The Relationship Between Emotional Suppression and Fear of Intimacy and the Manifestation of Psychosomatic Symptoms in Individuals With Psychosomatic Symptoms

Authors

Keywords:

emotional suppression, fear of intimacy, psychosomatic symptoms

Abstract

The present study investigated the relationship between emotional suppression and fear of intimacy and the manifestation of psychosomatic symptoms in individuals with psychosomatic symptoms. In terms of its purpose, this study was applied research; in terms of the type of data, it was quantitative; and in terms of its nature, it employed a descriptive-correlational design. The statistical population consisted of individuals presenting with psychosomatic symptoms whose symptoms had been confirmed by psychologists at the selected centers. Given that the population size was considered unlimited, 30 participants were selected for each variable, yielding a total sample of 120 participants, using convenience sampling. To measure the study variables, the Emotional Suppression Questionnaire developed by Weinberger (1979), the Fear of Intimacy Scale developed by Descutner and Thelen (1991), and the Psychosomatic Symptoms Questionnaire developed by Lacourt et al. (2013) were used. Data were analyzed using SPSS version 26, Spearman's correlation coefficient, and stepwise regression analysis. The results indicated a significant relationship between emotional suppression and the manifestation of psychosomatic symptoms among individuals with psychosomatic symptoms (p < .05). A significant relationship was also found between fear of intimacy and the manifestation of psychosomatic symptoms in these individuals. Moreover, emotional suppression and fear of intimacy significantly predicted the manifestation of psychosomatic symptoms among individuals with psychosomatic symptoms (p < .05). In summary, individuals characterized by a constitutionally based behavioral inhibition system may interpret potentially threatening future events as ambiguous stimuli. This process may increase fear and emotional suppression, contribute to the manifestation of avoidant behaviors, and ultimately lead to psychosomatic symptoms in individuals who are prone to such symptoms.

Downloads

Download data is not yet available.

References

1. Kang S, Park CI, Kim SJ, Kang JI. Associations Between Emotional Awareness Deficits and Somatic Symptoms in a Community and Clinical Populations: A Cross-Sectional Study. BMC Psychology. 2025;13(1). doi: 10.1186/s40359-025-03087-z.

2. Shabani F, Ghanbari Hashemabadi BA, Karami A. Comparison of Family Emotional Climate, Ambivalence over Emotional Expression, Sense of Psychological Coherence, and Self-Criticism in Patients with Psychosomatic Disorders and Cancer with Healthy Individuals [Master's thesis in Family Counseling]: Hekmat Razavi Institute of Higher Education; 2025.

3. Shabeh Z, Feizi A, Afshar H, Hassanzadeh Keshtali A, Adibi P. Identifying profiles of psychosomatic disorders and their relationship with psychological problems in an Iranian adult population. Journal of Mazandaran University of Medical Sciences. 2016;37(26):82-94.

4. Tyra AT, Fergus TA, Ginty AT. Emotion Suppression and Acute Physiological Responses to Stress in Healthy Populations: A Quantitative Review of Experimental and Correlational Investigations. Health Psychology Review. 2024;18(2):396-420. doi: 10.1080/17437199.2023.2251559.

5. Karababa A. Suppression of Positive and Negative Emotions and Loneliness among Emerging Adults: A Moderated-Mediation Model of Romantic Relationship Satisfaction and Gender. The Journal of Psychology. 2025:1-24. doi: 10.1080/00223980.2025.2466100.

6. Grzesik‐Gąsior J, Zalewska K, Pieczykolan A, Kowalski S, Żak-Kowalska K, Niewiadomska I, et al. The Mediating Role of Social Support Between Pregnancy Anxiety and Emotional Suppression in Women With Threatened Preterm Labor. Journal of Clinical Medicine. 2025;14(17):6002. doi: 10.3390/jcm14176002.

7. Zitzmann J, Rombold-George L, Rosenbach C, Renneberg B. Emotion Regulation, Parenting, and Psychopathology: A Systematic Review. Clinical Child and Family Psychology Review. 2024;27(1):1-22. doi: 10.1007/s10567-023-00452-5.

8. Yıldız MA, Duy B. The predictive role of emotion regulation strategies on depressive and psychosomatic symptoms in adolescents. Current Psychology. 2019;38:387-96. doi: 10.1007/s12144-017-9616-6.

9. Ghadiri F, Abdolmohammadi K, Soleimani E. Predicting somatization symptoms based on defense styles and emotion regulation among students. Rooyesh Psychology. 2019;8(13):22-34.

10. Badaye A, Vaziri S, Lotfi Kashani F. The contribution of emotion regulation, defense mechanisms, and attachment to predicting psychosomatic symptoms: The moderating roles of gender and distress level. Scientific Journal of the Medical Council of the Islamic Republic of Iran. 2021;39(1):30-8.

11. Sivandian M, Falahzade H. The Effectiveness of Emotion-Focused Therapy on Emotion Regulation and Coping Strategies of Women with Somatic Symptom. Journal of Education and Health Promotion. 2025;14(1):205. doi: 10.4103/jehp.jehp_123_24.

12. Afshari A, Afshar H, Shafiei K, Adibi N. The relationship of alexithymia and its components with anxiety and depression in patients with psychosomatic skin disorders. Horizon of Knowledge. 2013;19(5):33-9.

13. Basharpoor S, Alamardani Someh S, Shah Mohammadzadeh Y. The role of alexithymia and emotional expressiveness in predicting somatization symptoms among students of the University of Mohaghegh Ardabili in the 2013-2014 academic year. Journal of Rafsanjan University of Medical Sciences. 2014;13(2):59-72.

14. Besharat MA, Hafezi E, Moghadamzadeh A. Examining the effectiveness of written emotional disclosure on defense mechanisms in individuals with alexithymia. Culture of Counseling and Psychotherapy. 2017;8(30):83-106.

15. Zandi S, Shahabinejad Z, Borhan A. Predicting different levels of defense mechanisms based on the Big Five personality factors among students. Zanko Journal of Medical Sciences. 2017;18(56):21-32.

16. Agrawal Y. The Impact of Emotional Intelligence and Fear of Intimacy on Relationship Satisfaction in Men. International Journal for Multidisciplinary Research. 2025;7(3). doi: 10.36948/ijfmr.2025.v07i03.46173.

17. Hashemi Pour F, Yar Allahy N, Soleimani H, Roozban S. The Role of Emotional Disclosure, Cognitive Flexibility, and Fear of Intimacy in Predicting Marital Conflicts Among Nurses. Nursing Management Journal. 2022;11(2):53-63.

18. Kalantari S, Malekian M, Ghalavand F, editors. Investigating the relationship between marital conflicts, fear of intimacy, and emotional granularity in women affected by marital infidelity. Seventh International Conference on Psychology, Educational Sciences, and Child Rights in the Islamic World; 2022; Tehran.

19. Khajeh Hosseini Rabari F, Rezaei F, Mirzaei F, Sadeghi F. The effectiveness of Emotion-Focused Therapy on fear of intimacy, hostile attributions, and emotional dysregulation in women affected by marital infidelity. Psychology Growth. 2024;13(1):233-42.

20. Finzi‐Dottan R, Abadi HZM. From Emotional Abuse to a Fear of Intimacy: A Preliminary Study of the Mediating Role of Attachment Styles and Rejection Sensitivity. International Journal of Environmental Research and Public Health. 2024;21(12):1679. doi: 10.3390/ijerph21121679.

21. Shishefar H, Fard FD, Nicknam M. Prediction of Psychological Pain Based on Emotional Expression With the Mediation of Fear of Intimacy in Girls With Emotional Breakup Experience. Aftj. 2024;5(2):266-74. doi: 10.61838/kman.aftj.5.2.29.

22. Issazadegan A, Sepehrianazar F, Matlabi M. The comparison of attachment styles and fear of intimacy in people with and without cancer. Middle Eastern Journal of Disability Studies. 2016;6:205-10.

23. Pourmohseni Kolouri F, Shirzad Z. Comparing self-disclosure, intimacy, and emotional processing in married women with social phobia and healthy women. Culture of Counseling and Psychotherapy. 2015;6(24):145-63.

24. Neilson EC, Maitland DW, George WH. Power-Related Emotions, Alcohol Intoxication, and Nonconsensual Sex Intentions: The Role of Fear of Intimacy. Sexual Abuse. 2023;35(3):313-39. doi: 10.1177/10790632221096420.

25. Serrano-Ibáñez ER, Ramírez-Maestre C, López-Martínez AE, Esteve R, Ruiz-Párraga GT, Jensen MP. Behavioral inhibition and activation systems, and emotional regulation in individuals with chronic musculoskeletal pain. Frontiers in Psychiatry. 2018;9:394. doi: 10.3389/fpsyt.2018.00394.

26. Mirzaei F, Khademi A. Comparing brain-behavioral systems, adjustment components, and schizoid personality symptoms in patients with migraine and stress-related gastric ulcers and healthy individuals. Shenakht Journal of Psychology and Psychiatry. 2021;8(1):134-46.

27. Soltan Mohammadlou S, Gharaei B, Fathali Lavasani F, Gohari MR. Examining the relationships of behavioral activation and inhibition systems, difficulties in emotion regulation, and metacognition with worry. Cognitive and Behavioral Sciences Research. 2013;3(2):85-100.

28. Ginting H, van de Ven M, Becker ES, Näring G. Type D personality is associated with health behaviors and perceived social support in individuals with coronary heart disease. Journal of Health Psychology. 2014;64:63-9.

29. Izadi EJM, Bakhshipur A. Comparing the effectiveness of compassion-based therapy (CFT) and emotion-focused therapy (EFT) on the fear of negative evaluation in adolescent girls with psychosomatic problems. International Journal of Applied Behavioral Sciences. 2025;12(1):40-8.

Downloads

Published

2027-07-01

Issue

Section

Articles

How to Cite

Latifi, Z., & Asmaee Majd, S. (2027). The Relationship Between Emotional Suppression and Fear of Intimacy and the Manifestation of Psychosomatic Symptoms in Individuals With Psychosomatic Symptoms. Mental Health and Lifestyle Journal, 1-16. https://mhljournal.com/index.php/mhlj/article/view/324

Similar Articles

1-10 of 123

You may also start an advanced similarity search for this article.