Exploring the links between alexithymia and cognitive emotion regulation strategies in internet addiction: A network analysis model

Luo, Haipeng; Gong, Xun; Chen, Xiaomei; Hu, Jianing; Wang, Xiaoyi; Sun, Yekun; Li, Jiating; Lv, Shaobo; Zhang, Xiujun

doi:10.3389/fpsyg.2022.938116

Cited by 4 publications

(5 citation statements)

References 79 publications

(87 reference statements)

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“…This further confirms the necessity for clinical healthcare professionals to intervene in these core symptoms, as they hold crucial positions within the network. The present study identified "DIF" and "DDF" as the strongest edge connections within the alexithymia cluster, which is consistent with findings from previous network analyses in adolescent populations (49,50). Notably, "DIF" emerged as the most predictable and strongest node in the network.…”

Section: Discussionsupporting

confidence: 92%

“…The present study identified “DIF” and “DDF” as the strongest edge connections within the alexithymia cluster, which is consistent with findings from previous network analyses in adolescent populations ( 49 , 50 ). Notably, “DIF” emerged as the most predictable and strongest node in the network.…”

Section: Discussionsupporting

confidence: 92%

“…These symptoms spanned across depression, anxiety, and stress, indicating a higher prevalence of co-occurring psychological issues within the alexithymia group. Studies in psychopathology have previously identified impaired emotional processing in the occipital region among individuals with alexithymia ( 62 ), rendering them less responsive to emotions and more prone to employing negative emotion regulation strategies ( 49 ). This may partly explain the elevated incidence of mental health problems among older adults.…”

Section: Discussionmentioning

confidence: 99%

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The relationship between alexithymia, depression, anxiety, and stress in elderly with multiple chronic conditions in China: a network analysis

Shang,

Chen,

Luo

et al. 2023

Front. Psychiatry

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ObjectiveThis study aimed to construct a network structure to investigate the connections between alexithymia, depression, anxiety, and stress in Chinese older adults with multiple chronic conditions (MCC), identifying core and bridge symptoms, and comparing the network structure across different levels of alexithymia.MethodsThis study used a cross-sectional survey design and convenience sampling to recruit participants from six cities in Jiangsu Province. The study assessed the levels of alexithymia, depression, anxiety, and stress in older adults with MCC using the Toronto Alexithymia Scale (TAS-20) and the Depression Anxiety and Stress Scale-21 (DASS-21). Network analysis was performed using R language to identify core and bridge symptoms in the network and compare the network structure across different levels of alexithymia.ResultsA total of 662 participants were included in the analysis, including 395 men and 267 women. The mean age was 70.37 ± 6.92 years. The finding revealed that the “Difficulty Identifying Feelings” (DIF) node had the highest strength centrality (strength = 2.49) and predictability (rp = 0.76) in the network. The next highest strength centrality was observed for “Meaningless” (strength = 1.50), “Agitated” (strength = 1.47), “Scared” (strength = 1.42), and “No look forward” (strength = 0.75). They were identified as core symptoms. The bridge strength analysis identified “Panic,” “Scared,” “No wind down,” “No initiative,” and “No positive” as the bridge symptoms. There were notable differences in the overall network structure and specific connections between the groups with and without alexithymia (p < 0.05).Conclusion“DIF” is a core node in the network of older adults with MCC, indicating its significance as a potential target for psychological interventions in clinical practice. Preventing and mitigating bridge symptoms such as “panic,” “Scared,” “No wind down,” “No initiative,” and “No positive” can effectively impede the spread of symptom activation, thereby interrupting or severing the connections among comorbidities in older adults. Additionally, compared to non-alexithymia individuals, the psychological issues of older adults with alexithymia require prioritized intervention from healthcare professionals.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionsupporting

confidence: 92%

Section: Discussionmentioning

confidence: 99%

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The relationship between alexithymia, depression, anxiety, and stress in elderly with multiple chronic conditions in China: a network analysis

Shang,

Chen,

Luo

et al. 2023

Front. Psychiatry

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“…Some other researchers explained this difference from the perspective of attribution style. It is suggested that boys use more external attribution (e.g., blaming others) in adverse events; in contrast, girls use more internal attribution (e.g., selfblame) [67][68][69] and may further develop into internalizing problems under adversities [34]. In addition, some researchers pointed out that the social standards are stricter for girls in traditional Chinese culture [70].…”

Section: Effects Of Aces On Adolescents' Depression and Anxiety Sympt...mentioning

confidence: 99%

Relationship between Adverse Childhood Experiences and Mental Health in Chinese Adolescents: Differences among Girls and Boys

Jiang

Ji²,

Chi

et al. 2022

Children

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The negative effects of adverse childhood experiences (ACEs) on individual mental health have been widely demonstrated, yet fewer studies have examined the impact of ACEs on depression and anxiety of Chinese adolescents and their sex differences. This cross-sectional study surveyed 12421 adolescents aged 10–17 in Hechi City, Guangxi Province, to measure their levels of ACEs, depression symptoms, and anxiety symptoms. The results found that: (1) Girls were more likely to experience ACEs than boys (37.67% vs. 32.25%, χ2 = 39.97, p < 0.001). (2) Emotion-related ACEs were more likely to occur among girls, while physical maltreatment, violence, and family dysfunction related ACEs were more likely to occur among boys. (3) Adolescents with ACEs were more likely to develop depression (OR = 4.40) and anxiety symptoms (OR = 4.60) than those without ACEs; adolescents who have encountered “peer isolation” and “emotional neglect” are most likely to develop depression (OR = 6.09/5.04) and anxiety symptoms (OR = 6.14/4.94). (4) The dose-response relationship between the level of ACE exposure and the risk of depression/anxiety symptoms was significant (p < 0.05), i.e., the risk increased as ACE level increased. (5) Girls were more likely to develop depression and anxiety symptoms than boys with the same ACE level. This study deepens the understanding of the prevalence of ACEs, the effect of ACEs on depression and anxiety symptoms, and their sex differences among Chinese adolescents in the underdeveloped regions of China. It provides more empirical support for future work on adolescent mental health protection.

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“…Cognitive strategies are a way for individuals to view and understand emotional events and can significantly affect their emotional and behavioral responses (Chawla and Ostafin, 2007;Zhang, 2020). Studies have confirmed that adolescents' coping strategies for emotional events gradually shift from external behavioral orientation to internal cognitive orientation (Luo et al, 2010;Xu, 2014). As a cognitive coping strategy, rumination plays an important role in adolescents' cognitive evaluation and behavioral response to peer victimization.…”

Section: The Moderating Role Of Rumination Tendencymentioning

confidence: 99%

The effect of peer victimization on adolescents’ revenge: the roles of hostility attribution bias and rumination tendency

Zhao,

Zheng

2024

Front. Psychol.

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Although previous studies revealed that peer victimization was closely related to revenge, mechanisms underlying this association have been unclear. The purpose of this study is to examine the mediating role of hostility attribution bias (HAB) and the moderating role of rumination tendency in the relationship between peer victimization and revenge. The data were collected from 6,622 adolescents. The PROCESS macro of SPSS 26.0 was used to examine the hypotheses. The results show that peer victimization positively associates with revenge. Hostile attribution bias play a partial mediating role between peer victimization and revenge. Both the direct effect of peer victimization on revenge and the first half of the mediating effect of HAB are moderated by rumination tendencies. Specifically, both direct and indirect effects of peer victimization on revenge are stronger in individuals with concrete experiential rumination (CER) tendency than in those with abstract analytic rumination (AAR) tendency.

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Exploring the links between alexithymia and cognitive emotion regulation strategies in internet addiction: A network analysis model

Cited by 4 publications

References 79 publications

The relationship between alexithymia, depression, anxiety, and stress in elderly with multiple chronic conditions in China: a network analysis

The relationship between alexithymia, depression, anxiety, and stress in elderly with multiple chronic conditions in China: a network analysis

Relationship between Adverse Childhood Experiences and Mental Health in Chinese Adolescents: Differences among Girls and Boys

The effect of peer victimization on adolescents’ revenge: the roles of hostility attribution bias and rumination tendency

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