Does alexithymia differ in combat veterans of different eras with posttraumatic stress disorder?

TO THE EDITOR: Alexithymia, difficulty in recognizing and expressing feelings and emotions, occurs in many individuals with posttraumatic stress disorder (PTSD).1 A meta-analysis of 12 studies examining alexithymia in 1,095 individuals with PTSD and 460 controls had a mean effect size of 0.80 when PTSD patients were compared with control samples, with higher mean effect size for males with combat-related PTSD.2 We investigated differences in alexithymia among combat veterans of different eras with and without PTSD…

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