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ctively implemented. Depression and alexithymia often accompany early stages of Parkinson's disease (PD). However, these symptoms in idiopathic rapid eye movement sleep behavior disorder (iRBD) remain incompletely understood. The aim of this study was to compare depression and alexithymia between iRBD patients and healthy controls, and to evaluate the association between clinical RBD severity and severity of depression and alexithymia. Polysomnography-confirmed iRBD patients (n=86) and healthy controls (n=74) were enrolled. Clinical RBD