Taken together, our results could reflect the neurophysiological substrate of several core features of alexithymia, such as the impairment in emotional awareness as well as the alexithymia-related imagery deficit. Our results are consistent with previous EEG and fMRI studies suggesting that alexithymia is characterized by a disruption in the integrated cortical neural network not only during emotional tasks71011 but also during RS condition16. Our study differs from and adds to previous findings by investigating EEG modifications during RS condition, which is thought to reflect intrinsic activity in the brain revealing valuable information on how different structures communicate48.