title: Alexithymia, depressive experiences, and dependency in addictive disorders.
abstract: Alexithymia, depressive feelings, and dependency are interrelated dimensions that are considered potential "risk factors" for addictive disorders. The aim of this study was to investigate the relationships between these dimensions and to define a comprehensive model of addiction in a large sample of addicted subjects, whether affected by an eating disorder or presenting an alcohol- or a drug use-related disorder. The participants in this study were gathered from a multicenter collaborative study on addictive behaviors conducted in several psychiatric departments in France, Switzerland, and Belgium between January 1995 and March 1999. The clinical sample was composed of 564 patients (149 anorexics, 84 bulimics, 208 alcoholics, 123 drug addicts) of both genders with a mean age of 27.3 +/- 8 years. A path analysis was conducted on the 564 dependent patients and 518 matched controls using the scores of the Toronto Alexithymia Scale, the Depressive Experiences Questionnaire, and the Interpersonal Dependency Inventory. Statistical analyses showed good adjustment (Goodness of Fit Index = 0.977) between the observable data and the assumed model, thus supporting the hypothesis that a depressive dimension, whether anaclitic or self-critical, can facilitate the development of dependency in vulnerable alexithymic subjects. This result has interesting clinical implications because identifying specific patterns of relationships leading from alexithymia to dependency can provide clues to the development of targeted strategies for at-risk subjects.
authors.affiliation: Centre Hospitalier Universitaire de Psychiatrie de l'Enfant et de l'Adolescent, Fondation Vallée, Gentilly, France. mariosperanza@wanadoo.fr
authors.forename: Mario
authors.initials: M
authors.lastname: Speranza
authors.forename: Maurice
authors.initials: M
authors.lastname: Corcos
authors.forename: Philippe
authors.initials: P
authors.lastname: Stéphan
authors.forename: Gwenolé
authors.initials: G
authors.lastname: Loas
authors.forename: Fernando
authors.initials: F
authors.lastname: Pérez-Diaz
authors.forename: François
authors.initials: F
authors.lastname: Lang
authors.forename: Jean Luc
authors.initials: JL
authors.lastname: Venisse
authors.forename: Paul
authors.initials: P
authors.lastname: Bizouard
authors.forename: Martine
authors.initials: M
authors.lastname: Flament
authors.forename: Olivier
authors.initials: O
authors.lastname: Halfon
authors.forename: Philippe
authors.initials: P
authors.lastname: Jeammet
mesh_terms: D000293:Adolescent; D000328:Adult; D000342:Affective Symptoms / Q000523:psychology*; D001530:Belgium; D016022:Case-Control Studies; D003863:Depression / Q000523:psychology*; D005260:Female; D005602:France; D006801:Humans; D008297:Male; D008875:Middle Aged; D012649:Self Concept; D019966:Substance-Related Disorders / Q000523:psychology*; D013557:Switzerland