Alexithymia, empathy, and psychological symptoms in a family context.

Levels of alexithymia were measured with the Toronto Alexithymia Scale (TAS-20) in families of women with borderline personality disorder (BPD), restricting anorexia nervosa (AN) and a nonclinical (NC) group. Measures were correlated with sociodemographic information, empathy (as measured by the Interpersonal Reactivity Index [IRI]), emotional distress (using the Symptom Checklist-90-R [SCL-90-R]), and experiences of abuse. We have found that male gender, age, and low socioeconomic status are correlated with factor 3 of the TAS-20; that women with BPD and AN are more alexithymic than control subjects; that women with AN are more alexithymic than their parents; and that alexithymia is inversely related to the capacity for empathy. Family members of women with BPD have the highest levels of alexithymia and in these families there seems to be a complementary association between alexithymia in one parent and low levels of empathy in the other. There may be an association between the general emotional distress, history of abuse, and high levels of alexithymia that occur in women with BPD.

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