bagby RM, De Carne M: Alexithymia and functional gastrointestinal disorders. A comparison with inflammatory bowel disease. Psychother Psychosom 1999;68:263–269.
5.
Picardi A, Pasquini P, Cattaruzza MS, Gaetano P, Melchi CF, Baliva G, Camaioni D, Tiago A, Abeni D, Biondi M: Stressful life events, social support, attachment security, and alexythimia in vitiligo: A case-control study. Psychother Psychosom 2003;72:150–158.
6.
Schmidt U, Jiwany A, Treasure J: A controlled study of alexithymia in eating disorders. Compr Psychiatry 1993;34:54–58.
7.
Luminet O, Bagby RM, Taylor GJ: An evaluation of the absolute and relative stability of alexithymia in patients with major depression. Psychother Psychosom 2001;70:254–260.
8.
Porcelli P, Bagby RM, Taylor GJ, De Carne M, Leandro G, Todarello O: Alexithymia as predictor of treatment outcome in patients with functional gastrointestinal disorders. Psychosom Med 2003;65:911–918.
9.
Wise TN, Mann LS, Shay L: Alexithymia and the five-factor model of personality. Compr Psychiatry 1992;33:147–151.
10.
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.
11.
Luminet O, Bagby RM, Wagner H, Taylor GJ, Parker JDA: Relation between alexithymia and the five-factor model of personality: A facet-level analysis. J Pers Assess 1999;73:345–358.
12.
Schafer R, Schneider C, Sitte W, Franz M: Evidence of validity of the German version of the TAS-20. Psychother Psychosom Med Psychol 2002;52:449–453.
13.
Grabe HJ, Spitzer C, Freyberger HJ: Alexithymia and the temperament and character model of personality. Psychother Psychosom 2001;70:261–267.
14.
Scheidt CE, Waller E, Schnock C, Becker-Stoll F, Zimmermann P, Lucking CH, Wirsching M: Alexithymia and attachment representation in idiopathic spasmodic torticollis. J Nerv Ment Dis 1999;187:47–52.
15.
Troisi A, D’Argenio A, Peracchio F, Petti P: Insecure attachment and alexithymia in young men with mood symptoms. J Nerv Ment Dis 2001;189:311–316.
16.
Wearden A, Cook L, Vaughan-Jones J: Adult attachment, alexithymia, symptom reporting, and health-related coping. J Psychosom Res 2003;55:341–347.
17.
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.
18.
Spielberger CD: Manual for the State-Trait Anxiety Inventory. Palo Alto, Consultant Psychologist Press, 1983.
19.
Zung WWK: A self-rating depression scale. Arch Gen Psychiatry 1965;12:63–70.
20.
Cloninger CR, Przybeck TR, Svrakic DM, Wetzel RD: The Temperament and Character Inventory (TCI): A Guide to Its Development and Use. St Louis, Center for Psychobiology and Personality, Washington University, 1994.
21.
Tome MB, Cloninger CR, Watson JP, Isaac MT: Serotonergic autoreceptor blockade in the reduction of antidepressant latency: Personality variables and response to paroxetine and pindolol. J Affect Disord 1997;44:101–109.
22.
Caprara GV, Barbaranelli C, Borgogni L, Perugini M: The Big Five Questionnaire: A new questionnaire for the measurement of the five factor model. Pers Individ Dif 1993;15:281–288.
23.
Brennan KA, Clark CL, Shaver PR: Self-report measurement of adult attachment: An integrative overview; in Simpson JA, Rholes WS (eds): Attachment Theory and Close Relationships. New York, Guilford Press, 1998.
24.
Picardi A: First steps in the assessment of cognitive-emotional organisation within the framework of Guidano’s model of the self. Psychother Psychosom 2003;72:363–365.
25.
Tabachnik B, Fidell L: Using Multivariate Statistics. New York, HarperCollins, 1996.
26.
Martinez-Sanchez F, Ato-Garcia M, Adam EC, Medina TBH, Espana JJS: Stability in alexithymia levels: A longitudinal analysis on various emotional answers. Person Individ Differ 1998;24:767–772.
27.
Pinard L, Negrete JC, Annable L, Audet N: Alexithymia in substance abusers: Persistence and correlates of variance. Am J Addict 1996;5:32–39.
28.
Salminen JK, Saarijarvi S, Aairela E, Tamminen T: Alexithymia – State or trait? One-year follow-up study of general hospital psychiatric consultation out-patients. J Psychosom Res 1994;38:681–685.
29.
Fukunishi I, Kikuchi M, Wogan J, Takubo M: Secondary alexithymia as a state reaction in panic disorder and social phobia. Compr Psychiatry 1997;38:166–170.
30.
Honkalampi K, Hintikka J, Saarinen P, Lehtonen J, Viinamaki H: Is alexithymia a permanent feature in depressed patients? Results from a 6-month follow-up study. Psychother Psychosom 2000;69:303–308.
31.
Honkalampi K, Koivumaa-Honkanen H, Tanskanen A, Hintikka J, Lehtonen J, Viinamaki H: Why do alexithymic features appear to be stable? A 12-month follow-up study of a general population. Psychother Psychosom 2001;70:247–253.
32.
Porcelli P, Leoci C, Guerra V, Taylor GJ, Bagby RM: A longitudinal study of alexithymia and psychological distress in inflammatory bowel disease. J Psychosom Res 1996;41:569–573.
33.
Parker JDA, Bagby RM, Taylor GJ: Alexithymia and depression: Distinct or overlapping constructs? Compr Psychiatry 1991;32:387–394.
34.
Kojima M, Senda Y, Nagaya T, Tokudome S, Furukawa TA: Alexithymia, depression and social support among Japanese workers. Psychother Psychosom 2003;72:307–314.
35.
Guidano VF: The Self in Process. New York, Guilford Press, 1991.
36.
Machado PP, Beutler LE, Greenberg LS: Emotion recognition in psychotherapy: Impact of therapist level of experience and emotional awareness. J Clin Psychol 1999;55:39–57.
37.
Gergely G, Watson JS: The social biofeedback theory of parental affect-mirroring: The development of emotional self-awareness and self-control in infancy. Int J Psychoanal 1996;77:1181–1212.
38.
Fonagy P, Target M: Attachment and reflective function: Their role in self-organization. Dev Psychopathol 1997;9:679–700.
39.
Kooiman CG, van Rees Vellinga S, Spinhoven P, Draijer N, Trijsburg RW, Rooijmans HG: Childhood adversities as risk factors for alexithymia and other aspects of affect dysregulation in adulthood. Psychother Psychosom 2004;73:107–116.
40.
Shaver PR, Mikulincer M: What do self-report attachment measures assess?; in Rholes WS, Simpson JA (eds): Adult Attachment: Theory, Research, and Clinical Implications. New York, Guilford Press, 2004.
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2005
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