Alexithymia and facial emotion recognition in patients with craniofacial pain and association of alexithymia with anxiety and depression: a systematic review with meta-analysis
Background We aimed to determine the presence of alexithymia in patients with craniofacial pain (CFP) compared with asymptomatic individuals. Our secondary aims were to assess the relationship of alexithymia with anxiety and depression levels, as well as to assess the presence of facial emotion reco...
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
PeerJ Inc.
2021-11-01
|
| Series: | PeerJ |
| Subjects: | |
| Online Access: | https://peerj.com/articles/12545.pdf |
| _version_ | 1797418865706139648 |
|---|---|
| author | Roy La Touche Alberto García-Salgado Ferran Cuenca-Martínez Santiago Angulo-Díaz-Parreño Alba Paris-Alemany Luis Suso-Martí Aida Herranz-Gómez |
| author_facet | Roy La Touche Alberto García-Salgado Ferran Cuenca-Martínez Santiago Angulo-Díaz-Parreño Alba Paris-Alemany Luis Suso-Martí Aida Herranz-Gómez |
| author_sort | Roy La Touche |
| collection | DOAJ |
| description | Background We aimed to determine the presence of alexithymia in patients with craniofacial pain (CFP) compared with asymptomatic individuals. Our secondary aims were to assess the relationship of alexithymia with anxiety and depression levels, as well as to assess the presence of facial emotion recognition deficit. Methods Medline, Scielo and Google Scholar were searched, with the last search performed in 8 September 2021. Standardized mean differences (SMDs) and 95% CIs were calculated for relevant outcomes and were pooled in a meta-analysis using the random effects model. In addition, meta-analyses of correlations and a meta-regression of alexithymia with depression and anxiety were performed. Results Regarding alexithymia, assessed through the Toronto Alexithymia Scale (TAS), the results showed significant differences, with higher values in patients compared with asymptomatic individuals, with a large clinical effect (SMD 0.46; 95% CI [0.22–0.71]; heterogeneity-Q 66.86; p < 0.001; inconsistency (I2) = 81%). We found statistically significant correlations with a small clinical effect of alexithymia with anxiety and depression. The meta-regression showed no significant association between the TAS and anxiety or depression. With respect to facial emotion recognition, the results showed statistically significant differences, with greater recognition difficulty in patients compared with asymptomatic individuals, with a large clinical effect (SMD −1.17; 95% CI [−2.01 to −0.33]; heterogeneity-Q 2.97; p = 0.080; I2 = 66%). Conclusions Patients with CFP showed alexithymia with moderate evidence. There was also moderate evidence indicating that these patients had significant deficits in facial emotion recognition compared with asymptomatic individuals. Furthermore, alexithymia showed statistically significant correlations with anxiety and depression levels. |
| first_indexed | 2024-03-09T06:40:08Z |
| format | Article |
| id | doaj.art-51631d9bca8d4e46b47c1fabb8419571 |
| institution | Directory Open Access Journal |
| issn | 2167-8359 |
| language | English |
| last_indexed | 2024-03-09T06:40:08Z |
| publishDate | 2021-11-01 |
| publisher | PeerJ Inc. |
| record_format | Article |
| series | PeerJ |
| spelling | doaj.art-51631d9bca8d4e46b47c1fabb84195712023-12-03T10:51:53ZengPeerJ Inc.PeerJ2167-83592021-11-019e1254510.7717/peerj.12545Alexithymia and facial emotion recognition in patients with craniofacial pain and association of alexithymia with anxiety and depression: a systematic review with meta-analysisRoy La Touche0Alberto García-Salgado1Ferran Cuenca-Martínez2Santiago Angulo-Díaz-Parreño3Alba Paris-Alemany4Luis Suso-Martí5Aida Herranz-Gómez6Motion in Brains Research Group, Institute of Neuroscience and Sciences of the Movement (INCIMOV), Centro Superior de Estudios Universitarios La Salle, Universidad Autónoma de Madrid, Madrid, SpainDepartamento de Fisioterapia, Centro Superior de Estudios Universitarios La Salle, Universidad Autónoma de Madrid, Madrid, SpainMotion in Brains Research Group, Institute of Neuroscience and Sciences of the Movement (INCIMOV), Centro Superior de Estudios Universitarios La Salle, Universidad Autónoma de Madrid, Madrid, SpainMotion in Brains Research Group, Institute of Neuroscience and Sciences of the Movement (INCIMOV), Centro Superior de Estudios Universitarios La Salle, Universidad Autónoma de Madrid, Madrid, SpainMotion in Brains Research Group, Institute of Neuroscience and Sciences of the Movement (INCIMOV), Centro Superior de Estudios Universitarios La Salle, Universidad Autónoma de Madrid, Madrid, SpainMotion in Brains Research Group, Institute of Neuroscience and Sciences of the Movement (INCIMOV), Centro Superior de Estudios Universitarios La Salle, Universidad Autónoma de Madrid, Madrid, SpainMotion in Brains Research Group, Institute of Neuroscience and Sciences of the Movement (INCIMOV), Centro Superior de Estudios Universitarios La Salle, Universidad Autónoma de Madrid, Madrid, SpainBackground We aimed to determine the presence of alexithymia in patients with craniofacial pain (CFP) compared with asymptomatic individuals. Our secondary aims were to assess the relationship of alexithymia with anxiety and depression levels, as well as to assess the presence of facial emotion recognition deficit. Methods Medline, Scielo and Google Scholar were searched, with the last search performed in 8 September 2021. Standardized mean differences (SMDs) and 95% CIs were calculated for relevant outcomes and were pooled in a meta-analysis using the random effects model. In addition, meta-analyses of correlations and a meta-regression of alexithymia with depression and anxiety were performed. Results Regarding alexithymia, assessed through the Toronto Alexithymia Scale (TAS), the results showed significant differences, with higher values in patients compared with asymptomatic individuals, with a large clinical effect (SMD 0.46; 95% CI [0.22–0.71]; heterogeneity-Q 66.86; p < 0.001; inconsistency (I2) = 81%). We found statistically significant correlations with a small clinical effect of alexithymia with anxiety and depression. The meta-regression showed no significant association between the TAS and anxiety or depression. With respect to facial emotion recognition, the results showed statistically significant differences, with greater recognition difficulty in patients compared with asymptomatic individuals, with a large clinical effect (SMD −1.17; 95% CI [−2.01 to −0.33]; heterogeneity-Q 2.97; p = 0.080; I2 = 66%). Conclusions Patients with CFP showed alexithymia with moderate evidence. There was also moderate evidence indicating that these patients had significant deficits in facial emotion recognition compared with asymptomatic individuals. Furthermore, alexithymia showed statistically significant correlations with anxiety and depression levels.https://peerj.com/articles/12545.pdfAlexithymiaCraniofacial painFacial emotion recognitionTemporomandibular disordersDepressionAnxiety |
| spellingShingle | Roy La Touche Alberto García-Salgado Ferran Cuenca-Martínez Santiago Angulo-Díaz-Parreño Alba Paris-Alemany Luis Suso-Martí Aida Herranz-Gómez Alexithymia and facial emotion recognition in patients with craniofacial pain and association of alexithymia with anxiety and depression: a systematic review with meta-analysis PeerJ Alexithymia Craniofacial pain Facial emotion recognition Temporomandibular disorders Depression Anxiety |
| title | Alexithymia and facial emotion recognition in patients with craniofacial pain and association of alexithymia with anxiety and depression: a systematic review with meta-analysis |
| title_full | Alexithymia and facial emotion recognition in patients with craniofacial pain and association of alexithymia with anxiety and depression: a systematic review with meta-analysis |
| title_fullStr | Alexithymia and facial emotion recognition in patients with craniofacial pain and association of alexithymia with anxiety and depression: a systematic review with meta-analysis |
| title_full_unstemmed | Alexithymia and facial emotion recognition in patients with craniofacial pain and association of alexithymia with anxiety and depression: a systematic review with meta-analysis |
| title_short | Alexithymia and facial emotion recognition in patients with craniofacial pain and association of alexithymia with anxiety and depression: a systematic review with meta-analysis |
| title_sort | alexithymia and facial emotion recognition in patients with craniofacial pain and association of alexithymia with anxiety and depression a systematic review with meta analysis |
| topic | Alexithymia Craniofacial pain Facial emotion recognition Temporomandibular disorders Depression Anxiety |
| url | https://peerj.com/articles/12545.pdf |
| work_keys_str_mv | AT roylatouche alexithymiaandfacialemotionrecognitioninpatientswithcraniofacialpainandassociationofalexithymiawithanxietyanddepressionasystematicreviewwithmetaanalysis AT albertogarciasalgado alexithymiaandfacialemotionrecognitioninpatientswithcraniofacialpainandassociationofalexithymiawithanxietyanddepressionasystematicreviewwithmetaanalysis AT ferrancuencamartinez alexithymiaandfacialemotionrecognitioninpatientswithcraniofacialpainandassociationofalexithymiawithanxietyanddepressionasystematicreviewwithmetaanalysis AT santiagoangulodiazparreno alexithymiaandfacialemotionrecognitioninpatientswithcraniofacialpainandassociationofalexithymiawithanxietyanddepressionasystematicreviewwithmetaanalysis AT albaparisalemany alexithymiaandfacialemotionrecognitioninpatientswithcraniofacialpainandassociationofalexithymiawithanxietyanddepressionasystematicreviewwithmetaanalysis AT luissusomarti alexithymiaandfacialemotionrecognitioninpatientswithcraniofacialpainandassociationofalexithymiawithanxietyanddepressionasystematicreviewwithmetaanalysis AT aidaherranzgomez alexithymiaandfacialemotionrecognitioninpatientswithcraniofacialpainandassociationofalexithymiawithanxietyanddepressionasystematicreviewwithmetaanalysis |