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Alexithymia and Interoceptive Confusion in Covid-19 Pandemic Distress.

Clin Neuropsychiatry

August 2023

Department of Clinical and Experimental Medicine, University of Pisa, 56126 Pisa, Italy, and the Department of Surgical Medical and Molecular Pathology, Critical Care and Care Medicine, University of Pisa, 56126 Pisa, Italy.

Objective: Alexithymic traits are associated with the difficulty of perceiving ', and are related to a problematic management of stressful life events (SLEs). The main purpose of this study was to quantify the psychological response of the general population to COVID-19 pandemic stress and to evaluate potential correlations with the presence of ' and ' (study protocol # 0077794/2022).

Method: 175 subjects from general population were assessed with the Toronto-Alexithymia Scale (TAS-20), the Event-Revised Impact Scale (IES-R), the Interoceptive Accuracy Scale (IAS), and the Interoceptive Confusion Questionnaire (ICQ).

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COVID-19 outbreak represents a stressful life event that might potentially trigger psychopathological symptoms in people with a pre-existing vulnerability. This is particularly relevant for the onset or exacerbation of pathological contamination fears in people with vulnerability to obsessive-compulsive disorder (OCD) or in those individuals with sub-threshold obsessive-compulsive symptoms, or who achieved recovery after a successful treatment. Strict movement restrictions and hygiene habits are essential to limit COVID-19 diffusion and delay its progression.

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