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Background: Severe asthma patients are those suffering from asthma exacerbations despite adherence to maximal optimized asthma treatment such as high dose inhalant corticosteroids and long-acting beta2 agonists (ICS-LABA). It is estimated that about 300 million people in the world are affected from asthma and among them a percentage between 3-10% suffer from severe asthma. The prevalence of Alexithymia in chronic illness is notably high and it is strictly related to clinical severity of chronic diseases. Methods: Pub Med and Google Scholar databases were consulted using the terms “severe asthma” AND “alexithymia” to search English-language articles. According to inclusion criteria 37 articles were finally included and analyzed. Alexithymia may interfere with the perception of the disease and the patients’ awareness of the need of a strict follow-up, to adhere to the physicians’ treatment plans. Results: Alexithymia and related psychological distress as anxiety and depression may compromise the patient’s compliance and adherence, leading to a severe clinical presentation and pathologies’ course. This review highlights a potential relationship between alexithymia and severe asthma as a chronic inflammatory disease and the ways this correlation can be assessed and managed in the Outpatient Asthma Clinic to ensure a global approach to SA patients. Findings reported in literature suggest that, among severe asthma patients, alexithymia is present even if the prevalence of this disorder has not yet been defined. Conclusions: It is likely that the introduction of a gold standard clinical psychological evaluation in medical settings, such as clinical allergy and immunology, may allow to support suffering patients helping them to adequately elaborate their particular condition developing useful strategies to control and to manage with their severe asthma.

Background: Clinical psychological dynamics are known as effective in the onset of medical conditions. In this regard, alexithymia represents a well-recognized and studied phenomenon, whose study is attracting academic attention. Its relations with several conditions have found consistent resonance in the clinical fields, so that the application of clinical models to disregarded populations represents a relevant clinical opportunity. The current study was aimed at extending alexithymia study to a population consisting of State Forestry officers, including significant variables as age and years of tenure. Methods: The observation group consisted of 59 State Forestry officers, aged between 48 and 67 years old (SD=3.436). All subjects fully completed the protocol, consisting of the Toronto Alexithymia Scale (TAS-20) and a sociodemographic questionnaire. Descriptive statistics, correlational analyses, dependencies and statistical differences were performed in order to let significant relations emerge. Statistical analyses were performed using SPSS 24.0 for the Window package. Results: Descriptive statistics highlighted high scores related to all alexithymia factors (Difficulty Identifying Feelings, Difficulty Describing Feelings, Externally Oriented Thinking, TAS-20 Total score) in the considered individuals. Correlational analyses provided significant relations with reference to age, years of tenure and the whole set of alexithymic variables. Significant dependencies emerged among the selected predictors (age and years of tenure) and Tas-20 variables (including total score), as well as significant differences between two selected groups (38 and 38 years of tenure). Conclusion: Alexithymia emerged as particularly present in the considered population of State Forestry officers, demonstrating its sensibility with reference to age and years of tenure variables. The study of psychological phenomena affecting general subjects’ condition represent an extension of a present research field of high innovativeness, considering the lack of knowledge referred to the selected sample. Furter studies should increase the number of included individuals in order to favor the extension of the emerged results.