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Relationships Among Alexithymia, Adverse Childhood Experiences, Sociodemographic Variables, and Actual Mood Disorder: A 2-Year Clinical Follow-Up Study of Patients With Major Depressive Disorder

Received Nov. 12, 2002; revision received June 10, 2003; accepted July 21, 2003. From the Department of Psychiatry, Research and Development Unit, Kuopio University Hospital. Address reprint requests to Dr. Honkalampi, Department of Psychiatry/4975, Kuopio University Hospital, P.O. Box 1777, FIN-70211 Kuopio, Finland; kirsi.honkalampi{at}kuh.fi (e-mail).

This 2-year follow-up study examined relationships among alexithymia, adverse childhood experiences, sociodemographic variables, and actual mood disorder among patients with major depressive disorder (N=106). Alexithymia was assessed with the Toronto Alexithymia Scale (TAS-20), depression with the Beck Depression Inventory, and actual mood disorder with the Structured Clinical Interview for DSM-III-R. A questionnaire that assessed sociodemographic characteristics and adverse childhood experiences was also used. Long-lasting alexithymic features were associated with blue-collar work, harsh discipline, unhappiness of the childhood home, depression at 12 months, and major depressive disorder diagnosis at 24 months. Furthermore, the results showed that alexithymic features could also be situational reactions to depression.

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				M. Joukamaa, S. Luutonen, H. von Reventlow, P. Patterson, H. Karlsson, and R. K.R. Salokangas Alexithymia and Childhood Abuse Among Patients Attending Primary and Psychiatric Care: Results of the RADEP Study Psychosomatics, July 1, 2008; 49(4): 317 - 325. [Abstract] [Full Text] [PDF]

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