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Alexithymia in Holocaust Survivors with and Without PTSD
Authors:Rachel Yehuda  Ann Steiner  Boaz Kahana  Karen Binder-Brynes  Steven M Southwick  Shelly Zemelman  Earl L Giller
Affiliation:(1) Post-traumatic Stress Disorder Program of the Psychiatry Department, Mount Sinai School of Medicine and Bronx Veterans Affairs, New York, New York, 10468;(2) Department of Sociology, Cleveland State University, Cleveland, Ohio, 44102;(3) Psychiatry Department, Yale University School of Medicine, New Haven, Connecticut, 06520;;(4) Clinical Neurosciences Division, National Center for PTSD at, West Haven, Connecticut;(5) Pfizer Corporation, Groton, Connecticut
Abstract:Alexithymia was measured in non-treatment seeking, community-dwelling Holocaust survivors using the Toronto Alexithymia Scale—Twenty Item Version (TAS-20). Scores of survivors with (n = 30) and without (n = 26) posttraumatic stress disorder (PTSD) were compared, and associations among alexithymia, severity of trauma, and severity of PTSD symptoms were determined. Survivors with PTSD had significantly higher scores on the TAS-20 compared to survivors without PTSD. TAS-20 scores were significantly associated with severity of PTSD symptoms, but not with severity of trauma. This study adds to our knowledge of the relationship between alexithymia and trauma by demonstrating that this characteristic is related to the presence of posttraumatic symptoms and not simply exposure to trauma.
Keywords:alexithymia  Holocaust survivors  posttraumatic stress disorder  Toronto Alexithymia Scale  symptom severity
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