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Journal of Rational-Emotive & Cognitive-Behavior Therapy

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Gepubliceerd in:

28-05-2020

How are Experiential Avoidance and Cognitive Fusion Associated with Alexithymia?

Auteurs: Zekiye Celikbas, Sedat Batmaz, Kaasim Fatih Yavuz, Esma Akpinar Aslan, Nurgul Yesilyaprak, Hanife Kocakaya, Meral Oran Demir, Emrah Songur, Mesut Yildiz

Gepubliceerd in: Journal of Rational-Emotive & Cognitive-Behavior Therapy | Uitgave 1/2021

Abstract

A transdiagnostic approach to psychiatric disorders presents an opportunity to evaluate the relationship between alexithymia and the concepts of psychopathology according to the psychological flexibility model. This study aimed to investigate the relationship between alexithymia, cognitive fusion and experiential avoidance. A total of 133 outpatient participants were included in this cross-sectional study. Sociodemographic Data Form, Toronto Alexithymia Scale-20, Acceptance and Action Questionnaire-II, Cognitive Fusion Questionnaire, Hospital Anxiety and Depression Scale, and Ten-Item Personality Inventory were used. The non-alexithymic group consisted of 37 participants while the alexithymic group of 26. The alexithymic group had higher scores in terms of depression, anxiety, experiential avoidance, and cognitive fusion. Difficulty in identifying and differentiating feelings and total alexithymia scores had positive correlations with anxiety, experiential avoidance, and cognitive fusion. In hierarchical regression analysis, the only difficulty in identifying feelings was predicted by both experiential avoidance and cognitive fusion. These results revealed that alexithymia might also be conceptualized adopting the psychological flexibility point of view.

vorige artikel Procrastination, Affective State, Rumination, and Sleep Quality: Investigating Reciprocal Effects with Ambulatory Assessment

volgende artikel Defense Mechanisms, Dissociation, Alexithymia and Childhood Traumas in Chronic Migraine Patients

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (DSM 5). American Psychiatric Pub.

Atak, H. (2013). The Turkish adaptation of the ten-item personality inventory. Archives of Neuropsychiatry, 50(4), 312–319. https://doi.org/10.4274/npa.y6128. CrossRefPubMedPubMedCentral

Aydemir, Ö., Güvenir, T., & Küey, L. (1997). Hastane anksiyete ve depresyon ölçeği: Türkçe formunun geçerlilik ve güvenilirliği. Türk Psikiyatri Dergisi, 8(4), 280–287.

Bagby, M. R., 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. https://doi.org/10.1016/0022-3999(94)90005-1. CrossRefPubMed

Bardeen, J. R., & Fergus, T. A. (2016). The interactive effect of cognitive fusion and experiential avoidance on anxiety, depression, stress and posttraumatic stress symptoms. Journal of Contextual Behavioral Sciences, 5(1), 1–6. CrossRef

Bilotta, E., Giacomantonio, M., Leone, L., Mancini, F., & Coriale, G. (2016). Being alexithymic: Necessity or convenience. Negative emotionality x avoidant coping interactions and alexithymia. Psychology and Psychotherapy, 89(3), 261–275. https://doi.org/10.1111/papt.12079. CrossRefPubMed

Bond, F. W., Hayes, S. C., Baer, R. A., Carpenter, K. M., Guenole, N., Orcutt, H. K., et al. (2011). Preliminary psychometric properties of the acceptance and action questionnaire-II: A revised measure of psychological inflexibility and experiential avoidance. Behaviour Therapy, 42(4), 676–688. https://doi.org/10.1016/j.beth.2011.03.007. CrossRef

Carvalho, S., Dinis, A., Pinto-Gouveia, J., & Estanqueiro, C. (2015). Memories of shame experiences with others and depression symptoms: The mediating role of experiential avoidance. Clinical Psychology and Psychotherapy, 22(1), 32–44. https://doi.org/10.1002/cpp.1862. CrossRefPubMed

Chen, J., Xu, T., Jing, J., & Chan, R. C. (2011). Alexithymia and emotional regulation: A cluster analytical approach. BMC psychiatry, 11(1), 33. CrossRef

Constantinou, E., Panayiotou, G., & Theodorou, M. (2014). Emotion processing deficits in alexithymia and response to a depth of processing intervention. Biological Psychology, 103, 212–222. https://doi.org/10.1016/j.biopsycho.2014.09.011. CrossRefPubMed

Darrow, S. M., & Follette, W. C. (2014). A behavior analytic interpretation of alexithymia. Journal of Contextual Behaviour Science, 3(2), 98–108. https://doi.org/10.1016/j.jcbs.2014.03.002. CrossRef

Davydov, D. M., Luminet, O., & Zech, E. (2013). An externally oriented style of thinking as a moderator of responses to affective films in women. International Journal of Psychophysiology, 87(2), 152–164. CrossRef

Duarte, J., & Pinto-Gouveia, J. (2017). Correlates of psychological inflexibility mediate the relation between alexithymic traits and positive emotions. Journal of Contextual Behavioral Sciences, 6(1), 96–103. CrossRef

Faul, F., Erdfelder, E., Buchner, A., & Lang, A.-G. (2009). Statistical power analyses using G*Power 3.1: Tests for correlation and regression analyses. Behavior Research Methods, 41, 1149–1160. CrossRef

Gillanders, D. T., Bolderston, H., Bond, F. W., Dempster, M., Flaxman, P. E., Campbell, L., et al. (2014). The development and initial validation of the cognitive fusion questionnaire. Behaviour Therapy, 45(1), 83–101. https://doi.org/10.1016/j.beth.2013.09.001. CrossRef

Goerlich, K. S. (2018). The multifaceted nature of alexithymia—A neuroscientific perspective. Frontiers in psychology, 9, 1614. CrossRef

Gosling, S. D., Rentfrow, P. J., & Swann, W. B., Jr. (2003). A very brief measure of the Big-Five personality domains. Journal of Research in Personality, 37(6), 504–528. CrossRef

Grynberg, D., Luminet, O., Corneille, O., Grèzes, J., & Berthoz, S. (2010). Alexithymia in the interpersonal domain: A general deficit of empathy? Personality and Individual Differences, 49(8), 845–850. https://doi.org/10.1016/j.paid.2010.07.013. CrossRef

Gülec, H., Köse, S., Gülec, M. Y., Citak, S., Evren, C., Borckardt, J., et al. (2009). Reliability and Factorial Validity of the Turkish Version of the 20-Item Toronto Alexithymia Scale (TAS-20). Bulletin of Clinical Psychopharmacology, 19(3), 214–220.

Gülec, H., & Yenel, A. (2010). Psychometric properties of the Turkish version 20 item Toronto alexithymia scala: According to cut-off score. Klinik Psikiyatri, 13, 108–112.

Hayes, S. C., Strosahl, K., Wilson, K. G., Bissett, R. T., Pistorello, J., Toarmino, M. A. P., et al. (2004). Measuring experiential avoidance: A preliminary test of a working model. The Psychological Record, 54(4), 553–578. CrossRef

Hayes, S. C., Stroshal, K. D., & Wilson, K. G. (2012). Acceptance and commitment therapy: The process and practice of mindful change (2nd ed.). United States of America: The Guilford Press.

IBM Corp. (2013). IBM SPSS Statistics for Windows, Version 22.0. IBM Corp., Armonk, NY.

Karekla, M., & Panayiotou, G. (2011). Coping and experiential avoidance: Unique or overlapping constructs? Journal of Behavior Therapy and Experimental Psychiatry, 42(2), 163–170. https://doi.org/10.1016/j.jbtep.2010.10.002. CrossRefPubMed

Kashdan, T. B., Barrios, V., Forsyth, J. P., & Steger, M. F. (2006). Experiential avoidance as a generalized psychological vulnerability: Comparisons with coping and emotion regulation strategies. Behaviour Research Therapy, 44(9), 1301–1320. https://doi.org/10.1016/j.brat.2005.10.003. CrossRefPubMed

Kauhanen, J., Julkunen, J., & Salonen, J. T. (1992). Validity and reliability of the Toronto Alexithymia Scale (TAS) in a population study. Journal of Psychosomatic Research, 36(7), 687–694. CrossRef

Leonidou, C., Panayiotou, G., Bati, A., & Karekla, M. (2019). Coping with psychosomatic symptoms: The buffering role of psychological flexibility and impact on quality of life. Journal of Health Psychology, 24(2), 175–187. https://doi.org/10.1177/1359105316666657. CrossRefPubMed

Nowakowski, M. E., McFarlane, T., & Cassin, S. (2013). Alexithymia and eating disorders: A critical review of the literature. Journal of Eating Disorders, 1, 21. https://doi.org/10.1186/2050-2974-1-21. CrossRefPubMedPubMedCentral

Ogrodniczuk, J. S., Piper, W. E., & Joyce, A. S. (2011). Effect of alexithymia on the process and outcome of psychotherapy: A programmatic review. Psychiatry Research, 190(1), 43–48. https://doi.org/10.1016/j.psychres.2010.04.026. CrossRefPubMed

Panayiotou, G., Leonidou, C., Constantinou, E., Hart, J., Rinehart, K. L., Sy, J. T., et al. (2015). Do alexithymic individuals avoid their feelings? Experiential avoidance mediates the association between alexithymia, psychosomatic, and depressive symptoms in a community and a clinical sample. Comprehensive Psychiatry, 56, 206–216. https://doi.org/10.1016/j.comppsych.2014.09.006. CrossRefPubMed

Porcelli, P., Bagby, R. M., Taylor, G. J., De Carne, M., Leandro, G., & Todarello, O. (2003). Alexithymia as predictor of treatment outcome in patients with functional gastrointestinal disorders. Psychosomatic Medicine, 65(5), 911–918. CrossRef

Roh, D., Kim, W. J., & Kim, C. H. (2011). Alexithymia in obsessive-compulsive disorder: Clinical correlates and symptom dimensions. The Journal of Nervous and Mental Disease, 199(9), 690–695. https://doi.org/10.1097/NMD.0b013e318229d209. CrossRefPubMed

Sakarya, D., Duymaz, S. G., Erayman, K. A., & Ozdel, K. (in press). Psychometric properties of the Turkish version of the Cognitive Fusion Questionnaire (CFQ). https://contextualscience.org/cognitive_fusion_questionnaire_turkish_translation.

Taylor, G. J. (2000). Recent developments in alexithymia theory and research. The Canadian Journal of Psychiatry, 45(2), 134–142. https://doi.org/10.1177/070674370004500203. CrossRefPubMed

Thompson, B. L., & Waltz, J. (2010). Mindfulness and experiential avoidance as predictors of posttraumatic stress disorder avoidance symptom severity. Journal of Anxiety Disorders, 24(4), 409–415. https://doi.org/10.1016/j.janxdis.2010.02.005. CrossRefPubMed

Venta, A., Hart, J., & Sharp, C. (2013). The relation between experiential avoidance, alexithymia and emotion regulation in inpatient adolescents. Clinical Child Psychology and Psychiatry, 18(3), 398–410. https://doi.org/10.1177/1359104512455815. CrossRefPubMed

Yavuz, F., Ulusoy, S., Iskin, M., Esen, F. B., Burhan, H. S., Karadere, M. E., et al. (2016). Turkish version of acceptance and action questionnaire-II (AAQ-II): A reliability and validity analysis in clinical and non-clinical samples. Bulletin of Clinical Psychopharmacology, 26(4), 397–408. CrossRef

Younesi, S., Asl, M. A., Khazan, K., & Kazemi, J. (2016). The effectiveness of education acceptance-commitment theory (ACT) to reducing alexithymia of divorcing women. Quarterly Journal of Social Work, 5(3), 5–13.

Zakiei, A., Ghasemi, S. R., Gilan, N. R., Reshadat, S., Sharifi, K., & Mohammadi, O. (2017). Mediator role of experiential avoidance in relationship of perceived stress and alexithymia with mental health. Eastern Mediterranean Health Journal, 23(5), 335–341. CrossRef

Zhang, C. Q., Leeming, E., Smith, P., Chung, P. K., Hagger, M. S., & Hayes, S. C. (2017). Acceptance and commitment therapy for health behavior change: A contextually-driven approach. Frontiers in Psychology, 8, 2350. https://doi.org/10.3389/fpsyg.2017.02350. CrossRefPubMed

Zigmond, A. S., & Snaith, R. P. (1983). The hospital anxiety and depression scale. Acta Psychiatrica Scandinavica, 67(6), 361–370. CrossRef

Titel: How are Experiential Avoidance and Cognitive Fusion Associated with Alexithymia?
Auteurs: Zekiye Celikbas
Sedat Batmaz
Kaasim Fatih Yavuz
Esma Akpinar Aslan
Nurgul Yesilyaprak
Hanife Kocakaya
Meral Oran Demir
Emrah Songur
Mesut Yildiz
Publicatiedatum: 28-05-2020
Uitgeverij: Springer US
Gepubliceerd in: Journal of Rational-Emotive & Cognitive-Behavior Therapy / Uitgave 1/2021
Print ISSN: 0894-9085
Elektronisch ISSN: 1573-6563
DOI: https://doi.org/10.1007/s10942-020-00359-y

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