title: Alexithymia and childhood abuse among patients attending primary and psychiatric care: results of the RADEP Study.
abstract: BACKGROUND
  Some authors have suggested that the background of alexithymia is related to affective development during early childhood.
  
  
  OBJECTIVE
  Authors studied the associations between alexithymia and childhood emotional neglect and sexual and physical abuse, also taking into account the significance of concomitant psychopathology.
  
  
  METHODS
  Associations between childhood difficulties and adulthood alexithymia were studied with samples of primary-care (N=1,033) and mental-health center (N=243) outpatients assessed by The Toronto Alexithymia Scale and questionnaires for depressive, manic, and psychotic symptoms, and childhood difficulties.
  
  
  RESULTS
  No association between alexithymia and childhood abuse was found in mental-health center patients. Among primary-care patients, alexithymia total score and difficulty in identifying feelings and difficulty in describing feelings were associated with childhood emotional, sexual, and physical abuse.
  
  
  CONCLUSIONS
  After controlling for psychopathology, there still remained an association with difficulty in identifying feelings and most abuse and neglect variables. These findings serve to strengthen the theory of alexithymia as a developmental process starting in childhood.
authors.affiliation: Tampere School of Public Health, University of Tampere, Tampere, Finaland. matti.joukamaa@uta.fi
authors.forename: Matti
authors.initials: M
authors.lastname: Joukamaa
authors.forename: Sinikka
authors.initials: S
authors.lastname: Luutonen
authors.forename: Heinrich
authors.initials: H
authors.lastname: von Reventlow
authors.forename: Paul
authors.initials: P
authors.lastname: Patterson
authors.forename: Hasse
authors.initials: H
authors.lastname: Karlsson
authors.forename: Raimo K R
authors.initials: RK
authors.lastname: Salokangas
mesh_terms: D000328:Adult; D000342:Affective Symptoms / Q000175:diagnosis / Q000453:epidemiology* / Q000628:therapy*; D000368:Aged; D002648:Child; D002649:Child Abuse / Q000523:psychology* / Q000706:statistics & numerical data*; D002650:Child Abuse, Sexual / Q000523:psychology / Q000706:statistics & numerical data; D005260:Female; D006801:Humans; D008297:Male; D008605:Mental Health Services / Q000706:statistics & numerical data*; D008875:Middle Aged; D015995:Prevalence; D011320:Primary Health Care / Q000706:statistics & numerical data*; D011795:Surveys and Questionnaires