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Alexithymia--state and trait.

P C Horton1, H Gewirtz, K J Kreutter

  • 1Child Guidance Clinic for Central Connecticut, Meriden.

Psychotherapy and Psychosomatics
|January 1, 1992
PubMed
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This study on adolescent alexithymia found that individuals with core symptoms used fewer coping strategies, supporting the affect-deficit disorder hypothesis. The Toronto Alexithymia Scale (TAS) may not detect extreme cases effectively.

Area of Science:

  • Psychology
  • Psychiatry
  • Clinical Psychology

Background:

  • Alexithymia is viewed as both an affect-deficit disorder and a personality trait.
  • Understanding alexithymia's presentation in adolescents is crucial for diagnosis and intervention.

Purpose of the Study:

  • To investigate the relationship between core alexithymia symptoms and coping strategies in adolescents.
  • To evaluate the utility of the Toronto Alexithymia Scale (TAS) in identifying extreme cases of alexithymia.

Main Methods:

  • Survey of 264 adolescents using a core symptom questionnaire, the Toronto Alexithymia Scale (TAS), and a Solacing Methods Questionnaire.
  • Comparison of solacing methods between adolescents with core alexithymia symptoms and matched controls.

Main Results:

Related Experiment Videos

  • Three percent of adolescents exhibited core alexithymia symptoms and used significantly fewer solacing methods than controls (p = 0.048), supporting the affect-deficit hypothesis.
  • Twenty-three percent were TAS-positive, indicating a need for a trait measure, but only one core symptom subject was TAS-positive.
  • Core symptom subjects did not use memories for solace, unlike 62.5% of controls, suggesting difficulties with psychological comfort.

Conclusions:

  • Adolescents with core alexithymia symptoms may struggle with affect regulation and psychological comfort, relying more on physical or action-oriented coping.
  • The TAS may lack sensitivity in detecting the most extreme presentations of alexithymia.
  • Further research is needed to refine assessment tools and understand the specific deficits in psychological comfort-seeking in alexithymia.