Dissociation and alexithymia among men with alcoholism.
OBJECTIVE
The aim of the present study was to evaluate the relationship between alexithymia and dissociation among men with alcoholism.


METHODS
Participants were 176 patients consecutively admitted to the inpatient unit of a addiction treatment center. The Toronto Alexithymia Scale, the Symptom Checklist-Revised, the Dissociative Experiences Scale, the Beck Depression Inventory, the Spielberger State-Trait Anxiety Inventory, and the Michigan Alcoholism Screening Test were administered to all participants.


RESULTS
Fifty-three patients were considered as having alexithymia. The alexithymic group had a significantly higher rate of dissociative taxon members (patients with pathological dissociation; 62.3%) according to Bayesian probability. Trait anxiety, overall psychiatric symptom severity, and pathological dissociation predicted alexithymia on covariance analysis. A multivariate analysis of covariance demonstrated that these predictors were related only to difficulty of identifying feelings, whereas trait anxiety was a significant covariant for difficulty of expressing feelings as well.


CONCLUSIONS
Alexithymic phenomena are interrelated with dissociation and chronic anxiety among men with alcoholism. The relevance of this triad for prevention and treatment of alcoholism deserves interest in further research.
Evren
Cuneyt
C
Research, Treatment and Training Center for Alcohol and Substance Dependence (AMATEM), Bakirkoy State Hospital for Psychiatric and Neurological Diseases, Istanbul, Turkey. cuneytevren@yahoo.com
Sar
Vedat
V
Evren
Bilge
B
Semiz
Umit
U
Dalbudak
Ercan
E
Cakmak
Duran
D
D000328:Adult; D000342:Affective Symptoms / Q000175:diagnosis* / Q000523:psychology; D000437:Alcoholism / Q000523:psychology* / Q000534:rehabilitation; D001007:Anxiety / Q000175:diagnosis / Q000523:psychology; D015897:Comorbidity; D004213:Dissociative Disorders / Q000175:diagnosis* / Q000523:psychology; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D010343:Patient Admission; D010555:Personality Inventory; D012737:Sex Factors; D014421:Turkey