One hundred seventy four inpatients of a psychosomatic hospital were e
xamined with the revised version of the Toronto Alexithymia Scale TAS-
R, as well as further measures of emotionality, somatization, psychopa
thology and personality. A significant association was found between T
AS alexithymia and the number of somatoform symptoms. This association
, however, disappeared when it was corrected for the possible impact o
f depression. The factor 1 of the TAS (ability to describe feelings to
others) correlated significantly with the use of negative emotional w
ords. Thus TAS alexithymics do not use less, but more emotional words,
especially words describing negative feelings. The validity of factor
2 (externally oriented thinking) seems to be low. TAS alexithymia may
measure specific aspects of depression or general distress. (C) 1996
John Wiley & Sons, Inc.