A1 Refereed original research article in a scientific journal

Understanding alexithymia: the role of experiential avoidance




AuthorsStiller, Maxi C.; Gross, James J.; Förster, Katharina; Heekerens, Johannes B.; Sikka, Pilleriin; Preece, David A.

Publication year2026

Journal: Cognition and Emotion

ISSN0269-9931

eISSN1464-0600

DOIhttps://doi.org/10.1080/02699931.2026.2614307

Publication's open availability at the time of reportingNo Open Access

Publication channel's open availability Partially Open Access publication channel

Web address https://doi.org/10.1080/02699931.2026.2614307


Abstract

Alexithymia is a trait characterized by compromised emotion processing. It represents a key risk factor for various psychopathologies, yet its underlying mechanisms remain unclear. According to the attention-appraisal model, one mechanism is experiential avoidance, a tendency to avoid aversive emotional experiences. To investigate this proposed relationship, participants (N = 444) completed questionnaires assessing alexithymia, experiential avoidance, and various psychopathology symptoms. Results showed a strong correlation between alexithymia and experiential avoidance (r = .55, p < .001), with experiential avoidance accounting for 25.4% of the variance in alexithymia. A latent profile analysis identified three distinct subgroups across participants: one with high alexithymia and high experiential avoidance, one with average levels in both, and one with low scores in both. We compared these profiles for their psychopathology levels, showing that the profile highest in both alexithymia and experiential avoidance had the highest symptoms of depression, anxiety, stress, posttraumatic stress disorder, and dissociation. These findings support the attention-appraisal model, suggesting that experiential avoidance may play an important role in alexithymia. When high alexithymia is present, people are generally also engaging in high levels of experiential avoidance. Addressing experiential avoidance may therefore be a useful target in interventions for alexithymia and associated emotional problems.


Funding information in the publication
This work was supported by the German Academic Exchange Service (DAAD) under PROMOS; the Federal Ministry of Education and Research (BMBF) together with the Free State of Saxony under Funds for Student Research (FOSTER); the Australian-American Fulbright Commission; the Raine Medical Research Foundation; the BrightSpark Foundation; Charter Hall; and the UWA Cockell Bequest.


Last updated on 04/02/2026 08:54:51 AM