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To investigate whether chronic pain (CP) patients with somatization reported higher alexithymic traits than those without somatization and to study the different relationships between psychological characteristics, pain, health-related quality of life (HRQL), and somatization. A consecutive sample of 134 CP treatment-seeking outpatients were evaluated for alexithymia (TAS-2, somatization (PHQ-15), distress (HADS), HRQL (SF-12), and pain (BPI). Patients with somatization (37.04%) reported significantly higher TAS-20 total scores (