Alexithymia and Alcohol Dependence: The Roles of Negative Mood and Alcohol Craving
Article
Article Title | Alexithymia and Alcohol Dependence: The Roles of Negative Mood and Alcohol Craving |
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ERA Journal ID | 6684 |
Article Category | Article |
Authors | Thorberg, Fred Arne, Young, Ross McD, Hasking, Penelope, Lyvers, Michael, Connor, Jason P., Lond, Edythe D., Huang, Ya-Ling and Feeney, Gerald F. X. |
Journal Title | Substance Use and Misuse |
Journal Citation | 54 (14), pp. 2380-2386 |
Number of Pages | 7 |
Year | 2019 |
Publisher | Taylor & Francis |
Place of Publication | United States |
ISSN | 1082-6084 |
1532-2491 | |
Digital Object Identifier (DOI) | https://doi.org/10.1080/10826084.2019.1650773 |
Web Address (URL) | https://www.tandfonline.com/doi/pdf/10.1080/10826084.2019.1650773 |
Abstract | Background: Alexithymia is a personality trait associated with emotion regulation difficulties. Up to 67% of alcohol-dependent patients in treatment have alexithymia. Objectives: The objective of this study was to investigate the direct and indirect effects of alexithymia, negative mood (stress, anxiety, and depression) and alcohol craving on alcohol dependence severity. Methods: Three hundred and fifty-five outpatients (mean age = 38.70, SD = 11.00, 244 males, range 18–71 years) undergoing Cognitive-Behavioral Therapy for alcohol dependence completed the Toronto Alexithymia Scale (TAS-20), Depression Anxiety Stress Scales (DASS-21), Obsessive Compulsive Drinking Scale (OCDS), and Alcohol Use Disorders Identification Test (AUDIT) prior to the first treatment session. Results: Alexithymia had an indirect effect on alcohol dependence severity, via both negative mood and alcohol craving (b = 0.03, seb = 0.008, 95% CI: 0.02–0.05). An indirect effect of negative mood on alcohol dependence via alcohol craving was also observed (b = 0.12, seb = 0.03, 95% CI: 0.07–0.16). Conclusions/importance: Alexithymia worked through negative mood and alcohol craving leading to increased alcohol dependence severity, indicating that craving had an indirect effect on the relationship between alexithymia and alcohol dependence severity. Targeting alcohol craving and negative mood for alcohol-dependent patients with alexithymia seems warranted. |
Keywords | Alexithymia; negative mood; alcohol craving; alcohol dependence |
Contains Sensitive Content | Does not contain sensitive content |
ANZSRC Field of Research 2020 | 520399. Clinical and health psychology not elsewhere classified |
420399. Health services and systems not elsewhere classified | |
Public Notes | Files associated with this item cannot be displayed due to copyright restrictions. |
Byline Affiliations | Innlandet Hospital Trust, Norway |
Queensland University of Technology | |
University of California Los Angeles, United States | |
University of Queensland | |
Bond University | |
Curtin University | |
Princess Alexandra Hospital, Australia | |
Gold Coast Hospital and Health Service, Australia |
https://research.usq.edu.au/item/z9v60/alexithymia-and-alcohol-dependence-the-roles-of-negative-mood-and-alcohol-craving
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