Occurrence of alexithymia in patients with type 2 diabetes mellitus, arterial hypertension and their combination
https://doi.org/10.51793/OS.2022.25.3.003
Abstract
The objective is to study occurrence of alexithymia in patients with type 2 diabetes mellitus (DM-2), arterial hypertension (AH) and their combination. 3 groups of patients have been examined. Group 1 included 25 patients having DM 2 without AH (55 {51; 59} y.o., 7 (28%) men); group 2 included 25 patients of the same age and gender having DM-2 combined with AH; group 3 included 25 patients having AH and normoglycemia (57 {48; 62} y.o., 7 (28%) men). A number of evaluations have been done, such as a survey based on Toronto Alexithymia Scale (TAS-26), clinical and laboratory studies. The patients in all the 3 groups had a similar age, level of education and the number of working people didn’t differ. The patients in groups 1 and 2 received the same therapy for DM-2, level of glycosylated hemoglobin and incidence of DM-related chronic complications proved similar in these groups. High-grade alexithymia was detected in 14 (56%) patients in group 1, in 12 (48%) patients in group 2 (summary 52% patients with DM-2), in 9 (36%) patients in group 3. Group 3 showed absence of alexithymia (score TAS-26 < 62) more often (10 (40%)) as compared with groups 1 and 2 (3 (12%) patients in each group; χ2 1-3, р = 0,02). A higher score according to TAS-26 was detected in patients having DM-2 (group 1 + group 2) as compared having AH and normoglycemia (74 {69; 79} vs 69 {59; 74}, Mann – Whitney T-test, р = 0,022). 26 (52%) patients with DM-2 were detected to have high-grade alexithymia, while its occurrence was not connected to the presence of AH. Comparing with the patients having AH and normoglycemia, the patients with DM-2 more rarely showed the absence of alexithymia; the latter also had the higher score TAS-26.
About the Author
I. E. Sapozhnikova
Federal State Budgetary Educational Institution of Higher Education Kirov State Medical University of the Ministry of Health of the Russian Federation
Россия
Россия
Irina E. Sapozhnikova, MD, endocrinologist, Associate Professor of the Internal Medicine Department
112 Karl Marx str., Kirov, 610998
References
1. Esin R. G., Gorobets E. A., Galiullin K. R., Esin O. R. Alexithymia – baseline trends of research // Zhurnal Nevrologii i Psikhatrii im. S. S. Korsakova. 2014; 114 (12): 148-151. (In Russ.)] https://doi.org/10.17116/jnevro2014114121148-151.
2. Hiirola A., Pirkola S., Karukivi M., Markkula N., Bagby R. M., Joukamaa M., Jula A., Kronholm E., Saarijarvi S., Salminen J. K., Suvisaari J., Taylor G., Mattila A. K. An evaluation of the absolute and relative stability of alexithymia over 11years in a Finnish general population // J Psychosom Res. 2017; 95: 81-7. https://doi.org/10.1016/j.jpsychores.2017.02.007.
3. Ho N., Wong M., Lee T. Neural connectivity of alexithymia: specific association with major depressive disorder // J Affect Disord. 2016; 193: 362-372. https://doi.org/10.1016/j.jad.2015.12.057.
4. Silva H., Freitas J., Moreira S., Santos A., Almeida V. Alexithymia and psychopatholology in patients with acute myocardial infarction // Acta Cardiol. 2016; 71 (2): 213-220. https://doi.org/10.2143/AC.71.2.3141852.
5. Innamorati M., Chetta A., Antonucci C., Bettini E., Aiello M., Montani A., Parisoli C., Belvederi Murri M., Brugnoli R., Pisi M., Pompili M., Amore M. Alexithymia and self-reflectiveness in bronchial asthma // Riv Psichiatr. 2015; 50 (5): 245-252. https://doi.org/10.1708/2040.22168.
6. Di Trani M., Mariani R., Renzi A., Greenman P. S., Solano L. Alexithymia according to Bucci’s multiple code theory: A preliminary investigation with healthy and hypertensive individuals // J Psychol Psychother. 2018; 91 (2): 232-247. https://doi.org/10.1111/papt.12158.
7. Piotrowska-Polrolnik M., Holas P., Kreitz I., Symonides B. Relationship between alexithymia and variability of blood pressure measured with ABPM in hypertensive patients // Gen Hosp Psychiatry. 2019; 60: 1-5. https://doi.org/10.1016/j.genhosppsych.2019.04.014.
8. Casagrande M., Mingarelli A., Guarino A., Favieri F., Boncompagni I., Germano R., Germano G., Forte G. Alexithymia: a facet of uncontrolled hypertension // Int J Psychophysiol. 2019; 146: 180-189. https://doi.org/10.1016/j.ijpsycho.2019.09.006.
9. Karukivi M., Jula A., Hutri-Kahonen N., Juonala M., Raitakari O. Is alexithymia associated with metabolic syndrome? A study in a healthy adult population // Psychiatry Res. 2016; 236: 58-63. https://doi.org/10.1016/j.psychres.2015.12.034.
10. Fernandes J., Ferriera-Santos F., Miller K., Torres S. Emotional processing in obesity: a systematic review and exploratory meta-analysis // Obes Rev. 2018; 19 (1): 111-120. https://doi.org/10.1111/obr.1260.
11. Casagrande M., Boncompagni I., Forte G. Faveri F., Guarino A., Faveri F. Emotion and overeating behavior: effects of alexithymia and emotional regulation on overweight and obesity // Eat Weight Disord. 2020; 25 (5): 1333-1345. https://doi.org/10.1007/s40519-019-00767-9.
12. Martino G., Caputo A., Vicario C. M., Catalano A., Schwarz P., Quattropani M. C. The relationships between alexithymia and type 2 diabetes: a systematic review // Front Psychol. 2020; 11: 2026-2032. https://doi.org/10.3389/fpsyg.2020.02026.
13. Avci D., Kelleci M. Alexithymia in patients with type 2 diabetes mellitus: the role of anxiety, depression, and glycemic control // Patient Prefer Adherence. 2016; 10: 1271-1277. https://doi.org/10.2147/PPA.S110903.
14. Shalnova S. A., Drapkina O. М. Contribution of the ESSE-RF study to preventive healthcare in Russia // Kardiovaskulyarnaya terapiya i profilaktika. 2020; 19 (3): 2602. (In Russ.) https://doi.org/10.15829/1728-8800-2020-2602.
15. Slobozhaninova E. V., Savinykh E. A., Chepurnykh A. Ya., Shamsutdinova R. A. Influence of anxiety and temperament type of patients with hypertension on treatment compliance // Vyatskij medicinskii vestnik. 2020; 3 (67): 81-84. (In Russ.) https://doi.org/10.24411/2220-7880-2020-10112.
16. Dedov I. I., Shestakova M. V., Vikulova O. K., Isakov M. А., Zheleznyakova A. V. Atlas of Diabetes Register in Russian Federation, status 2018 // Sakharnyi diabet. 2019; 22 (2S): 4-61 (In Russ.) https://doi.org/10.14341/DM12208.
17. Standards of specialized diabetes care / Edited by Dedov I. I., Shestakova M. V., Mayorov A. Yu. (9th edition) // Sakharnyi diabet. 2019; 22 (S1): 1-212. (In Russ.) https://doi.org/10.14341/DM221S1.
18. Andreeva S. I., Rudina L. M., Savelyeva L. V., Gurkina M. V., Surkova E. V., Galstyan G. R., Shestakova M. V. The psychological component of comprehensive lifestyle modification program in overweight (obese) patients with type 2 diabetes mellitus // Problemy endokrinologii. 2018; 64 (2): 93-104. (In Russ.) https://doi.org/10.14341/probl9420.
19. Mattila A. K., Salminen J. K., Nummi T., Joukamaa M. Age is strongly associated with alexithymia in the general population // J Phychosom Res. 2006; 61 (5): 629-635. https://doi.org/10.1016/j.jpsychores.2006.04.013.
20. Robino A., Mezzavilla M., Pirastu N., La Blanca M., Gasparini P., Carlino D., Tepper B. J. Understanding the role of personality and alexithymia in food preferences and PROP taste perception // Physiol Behav. 2016; 57: 72-78. https://doi.org/10.1016/j.physbeh.2016.01.022.
21. Quitry L. C., Taylor G. J., McBride C., Bagby R. M. Relationships among alexithymia, therapeutic alliance, and psychotherapy outcome in major depressive disorder // Phychiatry Res. 2017; 254: 75-79. https://doi.org/10.1016/j.psychres.2017.04.047.
22. Ogrodniczuk J. S., Piper W. E., Joyce A. S. Effect of alexithymia on the process and outcome of psychotherapy: a programmatic review // Phychiatry Res. 2011; 90: 43-48. https://doi.org/10.1016/j.psychres.2010.04.026.
23. Khademi M., Haiiahmadi M., Faramarzi M. The role of the lond-term psychodynamic psychotherapy in improving attachment patterns, defense styles, and alexithymia in patients with depressive/anxiety disorders // Trends Phychiatry Psychother. 2019; 41 (1): 43-50. https://doi.org/10.1590/2237-6089-2017-0144.
24. Edwards E., Shivaji S., Wupperman P. The Emotion Mapping Activity: preliminary evaluation of a mindfulness-informed exercise to improve emotion labeling in alexithymic persons // Scand J Psychol. 2018; 59 (3): 319-327. https://doi.org/10.1111/sjop.12438.
25. Norman H., Marzano L., Coulson M., Oskis A. Effects of mindfulness-based interventions on alexithymia: a systematic review // Evid Based Ment Health. 2019; 22 (1): 36-43. https://doi.org/10.1136/ebmental-2018-300029.
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For citations:
Sapozhnikova I.E. Occurrence of alexithymia in patients with type 2 diabetes mellitus, arterial hypertension and their combination. Lechaschi Vrach. 2022;(3):22-26. (In Russ.) https://doi.org/10.51793/OS.2022.25.3.003
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