Alexithymia in diabetes patients: its relationship with perceived social support and glycaemic control

Çelik, Selda; Yılmaz, Feride Taşkın; Celik, Sultan Yurtsever; Anataca, Gülden; Bülbül, Elif

doi:10.1111/jocn.16088

Cited by 11 publications

(6 citation statements)

References 24 publications

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“…Nevertheless, alexithymia showed a significant role in other relevant clinical conditions, such as fibromyalgia and type 2 diabetes mellitus (T2DM). In particular, it has been highlighted that alexithymia increases the risk of psychological disorders in fibromyalgic patients, modifying the subjective experience of pain ( Tesio et al, 2018 ; Marchi et al, 2019 ); additionally, alexithymia has been associated with poor glycemic control, difficulty in disease management, anxiety, and depression in T2DM patients ( Martino et al, 2020b ; Celik et al, 2022 ).…”

Section: Discussionmentioning

confidence: 99%

Alexithymia and asthma: a systematic review

Silvestro,

Ricciardi,

Catalano

et al. 2023

Front. Psychol.

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Growing evidence from scientific research elucidates the important role of alexithymia in chronic immune diseases. This Review aims to explore the presence of alexithymia in patients affected by asthma and clarify its associations with other involved psychological and physical factors. In January 2023, according to PRISMA guidelines, a systematic search using PubMed and Scopus was conducted. Twenty-six studies were eligible based on inclusion criteria. Alexithymia was significantly present in asthma patients, with most studies reporting a higher prevalence (from 9 to 62.8%) than in control groups (approximately 10%). The coexistence of asthma and alexithymia was associated with a worse quality of life, psychiatric comorbidity, poor symptom control, and difficulty in recognizing exacerbations of the disease. These results suggest that alexithymia can negatively impact the management of asthma. For this reason, we recommend an accuracy assessment in clinical settings and the implementation of psychological interventions to promote the emotional and physical wellbeing of asthmatic patients.

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Section: Discussionmentioning

confidence: 99%

Alexithymia and asthma: a systematic review

Silvestro,

Ricciardi,

Catalano

et al. 2023

Front. Psychol.

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“…Alexithymia is negatively associated with and predicts perceived social support [42], meaning low perceived social support is significantly associated with high alexithymia. Individuals with alexithymia do not benefit from social support due to deficits in their emotional perception [43].…”

Section: Introductionmentioning

confidence: 95%

Alexithymia and negative emotions among nursing students: a moderated mediation model

Sun,

Wang,

et al. 2024

BMC Nurs

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Nursing students, who comprise a high percentage of China’s college students, experience many psychological problems; however, few studies explored the mechanisms underlying these problems. This cross-sectional study explored the relationships and mechanisms of depression, anxiety, stress, and narrative disorders in senior nursing students. Questionnaires were administered to 380 senior nursing students in Hubei Province using the Sociodemographic Questionnaire, Toronto Alexithymia-20 Scale, Perceived Social Support Scale, 10-Item Connor-Davidson Resilience Scale, and Depression-Anxiety-Stress Scale. After controlling for sociodemographic variables, Hayes’ PROCESS macros were used to test how psychological resilience moderates the relationships among narrative disorders, negative affect, and perceived social support. Bootstrap confidence intervals tested for indirect effects. Correlation analyses revealed that alexithymia was correlated significantly positively with depression-anxiety-stress (r = 0.57, 0.56, and 0.58, resp.) and significantly negatively with perceived social support (r = 0-0.46). Psychological resilience was correlated significantly negatively with alexithymia (r=-0.39) and depression-anxiety-stress (r=-0.31, -0.30, and-0.32, resp.) but significantly positively with perceived social support(r = 0.50). Perceived social support was correlated significantly negatively with depression-anxiety-stress (r=-0.33, -0.34, and − 0.42 resp.). Stress was correlated significantly positively with anxiety and depression (r = 0.81 and 0.77, resp.). Psychological resilience was a partial mediator between depression and dysphoria (β=-0.08, p < 0.05). Dysphoria directly predicted anxiety (β = 0.31) and stress (β = 0.37); moreover,alexithymia predicted depression not only directly but also through the mediating effect of psychological resilience. Therefore, educators and clinical administrators must promote and recognise negative emotions among nursing students to help ensure the nursing workforce’s stability.

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“…Alexithymia refers to the difficulty in recognizing and describing emotions, limited imaginative processes and an externally oriented cognitive style [ 20 ]. Compared with healthy individuals, patients with diabetes have a higher prevalence of alexithymia [ 21 ]; in addition, approximately 63.9% of people with diabetes experience this symptom [ 22 ]. Alexithymia is related to sleep quality, and this relationship is independent of depression or anxiety [ 19 ].…”

Section: Introductionmentioning

confidence: 99%