Alexithymia and Alcohol Dependence: The Roles of Negative Mood and Alcohol Craving

Article


Thorberg, Fred Arne, Young, Ross McD, Hasking, Penelope, Lyvers, Michael, Connor, Jason P., Lond, Edythe D., Huang, Ya-Ling and Feeney, Gerald F. X.. 2019. "Alexithymia and Alcohol Dependence: The Roles of Negative Mood and Alcohol Craving." Substance Use and Misuse. 54 (14), pp. 2380-2386. https://doi.org/10.1080/10826084.2019.1650773
Article Title

Alexithymia and Alcohol Dependence: The Roles of Negative Mood and Alcohol Craving

ERA Journal ID6684
Article CategoryArticle
AuthorsThorberg, Fred Arne, Young, Ross McD, Hasking, Penelope, Lyvers, Michael, Connor, Jason P., Lond, Edythe D., Huang, Ya-Ling and Feeney, Gerald F. X.
Journal TitleSubstance Use and Misuse
Journal Citation54 (14), pp. 2380-2386
Number of Pages7
Year2019
PublisherTaylor & Francis
Place of PublicationUnited States
ISSN1082-6084
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.

KeywordsAlexithymia; negative mood; alcohol craving; alcohol dependence
Contains Sensitive ContentDoes not contain sensitive content
ANZSRC Field of Research 2020520399. Clinical and health psychology not elsewhere classified
420399. Health services and systems not elsewhere classified
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Byline AffiliationsInnlandet 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
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