Dissociation and alexithymia among men with alcoholism |
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Authors: | Evren Cuneyt Sar Vedat Evren Bilge Semiz Umit Dalbudak Ercan Cakmak Duran |
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Affiliation: | Research, Treatment and Training Center for Alcohol and Substance Dependence (AMATEM), Bakirkoy State Hospital for Psychiatric and Neurological Diseases,;Clinical Psychotherapy Unit and Dissociative Disorders Program, Department of Psychiatry, Medical Faculty of Istanbul, Istanbul University,;Baltalimani State Hospital for Musculoskeletal Disorders, Department of Psychiatry, and;GATA Haydarpasa Training Hospital, Istanbul, Turkey |
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Abstract: | Aim: The aim of the present study was to evaluate the relationship between alexithymia and dissociation among men with alcoholism. Methods: Participants were 176 patients consecutively admitted to the inpatient unit of a addiction treatment center. The Toronto Alexithymia Scale, the Symptom Checklist-Revised, the Dissociative Experiences Scale, the Beck Depression Inventory, the Spielberger State–Trait Anxiety Inventory, and the Michigan Alcoholism Screening Test were administered to all participants. Results: Fifty-three patients were considered as having alexithymia. The alexithymic group had a significantly higher rate of dissociative taxon members (patients with pathological dissociation; 62.3%) according to Bayesian probability. Trait anxiety, overall psychiatric symptom severity, and pathological dissociation predicted alexithymia on covariance analysis. A multivariate analysis of covariance demonstrated that these predictors were related only to difficulty of identifying feelings, whereas trait anxiety was a significant covariant for difficulty of expressing feelings as well. Conclusion: Alexithymic phenomena are interrelated with dissociation and chronic anxiety among men with alcoholism. The relevance of this triad for prevention and treatment of alcoholism deserves interest in further research. |
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Keywords: | alcohol dependence alexithymia anxiety dissociation |
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