Alexithymia and interpersonal problems

The Role of Alexithymia and Impulsivity in Male Victims and Perpetrators of Intimate Partner Violence

(1) Background: Alexithymia and impulsivity appear to represent risk factors for violence perpetration, while mixed results are present with respect to victimization experience. In light of this, the purpose of this study was to compare the roles of both alexithymia and impulsivity among three different samples of men: men who experienced partner victimization (IPVV); male intimate partner violence perpetrators (IPVP); and men from the general population (CG). (2) Methods: Participants were recruited from specialized centers in Italy. A profile analysis was conducted. (3) Results: The results showed that IPVV presented alexithymia and impulsivity comparable to the CG. Furthermore, differences were found between victims and perpetrators in terms of impulsivity and alexithymia. The IPVP group had higher levels of both impulsivity and alexithymia in comparison to IPVV. Moreover, the perpetrators exhibited significantly higher levels of alexithymia compared to the CG. However, despite the medium Cohen's d (d = 0.441) resulting from the analyses, IPVP's level of impulsivity was not statistically different from the CG. (4) Conclusion: Alexithymia and impulsivity appear to play a key role in violent behaviors and should be the focus of psychological interventions with perpetrators.

The association between communication impairments and acquired alexithymia in chronic stroke patients

INTRODUCTION

Language dysfunction has recently been suggested to be one route to alexithymia, an impairment in recognizing and communicating one's own emotions. Neuropsychological evidence is needed to investigate the possibility that acquired language problems could underlie acquired alexithymia.

METHOD

This project examined data from a large group of chronic stroke patients (N = 118) to test whether self-reported or behavioral measures of language and communication problems were associated with alexithymia. We also examined the impact of hemisphere of damage on alexithymia.

RESULTS

We found no differences in alexithymia levels for patients with observed language impairments on brief tests of picture naming, comprehension, and reading vs unimpaired patients. However, self-reported communication difficulties were found to be associated with higher scores of alexithymia, even after controlling for depression and anxiety. Patients with left- versus right-hemisphere damage did not differ in their alexithymia scores.

CONCLUSIONS

We found partial support for the language hypothesis of alexithymia. We discuss potential reasons for the discrepant findings between the self-report and objective language measures and suggest that self-report measures may be more sensitive to milder, more pragmatic language impairments, as opposed to the severe structural language impairments measured by the cognitive screening tests.

Relative stability of alexithymia and openness to emotions in one psychiatric day hospital setting

Alexithymia (literally, difficulty finding words for emotions) and openness to emotions (OE: referring to the cognitive representation, communication, regulation, perception of internal and external bodily sensations, and social restriction of emotions) are strongly linked to psychopathology. The absolute and relative stability hypotheses were tested in order to determine whether significant changes occurred on these constructs after therapy, a condition where changes were expected for both constructs. Negative attitudes toward treatment (NTI) and perceived social support (PSS) were expected to significantly predict alexithymia and OE. Patients (N = 179) who participated in this longitudinal study filled in the Toronto Alexithymia Scale, the Dimensions of Openness to Emotions Scale, the NTI subscale, the Multidimensional Scale of Perceived Social Support, and the Social Desirability Scale. After treatment, we observed significant decrease of all alexithymia scores and significant increases of three OE scores, that is, cognitive representation, communication, and regulation of emotions. Regression analyses revealed that gender, age, NTI, and PSS were significant predictors of alexithymia and OE. NTI strongly predicted lower OE levels and higher alexithymia levels, whereas PSS had opposite predicting effects on these constructs. In conclusion, the significant changes, and the moderate to high correlational levels observed between before and after alexithymia and OE scores, strengthen the relative stability hypothesis for both constructs. In addition, PSS represents a protective factor and NTI a vulnerability indicator for therapists. Our aim is to optimize treatment by providing therapists treating emotion difficulties a more concrete array of variables that potentially either promote or subvert recovery.

The association between alexithymia, emotional intelligence and burnout among nursing assistants working in nursing home settings: A cross-sectional study

AIMS

To determine the explanatory power of alexithymia and emotional intelligence over burnout and to examine their combined explanatory capacity over burnout in the context of older adult care.

DESIGN

Cross-sectional. All participants voluntarily and anonymously completed a questionnaire survey. They were all blind to the aim of the study.

METHODS

One hundred and fifty-nine nursing assistants recruited during 2014 took part in the study. They belong to 10 nursing homes in the north of Spain. Sociodemographic and work-related information was collected, and measures of burnout, alexithymia and emotional intelligence were administered. Data were examined by means of regression analyses.

RESULTS

The analysis showed that alexithymia made a moderate contribution to the depersonalization and personal accomplishment dimensions of burnout, controlling for the influence of work characteristics. Emotional intelligence did not have incremental validity over alexithymia in explaining burnout.

CONCLUSION

Alexithymia, rather than emotional intelligence, is a stronger explanatory variable for burnout among nursing assistants working in nursing homes.

IMPACT

Alexithymia and emotional intelligence are related to burnout and help to explain why, in the same context, each worker is affected differently by chronic stress at work. However, their combined explanatory capacity in nursing assistants working with older people remains underexplored. In our sample, alexithymia explains burnout better than emotional intelligence, a finding that was both unexpected and theoretically relevant. Researchers should take this into account when studying personal resources to prevent and manage burnout among nursing assistants, as alexithymia, rather that emotional intelligence, could play an important role once workers are burned out. Training nursing assistants to identify and describe emotions should be considered as part of their training programmes and/or in nursing homes as an institutional strategy to prevent burnout and to improve the quality of older adult care.