Anxiety, depression and autonomy–connectedness: The mediating role of alexithymia and assertiveness

Rutten, Elisabeth A. P.; Bachrach, Nathan; Balkom, A.J.L.M. van; Braeken, Johan; Ouwens, Machteld A.; Bekker, Marrie H. J.

doi:10.1111/papt.12083

Cited by 22 publications

(17 citation statements)

References 86 publications

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“…All items are measured with 5-point scales ranging from disagree to agree. 18,19 Internal consistency in this study was good, with a values of .81, .82, and .80, respectively.…”

Section: Autonomy-connectednessmentioning

confidence: 51%

“…It consists of 30 items divided into 3 subscales: Self‐Awareness (7 items [eg, “I often do not know what my opinion is”]), Sensitivity to Others (17 items [eg, “I often wonder what other people think of me”]), and Capacity for Managing New Situations (6 items [eg, “I quickly feel at ease in new situations”]). All items are measured with 5‐point scales ranging from disagree to agree 18, 19. Internal consistency in this study was good, with α values of .81, .82, and .80, respectively.…”

Section: Methodsmentioning

confidence: 66%

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Empowerment in adolescents and young adults with cancer: Relationship with health‐related quality of life

Kaal

Husson

Duivenboden³

et al. 2017

Cancer

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BACKGROUNDThe difficulties adolescents and young adults (AYAs) encounter during a cancer experience may result in a reduction in or absence of empowerment. The aims of the current study were to assess levels of empowerment and associated (demographic, clinical, or psychological) factors and examine the association between empowerment and health‐related quality of life (HRQOL) among AYA patients with cancer.METHODSPatients aged 18 to 35 years at time of cancer diagnosis and who were seen by 1 of the members of the specialized multidisciplinary AYA team of the Radboud University Medical Center were invited to complete questionnaires regarding empowerment; HRQOL; and sociodemographic, clinical, and psychological characteristics (autonomy, coping, unmet social support needs, and psychological distress).RESULTSA total of 83 AYA patients completed the questionnaires. The mean age of the participants at the time of diagnosis was 27.5 years. The vast majority had been treated with chemotherapy (86%), had a more advanced stage of disease, and had completed treatment at the time of participation (74%). The mean empowerment level was 154.1 (standard deviation, 17.8) with a range of 114 to 200. Multivariate analysis demonstrated that the autonomy subscales of self‐awareness (β = .35), capacity for managing new situations (β = .19), and social support (β = .35) were found to be positively associated with empowerment. Coping difficulties (β = ‐.19) were found to be negatively associated with empowerment. Empowerment was independently associated with physical (β = .31), psychological (β = .50), social (β = .39), religious (β = .33), and total HRQOL (β = .52; all P<.01).CONCLUSIONSLow levels of empowerment were associated with low levels of autonomy and social support, female sex, and coping difficulties among AYA patients with cancer. Recognizing these patients as candidates for empowerment interventions ultimately could help to improve HRQOL in late adolescence and young adulthood. Cancer 2017;123:4039‐47. © 2017 The Authors. Cancer published by Wiley Periodicals, Inc. on behalf of American Cancer Society. This is an open access article under the terms of the Creative Commons Attribution‐NonCommercial License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.

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“…All items are measured with 5-point scales ranging from disagree to agree. 18,19 Internal consistency in this study was good, with a values of .81, .82, and .80, respectively.…”

Section: Autonomy-connectednessmentioning

confidence: 51%

Section: Methodsmentioning

confidence: 66%

Empowerment in adolescents and young adults with cancer: Relationship with health‐related quality of life

Kaal

Husson

Duivenboden³

et al. 2017

Cancer

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“…The literature review showed that alexithymia, mental health and mobile phone addiction are correlated with each other. A previous study has shown that alexithymia could mediate the association between self-awareness and anxiety as well as depression [ 26 ]. Alexithymia is closely and positively correlated with chronic pain, and negative affects, including depression and anxiety symptoms, mediate this relationship [ 27 ].…”

Section: Introductionmentioning

confidence: 99%

The relationship between college students’ alexithymia and mobile phone addiction: Testing mediation and moderation effects

Mei

Gao

et al. 2018

BMC Psychiatry

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BackgroundTo explore the relationship between college students’ alexithymia and mobile phone addiction as well as the mediating effects of mental health and the moderating role of being a single child or not.MethodsA total of 1034 college students from Changchun were assessed with the Toronto Alexithymia Scale (TAS-20), General Health Questionnaire (GHQ) and Mobile Phone Addiction Index (MPAI).ResultsAlexithymia was positively correlated with mental health and mobile phone addiction. Alexithymia had not only a direct impact on mobile phone addiction but also an indirect impact via mental health. For college students who were not only children, higher levels of alexithymia led to an increase in mobile phone addiction, whereas the influence of alexithymia on mobile phone addiction was much weaker among only children.ConclusionMental health has a partial mediating effect on the relationship between alexithymia and mobile phone addiction, and the relationship was significantly moderated by whether students were only children or not.

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“…The idea of dissociation within the emotion schemas can be applied to alexithymia; ‘without linkages to images and words, the individual is unable to symbolize emotional states’ (Taylor & Bagby, ; p. 105). Moreover, activation of the subsymbolic system without symbolic connections may result in poorly regulated states of emotional arousal, which may contribute to the pathogenesis of different disorders, both somatic (Chatzi et al ., ; Conrad, Schilling, Langenbuch, Haidl, & Liedtke, ; Korkoliakou et al ., ; Martínez et al ., ; Vanheule, Vandenbergen, Verhaeghe, & Desmet, ; Verissimo, , ) and psychiatric (Carano et al ., ; Caretti & Craparo, ; Carpenter & Chung, ; De Panfilis, Ossola, Tonna, Catania, & Marchesi, ; Kessler, Schwarze, Filipic, Traue, & Von Wietersheim, ; Li, Zhang, Guo, & Zhang, ; Ogrodniczuk, Sochting, Piper, & Joyce, ; Parker, Wood, Bond, & Shaughnessy, ; Pinaquy, Chabrol, Simon, Louvet, & Barbe, ; Rutten et al ., ), with which alexithymia has been associated (Solano, ; Taylor, ; Taylor & Bagby, ). However, the literature also indicates some rare studies that showed no differences between the scores of alexithymia obtained by clinical and general population measured with the TAS‐20 (Vinai et al ., ) or a non‐significant association between alexithymic characteristics measured with the TAS‐20 and a somatic or psychiatric disorder (Barbasio et al ., ; Kooiman, Bolk, Brand, Trijsburg, & Rooijmans, ).…”

Section: Introductionmentioning

confidence: 99%

Alexithymia according to Bucci's multiple code theory: A preliminary investigation with healthy and hypertensive individuals

Trani

Mariani²,

Renzi

et al. 2017

Psychol Psychother

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A relation between alexithymia and RA has been proposed on theoretical grounds, but there has been minimal empirical investigation. This was the first study to employ both a self-report measure and a structured interview for measuring alexithymia in relation to RA. The results of this study suggest a complex, nonlinear relation between alexithymia and RA; this finding is essentially obtained with the structured interview measure of alexithymia. This relation is presumably influenced by subject-specific characteristics.

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Anxiety, depression and autonomy–connectedness: The mediating role of alexithymia and assertiveness

Cited by 22 publications

References 86 publications

Empowerment in adolescents and young adults with cancer: Relationship with health‐related quality of life

Empowerment in adolescents and young adults with cancer: Relationship with health‐related quality of life

The relationship between college students’ alexithymia and mobile phone addiction: Testing mediation and moderation effects

Alexithymia according to Bucci's multiple code theory: A preliminary investigation with healthy and hypertensive individuals

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