“…Furthermore, high levels of alexithymia have been reported in clients diagnosed with various conditions involving emotional dysregulation, including anxiety, depression, and substance use disorders (Gilbert, McEwan, Catarino, Baiao, & Palmeira, 2014;Lyvers, Hanigan, & Thorberg, 2018;Thorberg, Young, Sullivan, & Lyvers, 2009), and evidence for stability has been more mixed in such samples (e.g., de Haan, van der Palen, Wijdeveld, Buitelaar, & De Jong, 2014;Morie, Nich, Hunkele, Potenza, & Carroll, 2015;Thorberg et al, 2016). Furthermore, although social support also contributes to resilience (Li, 2008;Williams et al, 2010;Yoon et al, 2014), highly alexithymic individuals may be unlikely to rely on social support as a coping strategy when under stress given their reported interpersonal difficulties (Corbin, Farmer, & Nolen-Hoekesma, 2013;Hamaideh, 2017;Spitzer, Siebel-Jurges, Barnow, Grabe, & Freyberger, 2005); alexithymia has been associated with interpersonal distrust as well as loneliness in social, romantic and familial domains (Qualter, Quinton, Wagner, & Brown, 2009). Given that resilience requires the ability to effectively self-regulate emotions, alexithymia might be expected to show a negative relationship to resilience.…”