2015
DOI: 10.1007/s10461-015-1126-7
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Alexithymia, Assertiveness and Psychosocial Functioning in HIV: Implications for Medication Adherence and Disease Severity

Abstract: Psychosocial function and adherence to antiretroviral regimen are key factors in human immunodeficiency virus (HIV) disease management. Alexithymia (AL) is a trait deficit in the ability to identify and describe feelings, emotions and bodily sensations. A structural equation model was used to test whether high levels of AL indirectly relate to greater non-adherent behavior and HIV disease severity via psychosocial dysfunction. Blood draws for HIV-1 viral load and CD4 T-lymphocyte, along with psychosocial surve… Show more

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Cited by 12 publications
(8 citation statements)
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References 150 publications
(159 reference statements)
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“…Alternatively, people living with substance use disorders tend to score higher than those without these disorders on alexithymia (de Haan et al, 2014), which is a psychological condition characterized by difficulty in identifying and describing emotions and discriminating between emotions and physical sensations (de Haan et al, 2014). People with alexithymia may show confusion, externalization, and vagueness when directly asked about their affective state (McIntosh et al, 2016). Generally, alexithymia is associated with more psychological distress, immune dysfunction, nonadherence, and HIV disease progression in persons living with HIV (McIntosh et al, 2016; Temoshok et al, 2008).…”
Section: Discussionmentioning
confidence: 99%
“…Alternatively, people living with substance use disorders tend to score higher than those without these disorders on alexithymia (de Haan et al, 2014), which is a psychological condition characterized by difficulty in identifying and describing emotions and discriminating between emotions and physical sensations (de Haan et al, 2014). People with alexithymia may show confusion, externalization, and vagueness when directly asked about their affective state (McIntosh et al, 2016). Generally, alexithymia is associated with more psychological distress, immune dysfunction, nonadherence, and HIV disease progression in persons living with HIV (McIntosh et al, 2016; Temoshok et al, 2008).…”
Section: Discussionmentioning
confidence: 99%
“…(Carneiro, 2014;Hajek et al, 2016). (Anfara, Brown, & Magione, 1992 Quanto à composição das amostras, a maioria dos estudos foram realizados com adultos (sete estudos) (Dierk et al, 2006;García-Bóveda et al, 2007;Kukulu et al, 2006;McIntosh et al, 2016;Müller et al, 2015;Riggio & Kwong, 2009;Schoenrock et al, 1999) (Carneiro et al, 2007;Segal, 2005…”
Section: Conforme Afirmaramunclassified
“…Il problema dell'alessitimia negli ultimi anni ha riscosso un crescente interesse anche nell'ambito della ricerca sulla infezione da HIV (41-48) (Tabella 3). L'alessitimia è risultata di fatto un fattore trasversalmente associato ad una serie di complicanze e comorbidità presenti nell'infezione da HIV, come la progressione dell'infezione (42,47), il rischio cardiovascolare (43,46), il deficit neurocognitivo (44,46), l'apatia (44,49), le manifestazioni neuropsichiatriche (44,45,47) e la scarsa aderenza (48).…”
Section: Il Costrutto Dell'alessitimiaunclassified
“…In questo studio l'alessitimia era indipendentemente e significativamente associata ad una ridotta produzione di MIP-1α (β= -.322; p<.001). Nell'ambito di uno studio sui fattori di ri-schio cardiovascolare in 201 soggetti con infezione da HIV con un follow-up medio di circa due anni e review mezzo, Parruti e colleghi (46) (48). Gli autori hanno dimostrato che esistono pathways che collegano l'alessitimia alla non aderenza e alla gravità dell'infezione da HIV, attraverso stress psicologico, scarso supporto sociale e comportamenti passivi nei confronti della propria salute.…”
Section: Il Valore Prognostico Dell'alessitimia Nell'infezione Da Hivunclassified
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