述情障碍会扰乱情绪调节过程，与更多的负面情绪和酒精问题有关。
Alexithymia disrupts emotion regulation processes and is associated with greater negative affect and alcohol problems.
机构信息
Clinical and Research Institute on Addictions, University at Buffalo, Buffalo, New York, USA.
School of Social Work, University at Buffalo, Buffalo, New York, USA.
出版信息
J Clin Psychol. 2021 Dec;77(12):2915-2928. doi: 10.1002/jclp.23279. Epub 2021 Nov 17.
OBJECTIVE
Alexithymia is common among people who abuse alcohol, yet the mechanisms by which alexithymia exerts its influence remain unclear. This analysis tested a model whereby the three subscales of the Toronto Alexithymia Scale exert an indirect effect on alcohol problems through difficulties with emotion regulation and psychological distress.
METHOD
Men and women (n = 141) seeking alcohol use disorder (AUD) treatment completed the Toronto Alexithymia Scale, the Difficulties with Emotion Regulation Scale, the Brief Symptom Inventory, the Short Inventory of Problems, and the Alcohol Dependence Scale.
RESULTS
The Difficulty Identifying Feelings subscale of the Toronto Alexithymia Scale was positively associated with alcohol problems through emotion dysregulation and psychological distress. The other two subscales, Difficulty Describing Feelings and Externally oriented Thinking, were not associated with any other variables.
CONCLUSION
People with alexithymia may consume alcohol to help regulate undifferentiated states of emotional arousal. Given the prevalence of alexithymia among people who abuse alcohol, treatment supplements that enhance the identification of emotions are needed.
目的
述情障碍在酗酒人群中较为常见，但述情障碍发挥作用的机制仍不清楚。本分析检验了一个模型，即多伦多述情障碍量表的三个分量表通过情绪调节困难和心理困扰对酒精问题产生间接影响。
方法
寻求酒精使用障碍（AUD）治疗的男性和女性（n=141）完成了多伦多述情障碍量表、情绪调节困难量表、简明症状量表、简短问题清单和酒精依赖量表。
结果
多伦多述情障碍量表的难以识别感受分量表通过情绪失调和心理困扰与酒精问题呈正相关。其他两个分量表，难以描述感受和外向思维，与任何其他变量均无关。
结论
述情障碍患者可能会饮酒以帮助调节未分化的情绪唤醒状态。鉴于酗酒人群中述情障碍的普遍性，需要补充增强情绪识别的治疗方法。
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