Alexithymia as a mediator between childhood trauma and self-injurious behaviors

Paivio, Sandra C.; McCulloch, Chantal R

doi:10.1016/j.chiabu.2003.11.018

Cited by 216 publications

(190 citation statements)

References 30 publications

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“…Consistent with prior studies using the Childhood Trauma Questionnaire (Paivio & McCullock, 2004;Yehuda, Halligan, & Grossman, 2001), we fit five separate multivariate logistic regression models for each of the five types of abuse. Variables that were associated with the relevant abuse scale at the p < .05 level in univarate analyses were included in a fixed regression model.…”

Section: Discussionmentioning

confidence: 99%

Associations between childhood maltreatment and sex work in a cohort of drug-using youth

Stoltz¹,

Shannon²,

Kerr³

et al. 2007

Social Science & Medicine

115

109

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Although research has examined the impacts of childhood maltreatment among various marginalized populations, few studies have explored the relationship between child abuse and subsequent involvement in sex work among drug using street-involved youth. In the present study, the relationships between the level of childhood maltreatment and involvement in sex work were examined using the Childhood Trauma Questionnaire (CTQ) as part of an extensive interview protocol in an ongoing prospective cohort study of street-involved youth in Vancouver Canada. Between September 2005 and June 2006, 361 youth were recruited using extensive outreach methods and snowball sampling. The prevalence rates for abuse in the sample were 73% for physical abuse; 32.4% for sexual abuse; 86.8% for emotional abuse; 84.5% for physical neglect; and 93% for emotional neglect. Univariate and logistic regression analyses demonstrated that not only was sexual abuse independently associated with sex work, but emotional abuse was as well. These findings have implications for early intervention efforts aimed at vulnerable, high risk youth populations as well as intervention strategies for active sex trade workers.

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Section: Discussionmentioning

confidence: 99%

Associations between childhood maltreatment and sex work in a cohort of drug-using youth

Stoltz¹,

Shannon²,

Kerr³

et al. 2007

Social Science & Medicine

115

109

View full text Add to dashboard Cite

show abstract

“…negative emotions) that is resulted from the invalidating family relationships, indicating that emotional distress may mediates the relationship between invalidating family relationships and NSSI. Some empirical research provided partial support for this argument [8,[30][31][32]. For example, Fruzzetti [8] found that parents' refusal to express their feelings to their children would lead to children's emotion regulation disorders, even NSSI.…”

Section: Negative Emotions As the Mediatormentioning

confidence: 99%

“…NSSI has been included in the newest version of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) as a new disorder, and was proved to be a potent risk factor for later suicide attempts [5][6][7], indicating that this problematic behavior deserves more attention. Both intrapersonal and interpersonal risk factors for NSSI have been examined, with most studies focusing on intrapersonal risk factors [8][9][10][11][12][13][14]. Within interpersonal risk factors, invalidating family relationships has been paid much attention [15][16][17].…”

Section: Introductionmentioning

confidence: 99%

The effects of parental psychological control on non-suicidal self-injury in Chinese adolescents: The mediating effect of negative emotions

Du¹,

You²,

Zheng³

et al. 2017

J Psychol Abnorm

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Objective: To explore the relationship between parental psychological control and non-suicidal self-injury (NSSI) and examine whether negative emotions (i.e., anxiety, depression, and stress) mediated this relationship among a Chinese adolescent sample in rural areas. Methods:A number of 381 Chinese adolescents from a junior high school participated in this study. They aged from 12 to 17 years (M=13.86, SD=1.08). Participants completed questionnaires assessing NSSI, negative emotions and parental psychological control. Results:We found that negative emotions and parental psychological control were significantly associated with NSSI. What's more, our results showed that negative emotions fully mediated the relationship between parental psychological control and NSSI after controlling for gender and grade. Conclusion:Parental psychological control as one of the invalidating parenting styles may heighten one's negative emotions, which may then lead to the engagement in NSSI. Implications for the treatment of adolescents with NSSI and suggestions for their parents in the context of the Chinese culture context for rural areas were proposed in the study.

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“…Alexithymia represents a notable deficit in affective coping resources that may also have a detrimental effect on the formation of a therapeutic alliance. Individuals with alexithymia exhibit difficulties in identifying/distinguishing feelings and bodily sensations, as well as problems in labeling and communicating emotional experiences (Paivio & McCulloch, 2004). Alexithymia has been found to develop as a result of early trauma, particularly abuse and neglect experiences during periods of emotional development.…”

Section: Ptsd/trauma Have Been Experienced Over the Past 35 Years In mentioning

confidence: 99%

Client factors that predict the therapeutic alliance in a chronic, complex trauma sample.

Reynolds¹,

Simms²,

Webb³

et al. 2017

Traumatology

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This project was completed as a PhD dissertation by the first name author. We wish to confirm that there are no known conflicts of interest associated with this publication and there has been no significant financial support for this work that could have influenced its outcome. AbstractThis investigation aimed to examine how specific client characteristics of individuals with chronic, complex trauma are associated with the type coping strategies they employ and the quality of the therapeutic alliance. Fifty-nine adult participants with diagnostic levels of posttraumatic stress disorder (PTSD) and who attended therapy for complex trauma in Northern Ireland were obtained via opportunity sampling. Participants completed self-report measures of client attachment style, alexithymia, coping strategies, and the therapeutic alliance. Preoccupied attachment factors such as "Need for Approval" and "Preoccupation with Relationships" were related to use of maladaptive coping strategies. In contrast, the adaptive coping strategies of "Acceptance" and "Instrumental Support" were significant predictors of a positive therapeutic alliance, whereas established psychological and traumatogenic factors (e.g., attachment, number of traumatic events) did not significantly predict the therapeutic alliance. The findings have implications for understanding the relationship between client characteristics and the therapeutic alliance within complex trauma populations, as well as developing protocols to assist this process.Keywords: Therapeutic Alliance, complex trauma, client factors, coping CLIENT FACTORS, THERAPEUTIC ALLIANCE, AND TRAUMA 3 Client characteristics, coping strategies, and the therapeutic alliance in a chronic, complex trauma sample Defined broadly as the collaborative and affective bond between therapist and client, the therapeutic alliance has long been considered an essential element of the therapeutic process. Research has consistently found a substantive relationship between the alliance and therapeutic effectiveness, regardless of therapeutic orientation, presenting problem, or problem severity (Goldsmith, Lewis, Dunn, & Bentall, 2015;Martin, Garske, & Davis, 2000). The capacity to engage in an effective therapeutic alliance, however, is thought to require concomitant implementation of certain coping strategies by clients (e.g., reflection, active coping, openness), which can prove challenging (Stiles, Agnew-Davies, Hardy, Barkham, & Shapiro, 1998).One clinical group in which this area of study is particularly relevant is individuals who have experienced chronic, complex or childhood trauma. Herman (1992) proposed the concept of 'Complex PTSD', or 'Complex Trauma' as it is also known, to describe the multifaceted clinical presentation of individuals experiencing protracted, recurring trauma, particularly of an interpersonal nature (e.g., childhood sexual abuse, sectarian violence).Compared to clients with a discrete or 'simple' PTSD presentation, individuals with complex PTSD have a more severe and comprehensive sympt...

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Alexithymia as a mediator between childhood trauma and self-injurious behaviors

Cited by 216 publications

References 30 publications

Associations between childhood maltreatment and sex work in a cohort of drug-using youth

Associations between childhood maltreatment and sex work in a cohort of drug-using youth

The effects of parental psychological control on non-suicidal self-injury in Chinese adolescents: The mediating effect of negative emotions

Client factors that predict the therapeutic alliance in a chronic, complex trauma sample.

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