Tags

Type your tag names separated by a space and hit enter

The role of alexithymia in quality of life and health care use in asthma.
J Asthma. 2010 Sep; 47(7):797-804.JA

Abstract

BACKGROUND

Alexithymia is a personality trait characterized by difficulties in perceiving and expressing emotions. The relationship between alexithymia and health outcomes in asthma has been shown in a scarce number of studies, in which alexithymia has been considered as an homogeneous construct and the confounding potential effect of anxiety and depression has not been controlled for.

OBJECTIVES

To determine the relationship between each of the three dimensions of alexithymia as assessed with the Twenty-Item Toronto Alexithymia Scale--Difficulty Identifying Feelings, Difficulty Describing Feelings, and Externally Oriented Thinking--and health-related quality of life and utilization of health care services, controlling anxiety and depression.

METHODS

Patients with moderate to severe asthma between 18 and 65 years old filled in the Twenty-Item Toronto Alexithymia Scale, the Short-Form 36 Health Survey, the St. George's Respiratory Questionnaire, the Trait Anxiety Inventory, and the Cognitive Depression Index. Sociodemographic and clinical data were collected and the frequency of emergency room visits and hospitalizations due to asthma during the following 24 months was recorded. Data were analyzed using the ?2 test, the Mann-Whitney U test, Spearman correlations and multiple linear regression analyses.

RESULTS

A total of 76 patients took part in the study (42.67 ± 15.33 years; 59.2% female; 81.6% severe asthma). Data on emergency room visits during the 24-month follow-up were collected for 42 patients; 13 of them (30.95%) with at least one emergency room visit during the follow-up. After controlling for sociodemographic variables, clinical variables, anxiety, and depression, the Difficulty Describing Feelings factor was related to dimensions of the Short-Form 36 Health Survey: Physical Functioning (p = .021), Role-Physical (p = 0.025), and the Physical Component Score (p = .012). The Difficulty Identifying Feelings factor was associated with a higher frequency of emergency room visits (p = .005). The Externally Oriented Thinking factor was not related to any of the dependent measures.

CONCLUSIONS

Two dimensions of alexithymia, Difficulty Identifying Feelings and Difficulty Describing Feelings, are complicating factors in the management of asthma, but they operate via different mechanisms and over different outcomes and the effects of alexithymia remain even while controlling for the confounding effect of anxiety and depression.

Authors+Show Affiliations

Facultad de Psicología, Psicología Clínica y Psicobiología, Campus Universitario Sur, Santiago de Compostela, Spain. mariaisabel.vazquez@usc.esNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

20528585

Citation

Vazquez, Isabel, et al. "The Role of Alexithymia in Quality of Life and Health Care Use in Asthma." The Journal of Asthma : Official Journal of the Association for the Care of Asthma, vol. 47, no. 7, 2010, pp. 797-804.
Vazquez I, Sández E, González-Freire B, et al. The role of alexithymia in quality of life and health care use in asthma. J Asthma. 2010;47(7):797-804.
Vazquez, I., Sández, E., González-Freire, B., Romero-Frais, E., Blanco-Aparicio, M., & Verea-Hernando, H. (2010). The role of alexithymia in quality of life and health care use in asthma. The Journal of Asthma : Official Journal of the Association for the Care of Asthma, 47(7), 797-804. https://doi.org/10.3109/02770900903560217
Vazquez I, et al. The Role of Alexithymia in Quality of Life and Health Care Use in Asthma. J Asthma. 2010;47(7):797-804. PubMed PMID: 20528585.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The role of alexithymia in quality of life and health care use in asthma. AU - Vazquez,Isabel, AU - Sández,Eva, AU - González-Freire,Beatriz, AU - Romero-Frais,Esther, AU - Blanco-Aparicio,Marina, AU - Verea-Hernando,Héctor, PY - 2010/6/10/entrez PY - 2010/6/10/pubmed PY - 2010/10/5/medline SP - 797 EP - 804 JF - The Journal of asthma : official journal of the Association for the Care of Asthma JO - J Asthma VL - 47 IS - 7 N2 - BACKGROUND: Alexithymia is a personality trait characterized by difficulties in perceiving and expressing emotions. The relationship between alexithymia and health outcomes in asthma has been shown in a scarce number of studies, in which alexithymia has been considered as an homogeneous construct and the confounding potential effect of anxiety and depression has not been controlled for. OBJECTIVES: To determine the relationship between each of the three dimensions of alexithymia as assessed with the Twenty-Item Toronto Alexithymia Scale--Difficulty Identifying Feelings, Difficulty Describing Feelings, and Externally Oriented Thinking--and health-related quality of life and utilization of health care services, controlling anxiety and depression. METHODS: Patients with moderate to severe asthma between 18 and 65 years old filled in the Twenty-Item Toronto Alexithymia Scale, the Short-Form 36 Health Survey, the St. George's Respiratory Questionnaire, the Trait Anxiety Inventory, and the Cognitive Depression Index. Sociodemographic and clinical data were collected and the frequency of emergency room visits and hospitalizations due to asthma during the following 24 months was recorded. Data were analyzed using the ?2 test, the Mann-Whitney U test, Spearman correlations and multiple linear regression analyses. RESULTS: A total of 76 patients took part in the study (42.67 ± 15.33 years; 59.2% female; 81.6% severe asthma). Data on emergency room visits during the 24-month follow-up were collected for 42 patients; 13 of them (30.95%) with at least one emergency room visit during the follow-up. After controlling for sociodemographic variables, clinical variables, anxiety, and depression, the Difficulty Describing Feelings factor was related to dimensions of the Short-Form 36 Health Survey: Physical Functioning (p = .021), Role-Physical (p = 0.025), and the Physical Component Score (p = .012). The Difficulty Identifying Feelings factor was associated with a higher frequency of emergency room visits (p = .005). The Externally Oriented Thinking factor was not related to any of the dependent measures. CONCLUSIONS: Two dimensions of alexithymia, Difficulty Identifying Feelings and Difficulty Describing Feelings, are complicating factors in the management of asthma, but they operate via different mechanisms and over different outcomes and the effects of alexithymia remain even while controlling for the confounding effect of anxiety and depression. SN - 1532-4303 UR - https://www.unboundmedicine.com/medline/citation/20528585/The_role_of_alexithymia_in_quality_of_life_and_health_care_use_in_asthma_ L2 - http://www.tandfonline.com/doi/full/10.3109/02770900903560217 DB - PRIME DP - Unbound Medicine ER -