Dissociation and alexithymia among men with alcoholism
Article first published online: 13 FEB 2008
© 2008 The Authors
Psychiatry and Clinical Neurosciences
Volume 62, Issue 1, pages 40–47, February 2008
How to Cite
Evren, C., Sar, V., Evren, B., Semiz, U., Dalbudak, E. and Cakmak, D. (2008), Dissociation and alexithymia among men with alcoholism. Psychiatry and Clinical Neurosciences, 62: 40–47. doi: 10.1111/j.1440-1819.2007.01775.x
- Issue published online: 13 FEB 2008
- Article first published online: 13 FEB 2008
- Received 14 March 2007; revised 20 August 2007; accepted 26 September 2007.
- alcohol dependence;
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.