Alexithymia, Anxiety Sensitivity and Mentalization in Individuals Having Diabetes Type I and II
Published 05/03/2022
Keywords
- Diabetes,
- alexithymia,
- mentalization,
- anxiety sensitivity,
- affect regulation
- psychosomatization ...More
How to Cite
Copyright (c) 2021 Psychological Research (in the Balkans)

This work is licensed under a Creative Commons Attribution 4.0 International License.
Abstract
The deficits in emotional processing have emerged as researcher’s interest, due to the fact that they have a significant role on the regulation and the quality of the overall mental functioning of individu als. They could lead to negative consequences both for the clinical course and for the treatment’s out come of various psychosomatic diseases, including Diabetes. This chronic disease has a highly growing prevalence all over the world, leading to impaired quality of patients’ lives. The research and knowledge of the levels of alexithymia, anxiety sensitivity and mentalization in individuals with Diabetes would be advantageous by informing different individualized approaches in the clinical practice. The aim of this study was to investigate the levels of alexithymia, anxiety sensitivity and mentalization and their associa tions. We tested patients having Diabetes type I and II and healthy controls using self – report measures Toronto Alexithymia Scale (TAS - 20), Anxiety Sensitivity Index and Mentalized Affectivity Scale (MAS). The findings of the present study support the view that individuals with Diabetes showed higher levels of alexithymia and anxiety sensitivity and lower levels of mentalized affectivity. No connection was found between alexithymia and anxiety sensitivity; anxiety sensitivity and mentalized affectivity. These results were similar for both groups. The expectation of an association between higher levels of alexithymia and lower levels of mentalized affectivity was partially confirmed.
References
- Atanasov, N. (2007). Mentalizatsia i referentna aktivnost: psihoanalitichni izmerenia na poznanieto. Godishnik na Departament Kognitivna nauka i psihologia, NBU, 111 – 128. [Mentali zation and reference activity: psychoanalytic dimensions of self-knowledge, Yearbook of the Department of Cognitive Science and Psychology, New Bulgarian University, 111 – 128.], (in Bulgarian).
- Grigotova, T. (2017). Aleksitimia ili trudnostta da mislim za chuvstvata. Psihologichni izsledvania, 20(1), 37-43. [Alexithymia or how difficult is to think about feelings, Psychological Research, Volume 20, Part 1, 2017, 37 – 43], (in Bulgarian).
- Ivanov, K. (2012). Otsenka na psihosomatich nia risk v psihologichnoto konsultirane. VSU “Chernorizetz Hrabar”, Universitetsko izdatelstvo. [Аssessment of psychosomatic risk in psy chological counseling. Varna Free University “Chernorizetz Hrabar”], (in Bulgarian).
- Popov, V., Psederska, E., Peneva, E., Bozgunov, K., Vasilev, G., Nedelchev, D., Vasileva, Zh. (2016). Psihometrichni harakteristiki na balgarskata versia na samootsenachnata skala za aleksitimia ot Toronto (TAS-20; Toronto Alex ithymia Scale-20). Psihologichni izsledvania, 19(2), 25-41. [Psychometric Characteristics of the Bulgarian Version of the Toronto Alexithy mia Scale (TAS-20), Psychological Research, Volume 19, Part 2, 2016, 25-41], (in Bulgarian).
- Psederska, E., Bozgunov, K., Vasilev, G., Nedelchev, D., Georgieva, V., Vasileva, Zh. (2016). Vaznikvane, razvitie i znachimost na konstrukta aleksitimia. Sbornik Prilozhna psihologia i sotzialna praktika, Varna, VSU “Chernorizetz Hra bar”. [Origin, development and significance of the alexithymia construct. Collection Applied Psychology and Social Practice, Varna Free University “Chernorizetz Hrabar”, University Press, 2016], (in Bulgarian).
- Savov, Sv. (2016). Mentalizatsia i lichnostova organizatsia pri heroinozavisimi patsienti. Av toreferat na disertacionen trud. Departament Kognitivna nauka I psihologia, NBU. [Men talization and personality organization in heroin addicted patients. Abstract of PhD Thesis, Department of Cognitive Science and Psychology, New Bulgarian University, 2016], (in Bulgar ian).
- Hancheva, K. (2019). Mentalizatsia i ranni etapi na sotsio – emotsionalno razvitie. Uni versitetsko izdatelstvo ”Sv. Kliment Ohridski”. [Mentalization and early stages of socio - emotional development, University Press ”Sv. Kli ment Ohridski”, 2019], (in Bulgarian).
- Abramson, L., McClelland, D. C., Brown, D., Kelner, J. S. (1991). Alexithymic characteristics and metabolic control in diabetic and healthy adults. The Journal of nervous and men tal disease, 179(8), 490 – 494.
- Aisenstein, M., Smadja, C. (2010). Concep tual framework from the Paris Psychosomatic School: A clinical psychoanalytic approach to oncology. The International Journal of Psycho analysis, 91(3), 621 – 640.
- Clark, L. A. & Watson, D. (1995). Construct ing validity: Basic issues in objective scale de velopment. Psychological assessment, 7(3), 309 – 319.
- De Gucht, V., Heiser, W. (2003). Alexithy mia and somatisation: a quantitative review of the literature. Journal of psychosomatic research, 54(5), 425 – 434.
- Devine, H., Stewart, S. H. & Watt, M. C. (1999). Relations between anxiety sensitivity and dimensions of alexithymia in a young adult sample. Journal of Psychosomatic Re search, 47(2), 145 – 158.
- Fonagy, P., Bateman, A. W. (2007). Mentalizing and borderline personality disorder. Journal of Mental Health, 16(1), 83 – 101.
- Gergely, G., Fonagy, P., Jurist, E. & Target, M. (2002). Affect regulation, mentalization, and the development of the self. Int. J. Psycho Anal, 77, 217 – 234.
- Greenberg, D. M., Kolasi, J., Hegsted, C. P., Berkowitz, Y., & Jurist, E. L. (2017). Mentalized affectivity: A new model and assessment of emotion regulation. PloS one, 12(10).
- Grigsby, A. B., Anderson, R. J., Freedland, K. E., Clouse, R. E. & Lustman, P. J. (2002). Prevalence of anxiety in adults with diabetes: a systematic review. Journal of psychosomatic research, 53(6), 1053 – 1060
- Gubb, K. (2013). Psychosomatics today: a review of contemporary theory and practice. The Psychoanalytic Review, 100(1), 103 – 142.
- Jurist E. L. (2005). Mentalized affectivity. Psychoanalytic Psychology, 22(3), 426
- Jurist, E. L. (2010). Mentalizing minds. Psychoanalytic Inquiry, 30(4), 289 – 300.
- Lecours, S. & Bouchard, M. A. (1997). Dimensions of mentalisation: Outlining levels of psychic transformation. International Journal of Psycho-Analysis, 78, 855 – 875.
- Lerew, D. R. (1999). Anxiety sensitivity and psychological vulnerability. Uniformed Services University Of The Health Sciences Bethesda United States.
- Leweke, F., Leichsenring, F., Kruse, J. & Hermes, S. (2012). Is alexithymia associated with specific mental disorders. Psychopathology, 45(1), 22 – 28.
- Lumley, M. A., Stettner, L. & Wehmer, F. (1996). How are alexithymia and physical ill ness linked? A review and critique of pathways. Journal of psychosomatic research, 41(6), 505 – 518.
- Lustman, P. J., Griffith, L. S., Clouse, R. E. & Cryer, P. E. (1986). Psychiatric illness in diabetes mellitus. Relationship to symptoms and glucose control. The Journal of nervous and mental disease, 174(12), 736 – 742.
- Marty, P. (1968). A major process of somatization: The progressive disorganization Internat. J. Psycho-Anal., 49: 246 – 249
- Mikolajczak, M. & Luminet, O. (2006). Is alexithymia affected by situational stress or is it a stable trait related to emotion regulation? Personality and Individual Differences, 40(7), 1399 – 1408.
- Nash, J. (2014). Understanding the psychological impact of diabetes and the role of clinical psychology. Journal of Diabetes Nursing, 18(4), 137 – 142.
- Nemiah J, Sifneоs P. Affect and fantasy in patients with psychosomatic disorder. Book: In Modern trends in Psychosomatic Medicine, ed. Ow H. Vol. Vol 2. 1970, London UK: Butter worths. 26 – 34.
- Sifneos, P. E. (1973). The prevalence of ‘alexithymic’ characteristics in psychosomatic patients. Psychotherapy and psychosomatics, 22: 255 – 262.
- Taylor, G. J., Bagby, R. M. & Parker, J. D. (1999). Disorders of affect regulation: Alexithymia in medical and psychiatric illness. Cambridge University Press.
- Timoney, L. R. & Holder, M. D. (2013). Emotional processing deficits and happiness: Assessing the measurement, correlates, and well-being of people with alexithymia. Springer Science & Business Media.
- Wilkinson, D. G. (1981). Psychiatric aspects of diabetes mellitus. The British Journal of Psy chiatry, 138(1), 1 – 9.
- Winnicott, D. W. (1966). Psycho-somatic ill ness in its positive and negative aspects. Inter national Journal of Psycho-Analysis, 47, 510 – 516.
- World Health Organisation (2016). WHO Global report on diabetes: A summary. International Journal of Noncommunicable Diseases, 1(1), 3.