Alexithymia and Psychopathological Manifestations Centered on the Body: Somatization and Self-Harm

The present study aimed to investigate alexithymia and psychopathological manifestations centered on the body in a sample of adolescents with somatizing and/or self-harming issues to analyze the phenomenon of NSSI linked to Somatic Symptom Disorders (SSD). A sample of 184 adolescents between 12 and...

Full description

Bibliographic Details
Main Authors: Michela Gatta, Caterina Angelico, Francesca Rigoni, Alessia Raffagnato, Marina Miscioscia
Format: Article
Language:English
Published: MDPI AG 2022-04-01
Series:Journal of Clinical Medicine
Subjects:
Online Access:https://www.mdpi.com/2077-0383/11/8/2220
_version_ 1797445648983785472
author Michela Gatta
Caterina Angelico
Francesca Rigoni
Alessia Raffagnato
Marina Miscioscia
author_facet Michela Gatta
Caterina Angelico
Francesca Rigoni
Alessia Raffagnato
Marina Miscioscia
author_sort Michela Gatta
collection DOAJ
description The present study aimed to investigate alexithymia and psychopathological manifestations centered on the body in a sample of adolescents with somatizing and/or self-harming issues to analyze the phenomenon of NSSI linked to Somatic Symptom Disorders (SSD). A sample of 184 adolescents between 12 and 19 years of age, was divided into three groups, one with NSSI (<i>n</i> = 49) and the second group with SSD (<i>n</i> = 57), comparing them with a third group of adolescents with SSD and NSSI (<i>n</i> = 78) to investigate their differences and similarities in psychopathological correlates and to analyze the mediation role of alexithymia and emotional dysregulation in NSSI and SSD related to internalizing problems. The battery of tests included the Toronto Alexithymia Scale (TAS-20) and the Youth Self-Report 11–18 (YSR). The NSSI + SSD group scored higher than the other two groups on all the YSR scales. The affective syndromes were the only clinical condition that discriminated between the three groups. On all the other syndrome scales, the NSSI + SSD group differed from the other two groups, while there were no differences between the NSSI group and the SSD group. The NSSI + SSD group revealed a more severely deficient emotional self-regulation. Difficulty identifying feelings was a trait shared by adolescents with SSD and those engaging in NSSI, a more complex overall alexithymia profile was associated with the combination of self-harming behavior and somatization. Alexithymia and emotional dysregulation played a mediating role in the relationship between internalizing problems and somatization. We did not find a mediating role in alexithymia and emotional dysregulation in the relationship between internalizing problems and self-injurious behavior. The combination of NSSI and SSD gave rise to more severe psychopathological correlates, clinical levels of alexithymia, and more severe deficient emotional self-regulation. Results of mediation role indicated a link between alexithymia, emotional dysregulation, and somatization.
first_indexed 2024-03-09T13:28:53Z
format Article
id doaj.art-1428bbe3e396419bbf2fb859f29d8c4b
institution Directory Open Access Journal
issn 2077-0383
language English
last_indexed 2024-03-09T13:28:53Z
publishDate 2022-04-01
publisher MDPI AG
record_format Article
series Journal of Clinical Medicine
spelling doaj.art-1428bbe3e396419bbf2fb859f29d8c4b2023-11-30T21:19:51ZengMDPI AGJournal of Clinical Medicine2077-03832022-04-01118222010.3390/jcm11082220Alexithymia and Psychopathological Manifestations Centered on the Body: Somatization and Self-HarmMichela Gatta0Caterina Angelico1Francesca Rigoni2Alessia Raffagnato3Marina Miscioscia4Child and Adolescent Neuropsychiatric Unit, Department of Women’s and Children’s Health, University Hospital of Padua, 35128 Padua, ItalyChild and Adolescent Neuropsychiatric Unit, Department of Women’s and Children’s Health, University Hospital of Padua, 35128 Padua, ItalyChild and Adolescent Neuropsychiatric Unit, Department of Women’s and Children’s Health, University Hospital of Padua, 35128 Padua, ItalyChild and Adolescent Neuropsychiatric Unit, Department of Women’s and Children’s Health, University Hospital of Padua, 35128 Padua, ItalyChild and Adolescent Neuropsychiatric Unit, Department of Women’s and Children’s Health, University Hospital of Padua, 35128 Padua, ItalyThe present study aimed to investigate alexithymia and psychopathological manifestations centered on the body in a sample of adolescents with somatizing and/or self-harming issues to analyze the phenomenon of NSSI linked to Somatic Symptom Disorders (SSD). A sample of 184 adolescents between 12 and 19 years of age, was divided into three groups, one with NSSI (<i>n</i> = 49) and the second group with SSD (<i>n</i> = 57), comparing them with a third group of adolescents with SSD and NSSI (<i>n</i> = 78) to investigate their differences and similarities in psychopathological correlates and to analyze the mediation role of alexithymia and emotional dysregulation in NSSI and SSD related to internalizing problems. The battery of tests included the Toronto Alexithymia Scale (TAS-20) and the Youth Self-Report 11–18 (YSR). The NSSI + SSD group scored higher than the other two groups on all the YSR scales. The affective syndromes were the only clinical condition that discriminated between the three groups. On all the other syndrome scales, the NSSI + SSD group differed from the other two groups, while there were no differences between the NSSI group and the SSD group. The NSSI + SSD group revealed a more severely deficient emotional self-regulation. Difficulty identifying feelings was a trait shared by adolescents with SSD and those engaging in NSSI, a more complex overall alexithymia profile was associated with the combination of self-harming behavior and somatization. Alexithymia and emotional dysregulation played a mediating role in the relationship between internalizing problems and somatization. We did not find a mediating role in alexithymia and emotional dysregulation in the relationship between internalizing problems and self-injurious behavior. The combination of NSSI and SSD gave rise to more severe psychopathological correlates, clinical levels of alexithymia, and more severe deficient emotional self-regulation. Results of mediation role indicated a link between alexithymia, emotional dysregulation, and somatization.https://www.mdpi.com/2077-0383/11/8/2220alexithymiasomatizationemotional dysregulationnon-suicidal self-injuryself-harmingdevelopmental psychopathology
spellingShingle Michela Gatta
Caterina Angelico
Francesca Rigoni
Alessia Raffagnato
Marina Miscioscia
Alexithymia and Psychopathological Manifestations Centered on the Body: Somatization and Self-Harm
Journal of Clinical Medicine
alexithymia
somatization
emotional dysregulation
non-suicidal self-injury
self-harming
developmental psychopathology
title Alexithymia and Psychopathological Manifestations Centered on the Body: Somatization and Self-Harm
title_full Alexithymia and Psychopathological Manifestations Centered on the Body: Somatization and Self-Harm
title_fullStr Alexithymia and Psychopathological Manifestations Centered on the Body: Somatization and Self-Harm
title_full_unstemmed Alexithymia and Psychopathological Manifestations Centered on the Body: Somatization and Self-Harm
title_short Alexithymia and Psychopathological Manifestations Centered on the Body: Somatization and Self-Harm
title_sort alexithymia and psychopathological manifestations centered on the body somatization and self harm
topic alexithymia
somatization
emotional dysregulation
non-suicidal self-injury
self-harming
developmental psychopathology
url https://www.mdpi.com/2077-0383/11/8/2220
work_keys_str_mv AT michelagatta alexithymiaandpsychopathologicalmanifestationscenteredonthebodysomatizationandselfharm
AT caterinaangelico alexithymiaandpsychopathologicalmanifestationscenteredonthebodysomatizationandselfharm
AT francescarigoni alexithymiaandpsychopathologicalmanifestationscenteredonthebodysomatizationandselfharm
AT alessiaraffagnato alexithymiaandpsychopathologicalmanifestationscenteredonthebodysomatizationandselfharm
AT marinamiscioscia alexithymiaandpsychopathologicalmanifestationscenteredonthebodysomatizationandselfharm