Alexithymia in different dermatologic patients

Dehghani, Fahimeh; Dehghani, Farzaneh; Kafaie, Parichehr; Taghizadeh, Mohammad R.

doi:10.1016/j.ajp.2016.10.011

Cited by 20 publications

(25 citation statements)

References 17 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…S1). The Dermatology Life Quality Index (DLQI) [ 6 , 7 , 9 , 18 , 20 , 28 , 41 , 42 ] was most frequently used, followed by the 16-, 17- or 29-item Skindex tools (Skindex 16-, 17- or 29) [ 17 , 20 , 26 , 29 , 31 , 32 , 39 ] and the Toronto Alexithymia Scale (TAS) 20/26 [ 14 , 21 , 27 , 33 , 38 , 39 ].…”

Section: Resultsmentioning

confidence: 99%

“…TAS-20 and TAS-26 are 20- and 26-item self-report scales that assess the presence of alexithymia [ 33 , 55 ]. Six studies of adults investigated the association between alexithymia and AA [ 14 , 21 , 27 , 33 , 38 , 39 ], and mean scores were provided in five studies (Table 4 ). The prevalence of alexithymia was reported to be 23–50% [ 14 , 21 , 27 , 33 , 38 ].…”

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Patient Perspectives of the Social, Emotional and Functional Impact of Alopecia Areata: A Systematic Literature Review

Mostaghimi

Napatalung

Sikirica

et al. 2021

Dermatol Ther (Heidelb)

View full text Add to dashboard Cite

Introduction: Alopecia areata (AA) is a chronic, autoimmune disease of hair loss, which can significantly affect the emotional and psychological well-being of patients. A systematic literature review was conducted to better understand the burden of AA from the patient perspective. Methods: Embase, MEDLINE and Cochrane databases were searched for published studies (2008)(2009)(2010)(2011)(2012)(2013)(2014)(2015)(2016)(2017)(2018) reporting on assessments of health-related quality of life (HRQoL) for patients with AA. Qualitative, and quantitative data were collected. Results: The review included 37 studies encompassing a range of clinical outcome assessment (COA) tools. None of the COA tools were specific for AA, and only one study used the Hairdex scale, which was designed to evaluate HRQoL in patients with disorders of the hair and scalp. All studies reported substantial impact on HRQoL due to AA, both overall and in domains related to personality (i.e. temperament and character), emotions and social functioning. Acute stress was also noted, and several studies identified lack of emotional awareness (alexithymia) in 23-50% of the patients with AA. Conclusions: Although it is well-established that patients with AA experience anxiety and depression, they also experience a decrease in HRQoL in many other areas, including personality, emotions, behaviors and social functioning, and these changes may be accompanied by acute stress and alexithymia. There is a need to achieve consensus on a core set of measures for AA and to develop and validate AA-specific measurement tools for use in future studies, to attain a clearer understanding of the impact of AA on patients.

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Patient Perspectives of the Social, Emotional and Functional Impact of Alopecia Areata: A Systematic Literature Review

Mostaghimi

Napatalung

Sikirica

et al. 2021

Dermatol Ther (Heidelb)

View full text Add to dashboard Cite

show abstract

“…A common practice with TAS-20 is to use the summed score, either treating the variable as a continuum or utilizing a categorical approach where scores ≥61 indicate alexithymia (e.g., Dehgani, Dehgani, Kafaie, & Taghizadeh, 2017; Parker, Taylor, & Bagby, 1998). However, summing scores and treating the TAS-20 as a unidimensional measure disregards the multidimensionality consistently found in psychometric studies.…”

Section: Competing Factor Solutions Of the Tas-20mentioning

confidence: 99%

Toronto Alexithymia Scale–20: Examining 18 Competing Factor Structure Solutions in a U.S. Sample and a Philippines Sample

et al. 2019

View full text Add to dashboard Cite

The Toronto Alexithymia Scale–20 is arguably the most utilized measure of alexithymia. Although a three-factor solution has been found by numerous studies, these findings are not universal. This article examined and compared 18 competing factor structures for the Toronto Alexithymia Scale–20, which included between one and four correlated latent factor structures, common methods models that accounts for negatively worded items, and bifactor models. Although the two-factor bifactor model with a common methods factor had the better model fit compared with the other 17 models examined, it still did not achieve the requisites of a good model fit across all model fit indices. Issues stemmed primarily from the externally oriented thinking factor and the negatively worded items. Post hoc analyses indicated that a two-factor bifactor model with the negatively worded items dropped achieved the requisites of a good model fit and can be treated as a unidimensional measure despite the presence of multidimensionality. Multiple-group analysis indicated that the factor loadings were invariant across U.S. and Philippines samples. After controlling for noninvariance at the item intercept level, the Philippines sample had a higher alexithymia general score compared with the U.S. sample.

show abstract

“…Impaired emotional abilities have also been described: alexithymia, a difficulty in recognizing and communicating emotions, has been reported in SLE (11)(12)(13)(14)(15) and skin diseases (16)(17)(18)(19)(20)(21); and lower emotional awareness (the capacity to represent, discriminate and elaborate both one's own and others' emotional experience in a given context) has been reported in patients with psoriasis who consider their disease to be stress reactive (18). We recently demonstrated, in a case-control study, that patients with SRL had impaired emotional abilities (22), i.e.…”

Section: Significancementioning

confidence: 99%