Alexithymia in alcohol-dependent patients is mediated by stress, anxiety and loss of self-control over drinking

Fred Thorberg, Ross M Young, Michael F. Lyvers, Jason Connor, Reidar Tyssen, Edythe D. London, Gerald F X Feeney

Research output: Contribution to journalMeeting AbstractResearchpeer-review

Abstract

Aims: Up to 67% of alcohol-dependent patients in treatment have alexithymia, a personality trait associated with emotion regulation difficulties. A single study reported that alcohol expectancies related to affective change and social enhancement partially mediated the relationship of alexithymia and alcohol dependence. However, no research has explored the potential explanatory power of other key factors such as stress, anxiety and obsessive thoughts about alcohol use and compulsive behaviors associated with alcohol dependence as mechanisms to elucidate the role of alcohol in alcohol-dependent patients with alexithymia. By integrating frontal lobe theory, the stress-alexithymia hypothesis and the hyperarousal model, the objective of the present study, was to examine the extent to which these factors mediate the relationship of alexithymia and alcohol dependence.

Methods: 354 outpatients in Cognitive-Behavioral Therapy for alcohol dependence were recruited. Participants were detoxified prior to assessment, and completed the Toronto Alexithymia Scale (TAS-20), Depression Anxiety Stress Scales (DASS), Obsessive Compulsive Drinking Scale (OCDS) and Alcohol Use Disorder Identification Test (AUDIT).

Results: Path analyses showed that DASS-Stress, DASS-Anxiety and total OCDS-scores fully mediated the relationship of alexithymia with alcohol dependence.

Conclusions: Taken together this research highlights the importance of future interventions that address stress, anxiety and a loss of control over drinking when tailoring treatment for alcohol-dependent patients with alexithymia.

Financial support: Innlandet Hosp Trust.
Original languageEnglish
Pages (from-to)e201-e202
Number of pages1
JournalDrug and Alcohol Dependence
Volume171
DOIs
Publication statusPublished - 1 Feb 2017

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Affective Symptoms
Drinking
Anxiety
Alcohols
Alcoholism
Depression
Compulsive Behavior
Financial Support
Self-Control
Cognitive Therapy
Frontal Lobe
Research
Alcohol Drinking
Personality
Emotions
Outpatients
Therapeutics

Cite this

Thorberg, Fred ; Young, Ross M ; Lyvers, Michael F. ; Connor, Jason ; Tyssen, Reidar ; London, Edythe D. ; Feeney, Gerald F X. / Alexithymia in alcohol-dependent patients is mediated by stress, anxiety and loss of self-control over drinking. In: Drug and Alcohol Dependence. 2017 ; Vol. 171. pp. e201-e202.
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abstract = "Aims: Up to 67{\%} of alcohol-dependent patients in treatment have alexithymia, a personality trait associated with emotion regulation difficulties. A single study reported that alcohol expectancies related to affective change and social enhancement partially mediated the relationship of alexithymia and alcohol dependence. However, no research has explored the potential explanatory power of other key factors such as stress, anxiety and obsessive thoughts about alcohol use and compulsive behaviors associated with alcohol dependence as mechanisms to elucidate the role of alcohol in alcohol-dependent patients with alexithymia. By integrating frontal lobe theory, the stress-alexithymia hypothesis and the hyperarousal model, the objective of the present study, was to examine the extent to which these factors mediate the relationship of alexithymia and alcohol dependence.Methods: 354 outpatients in Cognitive-Behavioral Therapy for alcohol dependence were recruited. Participants were detoxified prior to assessment, and completed the Toronto Alexithymia Scale (TAS-20), Depression Anxiety Stress Scales (DASS), Obsessive Compulsive Drinking Scale (OCDS) and Alcohol Use Disorder Identification Test (AUDIT).Results: Path analyses showed that DASS-Stress, DASS-Anxiety and total OCDS-scores fully mediated the relationship of alexithymia with alcohol dependence.Conclusions: Taken together this research highlights the importance of future interventions that address stress, anxiety and a loss of control over drinking when tailoring treatment for alcohol-dependent patients with alexithymia.Financial support: Innlandet Hosp Trust.",
author = "Fred Thorberg and Young, {Ross M} and Lyvers, {Michael F.} and Jason Connor and Reidar Tyssen and London, {Edythe D.} and Feeney, {Gerald F X}",
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Alexithymia in alcohol-dependent patients is mediated by stress, anxiety and loss of self-control over drinking. / Thorberg, Fred; Young, Ross M; Lyvers, Michael F.; Connor, Jason ; Tyssen, Reidar; London, Edythe D.; Feeney, Gerald F X.

In: Drug and Alcohol Dependence, Vol. 171, 01.02.2017, p. e201-e202.

Research output: Contribution to journalMeeting AbstractResearchpeer-review

TY - JOUR

T1 - Alexithymia in alcohol-dependent patients is mediated by stress, anxiety and loss of self-control over drinking

AU - Thorberg, Fred

AU - Young, Ross M

AU - Lyvers, Michael F.

AU - Connor, Jason

AU - Tyssen, Reidar

AU - London, Edythe D.

AU - Feeney, Gerald F X

PY - 2017/2/1

Y1 - 2017/2/1

N2 - Aims: Up to 67% of alcohol-dependent patients in treatment have alexithymia, a personality trait associated with emotion regulation difficulties. A single study reported that alcohol expectancies related to affective change and social enhancement partially mediated the relationship of alexithymia and alcohol dependence. However, no research has explored the potential explanatory power of other key factors such as stress, anxiety and obsessive thoughts about alcohol use and compulsive behaviors associated with alcohol dependence as mechanisms to elucidate the role of alcohol in alcohol-dependent patients with alexithymia. By integrating frontal lobe theory, the stress-alexithymia hypothesis and the hyperarousal model, the objective of the present study, was to examine the extent to which these factors mediate the relationship of alexithymia and alcohol dependence.Methods: 354 outpatients in Cognitive-Behavioral Therapy for alcohol dependence were recruited. Participants were detoxified prior to assessment, and completed the Toronto Alexithymia Scale (TAS-20), Depression Anxiety Stress Scales (DASS), Obsessive Compulsive Drinking Scale (OCDS) and Alcohol Use Disorder Identification Test (AUDIT).Results: Path analyses showed that DASS-Stress, DASS-Anxiety and total OCDS-scores fully mediated the relationship of alexithymia with alcohol dependence.Conclusions: Taken together this research highlights the importance of future interventions that address stress, anxiety and a loss of control over drinking when tailoring treatment for alcohol-dependent patients with alexithymia.Financial support: Innlandet Hosp Trust.

AB - Aims: Up to 67% of alcohol-dependent patients in treatment have alexithymia, a personality trait associated with emotion regulation difficulties. A single study reported that alcohol expectancies related to affective change and social enhancement partially mediated the relationship of alexithymia and alcohol dependence. However, no research has explored the potential explanatory power of other key factors such as stress, anxiety and obsessive thoughts about alcohol use and compulsive behaviors associated with alcohol dependence as mechanisms to elucidate the role of alcohol in alcohol-dependent patients with alexithymia. By integrating frontal lobe theory, the stress-alexithymia hypothesis and the hyperarousal model, the objective of the present study, was to examine the extent to which these factors mediate the relationship of alexithymia and alcohol dependence.Methods: 354 outpatients in Cognitive-Behavioral Therapy for alcohol dependence were recruited. Participants were detoxified prior to assessment, and completed the Toronto Alexithymia Scale (TAS-20), Depression Anxiety Stress Scales (DASS), Obsessive Compulsive Drinking Scale (OCDS) and Alcohol Use Disorder Identification Test (AUDIT).Results: Path analyses showed that DASS-Stress, DASS-Anxiety and total OCDS-scores fully mediated the relationship of alexithymia with alcohol dependence.Conclusions: Taken together this research highlights the importance of future interventions that address stress, anxiety and a loss of control over drinking when tailoring treatment for alcohol-dependent patients with alexithymia.Financial support: Innlandet Hosp Trust.

U2 - 10.1016/j.drugalcdep.2016.08.551

DO - 10.1016/j.drugalcdep.2016.08.551

M3 - Meeting Abstract

VL - 171

SP - e201-e202

JO - Drug and Alcohol Dependence

JF - Drug and Alcohol Dependence

SN - 0376-8716

ER -