Blättler, Larissa TatjanaLarissa TatjanaBlättlerStewart, Julian Anthony WhartonJulian Anthony WhartonStewartGubler, Danièle AnneDanièle AnneGublerEgloff, NiklausNiklausEgloffvon Känel, RolandRolandvon Känelgrosse Holtforth, MartinMartingrosse Holtforth0000-0003-0674-87412024-10-282024-10-282019-07https://boris-portal.unibe.ch/handle/20.500.12422/183998OBJECTIVE Previous research has shown that patient's treatment expectations predict outcome in the multimodal therapy for chronic pain. Alexithymia, defined as the difficulty to identify, describe and express one's own feelings, may moderate treatment expectations and thereby effect treatment outcome. Accordingly, the aim of the current study is to examine the moderating role of alexithymia on the association of psychotherapeutic treatment expectation on depression outcome. METHOD 213 chronic pain inpatients completed a set of standardized self-report questionnaires, assessing alexithymia, psychotherapeutic treatment motivation and depression. A hierarchical linear regression model tested the moderating effect of alexithymia on the relationship of psychotherapeutic treatment expectations with depression as outcome variable. RESULTS Both, alexithymia and psychotherapeutic treatment expectations predicted treatment outcome independently, and alexithymia moderated the effect of psychotherapeutic treatment expectations on outcome, above and beyond the effects of control variables. DISCUSSION This study supports the beneficial role of positive psychotherapeutic treatment expectations in an interdisciplinary chronic pain treatment, and suggest to consider difficulties in identifying and describing feelings (alexithymia) in clinical decisions.enAlexithymia Chronic pain Expectation Interdisciplinary treatment Moderator600 - Technology::610 - Medicine & health100 - Philosophy::150 - Psychology300 - Social sciences, sociology & anthropology::370 - Educationarticle10.7892/boris.1360813101058110.1016/j.jpsychores.2019.04.010