The alexithymia, cognitive emotion regulation, and physical symptoms in Iranian asthmatic patients

Khosravani, Vahid; Alvani, Amin; Bastan, Farangis Sharifi; Ardakani, Razieh Jamaati; Akbari, Hedayat

doi:10.1016/j.paid.2016.05.364

Cited by 20 publications

(17 citation statements)

References 34 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Each item of the scale is rated on a 4‐point Likert scale from 0 ( never ) to 3 ( always ). We used the Persian version of the scale validated by Khosravani et al (2016). Internal consistency of the IPS was excellent in the present study (Cronbach's α = .92).…”

Section: Methodsmentioning

confidence: 99%

“…Alexithymia, which includes difficulty in the expression of feelings and is highly prevalent in alexithymic asthma individuals (Ghorbani et al, 2017;Khosravani et al, 2016), may reduce empathy skills (Çaka, Topal, Nemut, & Çınar, 2018;Gramaglia et al, 2016) and psychophysiological responses to empathy in individuals with physical symptoms (Peng et al, 2019). Recognizing others' emotional and cognitive states (i.e.…”

Section: Structural Equation Modelmentioning

confidence: 99%

“…As a personality trait designed by Sifneos (1973), alexithymia has been found to be high in asthma patients (Aouadi et al, 2015; Ghorbani, Khosravani, Ardakani, Alvani, & Akbari, 2017; Khosravani, Alvani, Bastan, Ardakani, & Akbari, 2016). Alexithymia is associated with dysthymia and panic troubles, decreased pulmonary function, poor asthma control, high emergency room visits, irregular follow‐up or poor adherence to asthma treatment and poor quality of life in patients with asthma (Aouadi et al, 2015).…”

Section: Introductionmentioning

confidence: 99%

“…Alexithymia may be a risk factor for developing psychiatric conditions or disorders (De Berardis et al, 2017; De Berardis et al, 2019; Khosravani, Ardestani, Bastan, & Kamali, 2017; Serafini et al, 2020). It has been found that alexithymia is associated with physical symptoms in asthma patients (Feldman, Lehrer, & Hochron, 2002; Ghorbani et al, 2017; Khosravani et al, 2016). Also, evidence has strongly shown the association of the TAS‐20 DIF subscale, but not the DDF and EOT subscales, with unexplained or physical symptoms, physical pain and somatization (Bailey & Henry, 2007; De Gucht, 2002; De Gucht, Fischler, & Heiser, 2004a, 2004b; Di Tella et al, 2017; Di Tella & Castelli, 2016; Klinger‐König et al, 2018; Martínez et al, 2015; Riem, Doedée, Broekhuizen‐Dijksman, & Beijer, 2018; Van Den Houte et al, 2017).…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Alexithymia, empathy, negative affect and physical symptoms in patients with asthma

Khosravani

Ardestani

Alvani

et al. 2020

Clin Psychology and Psychoth

Self Cite

View full text Add to dashboard Cite

Although alexithymia has been found to be associated with physical symptoms in psychosomatic disorders such as asthma, mechanisms linking this association are unknown. However, affective alexithymic features may be associated with physical symptoms in the presence of deficits in affective characteristics such as low empathy and high negative affect. This study aimed to assess direct effects of alexithymic traits on physical symptoms and indirect effects of these subscales through empathy and negative affect (e.g. depressive, anxious and stress symptoms) by controlling for asthma severity in patients with asthma. Three hundred patients with asthma completed the Toronto Alexithymia Scale-20 (TAS-20), the Basic Empathy Scale (BES), the Depression Anxiety Stress Scales-21 (DASS-21) and the Physical Symptoms Inventory (PSI). After controlling for asthma severity, the results showed that alexithymia subscales of the TAS-20 had no direct effects on physical symptoms, but the difficulty in identifying feelings (DIF) subscale of the TAS-20 was associated with affective empathy and negative affect. Affective empathy was significantly related to negative affect. Affective empathy and negative affect were associated with physical symptoms. The affective subscale of alexithymia on the TAS-20, that is DIF, indirectly affected physical symptoms through affective empathy and negative affect. Findings suggest that patients with asthma who have high levels of DIF may show high physical symptoms in the presence of low affective empathy and high negative affect.

show abstract

Section: Methodsmentioning

confidence: 99%

Section: Structural Equation Modelmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Alexithymia, empathy, negative affect and physical symptoms in patients with asthma

Khosravani

Ardestani

Alvani

et al. 2020

Clin Psychology and Psychoth

Self Cite

View full text Add to dashboard Cite

show abstract

“…Alexithymia refers to the difficulties in identifying and describing emotions in self and others, restricted imagination, and the externally oriented way of thinking (Taylor et al, 1997). Alexithymia has been treated as a personality trait (Salminen et al, 2006;de Timary et al, 2008) and is linked to impairments in physical (Pollatos and Gramann, 2012;Khosravani et al, 2016) and mental health. A study had reported that approximately 36% of Chinese adolescents are affected by alexithymia (Gao et al, 2018).…”

Section: Alexithymiamentioning

confidence: 99%

Alexithymia and Problematic Mobile Phone Use: A Moderated Mediation Model

Hao

Jin

2020

Front. Psychol.

View full text Add to dashboard Cite

Alexithymia has been studied with its impact on problematic mobile phone use. However, none of these studies has examined the roles of mindfulness facets in this relationship. To address this issue, a total of 901 Chinese undergraduate students participated in this study and were tested with questionnaires for measuring their levels of alexithymia, problematic mobile phone use, and mindfulness facets. A moderated mediation model was constructed to examine the roles of mindfulness facets in the association between alexithymia and problematic mobile phone use. The results showed that after controlling for age and sex, alexithymia positively predicted problematic mobile phone use both directly (β = 0.157, p < 0.001) and indirectly via mindfulness facet of acting with awareness (16 th , 50 th , and 84 th percentiles of observing were −5.371, β = 0.019; −0.371, β = 0.216; and 4.629, β = 0.242, respectively, and the 95% confidence intervals were 0.142 to 0.246; 0.167 to 0.269; and 0.186 to 0.3, respectively). The facet of acting with awareness partially mediated this relationship in a negative way. Further, the facet of observing moderated the path between alexithymia and the facet of acting with awareness: with a higher level of observing, the negative association between alexithymia and acting with awareness became more negative (alexithymia × observing, β = −0.006, p = 0.001, 95% confidence interval −0.01 to −0.003). The current study advanced our understanding of the mechanism underlying the connection between alexithymia and problematic mobile phone use and helped to investigate how mindfulness skills benefited the individuals.

show abstract

Investigation of the factorial structure and psychometric properties of the Persian version of the Toronto Alexithymia Scale-20 in patients with psychiatric disorders

et al. 2019

View full text Add to dashboard Cite

The alexithymia, cognitive emotion regulation, and physical symptoms in Iranian asthmatic patients

Cited by 20 publications

References 34 publications

Alexithymia, empathy, negative affect and physical symptoms in patients with asthma

Alexithymia, empathy, negative affect and physical symptoms in patients with asthma

Alexithymia and Problematic Mobile Phone Use: A Moderated Mediation Model

Investigation of the factorial structure and psychometric properties of the Persian version of the Toronto Alexithymia Scale-20 in patients with psychiatric disorders

Contact Info

Product

Resources

About