Relevant associations between alexithymia and health-literacy in persons with psoriasis

Larsen, Marie Hamilton; Strumse, Yndis Staalesen; Borge, Christine Råheim; Andersen, Marit Helen; Wahl, Astrid Klopstad

doi:10.1080/09546634.2020.1756204

Cited by 9 publications

(9 citation statements)

References 59 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Age, geographic location, disease duration, and severity did not appear to influence prevalence or severity of alexithymia; but, alexithymic patients were reported to experience a higher burden of psoriasis (PASI >10) compared to non-alexithymic patients [33, 36, 39-41]. Involvement of sensitive areas (hands, face, neck, and/or genitals), lower education level, unemployment, and higher body mass index (BMI) were positively associated with alexithymia [33, 35, 36, 38, 40]. While a majority of studies found the TAS-20 total score not to be significantly influenced by gender [33, 36, 39, 41], one study of 250 patients reported a positive association between logistical regression of alexithymia and female sex (male to female odds ratio: 0.21) [40].…”

Section: Resultsmentioning

confidence: 99%

“…Moreover, alexithymic patients appeared to have poorer self-management of disease, inferior illness perception, increased somatization, and higher illness frequency compared to non-alexithymic patients [33, 35, 39]. Additionally, alexithymic patients were found to register lower scores on the Health Education Impact Questionnaire (heiQ), particularly, “self-monitoring and insight” and “skill and technique acquisition” [35].…”

Section: Resultsmentioning

confidence: 99%

“…A minority of smaller studies, some using assessments other than the TAS-20 questionnaire, reported a 5-29.4% prevalence of clinically significant alexithymia in patients [31,32]. Studies consistently using the TAS-20 questionnaire (86.7%) and accounting for 3,132 patients suggested the prevalence of clinically significant alexithymia in patients to be higher, between 36.2% and 67.7% [33][34][35][36][37][38][39][40].…”

Section: Psoriasismentioning

confidence: 99%

See 2 more Smart Citations

Alexithymia and Cutaneous Disease Morbidity: A Systematic Review

et al. 2022

View full text Add to dashboard Cite

Background: Alexithymia is a psychological construct that describes one’s difficulty in understanding and describing their own emotions as well as differentiating feelings from bodily signals of arousal. In the general population, alexithymia’s prevalence is approximately 10%. Alexithymia may act as a triggering factor for many medical and psychiatric disorders. In patients with physical disease, alexithymia’s prevalence reaches up to 63%. Additionally, alexithymia is associated with worse outcomes and heightened psychosocial comorbidities. Objective: This review continues where an earlier review (Willemsen, 2008) left off to (1) clarify alexithymia’s prevalence in dermatology patients and (2) further investigate alexithymia’s impact on disease burden, psychosocial comorbidities, and treatment. Methods: Systematic searches on alexithymia and dermatologic conditions were conducted using PubMed, Embase, PsycInfo, and Web of Science databases from March 8, 2021, to March 12, 2021. Data from eligible publications, which were full-text, clinical studies published after September 1, 2008, and available in English, were extracted by two medical students and summarized. Results: Despite a small number of publications (n = 37), data showed a markedly greater prevalence and severity of alexithymia in patients with alopecia, vitiligo, psoriasis, hidradenitis suppurativa, atopic dermatitis, chronic idiopathic urticaria, and primary focal hyperhidrosis compared to healthy controls. Further, data consistently demonstrate a complex interplay between alexithymia, disease burden, and psychosocial comorbidity. Conclusions: Identifying and addressing alexithymia in dermatology patients may improve treatment outcomes, associated comorbidities, and health-related quality of life.

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Psoriasismentioning

confidence: 99%

See 1 more Smart Citation

Alexithymia and Cutaneous Disease Morbidity: A Systematic Review

et al. 2022

View full text Add to dashboard Cite

show abstract

“…On the whole, in our study the TAS and the TSIA evaluations in different subgroups of patients according to sociodemographic variables were satisfactorily concordant. Both instruments pointed out a higher prevalence of alexithymia in older patients and in patients with a low educational level Similarly, it has been reported that in patients with psoriasis low alexithymia scores were associated with higher education and health literacy ( Larsen et al, 2020 ).…”

Section: Discussionmentioning

confidence: 87%

Multi-Method Approach in the Assessment of Alexithymia in Patients With Scleroderma: Use of Two Different Tools

et al. 2021

View full text Add to dashboard Cite

Objective: Alexithymia is frequent in patients with some chronic dermatological conditions. The aim of the study was to measure the prevalence of alexithymia in patients with systemic sclerosis (SSc) using two different tools.Methods: Consecutive patients diagnosed with SSc were recruited at day hospital and hospitalization regimen. Alexithymia was measured using the self-administered questionnaire 20-item Toronto Alexithymia scale (TAS-20) and the semi-structured interview 24-item Toronto Structured Interview for Alexithymia (TSIA).Results: The study sample consisted of 67 female patients, aged from 29 to 82 years. According to TAS-20, 22.4% of patients were alexithymic and 17.9% were borderline alexithymic. Also, in our sample mean TAS-20 value was 48.9 and TSIA mean value was 20.3. Spearman’s correlation coefficient between TAS-20 total score and TSIA total score was 0.603. A high correlation was observed between TAS total score and the “Affective Awareness” (AA) scale of the TSIA. TSIA total score significantly correlated with the “Difficulty describing feeling to others” (DDF) scale of the TAS-20. The highest correlation between scales of the two instruments was that between TAS-20 DDF and TSIA AA (r = 0.675).Conclusion: The prevalence of alexithymia in SSc patients was higher than in the general population, and similar to that of psoriasis patients. The measurements obtained using the TAS-20 and the TSIA were highly correlated. However, they also showed some diversities in the scales, indicating that they may measure different domains.

show abstract

“…This is particularly relevant to parents with alexithymic traits, who may experience difficulties in emotional regulation. Indeed, subjects with high levels of alexithymia tend to report lower levels of self-efficacy (Chung et al, 2013;Larsen et al, 2022;Lumley et al, 2002). This could be due to the fact that difficulties in regulating emotions lower the individual's sense of being effective in managing the stressors encountered in daily life (Ścigała et al, 2021; 2021).…”

Section: Alexithymia Self-efficacy and Parental Burnoutmentioning

confidence: 99%

Pandemic Era Maternal Alexithymia and Burnout as Mediated by Self-Efficacy and Resilience

Scigala,

Fabris,

Zdankiewicz-Ścigała

et al. 2024

J Child Fam Stud

View full text Add to dashboard Cite

Parenting is considered a complex and stressful activity that is associated with the development of parental burnout, especially in the COVID -19 pandemic where mental health problems have a huge impact on individual lives and the division of family roles due to frequent closures. The aim of this study was to investigate whether various psychological characteristics such as alexithymia, resilience, and self-efficacy particularly influence the extent of parental burnout in mothers. For the study, 110 aged women qualified. Only mothers who had full-time jobs and worked from home were invited to participate in the study. Parental burnout was measured using the Parental Burnout Assessment. Level of alexithymia was measured with the Toronto Alexithymia Scale -20. Overall level of resilience as a personality trait was assessed with the Resilience Measurement Scale SPP -25. Beliefs about efficacy in dealing with difficult situations and obstacles were examined with the Generalized Self-Efficacy Scale. The results show that alexithyms had significantly higher levels of burnout than non-alexithyms on the first and second measures. In addition, a significant increase in burnout levels over time was found in the alexithymic group. Alexithymia was a strong predictor of parental burnout and tends to predict a decrease in perceived self-efficacy, which in turn predicts an increase in parental burnout. Finally, alexithymia predicts increased parental burnout through lower psychological resilience. Parents with high levels of parental burnout feel overwhelmed by the stresses associated with their parenting role and often express doubts about their ability to be competent parents.

show abstract

Relevant associations between alexithymia and health-literacy in persons with psoriasis

Cited by 9 publications

References 59 publications

Alexithymia and Cutaneous Disease Morbidity: A Systematic Review

Alexithymia and Cutaneous Disease Morbidity: A Systematic Review

Multi-Method Approach in the Assessment of Alexithymia in Patients With Scleroderma: Use of Two Different Tools

Pandemic Era Maternal Alexithymia and Burnout as Mediated by Self-Efficacy and Resilience

Contact Info

Product

Resources

About