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The present study is a cross-cultural investigation of alexithymia both state and trait stress. Participants from the USA of America and Kyrgyzstan, a Former Soviet Republic, which is primarily Islamic with a nomadic history, completed the Toronto Alexithymia Scale (Bagby, Parker, & Taylor, 1994) and the State-Trait Anxiety Inventory for Adults (Spielberger, 1983). As expected, individuals with higher levels of alexithymia reported greater state and trait anxiety. Compared with the USA sample, Kyrgyz participants reported higher levels of alexithymia, however, no country differences were found for level of stress. Further analysis revealed that both country and trait anxiety were robust predictors of alexithymia. The etiology of culturally normative alexithymia is discussed.

Cross-Cultural Study of Emotional Expression: The Problem of Alexithymia