ArticleFrontiers in psychology2026
The mediating role of alexithymia in the relationship between childhood trauma and exercise addiction.
Article in Frontiers in psychology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Childhood trauma (CT) is a risk factor for addictive behaviors, including exercise addiction (EA). Alexithymia-difficulties in identifying and describing emotions-is associated with both CT and addiction. This study tested whether alexithymia mediates the relationship between CT and EA. Methods: In this cross-sectional study, 301 adults who exercised regularly (≥6 h/week) completed the Exercise Dependence Scale-21 (EDS-21), Toronto Alexithymia Scale-20 (TAS-20), and Adverse Childhood Experiences Questionnaire (ACE-Q). Group comparisons (alexithymia vs. non-alexithymia), Pearson correlations, and regression-based mediation analyses were performed. Results: Participants with alexithymia ( Conclusion: Alexithymia statistically mediated the association between childhood trauma and exercise addiction severity in regularly exercising adults. These findings suggest that emotion-processing deficits may represent one pathway linking early adversity to maladaptive exercise patterns. Assessment of exercise addiction may therefore benefit from considering both alexithymic traits and childhood trauma history.
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