The relationship between alexithymia and general symptoms of pregnant women

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Abstract

Introduction. Alexithymia is related to poor emotion regulation strategies as well as higher rates of somatic disorders. The aim of the present study was to assess the relationship between alexithymia and the general symptoms experienced by the pregnant women.

Material and Methods. In a cross-sectional study, a total number of 350 pregnant women, attending the antenatal clinics, were randomly selected. A standardized Toronto Alexithymia Scale (TAS-20) was used to elicit responses from participants with alexithymia. The general symptoms scores were measured using the Iranian version of the Symptom Checklist-90-Revised, 90 items. The statistical associations between alexithymia and the general symptoms were then investigated through liner regression.

Results. A total number of 186 of pregnant women with alexithymia were compared with the 164 cases without alexithymia. The high scores on Total Toronto Alexithymia Scale-20 and the difficulties to identify feelings emerged as major predictors for the current psychopathology on all SCL-90-R subscales. The difficulty in describing feelings features of alexithymia is positively associated with interpersonal sensitivity and paranoid ideation, but it is inversely associated with the phobic anxiety dimension.

Conclusion. This study showed that the pregnant women with difficulty in describing feelings features of alexithymia are likely to show a broad range of psychopathology. Therefore, it is necessary to emphasize the benefits of specific psychotherapeutic techniques to improve self-differentiation so that we can reduce the likelihood of mental illnesses in pregnant women.

1. PICARDI A., PASQUINI P., CATTARUZZA MS., GAETANO P., BALIVA G., MELCHI CF., et al. Only limited support for a role of psychosomatic factors in psoriasis: Results from a case-control study. J Psychosom Res. 2003; 55(3):189–96.

2. GILANIFAR M., DELAVAR MA. Alexithymia in pregnant women: its relationship with depression. ASEAN Journal of Psychiatry. 2016; 17(1):35-42.

3. DUNKEL SCHETTER C., TANNER L. Anxiety, depression and stress in pregnancy: implications for mothers, children, research, and practice. CurrOpin Psychiatry. 2012; 25(2):14-18.

4. YURUMEZ E., AKCA OF., UGUR C., USLU RI., KILIC BG. Mothers’ alexithymia, depression and anxiety levels and their association with the quality of mother-infant relationship: a preliminary study. Int J Psychiatry ClinPract. 2014; 18(3):190-6.

5. FUKUNISHI I., KAWAMURA N., ISHIKAWA T., AGO Y., SEI H., MORITA Y., et al. Mothers’ low care in the development of alexithymia: a preliminary study in Japanese college students. Psychological reports. 1997; 80(1):143-6.

6. BONNET A., BRÉJARD V., PASQUIER A., PEDINIELLI JL. Affectivity and alexithymia: Two dimensions explicative of the relationship between anxiety and depressive symptoms. Encéphale. 2012; 38(3):187-93.

7. TOLMUNEN T., LEHTO SM., HELISTE M., KURL S., KAUHANEN J. Alexithymia is associated with increased cardiovascular mortality in middle-aged Finnish men. Psychosom Med. 2009; 72(2):187-91.

8. LEIGHT KL., FITELSON EM., WESTON CA., WISNER KL. Childbirth and mental disorders. Int Rev Psychiatry. 2010; 22(5):453-71.

9. RUBERTSSON C., WICKBERG B., GUSTAVSSON P., RADESTAD I. Depressive symptoms in early pregnancy, two months and one year postpartum-prevalence and psychosocial risk factors in a national Swedish sample. Arch Women’s Ment Health. 2005; 8(2):97-104.

10. VERREAULT N., DA COSTA D., MARCHAND A., IRELAND K., DRITSA M., KHALIFE S. Rates and risk factors associated with depressive symptoms during pregnancy and with postpartum onset. J PsychosomObstetGynaecol. 2014; 35(3):84-91

11. DUDAS RB., CSATORDAI S., DEVOSA I., TOREKI A., ANDO B., BARABAS K., et al. Obstetric and psychosocial risk factors for depressive symptoms during pregnancy. Psychiatry Res. 2012; 200 (2-3):323-8.

12. KOLEVA H., STUART S., O’HARA MW., BOWMAN-REIF J. Risk factors for depressive symptoms during pregnancy. Arch WomensMent Health. 2011; 14(2):99-105.

13. LANCASTER CA., GOLD KJ., FLYNN HA., YOO H., MARCUS SM., DAVIS MM. Risk factors for depressive symptoms during pregnancy: a systematic review. Am J Obstet Gynecol. 2010; 202 (1):5-14.

14. BAGBY RM., TAYLOR GJ., PARKER JD. The twenty-item Toronto alexithymia Scale-II. Convergent, discriminant, and concurrent validity. J Psychosom Res. 1994; 38(1):33-40.

15. BAGBY RM., PARKER JD., TAYLOR GJ. The twenty-item Toronto Alexithymia Scale-I. Item selection and cross-validation of the factor structure. J Psychosom Res. 1994; 38(1):23-32.

16. KIM JH., LEE SJ., RIM HD., KIM HW., BAE GY., CHANG SM. The relationship between alexithymia and general symptoms of patients with depressive disorders. Psychiatry investigation. 2008; 5(3):179-85.

17. HONKALAMPI K., SAARINEN P., HINTIKKA J., VIRTANEN V., VIINAMAKI H. Factors associated with alexithymia in patients suffering from depression. Psychotherapy and psychosomatics. 1999; 68(5):270-5.

18. GRABE HJ., SPITZER C., FREYBERGER HJ. Alexithymia and personality in relation to dimensions of psychopathology. The American journal of psychiatry. 2004; 161(7):1299-301.

19. LE HN., RAMOS MA., MUNOZ RF. The relationship between alexithymia and perinatal depressive symptomatology. J Psychosom Res. 2007; 62(2):215-22.

20. HONKALAMPI K., HINTIKKA J., TANSKANEN A., LEHTONEN J., VIINAMAKI H. Depression is strongly associated with alexithymia in the general population. J Psychosom Res. 2000; 48(1):99-104.

21. FUKUNISHI I., KIKUCHI M., TAKUBO M. Changes in scores on alexithymia over a period of psychiatric treatment. Psychological reports. 1997; 80(2):483-9.

22. MAGGINI C., RABALLO A., PELIZZA L., PAINI M., CROCI R. Subjective experience of language impairment and psychopathology in schizophrenia. Psychopathology. 2003; 36(1):17-22.

23. TODARELLO O., PORCELLI P., GRILLETTI F., BELLOMO A. Is alexithymia related to negative symptoms of schizophrenia? A preliminary longitudinal study. Psychopathology. 2005; 38(6):310-4.

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