Alexithymia Symptoms Research Articles

Prevalence of Alexithymia and Associated Factors Among Dental Students in Saudi Arabia: A Cross-Sectional Study.

Background: Mental health challenges among university students are pervasive, with alexithymia posing a particularly significant yet understudied challenge. This condition significantly affects an individual's ability to cope with stress due to difficulties in recognizing, describing, and processing emotions. Objectives: This study aims to evaluate alexithymia prevalence and its associated factors among dental undergraduate students and interns enrolled at King Saud University in Riyadh, Saudi Arabia. Methods: Data were collected through a self-administered online survey that assessed alexithymia symptoms (using the Toronto Alexithymia Scale [TAS-20]), sociodemographic profiles, lifestyle-related factors, and health-related factors. The associations between participant factors and alexithymia were assessed using chi-square and multiple logistic regression analyses. Results: Of the 421 eligible participants, 369 completed the survey (87.6% response rate), revealing a significant prevalence of alexithymia (37.9%). Female gender (AOR = 1.7, p = 0.04), depression (AOR = 5.6, p < 0.0001), chronic diseases (AOR = 3.5, p = 0.003), and childhood abuse (AOR = 2.2, p = 0.047) were independent factors significantly associated with alexithymia. Conclusions: These findings highlight the pressing need for mental health support within dental education. Early interventions targeting alexithymia could mitigate its adverse consequences, promoting better student well-being and academic success.

Mediating Effect of Emotional Symptoms on the Association Between Alexithymia and Substance Dependence in Patients with Substance Use Disorder: The Protective Role of Family Support and Self-Efficacy.

The etiology of the association between alexithymia and substance use is complex, and there is an urgent need to explore the related factors. The aims of this study were to develop a conceptual model to verify the mediating effect of emotional symptoms and moderating effect of family support and self-efficacy on the association between alexithymia and substance dependence. A total of 117 participants (103 males and 14 females; age at 35.29 ± 8.72 years) with substance use disorder were analyzed. Outcome measures included demographic characteristics, severity of dependence, symptoms of alexithymia, emotional symptoms (depression, anxiety, and somatic symptoms), level of family support, and self-efficacy. The PROCESS macro in SPSS was used to estimate path coefficients and adequacy of the moderated mediation model, which was adjusted for demographic characteristics. Most of the participants had amphetamine use disorder (n = 42, 35.9%). After controlling for the effects of demographic characteristics, the moderated mediation model showed that the association between alexithymia and substance dependence was mediated by emotional symptoms and moderated by family support and self-efficacy. A higher level of family support reduced the effect of alexithymia on emotional symptoms, and a higher level of self-efficacy reduced the effect of emotional symptoms on substance dependence. Family support and self-efficacy have a protective effect on the association between alexithymia and substance dependence in patients with substance use disorder. Early interventions to enhance these protective factors may be beneficial.

Affective processing in aphantasia and potential overlaps with alexithymia: Mental imagery facilitates the recognition of emotions in oneself and others

We investigated affective processing in aphantasia (= absent or reduced vividness of mental imagery), considering a possible overlap with alexithymia (= deficits in identifying and describing emotions), as reduced vividness of mental imagery is also reported in alexithymia. Study 1 assessed physiological reactions and self-reported sympathy in n = 30 individuals with aphantasia and n = 75 controls when confronted to visual and verbal material showing people in distress. Results demonstrated that individuals with aphantasia show reduced emotional responses, especially to verbal stimuli. This is of particular importance given the higher prevalence of alexithymic symptoms in aphantasic participants, notably in externally-oriented thinking and difficulties in describing feelings. An additional mediation analysis confirmed that vividness of visual imagery mediated the association between alexithymia and self-reported sympathy. Study 2 extended our exploration to the recognition of emotions in others using the same sample. Despite accurate recognition of emotions, individuals with aphantasia exhibited significantly slower response times, suggesting less efficient strategies that do not involve mental imagery. Our findings highlight the crucial role of mental imagery in the interplay of cognitive functions and affective processes, demonstrating how conditions such as aphantasia and alexithymia can affect sympathy and, more generally, emotions.

Emotion Regulation in Families: Exploring the Link between Parent-Child Alexithymia and Child Post-Traumatic Stress Symptoms Amidst the COVID-19 Pandemic.

The COVID-19 pandemic comprises a mass trauma for children and families, and children may face particular vulnerability to post-traumatic stress symptoms (PTSS) through processes of parent and child emotional dysregulation, such as alexithymia. With 88 U.S. children (Mage = 9.94 years; 54.5% female; 59.1% White) and their parents/caregivers (68.2% female; 59.1% White), a path model was tested in which child alexithymia symptoms partially mediated the association between parent alexithymia symptoms and child COVID-19-related posttraumatic stress symptoms (PTSS). We also tested an alternative model in which child alexithymia symptoms moderated the association between parent alexithymia symptoms and child PTSS. The hypothesized mediation model was supported (β = 0.15, SE = 0.05, 95% CI: [0.07, 0.25], p < 0.001), whereas the hypothesized moderator model was not (β = 0.06, p = 0.44). Findings highlight the importance of parents' emotional understanding and regulation for child mental health during mass traumas such as pandemics.

The role of emotional factors in face processing abilities in autism spectrum conditions

Facial emotion recognition is considered atypical in individuals with autism spectrum conditions (ASC), but emotion recognition abilities vary widely in autistic people, and there are inconsistent findings on the causes of these differences. Research indicates alexithymia may result in facial emotion recognition differences in ASC. Alternatively, mood disorders have been linked to atypical facial emotional expression recognition abilities in neurotypical adults. Investigating both the effects of alexithymia and mood disorders (depression and anxiety) is necessary to establish which of these factors may cause atypical facial emotion recognition in ASC. This study aimed to examine whether alexithymia or mood disorder symptomology is a predictor of atypical facial emotion recognition in individuals with ASC. Ninety-eight non-autistic adults and 80 autistic adults were recruited. Participants completed an online facial processing task to examine emotion and identity recognition abilities, the AQ-28, the TAS-20, and the HADS to measure autism severity, alexithymia symptoms, and depression and anxiety symptoms. Regression-based analyses found that autistic traits and autistic group membership did not predict facial emotion processing abilities after accounting for demographic variables, alexithymia and mood disorders: however, neither alexithymia nor mood disorder symptoms predicted variance in face processing abilities either. Our results concur with previous meta-analyses of facial emotion processing in autism spectrum disorder which report that studies do not always report deficits in face processing in autism: our findings are also not supportive of the model that argues that alexithymia explains facial emotion processing difficulties in autism.

Model of medical and psychological counseling of patients with a comorbid combination of gambling and alexithymia

Background. The article highlights the features of providing counseling to patients with gambling addiction, in particular, the specifics of medical and psychological counseling in those common cases when pathological gambling is comorbidly combined with alexithymic disorder. Purpose. The purpose of the article is to scientifically substantiate and describe the developed model of medical and psychological counseling of patients with a pathological urge to gamble, formed due to the presence of alexithymia. Materials and Methods. In the process of creating a model of medical and psychological counseling of patients with a comorbid combination of gambling and alexithymia, such methods as analysis of scientific sources, modeling, clinical amnestic and clinical psychological methods were used. Results. The essential properties of clinical and psychological interventions, one of the varieties of which is medical and psychological counseling, are characterized. The specifics of the application and content of medical and psychological as an independent type of medical psychologist’s activity in clinical practice are described. It is determined that counseling with patients with mental disorders is reduced to mitigating the psychological and social consequences of nuclear mental disorder, as well as eliminating psychological factors that exacerbate its course. The author’s model of medical and psychological counseling of patients with a comorbid combination of gambling and alexithymia is scientifically substantiated and described. The task of creating a conceptual model of medical and psychological counseling of gambling addicts with alexithymic radical in the structure of their personality was specified in the article as the need for structural disclosure of fundamentally important positions and features of the application of an integrative-eclectic approach in psychotherapeutic practice, applied with counseling with patients suffering from gambling addiction and having comorbid alexithymic symptoms. Conclusions. The necessity of wide use of clinical interviews, psychoeducation and developments of the cognitive-behavioral approach in the practice of providing advisory assistance to this category of patients is substantiated. The developed model of medical and psychological counseling of patients with pathological gambling and alexithymia is a structured and detailed description of the main medical psychologist’s activities with the allocation of their key stages, which in the aggregate are reduced to tactful verbal influence to eliminate maladaptive manifestations.

Emotion Regulation and Psychological Dependence on Pain Medication among Hospital Outpatients with Chronic Spinal Pain: The Influence of Rumination about Pain and Alexithymia

Objective : To examine the extent to which pain acceptance, pain catastrophising and alexithymia moderate associations between pain intensity and psychological pain medication dependence. Methods : Participants (106 hospital outpatients with chronic spinal pain) completed the Leeds Dependence Questionnaire (LDQ) to measure psychological dependence on pain medication, and the Chronic Pain Acceptance Questionnaire-8 (CPAQ-8), the Pain Catastrophising Scale (PCS) and the Toronto Alexithymia Scale-20 (TAS-20), plus the Depression, Anxiety and Stress Scale-21 (DASS-21). Results : Multiple linear regression showed that degree of psychological dependence (measured dimensionally across the range of LDQ scores) was associated with TAS subscale difficulty identifying feelings (DIF) (β = 0.249, p = <0.002) and PCS subscale rumination (β = 0.193, p = 0.030), independently of pain intensity and risk behaviors for medication misuse. The effect of pain intensity was moderated by rumination, with pain intensity more strongly associated with dependence when rumination was high (interaction β = 0.192, p = 0.004). Logistic regression showed that the effect of pain intensity on severe dependence (measured categorically as LDQ score ≥ 20) was moderated by alexithymia, so that severe dependence was independently associated with the combination of intense pain and high alexithymia (interaction odds ratio = 7.26, 95% CIs = 1.63–32.42, p = 0.009). Conclusions : Rumination and alexithymia moderated the associations between pain intensity and psychological pain medication dependence, consistent with emotion regulation theory. This raises the possibility that specifically targeting rumination about pain and symptoms of alexithymia could potentially improve the effectiveness of psychological interventions for chronic pain and help people to avoid or reduce their psychological dependence on pain medication.

Understanding the associations between social and emotional expression, communication, and relationships in individuals with eating pathology

AbstractResearch suggests that a disproportionate number of female individuals being treated for an eating disorder (ED) also have autism spectrum disorder (ASD). Alexithymia, or difficulty identifying and describing emotions, may mediate the relationship between ED and ASD. In this study, we explored the association of autistic traits with symptoms of alexithymia and eating pathology, as well as the potential mediating role of alexithymia. Two hundred and twenty‐eight female participants aged 18 and older were recruited from online ED support platforms to complete an anonymous online survey via Qualtrics. The survey included three questionnaires: the Toronto Alexithymia Scale‐20, the Autism‐Spectrum Quotient (AQ), and the 13‐item Eating Disorder Examination Questionnaire. More than half (54.8%) of participants met the clinical threshold on the AQ. Participants with a positive screen on the AQ scale also reported more symptoms of alexithymia (92.6% of individuals with a positive AQ vs. 79.8% of those without), B = 9.02, p &lt; 0.001. A positive AQ screen was also associated with significantly greater disordered eating symptoms, B = 4.26, p = 0.031. Alexithymia mediated this association, a × b = 1.98, p &lt; 0.05. The results establish a strong positive relationship between autistic traits and alexithymia, supporting previous data and suggesting that autistic female individuals struggle to identify emotions. Additionally, alexithymia served as a mediator between autistic traits and disordered eating. Understanding this relationship may help inform the treatment of autistic female individuals who are also struggling with ED.

Examination of The Relationship Between University Students' Alexithymia Symptoms, Personality Types and Internet Use Behaviors

The main aim of this study is to examine the relationship between university students' alexithymia symptoms, personality traits and internet use attitudes. The predictive power of personality types and internet use behaviors on alexithymia levels was examined. In addition, differences in the scores of alexithymia and personality types according to various demographic variables were examined. The study group consisted of 322 undergraduate students studying in four different universities in Istanbul. The Toronto Alexithymia Scale and the Eysenck Personality Brief Scale were used to collect data. According to the results obtained from the study, there was a significant relationship between alexithymia scores and personality types, while neuroticism and extraversion were found to have significant predictive power on alexithymia scores. The findings were discussed within the framework of the literature and various suggestions were presented.

Effects of use motivations and alexithymia on smartphone addiction: mediating role of insecure attachment.

Concern exists regarding the potential negative consequences of smartphone addiction among adolescents. This study investigated the effect of use motivations and alexithymia on smartphone addiction among adolescents with two insecure attachment styles, namely, anxious and avoidant attachment. These attachment styles were regarded as mediating variables. Self-report measures were used to assess use motivations, alexithymia, insecure attachment and smartphone addiction. Data were collected from 748 junior high school students (382 males and 366 females) in northeastern China. Structural equation modeling was used to test our hypothesis that use motivations and alexithymia are directly associated with smartphone addiction and also through the mediation of attachment insecurities. The structural equation modeling results showed a strong and positive correlation between use motivation and smartphone addiction, with avoidant attachment mediating such a relationship. Meanwhile, the two components of alexithymia, difficulty identifying feelings and externally oriented thinking, positively predicted smartphone addiction, with avoidant attachment serving as a mediator of this effect. In addition, the mediation analysis results demonstrated that attachment anxiety mediated the connection between escape drive, extrinsically focused thought, and smartphone addiction. Findings describe how attachment insecurities, smartphone use motivations, and alexithymia can interact with one another to predict smartphone addiction. Smartphone use motivation types and alexithymia symptoms should be taken into consideration when designing targeted intervention programs for smartphone addiction to address the different attachment needs of adolescents, which would be helpful to reduce their smartphone addiction behaviors.

THE EFFECT OF ART THERAPY AND MINDFULNESS BASED COGNITIVE THERAPY PROGRAM ON THE LEVELS OF ALEXITHYMIA OF INDIVIDUALS

Study was prepared to determine the effect of group practices on the alexithymia symptoms of individuals using Mindfulness-Based Cognitive Therapy (MBCT) and Art Therapy (AT) techniques. Experimental design with pretest and posttest control groups was used in the study. Individuals who received high scores on the Toronto Alexithymia Scale and volunteered were assigned to the first experiment (14), the second experiment (14) and the control group (14) objectively. The study group of the research consists of second and third year students studying at the psychology department of Istanbul Gelisim University. Participation in the research is on a voluntary basis. The measurement tools were applied as a pretest before the application and as a posttest at the end of the application. In the study, MBCT Program was applied to the first experimental group and AT program was applied to the second experimental group. Not any procedure was applied to the control group. The experimental process was applied to both experimental groups once a week, 90 minutes to the MBCT Group, and 120 minutes to the AT group as 8 sessions. Wilcoxon Signed Ranks Test was used to compare the groups among themselves. The group from which the difference originated was analyzed by the Mann Whitney U Test. As a result, MBCT Program and AT program were found to be effective in reducing the levels of alexithymia. There was no remarkable change in the measurements of the individuals in the control group. When the studies on alexithymia in our country are examined, besides the research of this concept, the lack of practical studies on this concept draws attention. The idea that group work with art therapy and mindfulness-based cognitive therapy programs designed to reduce alexithymia in the normal population will make a significant contribution to the field theoretically, practically and experimentally. It was observed that there wasn’t any significant difference in alexithymia levels between the two therapy programs. The results, limitations and strengths of the study were discussed under the leadership of the literature.

Alexithymia, impulsiveness, emotion, and eating dyscontrol: similarities and differences between narcolepsy type 1 and type 2

Non-sleep symptoms, as depression, anxiety and overweight, are often encountered in narcoleptic patients. The purposes of this study are to evaluate mood, impulsiveness, emotion, alexithymia, and eating behavior in patients with narcolepsy type 1 (NT1) and narcolepsy type 2 (NT2) compared to healthy controls and to investigate possible correlations between clinical-demographic data, polysomnographic parameters, and subjective questionnaires. Consecutive patients affected by NT1 and NT2 underwent to Patient Health Questionnaire-9, Generalized Anxiety Disorder-7 Scale, Barratt Impulsivity Scale-11, Difficulties in Emotion Regulation Scale, Toronto Alexithymia Scale, and Eating Disorder Evaluation Questionnaire. Daytime sleepiness was assessed using Epworth sleepiness score. Data were compared with controls. Fourteen NT1, 10 NT2, and 24 healthy subjects were enrolled. Toronto Alexithymia Scale total score was significantly higher in NT1 than NT2. Compared to controls, NT1 patients exhibited significantly higher scores at Patient Health Questionnaire-9 and Difficulties in Emotion Regulation Scale. A positive correlation between hypnagogic hallucinations and Difficulties in emotion regulation was found. NT1 and NT2 share several psycho-emotional aspects, but whereas NT1 patients exhibit more depressive mood and emotion dysregulation compared to controls, alexithymic symptoms are more prominent in NT1 than NT2. Hypnagogic hallucinations, emotion dysregulation, and alexithymia appear to be correlated, supporting the hypothesis of mutual interaction of the above areas in narcolepsy.

ALEXITHYMIA AND THE ANXIETY FACTOR IN ADOLESCENTS

Aim. To study the level of alexithymia and anxiety in adolescents depending on age and gender, to identify relationships.&#x0D; Materials and methods. A survey of clinically healthy adolescents was carried out using the Toronto alexithymic scale (TAS-26) and the scale of situational and personal anxiety Ch.D. Spielberger – Yu. L. Khanin.&#x0D; Results. Among practically healthy adolescents, over 60% have signs of alexithymia, and half of them are adolescents with a pronounced level of alexithymia. “Vulnerable” for alexithymia are adolescent girls, and by age - younger adolescents. For practically healthy students, the normal level of situational and personal anxiety is natural. With an increase in the symptoms of alexithymia, the presence of high situational and personal anxiety in adolescents is characteristic. A positive correlation was found between the level of alexithymia and the degree of situational (r=0.40; p&lt;0.001; n=507) and personal (r=0.35; p&lt;0.001; n=507) anxiety.&#x0D; Conclusion. Dentification among adolescents of a group of individuals with a risk of developing alexithymia and the presence of signs of alexithymia, with an altered level of situational and personal anxiety, will allow for early prevention and necessary therapeutic interventions.

Evaluation of the Affect School as supplementary treatment of Swedish women with eating disorders: a randomized clinical trial

BackgroundDespite solid research there remains a large group of patients with eating disorders who do not recover. Emotion dysregulation has been shown to be a feature in the different eating disorders. A manualized group intervention developed in Sweden, the Affect School, aims to enhance emotional awareness and the ability to perceive and express emotions.AimThis study aimed to test the hypothesis that participation in the Affect School as a complement to ordinary eating disorder treatment would enhance awareness and regulation of emotions and reduce alexithymia and cognitive eating disorder symptoms in a sample of patients with eating disorders at a Swedish specialized outpatient clinic.MethodForty patients with various eating disorders were randomized to either participation in the Affect School as a supplement to treatment as usual (TAU), or to a TAU control group. Participants were assessed with the Eating Disorder Examination Questionnaire, the Deficits in Emotion Regulation Scale-36, and the Toronto Alexithymia Scale-20 at start, end of intervention, and at the 6- and 12-month follow-ups.ResultsNo significant differences were observed post-treatment but Affect School participants had improved significantly more than controls on eating disorder cognitions and behaviours and emotion dysregulation at the 6- and 12-month follow-ups and had significantly less alexithymia at the 6-month follow-up.ConclusionDifficulties with emotion recognition and/or regulation can complicate fulfilment of personal needs and obstruct communication and relationships with others. The present study indicates that adding Affect School group sessions to regular treatment enhances emotional awareness and emotion regulation and decreases eating disorder symptoms and alexithymia.Plain English summaryPatients with eating disorder diagnoses have described problems with emotional management, for example: lower emotional awareness and difficulties in using adaptive emotional regulatory strategies compared to people without eating disorders. It has been suggested that interventions aiming at enhancing emotional awareness and acceptance would be beneficial in treatment. In the present study we explored whether adding the Affect School to regular treatment would enhance awareness and regulation of emotions and decrease eating disorder symptoms. Forty women with an eating disorder were randomly allocated to either an additional participation in a group treatment for 8 weeks or usual treatment only. The treatment contained education on different affects such as joy, fear, interest, shame, anger, disgust, and worry. The education was followed by discussions on own experiences. Participants filled in self-assessment forms that measured eating disorder symptoms, emotional recognition, and emotion regulation before the start and at the end of the group treatment, and after 6 and 12 months respectively. The results when comparing the two groups suggested that the Affect School could be an effective additional treatment. Participants in the Affect School improved their scorings but the change took time and did not show until at the 6- and 12 months follow-ups.

Pain as a mediator in the temperament-alexithymia relationship in individuals suffering from rheumatoid arthritis.

The study aims to establish a relationship between temperament traits, symptoms of alexithymia, and pain intensity in rheumatoid arthritis. Despite the significant progress seen in the area of RA treatment, pain, often life-long, remains the predominant symptom. This constant pain and progressing disability, as well as dependence upon other people cause RA patients to experience psychological stress that can be modified by individual patient traits. Recently, several authors have underlined the need to relate personality and temperament constructs to neurobiological processes that may underlie individual differences. It seems then that patient characteristics may play a significant role in the course of the disease. The study was performed on a group of patients (N=317) with rheumatoid arthritis diagnosed according to the current criteria of the American-European Consensus of 2010. All patients expressed voluntary consent to participate, and the study protocol was approved by the Local Ethics Committee. This was a survey-based study. It involved the application of the adult version of the Buss and Plomin EAS Temperament Questionnaire (EAS-D), which tests 3 main temperament domains: sociability, activity, and emotionality. The pain was measured on the Visual Analogue Scale (VAS). VAS is used to measure pain intensity. The level of alexithymia was tested using the Toronto Alexithymia Scale-20. The scale consists of 20 statements and includes 3 subscales that measure difficulty in describing feelings/emotions, difficulty in identifying feelings/emotions, and operational externally oriented thinking. The analysis revealed that alexithymia is positively correlated only with one dimension of temperament, i.e., emotionality, and with pain intensity. Moreover, high emotionality was positively correlated with pain. A simple mediation analysis revealed that pain intensity functioned as a mediator in the emotionality-alexithymia relationship. The observed correlations indicate that RA patients with a high level of emotionality exhibit high alexithymia as they perceive pain related to the disease symptoms more intensely. The observed mediation is partial, meaning that there are also other mediating factors in this relationship.

Examining emotion regulation in binge-eating disorder

BackgroundInefficient mechanisms of emotional regulation appear essential in understanding the development and maintenance of binge-eating disorder (BED). Previous research focused mainly on a very limited emotion regulation strategies in BED, such as rumination, suppression, and positive reappraisal. Therefore, the aim of the study was to assess a wider range of emotional regulation strategies (i.e. acceptance, refocusing on planning, positive refocusing, positive reappraisal, putting into perspective, self-blame, other-blame, rumination, and catastrophizing), as well as associations between those strategies and binge-eating-related beliefs (negative, positive, and permissive), and clinical variables (eating disorders symptoms, both anxiety, depressive symptoms, and alexithymia).MethodsWomen diagnosed with BED (n = 35) according to the DSM-5 criteria and healthy women (n = 41) aged 22–60 years were assessed using: the Eating Attitudes Test-26, the Eating Beliefs Questionnaire-18, the Hospital Anxiety and Depression Scale, the Toronto Alexithymia Scale-20, the Cognitive Emotion Regulation Questionnaire, and the Difficulties in Emotion Regulation Scale. Statistical analyses included: Student t - tests or Mann–Whitney U tests for testing group differences between BED and HC group, and Pearson’s r coefficient or Spearman’s rho for exploring associations between the emotion regulation difficulties and strategies, and clinical variables and binge-eating-related beliefs in both groups.ResultsThe BED group presented with a significantly higher level of emotion regulation difficulties such as: nonacceptance of emotional responses, lack of emotional clarity, difficulties engaging in goal-directed behavior, impulse control difficulties, and limited access to emotion regulation strategies compared to the healthy controls. Moreover, patients with BED were significantly more likely to use maladaptive strategies (rumination and self-blame) and less likely to use adaptive strategies (positive refocusing and putting into perspective). In the clinical group, various difficulties in emotion regulation difficulties occurred to be positively correlated with the level of alexithymia, and anxiety and depressive symptoms. Regarding emotion regulation strategies, self-blame and catastrophizing were positively related to anxiety symptoms, but solely catastrophizing was related to the severity of eating disorder psychopathology.ConclusionsOur results indicate an essential and still insufficiently understood role of emotional dysregulation in BED. An especially important construct in this context seems to be alexithymia, which was strongly related to the majority of emotion regulation difficulties. Therefore, it might be beneficial to pay special attention to this construct when planning therapeutic interventions, as well as to the maladaptive emotion regulation strategies self-blame and catastrophizing, which were significantly related to BED psychopathology.

Why are Individuals with Alexithymia Symptoms More Likely to Have Mobile Phone Addiction? The Multiple Mediating Roles of Social Interaction Anxiousness and Boredom Proneness.

PurposePrevious studies have investigated the relationship between alexithymia and problematic mobile phone use (PMPU). However, yet gaps in identifying the internal mechanisms of this relationship remain. Hence, based on the Interaction of Person–Affect–Cognition–Execution model, the current research examined the mediating roles of college students’ social interaction anxiousness (SIA) and boredom proneness (BPS) in the relationship between alexithymia and PMPU.MethodsA total of 1300 college students (Mage = 20.36 years, SD = 0.97) were recruited from two universities in the southeast of China to complete a series of questionnaires, including the Toronto alexithymia scale, SIA scale, BPS scale, and mobile phone addiction index questionnaire. In order to conduct conservative predictions, the demographic variables (ie, gender) were controlled as covariates.ResultsThe results of multiple mediation analysis showed that (1) alexithymia was positively linked with PMPU; (2) both SIA and BPS mediated the link between alexithymia and PMPU; and (3) a serial indirect pathway emerged (ie, alexithymia → SIA → BPS → PMPU).ConclusionThese findings indicated that alexithymia could influence PMPU in a simple indirect way (parallel mediation) and in a complex indirect way (serial mediation). Besides, these findings provide some insights into the prevention and intervention of PMPU.

Alexithymia and somatization in agenesis of the corpus callosum.

Deficient communication between the cerebral hemispheres is one of several prevailing neurobiological explanations for alexithymia and has been strongly supported by research on patients with commissurotomy. We examined self-reported symptoms of alexithymia in adults with agenesis of the corpus callosum (AgCC), a condition characterized by more subtle reductions in interhemispheric transfer than in commissurotomy. Sixteen adults with AgCC and full-scale intelligence quotient >80 were compared with 15 neurotypical controls group-matched for age and intelligence score. The AgCC group endorsed greater difficulty identifying and describing feelings and more vague physical symptoms than controls but similar levels of emotional experience and emotional coping. This finding of impaired emotional interpretation with intact emotional experience is consistent with findings in callosotomy patients, implicating the critical role of the corpus callosum in cognitive dimensions of emotion processing. Further study of alexithymia in AgCC using task-based measures may help clarify the nature of this relationship.

The role of gastrointestinal specific anxiety and alexithymia as predictors of the severity of irritable bowel syndrome in women

Aim. To analyze the role of gastrointestinal specific anxiety and alexithymia in predicting the severity of the disease in 194 women with moderate to severe IBS with refractory course (average duration of the disease 38.4 months).&#x0D; Methods of investigation. Gastrointestinal Symptom Rating Scale-IBS (GSRS-IBS), Irritable Bowel Syndrome Severity Scoring System (IBS-SSS), Visceral Sensitivity Index (VSI), TAS-20, HADS, and SF-12.&#x0D; Results. It was shown that in women, the severity of irritable bowel syndrome and the risks of refractory course are closely related to high alexithymia and uncontrolled gastrointestinal specific anxiety, which are also related to each other. Patients with severe IBS significantly differ from patients with moderate symptomocoplex manifestations (pain, bloating, diarrheal manifestations), satisfaction with the quality of life, pronounced symptoms of depression, visceral sensitivity and alexithymia, which contributes to the formation of a number of therapeutic barriers. Regression analysis showed that the severity of IBS was equally predicted by presence of alexithymia and gastrointestinal specific anxiety in the patient.&#x0D; Conclusions. Alexithymia, especially the difficulty of expressing negative emotions (for example, irritation, anger), describing feelings, desires to other people, was a stronger factor in women predicting the severity of IBS compared to gastrointestinal specific anxiety. The presented symptomatic picture of alexithymic manifestations in patients with IBS shows that violations of emotional awareness affect the pathogenesis, the spectrum of reinsurance and avoidance behavior.

The effect of eight yoga sessions on interoceptive accuracy, confidence and awareness in a sample of patients with eating disorder: A preliminary study

IntroductionPrevious research from our group showed that, after a single yoga class, Interoceptive Accuracy (IAc), tested through the Heartbeat Counting Task, improved in a group of Healthy Controls (HC), but not in a group of patients with Anorexia Nervosa (AN).ObjectivesTo evaluate three levels of interoception (accuracy, confidence (IC) and awareness (IAw)) before and after eight sessions of Yoga in a sample of patients with Eating Disorders (ED: AN, Bulimia Nervosa (BN) and Binge Eating Disorder (BED)).Methods15 patients with ED were included. Before the first yoga session (T0) and 72 hours after the last session (T1), participants underwent: (i) the Heartbeat Counting Task for the evaluation of IAc, IC and IAw; (ii) a psychometric assessment evaluating depression, anxiety, body awareness, alexithymia, self-objectification and eating disorders symptomatology.ResultsAt T1, ED patients’ IAc appeared higher than at T0, but not IC and IAw. A trend towards significance (p = 0.055) emerged for the interaction effect between IAc and diagnosis, with BED patients having a higher increase of IAc at T1 than AN and BN patients. Significant correlations between IAc and Alexithymia, Anxiety and Depression emerged at T0, but were not maintained at T1.ConclusionsAfter a program of eight Yoga sessions, IAc in ED patients (but not IC and IAw) increases, especially in BED patients. Moreover, the improvement of IAc following the yoga course seems to be unrelated to the course of depressive, anxious and alexithymic symptoms of ED patients.