Psychiatry Research
Volume 176, Issue 1 , Pages 40-44 , 30 March 2010

Adolescent dissociation and alexithymia are distinctive but overlapping phenomena

  • Tommi Tolmunen

      Affiliations

    • Department of Psychiatry, Kuopio University Hospital, P.O. Box 1777, FIN-70211 Kuopio, Finland
    • Corresponding Author InformationCorresponding author. Tel.: +358 40 8277 523; fax: +358 17 175320.
  • ,
  • Kirsi Honkalampi

      Affiliations

    • Department of Psychiatry, Kuopio University Hospital, P.O. Box 1777, FIN-70211 Kuopio, Finland
  • ,
  • Jukka Hintikka

      Affiliations

    • Department of Psychiatry, University of Tampere, Department of Psychiatry, Paijat-Hame Central Hospital, Lahti, Finland
  • ,
  • Marja-Liisa Rissanen

      Affiliations

    • Department of Psychiatry, Kuopio University Hospital, P.O. Box 1777, FIN-70211 Kuopio, Finland
  • ,
  • Päivi Maaranen

      Affiliations

    • Department of Psychiatry, Kuopio University Hospital, P.O. Box 1777, FIN-70211 Kuopio, Finland
  • ,
  • Jari Kylmä

      Affiliations

    • Department of Nursing Science, University of Kuopio, P.O. Box 1627, FIN-70211 Kuopio, Finland
  • ,
  • Eila Laukkanen

      Affiliations

    • Department of Psychiatry, Kuopio University Hospital, P.O. Box 1777, FIN-70211 Kuopio, Finland

Received 8 April 2008 ,Revised 29 August 2008 ,Accepted 24 October 2008.

References 

  1. Achenbach TM. Manual for Youth Self-Report and Profile. Burlington, VT: University of Vermont Department of Psychiatry; 1991;
  2. Achenbach T, Rescorla L. Manual for the ASEBA School-Age Forms & Profiles. Burlington, V.T.: University of Vermont, Research Center for Children, Youth, & Families; 2001;
  3. Altman DG, Bland JM. Quartiles, quintiles, centiles and other quantiles. British Medical Journal. 1994;309:996
  4. American Psychiatric Association . Diagnostic and Statistical Manual of Mental Disorders. 4th edn. Washington, DC: APA; 1994;(DSM-IV)
  5. Armstrong JG, Putnam FW, Carlson EB, Libero DZ, Smith SR. Development and validation of a measure of adolescent dissociation: the adolescent dissociative experiences scale. Journal of Nervous and Mental Disease. 1997;185:481–497
  6. Bagby RM, Parker JDA, Taylor GJ. The twenty-item Toronto Alexithymia Scale-I: item selection and cross-validation of the factor structure. Journal of Psychosomatic Research. 1994;38:23–32
  7. Bagby RM, Taylor GJ, Parker JDA. The twenty-item Toronto Alexithymia Scale-II. Convergent, discriminant, and concurrent validity. Journal of Psychosomatic Research. 1994;38:33–40
  8. Beck AT, Ward CH, Mendelson M, Mock J, Erhaugh J. An inventory for measuring depression. Archives of General Psychiatry. 1961;4:53–63
  9. Berenbaum JT. Correlates and retrospectively reported antecedents of alexithymia. Psychosomatic Medicine. 1994;56:353–359
  10. Berenbaum HJ. Childhood abuse, alexithymia and personality disorder. Psychosomatic Research. 1996;41:585–595
  11. Bermond B. Brain and alexithymia. In:  Vingerhoets A,  Bussel F,  Boelhouwer J editor. The (Non)expression of Emotions in Health and Disease. Tilburg, The Netherlands: Tilburt university press; 1997;
  12. Elzinga BM, Bermond B, van Dyck R. The relationship between dissociative proneness and alexithymia. Psychotherapy and Psychosomatics. 2002;71:104–111
  13. Farrington A, Waller G, Smerden J, Faupel AW. The Adolescent Dissociative Experiences Scale: psychometric properties and difference in scores across age groups. Journal of Nervous and Mental Disease. 2001;189:722–727
  14. Farrington A, Waller G, Neiderman M, Sutton V, Chopping J, Lask B. Dissociation in adolescent girls with anorexia: relationship to comorbid psychopathology. Journal of Nervous and Mental Disease. 2002;190:746–751
  15. Glaros AG, Lumley MA. Alexithymia and pain in temporomandibular disorder. Journal of Psychosomatic Research. 2005;59:85–88
  16. Grabe HJ, Rainermann S, Spitzer C, Gansicke M, Freyberger HJ. The relationship between dimensions of alexithymia and dissociation. Psychotherapy and Psychosomatics. 2000;69:128–131
  17. Hilgard ER. Divided Consciousness: Multiple Controls in Human Thought and Action. John Wiley & Sons; 1977;
  18. Irwin HJ, Melin-Helberg EB. Alexithymia and dissociative tendencies. Journal of Clinical Psychology. 1997;53:159–166
  19. Joukamaa M, Miettunen J, Kokkonen P, Koskinen M, Julkunen J, Kauhanen J, et al. Psychometric properties of the Finnish 20-item Toronto Alexithymia Scale. Nordic Journal of Psychiatry. 2001;5:123–512
  20. Honkalampi, K., Tolmunen, T., Hintikka, J., Rissanen, M.L., Kylmä, J., Laukkanen, E., 2009.The prevalence of alexthymia and its relationship with Youth Self-Report problem scales among Finnish adolescents. Comprehensive Psychiatry 50, 263–268.
  21. Lumley MA, Asselin LA, Norman S. Alexithymia in chronic pain patients. Comprehensive Psychiatry. 1997;3:160–165
  22. Lumley MA, Gustavson BJ, Partridge RT, Labouvie-Vief G. Assessing alexithymia and related emotional ability constructs using multiple methods: interrelationships among measures. Emotion. 2005;3:329–342(Washington, D.C.)
  23. Modestin J, Lotscher K, Erni T. Dissociative experiences and their correlates in young non-patients. Psychotherapy and Psychosomatics. 2002;75:58–64
  24. Muris P, Merckerlbach H, Peeters E. The links between the Adolescent Dissociative Experiences Scale (A-DES), fantasy proneness and anxiety symptoms. Journal of Nervous and Mental Disease. 2003;191:18–24
  25. Nemiah JC. A psychodynamic view of psychosomatic medicine. Psychosomatic Medicine. 2000;62:299–303
  26. Nemiah JC, Freyberger H, Sifneos PE. In:  Hill OW editors. Alexithymia: A View of the Psychosomatic Process. Modern Trends in Psychosomatic Medicine. vol. 3:London: Butterworths; 1976;
  27. Nilsson D, Svedin CG. Dissociation among Swedish adolescents and the connection to trauma. Journal of Nervous and Mental Disease. 2006;194:684–689
  28. Putnam FW. Dissociative disorders in children: behavioural profiles and problems. Child Abuse & Neglect. 1993;17:39–45
  29. Rieffe C, Oosterveld P, Terwogt MM. An alexithymia questionnaire for children: factorial and concurrent validation results. Personality and Individual Differences. 2006;40:123–133
  30. Säkkinen P, Kaltiala-Heino RK, Ranta K, Haataja R, Joukamaa M. Psychometric properties of the 20-item Toronto Alexithymia Scale and prevalence of alexithymia in a Finnish adolescent population. Psychosomatics. 2007;48:154–161
  31. Sayar K, Kose S. The relationship between alexithymia and dissociation in an adolescent sample. Bulletin of Clinical Psychopharmacology. 2003;13:167–173
  32. Sayar K, Kose S, Grabe HJ, Topbas M. Alexithymia and dissociative tendencies in an adolescent sample from Eastern Turkey. Psychiatry and Clinical Neuroscience. 2005;59:127–134
  33. Serrano J, Plaza V, Sureda B, de Pablo J, Picado C, Bardagi S, et al. Title: Alexithymia: a relevant psychological variable in near-fatal asthma. The European Respiratory Journal. 2006;2:296–302
  34. Sifneos PE. The prevalence of alexithymic characteristics in psychosomatic patients. Psychotherapy and Psychosomatics. 1973;22:255–262
  35. Terr LC. Childhood traumas: an outline and overview. American Journal of Psychiatry. 1991;148:10–20
  36. Tolmunen T, Maaranen P, Hintikka J, Kylmä J, Rissanen M-L, Honkalampi K, et al. Dissociation among 4019 Finnish general population adolescents. Journal of Nervous and Mental Disease. 2007;195:614–617
  37. Tutkun H, Savas HA, Zoroglu SS, Esgi K, Herken H, Tiryaki N. Relationship between alexithymia, dissociation and anxiety in psychiatric outpatients from Turkey. The Israel Journal of Psychiatry and Related Science. 2004;41:118–124
  38. Van der Hart O, Friedman B. A reader's guide to Pierre Janet: a neglected intellectual heritage. Dissociation. 1989;2:3–16
  39. Vorst HCM, Bermond B. Validity and reliability of the Bermond–Vorst Alexithymia Questionnaire. Personality and Individual Differences. 2001;30:413–434
  40. Wise TN, Mann LS, Sheridan MJ. Relationship between alexithymia, dissociation and personality in psychiatric outpatients. Psychotherapy and Psychosomatics. 2000;69:123–127
  41. Zlotnick C, Shea T, Pearlstein T, Simpson E, Costello E, Began A. The relationship between dissociative symptoms, alexithymia, impulsivity, sexual abuse and self-mutilation. Comprehensive Psychiatry. 1996;37:12–16
  42. Zoroglu S, Sar V, Tuzun U, Tutkun H, Savas H. Reliability and validity of the Turkish version of the Adolescent Dissociative Experiences Scale. Psychiatry and Clinical Neurosciences. 2002;55:551–556

PII: S0165-1781(08)00399-5

doi: 10.1016/j.psychres.2008.10.029

Psychiatry Research
Volume 176, Issue 1 , Pages 40-44 , 30 March 2010