AUTHOR=Silvestro Orlando , Ricciardi Luisa , Catalano Antonino , Vicario Carmelo Mario , Tomaiuolo Francesco , Pioggia Giovanni , Squadrito Giovanni , Schwarz Peter , Gangemi Sebastiano , Martino Gabriella TITLE=Alexithymia and asthma: a systematic review JOURNAL=Frontiers in Psychology VOLUME=14 YEAR=2023 URL=https://www.frontiersin.org/journals/psychology/articles/10.3389/fpsyg.2023.1221648 DOI=10.3389/fpsyg.2023.1221648 ISSN=1664-1078 ABSTRACT=

Growing evidence from scientific research elucidates the important role of alexithymia in chronic immune diseases. This Review aims to explore the presence of alexithymia in patients affected by asthma and clarify its associations with other involved psychological and physical factors. In January 2023, according to PRISMA guidelines, a systematic search using PubMed and Scopus was conducted. Twenty-six studies were eligible based on inclusion criteria. Alexithymia was significantly present in asthma patients, with most studies reporting a higher prevalence (from 9 to 62.8%) than in control groups (approximately 10%). The coexistence of asthma and alexithymia was associated with a worse quality of life, psychiatric comorbidity, poor symptom control, and difficulty in recognizing exacerbations of the disease. These results suggest that alexithymia can negatively impact the management of asthma. For this reason, we recommend an accuracy assessment in clinical settings and the implementation of psychological interventions to promote the emotional and physical wellbeing of asthmatic patients.