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Alexithymia — State or Trait?

Published online by Cambridge University Press:  10 April 2014

Francisco Martínez-Sánchez ,
Manuel Ato-García  and
Beatriz Ortiz-Soria
Francisco Martínez-Sánchez*
Affiliation:
University of Murcia
Manuel Ato-García
Affiliation:
University of Murcia
Beatriz Ortiz-Soria
Affiliation:
University of Murcia
*
Correspondence concerning this article should be addressed to Francisco Martínez-Sánchez, Departamento de Psicología Básica y Metodología. Facultad de Psicología, Edificio Luis Vives, Universidad de Murcia, Apartado 4021, 30080 Murcia (Spain). E-mail: [email protected]
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Abstract

Alexithymia refers to a specific disturbance in emotional processing that is manifested by difficulties in identifying and verbalizing feelings and a tendency to focus on and amplify the somatic sensations that accompany emotional arousal. Alexithymia is conceptualized both as an affect-deficit disorder and a continuous personality variable. The main purpose of the present study was to investigate the stability levels of alexithymia with regard to changes in emotional distress levels caused by university exams. We tested 20 university students at four different times, before and after the exams. Alexithymic features and self-reported emotional distress (trait anxiety and physical symptoms) were measured. Whereas emotional distress measures changed significantly during the diverse phases, the level of alexithymia remained unchanged. We therefore conclude that alexithymia represents a constant trait.

La alexitimia describe un trastorno en el procesamiento emocional, manifestado mediante una marcada dificultad para identificar y expresar afectos, así como una tendencia a amplificar las sensaciones somáticas ligadas a la activación emocional. La alexitimia es conceptualizada tanto como un trastorno en la regulación afectiva, como una variable de personalidad. El principal objetivo de este trabajo es investigar la estabilidad temporal de los niveles de alexitimia en relación a los cambios experimentados en el malestar emocional causado por los exámenes universitarios. Evaluamos 20 universitarios en cuatro ocasiones diferentes, antes y después de los exámenes. Se evaluaron los niveles de alexitimia y de malestar emocional (ansiedad y sintomatología somática). Los resultados mostraron que mientras que las medidas de malestar emocional cambiaron significativamente durante las diversas fases, el grado de alexitimia permaneció inalterable. Se concluye afirmando que la alexitimia constituye un rasgo estable de personalidad.

Keywords

emotionalexithymiastressanxietyemociónalexitimiaestrésansiedad
Type
Articles
Information
The Spanish Journal of Psychology , Volume 6 , Issue 1 , May 2003 , pp. 51 - 59
Copyright
Copyright © Cambridge University Press 2003

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References

Ahrens, S., & Deffner, G. (1986). Empirical study of alexithymia: Methodology and results. American Journal of Psychotherapy, 40, 430–447CrossRefGoogle ScholarPubMed
American Psychiatric Association (1987). Diagnostic and statistical manual of mental disorders (3rd ed., revised). Washington, DC: American Psychiatric Association.Google Scholar
Attanasio, V., Andrasik, F., Blanchard, E.B., & Arena, J.G. (1984). Psychometric properties of the SUNYA Revision of the Psychosomatic Symptom Checklist. Journal of Behavior Medicine, 7, 247–257.CrossRefGoogle ScholarPubMed
Bagby, R.M., Parker, J.D., & Taylor, G.J. (1994). The twenty-item Toronto Alexithymia Scale-I. Item selection and cross-validation of the factor structure. Journal of Psychosomatic Research, 38, 23–32.CrossRefGoogle ScholarPubMed
Bagby, R.M., Taylor, G.J., & Atkinson, L. (1988). Alexithymia: A comparative study of three self-report measures. Journal of Psychosomatic Research, 32, 107–116.CrossRefGoogle ScholarPubMed
Bagby, R.M., Taylor, G.J., & Parker, J.D. (1994). The twenty-item Toronto Alexithymia Scale-II. Convergent, discriminant, and concurrent validity. Journal of Psychosomatic Research, 38, 33–40.CrossRefGoogle ScholarPubMed
Berenbaum, H., & Prince, J.D. (1994). Alexithymia and the interpretation of emotion-relevant information. Cognition and Emotion, 8, 231–244.CrossRefGoogle Scholar
Burks, N., & Martin, B. (1985). Everyday problems and life change events: Ongoing versus acute sources of stress. Journal of Human Stress, 11, 27–35.CrossRefGoogle ScholarPubMed
Cattell, R.B., & Scheier, I.H. (1963). Handbook for the IPAT Anxiety Scale (2nd ed.). Champaign, IL: Institute for Personality and Ability Testing.Google Scholar
Cohen, K.R., Auld, F., & Brooker, H. (1994). Is alexithymia related to psychosomatic disorder and somatizing? Journal of Psychosomatic Research, 38, 119–127.CrossRefGoogle ScholarPubMed
De Groot, J.M., Rodin, G., & Olmsted, M.P. (1995). Alexithymia, depression, and treatment outcome in bulimia nervosa. Comprehensive Psychiatry 36, 53–60.CrossRefGoogle ScholarPubMed
Derogatis, L.R. (1977). SCL-90. Administration, scoring and procedures manual. Clinical psychometric research. Baltimore, MD: Johns Hopkins University School of Medicine.Google Scholar
Diggle, P.J., Lyang, K.Y., & Zeger, S.L. (1994). Analysis of longitudinal data. Oxford, UK: Oxford University Press.Google Scholar
Freyberger, H. (1977). Supportive psychotherapeutic techniques in primary and secondary alexithymia. Psychotherapy and Psychosomatics, 28, 337–342.CrossRefGoogle ScholarPubMed
Fukunishi, I., Chishima, Y., & Anze, M. (1994). Post-traumatic stress disorder and alexithymia in burn patients. Psychological Report, 75, 1371–1376.CrossRefGoogle ScholarPubMed
Fukunishi, I., Koyama, I., & Tobimatsu, H. (1995). Psychological acceptance and alexithymia in spinal cord injury patients. Psychological Report, 76, 475–481.CrossRefGoogle ScholarPubMed
Haviland, M.G., Shaw, D.G., Cummings, M.A., & MacMurray, J.P. (1988). Alexithymia subscales and relationship to depression. Psychotherapy and Psychosomatics, 50, 164–170.CrossRefGoogle ScholarPubMed
Hendryx, M.S., Haviland, M.G., & Shaw, D.G. (1991). Dimensions of alexithymia and their relationships to anxiety and depression. Journal of Personality Assessment, 56, 227–237.CrossRefGoogle ScholarPubMed
Hendryx, M.S., Haviland, M.G., Shaw, D.G., & Henry, J. (1994). Alexithymia in women and men hospitalized for psychoactive substance dependence. Comprehensive Psychiatry, 35, 124–128.Google Scholar
Honkalampi, K., Hintikka, J., Saarinen, P., Lehtonen, J., & Viinamaeki, H. (2000). Is alexithymia a permanent feature in depressed patients? Results from a 6-month follow-up study?. Psychotherapy and Psychosomatics, 69, 303–308.CrossRefGoogle ScholarPubMed
Honkalampi, K., Koivumaa-Honkanen, H., Tanskanen, A., Hintikka, J., Lehtonen, J., & Viinamaeki, H. (2001). Why do alexithymic features appear to be stable? Psychotherapy and Psychosomatics, 70, 247–253.CrossRefGoogle ScholarPubMed
Horton, P.C., Gewirtz, H., & Kreutter, K.J. (1992). Alexithymia-state and trait. Psychotherapy and Psychosomatics, 58, 91–96.CrossRefGoogle ScholarPubMed
Ihaka, R., & Gentleman, R. (1996). R: A language for data analysis in graphics. Journal of Computational and Graphical Statistics, 5, 299–314.Google Scholar
Infrasca, R. (1997). Alexithymia, neurovegetative arousal and neuroticism. Psychotherapy and Psychosomatics, 66, 76–280.CrossRefGoogle ScholarPubMed
Jessimer, M., & Markham, R. (1997). Alexithymia: A right-hemisphere dysfunction specific to recognition of certain facial expressions? Brain and Cognition, 34, 246–258.CrossRefGoogle ScholarPubMed
Keller, D.D., Carroll, K.M., Nich, C., & Rounsaville, B.J. (1995). Alexithymia in cocaine abusers: Response to psychotherapy and pharmacotherapy. American Journal of Addictions, 4, 243–244.CrossRefGoogle Scholar
Keltikangas-Järvinen, L. (1987). Concept of alexithymia II. The consistency of alexithymia. Psychotherapy and Psychosomatics, 47, 337–342.CrossRefGoogle ScholarPubMed
Kiecolt-Glasser, J., & Glasser, R. (1988). Behavioral influences on immune function: Evidence for the interplay between stress and health. In Field, T.M. (Ed.), Stress and coping across development (pp. 189–206). Hillsdale, NJ: Erlbaum.Google Scholar
Lipsitz, S.R., Kim, K., & Zhao, L. (1994). Analysis of repeated categorical data using generalized estimated equations. Statistics in Medicine, 13, 1149–1163.CrossRefGoogle Scholar
Luminet, O., Bagby, R.M., & Taylor, G.J. (2001). An evaluation of the absolute and relative stability of alexithymia in patients with major depression. Psychotherapy and Psychosomatics, 70, 254–260.CrossRefGoogle ScholarPubMed
Luminet, O., Bagby, R.M., Wagner, H., Taylor, G.J., & Parker, J.D.A. (1999). Relation between alexithymia and the Five-Factor Model of Personality: A facet-level analysis. Journal of Personality Assessment, 73, 345–359.CrossRefGoogle ScholarPubMed
Lumley, M.A., Stettner, L., & Wehmer, F. (1996). How are alexithymia and physical illness linked? A review and critique of pathways. Journal of Psychosomatic Research, 41, 505–518.CrossRefGoogle ScholarPubMed
Lumley, M.A., Tomakowsky, J., & Torosian, T. (1997). The relationship of alexithymia to subjective and biomedical measures of disease. Psychosomatics, 38, 497–502.CrossRefGoogle ScholarPubMed
Martin, J.B., & Pihl, R.O. (1986). Influence of alexithymic characteristics on physiological and subjective stress responses in normal individuals. Psychotherapy and Psychosomatics, 45, 66–77.CrossRefGoogle ScholarPubMed
Martínez-Sánchez, F. (1996). Adaptación española de la Escala de Alexitimia de Toronto (TAS-20). Clínica y Salud, 7, 19–32.Google Scholar
Martínez-Sánchez, F. (in press). Adaptación española de la Inventario de Síntomas de Pennebaker, PILL. Revista Española de Motivación y EmociónGoogle Scholar
Martínez-Sánchez, F., Ato, M., Córcoles, E., Huedo, T., & Selva, J. (1998), Stability in the alexithymia levels: A longitudinal analysis of temporary series on various emotional answers. Personality and Individual Differences, 24, 767–772.CrossRefGoogle Scholar
Martínez-Sánchez, F., & Marín, J. (1997). Influencia del nivel de alexitimia en el procesamiento de estímulos emocionales en una tarea Stroop. Psicothema, 9, 519–527.Google Scholar
McCullagh, P., & Nelder, J.A. (1989). Generalized lineal models. New York: Chapman & Hall.CrossRefGoogle Scholar
Páez, D., Martínez-Sánchez, F., Velasco, C., Mayordomo, S., Fernández, I., & Blanco, A. (1999). Validez psicométrica de la Escala de Alexitimia de Toronto: un estudio transcultural. Boletín de Psicología, 63, 55–76.Google Scholar
Pandey, R., & Mandal, M.K. (1996). Eysenckian personality dimensions and alexithymia: Examining the overlap terms of perceived autonomic arousal. Personality and Individual Differences, 20, 499–504.CrossRefGoogle Scholar
Papciak, A.S., Feuerstein, M., & Spiegel, J.A. (1985). Stress reactivity in alexithymia: Decoupling of physiological and cognitive responses. Journal of Human Stress, 11, 135–142.CrossRefGoogle ScholarPubMed
Parker, J.D., Taylor, G.J., & Bagby, R.M. (1993). Alexithymia and processing of emotional stimuli: An experimental study. New Trends in Experimental and Clinical Psychiatry, IX, 9–14.Google Scholar
Pennebaker, J.W. (1982). The psychology of physical symptoms. New York: Springer-Verlag.CrossRefGoogle Scholar
Pinard, L., Negrete, J.C., Annable, L., & Audet, N. (1996). Alexithymia in substance abusers: Persistence and correlates of variance. American Journal of Addictions, 5, 32–39.Google Scholar
Porcelli, P., Leoci, C., Guerra, V., Taylor, G.J., & Bagby, R.M. (1996). A longitudinal study of alexithymia and psychological distress in inflammatory bowel disease. Journal of Psychosomatic Research, 41, 569–573.CrossRefGoogle ScholarPubMed
Posse, M. (2002). Alexithymia: Background and consequences. Unpublished doctoral dissertation. Karolinska Institutet, Sweden.Google Scholar
Saarijärvi, S., Salminen, J.K., & Toikka, T.B. (2001). Alexithymia and depression: A 1-year follow-up study in outpatients with major depression. Journal of Psychosomatic Research, 51, 729–733.CrossRefGoogle ScholarPubMed
Salminen, J.K., Saarijärvi, S., Äärelä, E., & Tamminen, T. (1994). Alexithymia — state or trait? One-year follow-up study of general hospital psychiatric consultation out-patients. Journal of Psychosomatic Research, 38, 681–685.CrossRefGoogle ScholarPubMed
Schmidt, U., Jiwany, A., & Treasure, J. (1993). A controlled study of alexithymia in eating disorders. Comprehensive Psychiatry, 34, 54–58.CrossRefGoogle ScholarPubMed
Sifneos, P.E. (1973). The prevalence of “alexithymic” characteristics in psychosomatic patients. Psychotherapy and Psychosomatics, 22, 255–262.CrossRefGoogle ScholarPubMed
Spielberger, C.D., Gorsuch, R.L., & Lushene, R.E. (1988). Cuestionario de ansiedad estado-rasgo (3rd ed.). Madrid: Publicaciones de Psicología Aplicada, TEA.Google Scholar
Spielberger, C.H., & Rickman, R.L. (1991). Anxiety: Psychobiological and clinical perspectives. Washington, DC: Hemisphere/Taylor & Francis.Google Scholar
Spielberger, C.S., Gorsuch, R.L., & Lushene, R.E. (1970). Manual for the State-Trait Anxiety Inventory. Palo Alto, CA: Consulting Psychologists Press.Google Scholar
Suslow, T. (1998). Alexithymia and automatic affective processing. European Journal of Personality, 12, 433–443.3.0.CO;2-O>CrossRefGoogle Scholar
Taylor, G.J. (2000). Recent developments in alexithymia theory and research. Canadian Journal of Psychiatry, 45, 134–142.CrossRefGoogle ScholarPubMed
Taylor, G.J., & Bagby, R.M. (2000). An overview of the alexithymia construct. In Bar-On, R. & Parker, J.D.A. (Eds.), The handbook of emotional intelligence (pp. 40–67). San Francisco, CA: Jossey-Bass.Google Scholar
Taylor, G.J., Bagby, R.M., & Parker, J.D. (1991). The alexithymia construct. A potential paradigm for psychosomatic medicine. Psychosomatics, 32, 153–164.CrossRefGoogle ScholarPubMed
Taylor, G.J., Bagby, R.M., & Parker, J.D. (1997). Disorders of affect regulation. Cambridge, UK: Cambridge University Press.CrossRefGoogle Scholar
Taylor, J.A. (1953). A personality scale of manifest anxiety. Journal of Abnormal and Social Psychology, 48, 285–290.CrossRefGoogle ScholarPubMed
Todarello, O., Casamassima, A., Daniele, S., Marinaccio, M., Fancinllo, F., Valentino, L., Tedesco, N., Wiesel, S., Simone, G., & Marinaccio, L. (1997). Alexithymia, immunity and cervical intraepithelial neoplasia: Replication. Psychotherapy and Psychosomatics, 66, 208–213.CrossRefGoogle ScholarPubMed
Twisk, J., Snel, J., Kemper, H., & Van-Mechelen, W. (1999). Changes in daily hassles and life events and the relationship with coronary heart disease risk factors. Journal of Psychosomatic Research, 46, 229–240.CrossRefGoogle ScholarPubMed
Wise, T.N., Mann, L.S., Mitchell, J.D., Hryvniak, M., & Hill, B. (1990). Secondary alexithymia: An empirical validation. Comprehensive Psychiatry, 31, 284–288.CrossRefGoogle ScholarPubMed
Zeger, S.L., & Liang, K.Y. (1986). Longitudinal data analysis for discrete and continuous outcomes. Biometrics, 42, 121–130.CrossRefGoogle ScholarPubMed
Zeitlin, S.B., McNally, R.J., & Cassiday, H.L. (1993). Alexithymia in victims of sexual assault: An effect of repeated traumatization? American Journal of Psychiatry, 150, 661–663.Google ScholarPubMed
Zuckerman, M., & Lubin, B. (1965). Manual for the Multiple Affect Adjective Check List. San Diego, CA: Educational and Industrial Testing Service.Google Scholar