4.5 Article

Alexithymia and somatization in agenesis of the corpus callosum

Journal

SOCIAL COGNITIVE AND AFFECTIVE NEUROSCIENCE
Volume 16, Issue 10, Pages 1071-1078

Publisher

OXFORD UNIV PRESS
DOI: 10.1093/scan/nsab056

Keywords

emotion; alexithymia; somatic complaints; corpus callosum; connectivity

Funding

  1. Eunice Kennedy Shriver National Institute of Child Health and Human Development [1 R15 HD33118-01A1]

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Research indicates that individuals with AgCC experience difficulty in identifying and describing emotions, as well as vague physical symptoms, compared to neurotypical controls. However, their levels of emotional experience and coping are similar to the control group, suggesting intact emotional processing despite impaired emotional interpretation.
Deficient communication between the cerebral hemispheres is one of several prevailing neurobiological explanations for alexithymia and has been strongly supported by research on patients with commissurotomy. We examined self-reported symptoms of alexithymia in adults with agenesis of the corpus callosum (AgCC), a condition characterized by more subtle reductions in interhemispheric transfer than in commissurotomy. Sixteen adults with AgCC and full-scale intelligence quotient >80 were compared with 15 neurotypical controls group-matched for age and intelligence score. The AgCC group endorsed greater difficulty identifying and describing feelings and more vague physical symptoms than controls but similar levels of emotional experience and emotional coping. This finding of impaired emotional interpretation with intact emotional experience is consistent with findings in callosotomy patients, implicating the critical role of the corpus callosum in cognitive dimensions of emotion processing. Further study of alexithymia in AgCC using task-based measures may help clarify the nature of this relationship.

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