Thorberg Fred Arne, Young Ross McD, Sullivan Karen A, Lyvers Michael
Institute of Health and Biomedical Innovation, Queensland University of Technology, 60 Musk Avenue, Kelvin Grove, Queensland 4059, Australia.
Addict Behav. 2009 Mar;34(3):237-45. doi: 10.1016/j.addbeh.2008.10.016. Epub 2008 Nov 1.
All human beings experience emotion. However a number of individuals have difficulties recognising, processing and regulating their emotions. This set of emotional "deficits' is classified as alexithymia. The prevalence rate of alexithymia in alcohol use disorders is between 45 and 67%. The objective of this paper is to review the published research on alexithymia and alcohol use, assess the methodological quality of this evidence, and draw the findings together to present a critical update on the relationship between alexithymia and alcohol use disorders. Yet, few research studies have comprehensively investigated alexithymia in alcohol use disorders, and a number of key issues still remain to be addressed in exploring the veracity of the link between alexithymia and alcohol use. For example, limited evidence exists regarding the association between alexithymia, alcohol consumption and severity of alcohol dependence. Furthermore, there is no current knowledge about the predictive utility of alexithymia in relation to more well researched and established psychological drinking constructs. Although alexithymia is often considered a risk factor for the development of alcohol use disorders, there is little evidence to support this notion. Given that alexithymia may have the potential to interfere with treatment outcomes, a better understanding of the role of alexithymia in alcohol use is needed.
所有人都会体验到情绪。然而，一些人在识别、处理和调节自己的情绪方面存在困难。这种情绪“缺陷”被归类为述情障碍。酒精使用障碍中述情障碍的患病率在45%至67%之间。本文的目的是回顾已发表的关于述情障碍与酒精使用的研究，评估这些证据的方法学质量，并综合研究结果，对述情障碍与酒精使用障碍之间的关系进行重要更新。然而，很少有研究全面调查酒精使用障碍中的述情障碍，在探索述情障碍与酒精使用之间联系的真实性时，仍有一些关键问题有待解决。例如，关于述情障碍、酒精消费与酒精依赖严重程度之间的关联，证据有限。此外，目前对于述情障碍在与研究更充分、更成熟的心理饮酒构念方面的预测效用尚无了解。尽管述情障碍常被认为是酒精使用障碍发展的一个风险因素，但几乎没有证据支持这一观点。鉴于述情障碍可能会干扰治疗结果，因此需要更好地了解述情障碍在酒精使用中的作用。
