ArticleFrontiers in psychology2019
Attachment Style, Early Childhood Trauma, Alexithymia, and Dissociation Among Persons Addicted to Alcohol: Structural Equation Model of Dependencies.
Article in Frontiers in psychology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 4 of them syntheses that pooled it.
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Who cites it
18 citing papers in PubMed, 4 syntheses or guidelines pooled it, 40 citations in OpenAlex.
- Therapeutic effects of eye movement desensitization and reprocessing for substance use disorders: a meta-analysis of addiction-related and emotional symptoms.Frontiers in psychiatry · 2025Pooled it
- Alexithymia as a mediator between adverse childhood events and the development of psychopathology: a meta-analysis.Frontiers in psychiatry · 2024Pooled it
- The relationship between childhood interpersonal and non-interpersonal trauma and autobiographical memory: a systematic review.Frontiers in psychology · 2024Pooled it
- Association between alexithymia and substance use: A systematic review and meta-analysis.Scandinavian journal of psychology · 2022Pooled it
- Associations Between Facets of Pathological Personality Traits and Alexithymia: The Roles of Detachment and Negative Affect.Scandinavian journal of psychology · 2026Article
- Relationship between childhood adversity and premenstrual syndrome: mediating role of alexithymia and psychological distress in medical students.BMC women's health · 2026Article
- Exploring the relationship between childhood trauma and internet addiction among nursing students: a latent profile and mediation analysis.Frontiers in psychiatry · 2026Article
- The relationship between childhood trauma, early maladaptive schema and alexithymia: a multi-group path model of clinical and non-clinical samples.Frontiers in psychology · 2026Article
- The mediating effect of alexithymia between childhood trauma and negative symptoms in chronic schizophrenia.European archives of psychiatry and clinical neuroscience · 2025Article
- Trauma, early life stress, and mindfulness in adulthood.BMC psychology · 2024Review
- Alexithymia in the Narratization of Romantic Relationships: The Mediating Role of Fear of Intimacy.Journal of clinical medicine · 2024Article
- Adverse Childhood Experiences: Relationship with Empathy and Alexithymia.Journal of child & adolescent trauma · 2023Article
- Problematic Gambling Behavior in a Sample with Substance Use Disorder: The Role of Attachment Style and Alexithymia.Journal of gambling studies · 2023Article
- Latent classes of eating disorders and addictions by sex: Implication of alexithymia and stressful life events in youths.Frontiers in psychology · 2023Article
- Alexithymia mediates the association between childhood trauma and adolescent E-cigarette use.Drug and alcohol dependence · 2022Article
- The Interplay Between Problematic Online Pornography Use, Psychological Stress, Emotion Dysregulation and Insomnia Symptoms During the COVID-19 Pandemic: A Mediation Analysis.Nature and science of sleep · 2022Article
- Alexithymia and Insecure Attachment among Male Intimate Partner Violence Aggressors in the Dominican Republic.Healthcare (Basel, Switzerland) · 2021Article
- Decreased Immune Response in Alexithymic Women: A One-Year Longitudinal Study.Frontiers in psychiatry · 2021Article
Corrections and comments
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Authors and funding
2 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
aimAttachment theory is a broadly used paradigm for understanding human affective development. It is recognized that alexithymia is a key factor responsible for the non-adaptive strategies of regulating emotions in people addicted to alcohol. In addition, an important role is attributed to early childhood trauma and dissociation. The theoretical model was examined, in which connections between attachment styles, trauma, and alexithymia and dissociation were investigated in persons addicted to alcohol.
methodsThe total number of study participants amounted to 268 persons, including 116 women (43% of all subjects) and 152 men (57% of all subjects) at the age of 18-73 (
resultsA comparative analysis between the group of alcohol addicts and non-addicts showed statistically significant differences related to attachment style, intensity of trauma, alexithymia, and dissociation. With structural equation models (i.e., AMOS and GLS), the adjustment of theoretical model to data was examined, which allowed the description of dependency paths. As a result of the conducted analysis of paths, it was found out that the model was accurately fitted to data, but only when an impact path related to a direct connection between an attachment style and an addiction was deleted. This impact is indirect, and from one side, it results from affective and cognitive deficits, i.e., alexithymia, and on the other side, from the intensity of traumatic experiences. No direct impact of dissociation on the development of an inclination to addiction was found, if contextual variables, i.e., alexithymia and trauma, are taken into account. The strongest direct relation was proven in the case of the anxious-ambivalent attachment style and alexithymia (β = 0.389;
conclusionOur studies revealed how important it is to investigate the role of individual variables in the context of developmental models. An extremely important element of the scientific achievement presented here is showing pillars of trauma, alexithymia, and dissociation in their cumulative impact on the development of emotional disorders resulting in addiction.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.