Alexithymia and drug abuse in men and women in treatment
Main Article Content
Abstract
Introduction: alexithymia is a personality trait characterized by a difficulty to identify and express emotions –with higher prevalence in men than in women– that is present in half of the drug users.
Objective: to compare the presence of alexithymia in men and women looking for drug abuse treatment.
Method: cross-sectional comparative study by sex and drug used.
Results: half of the 264 participants have alexithymic personality traits, four times more than general population. There were observed differences by sex, but only in the difficulty to identify emotions (higher in men). It also highlights that there are differences in the level of alexithymia by types of drug.
Discussion: according with the background on the subject, a high proportion of alexithymia is observed among participating, which is important if it is considered that patients with this trait have a particular difficulty to respond to cognitive behavioral treatments, which are approaches widely used in the treatment of drug addiction. It also highlights the little difference in alexithymia among men and women drug abusers, compared to the general population in which this trait is clearly higher among men. This highlights the need to develop strategies to help improve the introspective and affective communication capacity of these patients.
Article Details

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Authors retain copyright of their articles. Works published in RIIAD are distributed under the Creative Commons Attribution-NonCommercial 4.0 International (CC BY-NC 4.0) licence.
References
Aguilar de Arcos, F., Verdejo-García, A., Peralta-Ramírez, M. I., Sánchez-Barrera, M., & Pérez-García, M. (2005). Experience of emotions in substance abusers exposed to images containing neutral, positive, and negative affective stimuli. Drug and Alcohol Dependence, 78(2), 159-167.
Alonso-Fernández, F. (2011). La alexitimia y su trascendencia clínica y social. Salud Mental, 34(6), 481-490.
Bagby, R. M., Parker, J. D. A., & Taylor, G. J. (1994). The twenty-item Toronto alexithymia scale-I. Item selection and cross-validation of the factor structure. Journal of Psychosomatic Research,38(1), 23-32.
Blanchard, E. B., Arena. J. G., & Pallmeyer, T. P. (1981). Psychometric properties of a scale to measure alexithymia. Psychotherapy and Psychosomatics, 35(1), 64-71.
Bonnet, A., Brèjard, V., & Pedinielli, J. L. (2013). Emotional dispositions and substance use: Mediating effect of alexithymia. Psychological Reports, 112(1), 289-302.
Campanella, S., Falbo, L., Rossignol, M., Grynberg, D., Balconi, M., Verbanck, P., ... Maurage, P. (2012). Sex differences on emotional processing are modulated by subclinical levels of alexithymia and depression: A preliminary assessment using event-related potentials. Psychiatry Research, 197(1), 145-153.
Carroll, K. M. (1999). Manual I. Tratamiento de la adicción a la cocaína: Un enfoque cognitivo-conductual. Estados Unidos: National Institute on Drug Abuse.
Casado, D. C. (2012). Gestión emocional como factor de protección frente al consumo de drogas en el ámbito laboral. Aprende RH: La revista de los recursos humanos y del e-learning, (36), 90-94.
Casullo, M. M., Castro, A., & D’Anna, A. (2000). Alexitimia y características de personalidad de jóvenes adictos. En D. Páez & M. M. Casullo (Eds.), Cultura y alexitimia (pp. 181-192). Buenos Aires: Paidós.
Cerezo, P., García-Moja, C., Gándara, J. J., & Hernández, H. (1988). Aspectos teóricos, clínicos y evaluación de la alexitimia. Psiquis, 9(6-7), 19-29.
Coriale, G., Bilotta, E., Leone, L., Cosimi, F., Porrari, R., De Rosa, F., Ceccanti, M. (2012). Avoidance coping strategies, alexithymia and alcohol abuse: A mediation analysis. Addictive Behaviors, 37(11), 1224-1229.
Corona Figueroa, B. A. (2009) Evaluación psicométrica de medidas de identificación y expresión de emociones en usuarios de cocaína atendidos en los Centros de Integración Juvenil de la zona metropolitana de Guadalajara. (Tesis de maestría no publicada). Universidad de Guadalajara, México.
De Haan, H. A., Joosten, E. A., De Haan, L., Schellekens, A. F., Buitelaar, J. K., van der Palen, J., ... De Jong, C. A. (2013). A family history of alcoholism relates to alexithymia in substance use disorder patients. Comprehensive Psychiatry, 54(7), 911-917.
Evren, C., Evren, B., Dalbudak, E., Ozcelik, B., & Oncu, F. (2009). Childhood abuse and neglect as a risk factor for alexithymia in adult male substance dependent inpatients. Journal of Psychoactive Drugs, 41(1), 85-92.
Fernández-Serrano, M. J., Lozano Rojas, O., Pérez-García, M., Verdejo- García, A. (2010). Impact of severity of drug use on discrete emotions recognition in polysubstance abusers. Drug and Alcohol Dependence, 109, 57-64.
Gabriel, B., Untas, A., Lavner, J. A., Koleck, M., & Luminet, O. (2016). Gender typical patterns and the link between alexithymia, dyadic coping and psychological symptoms. Personality and Individual Differences, 96, 266-271.
Ghalehban, M., & Besharat, M. A. (2011). Examination and comparison of alexithymia and self-regulation in patients with substance abuse disorder and normal individuals. Procedia Social and Behavioral Sciences, 30, 38-42.
Günther, V., Matthes, A., Kersting, A., Egloff, B., & Suslow, T. (2016). Alexithymia and the implicit self-concept of extraversion in women. Personality and Individual Differences, 88, 21-25.
Hahn, A. M., Simons, R. M., & Simons, J. S. (2016). Childhood maltreatment and sexual risk taking: The mediating role of alexithymia. Archives of Sexual Behavior, 45(1), 53-62.
Hamidi, S., Rostami, R., Farhoodi, F., & Abdolmanafi, A. (2010). A study and comparison of Alexithymia among patients with substance use disorder and normal people. Procedia Social and Behavioral Sciences, 5, 1367-1370.
Levant, R. F., Hall, R. J., Williams, C. M., & Hasan, N. T. (2009). Gender differences in alexithymia. Psychology of Men & Masculinity, 10(3), 190.
Lindsay, J., & Ciarrochi, J. (2009). Substance abusers report being more alexithymic than others but do not show emotional processing deficits on a performance measure of alexithymia. Addiction Research & Theory, 17(3), 315-321.
Luminet, O., de Sousa Uva, M. C., Fantini, C., & de Timary, P. (2016). The association between depression and craving in alcohol dependency is moderated by gender and by alexithymia factors. Psychiatry Research, 239, 28-38.
Lyvers, M., Hasking, P., Albrecht, B., & Thorberg, F. A. (2012). Alexithymia and alcohol:The roles of punishment sensitivity and drinking motives. Addiction Research & Theory, 20(4), 348-357.
Moral de la Rubia, J. (2008). Propiedades psicométricas de la escala de Alexitimia de Toronto de 20 reactivos en México. Revista Electrónica de Psicología Iztacala, 11(2). Recuperado de: http://campus.iztacala.unam.mx/carreras/psicologia/psiclin/ vol11num2/art5-vol11-No2.pdf
Moral de la Rubia, J. (2009). Alexitimia y rasgos de alcoholismo, una relación mediada por la depresión. Medicina Universitaria, 11(43), 99-108.
Morie, K. P., Yip, S. W., Nich, C., Hunkele, K., Carroll, K. M., & Potenza, M. N. (2016). Alexithymia and addiction: A review and preliminary data suggesting neurobiological links to reward/loss processing. Current Addiction Reports, 3(2), 239-248.
Nemiah, J. C., Freyberger, H., & Sifneos, P. E. (1976). Alexithymia: A view of the psychosomatic process. Modern trends in psychosomatic medicine, 3, 430-439.
Páez, D., & Casullo, M. M. (2000). Presentación de las propiedades psicométricas de la Escala de Alexitimia de Toronto (TAS-20) en comunidades de habla hispana y otros países. En D. Páez, & M. M. Casullo (Eds.), Cultura y alexitimia (pp. 199-203). Buenos Aires:Paidós.
Páez, D., & Velasco, C. (1993). Alexitimia: una revisión de los conceptos, de los instrumentos y una comparación con la represión. En D. Páez (Ed.), Salud, expresión y represión social de las emociones. Valencia: Promolibro.
Páez, D., Martínez-Sánchez, F., Velasco, C., Mayordomo, S., Fernández, I., & Blanco, A. (1999). Validez psicométrica de la Escalade Alexitimia de Toronto (TAS-20): Un estudio transcultural. Boletín de Psicología, 63, 55-76.
Pérez-Rincón, H., Cortés, J., Ortíz, S., Peña, J., Ruiz, J., & Díaz-Martínez, A. (1997). Validación y estandarización de la versión española de la Escala Modificada de Alexitimia de Toronto. Salud mental, 20(3), 30-34.
Rodrigo, G., & Lusiardo, M. (1992). Factor structure of a Spanish version of the Toronto Alexithymia Scale. Psychotherapy and psychosomatics, 58(3-4), 197-201.
Sifneos, P. E. (1973). The prevalence of alexithymic characteristics in psychosomatic patients. Psychotherapy and Psychosomatics, 22, 255-262.
Sivak, R., & Wiater, A. (1997). Alexitimia, la dificultad para verbalizar afectos. Teoría y clínica. Buenos Aires: Paidós.
Spalletta, G., Troisi, A., & Pasini, A. (1995). Alextthymia in male cannabis users: The role of comorbid depressive disorders. Depression, 3(5), 246-249.
Swiller, H. I. (1988). Alexithymia: Treatment utilizing combined individual and group psychotherapy. International Journal of Group Psychotherapy, 38(1), 47-61.
Taylor, G. J., Bagby, R. M., & Parker J. D. A. (1992). The revised Toronto Scale: Some reliability, validity and normative data. Psychotherapy and Psychosomatics, 57(1-2), 34-41.
Taylor, G. J., Bagby, R., & Parker, J. D. (2003). The 20-Item Toronto Alexithymia Scale: IV. Reliability and factorial validity in different languages and cultures. Journal of psychosomatic research, 55(3), 277-283.
Taylor, G. J., Bagby, R.M. & Parker, J. D. A. (1997). Disorders of affect regulation: Alexithymia in medical and psychiatric illness. Cambridge, MA: Cambridge University Press.
Taylor, G. J., Parker, J. D., & Bagby, R. M. (1990). A preliminary investigation of alexithymia in men with psychoactive substance dependence. The American Journal of Psychiatry, 147(9), 1228.
Taylor, G. J., Ryan, D. P., & Bagby, R. M. (1985). Toward the development of a new self-report alexithymia scale. Psychotherapy and Psychosomatics, 44, 191-199.
Thorberg, F. A., Young, R. M., Sullivan, K. A., Lyvers, M., Hurst, C. P., Connor, J. P., ... Feeney, G. F. (2016). A longitudinal mediational study on the stability of alexithymia among alcohol-dependent outpatients in cognitive–behavioral therapy. Psychology of Addictive Behaviors, 30(1), 64.
Yaben, S. Y., & Montalvo, J. F. (1994). Alexitimia: Concepto, evaluación y tratamiento. Psicothema, 6(3), 357-366.