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There is accumulating evidence for deficits in the perception and regulation of one's own emotions, as well as the recognition of others' emotions in somatic symptom disorder (SSD). However, investigations of SSD focusing on specific aspects of emotion processing and how these might interact are missing. We included 35 patients with SSD and 35 healthy controls who completed questionnaires on the perception and regulation of their own emotions, as well as experimental investigations of emotion recognition and trust. In line with previous studies, our results show that SSD patients in comparison to healthy controls have difficulties in the identification and description of own feelings (η_p² = .381 and η_p² = .315). Furthermore, we found that patients apply less cognitive reappraisal (η_p² = .185) but tend to use more expressive suppression (η_p² = .047). In contrast to previous studies, we found SSD patients to …