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Alexithymia as a potential source of symptom over-reporting: An exploratory study in forensic patients and non-forensic participants

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The traditional interpretation of symptom over-reporting is that it indicates malingering. We explored a different perspective, namely that over-reporting of eccentric symptoms is related to deficits in articulating internal experiences (i.e., alexithymia). Given that alexithymia has been linked to sleep problems and that fatigue may fuel inattentive responding to symptom lists, we administered measures of alexithymia (TAS-20) and symptom over-reporting (SIMS), but also sleep quality (SLEEP-50) to forensic psychiatric outpatients (n = 40) and non-forensic participants (n = 40). Forensic patients scored significantly higher on all three indices than non-forensic participants. In the total sample as well as in subsamples, over-reporting correlated positively and significantly with alexithymia, with rs being in the 0.50-0.65 range. Sleep problems were also related to over-reporting, but in the full sample and in the forensic subsample, alexithymia predicted variance in over-reporting over and above sleep problems. Although our study is cross-sectional in nature, its results indicate that alexithymia as a potential source of over-reporting merits systematic research.

    Research areas

  • Alexithymia, malingering, symptom over-reporting, forensic sample, sleep, POSTTRAUMATIC-STRESS-DISORDER, CARELESS, VALIDITY, SCALE, PERSONALITY, ANHEDONIA, VETERANS, FEATURES, ADULTS, SLEEP, Humans, Middle Aged, Criminals, Mental Disorders/physiopathology, Male, Young Adult, Adult, Female, Affective Symptoms/physiopathology, Cross-Sectional Studies, Self Report, Sleep Wake Disorders/physiopathology, Diagnostic Self Evaluation
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Original languageEnglish
Pages (from-to)192-197
Number of pages6
JournalScandinavian Journal of Psychology
Issue number2
Publication statusPublished - Apr 2018