O. Todarello et al., ALEXITHYMIA, IMMUNITY AND CERVICAL INTRAEPITHELIAL NEOPLASIA - A PILOT-STUDY, Psychotherapy and psychosomatics, 61(3-4), 1994, pp. 199-204
Alexithymia and circulating lymphocyte subsets were studied in 62 wome
n [36 healthy women and 26 women affected by cervical intraepithelial
neoplasia (CIN I, II, III) who were not aware of their status] in orde
r to assess a possible relationship between alexithymia, CIN and immun
ological lymphocytic functions. Alexithymia was estimated by the 20-it
em Schalling-Sifneos Personality Scale and then correlated with periph
eral blood lymphocyte subsets. The results of our study report an asso
ciation between alexithymia and CIN. Alexithymic women show lower rate
s of almost all lymphocytic subsets compared to nonalexithymic ones. T
he difference was also found between alexithymic women affected by CIN
and alexithymic women with an unsuspicious Pap smear. On the whole, t
hese preliminary results seem to confirm data reported by other author
s who hypothesized that a certain personality trait characterized by e
motional inhibiton is related to a greater cancer vulnerability. Such
relationships might be mediated by certain lymphocytic functions as th
e result of the alexithymic status. Results reported here need more ex
tensive surveys, in order to control potentially confounding factors r
elated to the personality assessment of the subjects in this study.