ArticleEuropean journal of public health2023
Externally oriented thinking style increases primary health care use in adolescence.
Article in European journal of public health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed.
- The Bridge Between Childhood Trauma and Alexithymia Among Adolescents with Depressive and Bipolar Disorders: A Network Bridge Analysis.Child psychiatry and human development · 2026Article
- Alexithymia and clinical communication competence in nursing interns in China with the mediating role of self-efficacy.Scientific reports · 2026Article
- Validation of a French version of the DERS-SF and creation of a super short form (DERS-F SSF) for measuring emotion regulation difficulties.Scientific reports · 2025Article
- Mediating role of alexithymia in relationship between cyberbullying and psychotic experiences in adolescents.BMC psychology · 2024Article
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Authors and funding
6 authors.
Funding
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Abstract
backgroundAlexithymia has been related to adult health care use. We investigated the association between alexithymia and the utilization of primary health care services by adolescents and young adults.
methodsThe participants (n = 751, aged 13-18 years) in this 5-year follow-up study were assessed with the 20-item Toronto Alexithymia Scale (TAS-20) and its three subscales, difficulty identifying feelings (DIF), difficulty describing feelings (DDF) and externally oriented thinking (EOT), and the 21-item Beck Depression Inventory (BDI). Primary health care data were gathered from health care centre registers in 2005-10. Generalized linear models and mediation analyses were used.
resultsAn increase in the TAS-20 total score correlated with a higher number of primary health care and emergency care visits, but in multivariate general linear models, TAS-20 total scores were no longer significant. Younger age, female gender and an increase in the baseline EOT score are associated with a higher number of both primary health care and emergency room visits. In females, a smaller change in the EOT score from baseline to follow-up was associated with a higher number of primary health care visits. In mediation analyses, EOT had a direct effect on a higher number of primary health care and emergency room visits, whereas the BDI score mediated the incremental effect of DIF and DDF on visit numbers.
conclusionsThe results suggest that an EOT style independently increases health care use by adolescents, whereas the effects of difficulties identifying and describing feelings on health care use are mediated by symptoms of depression.
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