Curtin University, Curtin enAble Institute & School of Population Health, Australia; Stanford University, Department of Psychology, Stanford, United States of America; The University of Western Australia, School of Psychological Science, Australia.
Stanford University, Department of Psychology, Stanford, United States of America.
J Affect Disord. 2024 Jul 15;357:116-125. doi: 10.1016/j.jad.2024.02.071. Epub 2024 Feb 20.
BACKGROUND: Alexithymia is a multidimensional trait comprised of difficulties identifying feelings, difficulties describing feelings, and externally orientated thinking. It is regarded as an important risk factor for emotional disorders, but there are presently limited data on each specific facet of alexithymia, or the extent to which deficits in processing negative emotions, positive emotions, or both, are important. In this study, we address these gaps by using the Perth Alexithymia Questionnaire (PAQ) to comprehensively examine the relationships between alexithymia and depression, anxiety, and stress symptoms. METHODS: University students (N = 1250) completed the PAQ and the Depression Anxiety Stress Scales-21. Pearson correlations, hierarchical regressions, and latent profile analysis were conducted. RESULTS: All facets of alexithymia, across both valence domains, were significantly correlated with depression, anxiety, and stress symptoms (r = 0.27-0.40). Regression analyses indicated that the alexithymia facets, together, could account for a significant 14.6 %-16.4 % of the variance in depression, anxiety, and stress. Difficulties identifying negative feelings and difficulties identifying positive feelings were the strongest unique predictors across all symptom categories. Our latent profile analysis extracted eight profiles, comprising different combinations of alexithymia facets and psychopathology symptoms, collectively highlighting the transdiagnostic relevance of alexithymia facets. LIMITATIONS: Our study involved a student sample, and further work in clinical samples will be beneficial. CONCLUSIONS: Our data indicate that all facets of alexithymia, across both valence domains, are relevant for understanding depression, anxiety, and stress. These findings demonstrate the value of facet-level and valence-specific alexithymia assessments, informing more comprehensive understanding and more targeted treatments of emotional disorder symptoms.
背景:述情障碍是一种多维特质,包括难以识别情绪、难以描述情绪以及外向思维。它被认为是情绪障碍的一个重要危险因素,但目前关于述情障碍的每个特定方面,或处理负面情绪、正面情绪或两者都重要的缺陷程度,数据有限。在这项研究中,我们使用珀斯述情障碍问卷(PAQ)全面检查述情障碍与抑郁、焦虑和压力症状之间的关系,以解决这些差距。
方法:大学生(N=1250)完成了 PAQ 和抑郁焦虑压力量表-21。进行了 Pearson 相关分析、分层回归分析和潜在剖面分析。
结果:两个效价域的述情障碍的所有方面都与抑郁、焦虑和压力症状显著相关(r=0.27-0.40)。回归分析表明,述情障碍各方面加在一起可以解释抑郁、焦虑和压力症状的 14.6%-16.4%的显著差异。识别负面感受的困难和识别正面感受的困难是所有症状类别中最强的独特预测因素。我们的潜在剖面分析提取了八个剖面,包含了不同的述情障碍方面和精神病理学症状的组合,共同强调了述情障碍方面的跨诊断相关性。
局限性:我们的研究涉及学生样本,在临床样本中的进一步研究将是有益的。
结论:我们的数据表明,两个效价域的述情障碍的所有方面都与理解抑郁、焦虑和压力有关。这些发现表明了对述情障碍方面进行层面和效价特异性评估的价值,从而更全面地理解和更有针对性地治疗情绪障碍症状。
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