{"title":"对有不良经历的青少年述情障碍的叙述性回顾,这些青少年被安置在收养、寄养或机构中。患病率、性别差异及其与内化和外化症状的关系","authors":"S. Muzi","doi":"10.6092/2282-1619/MJCP-2449","DOIUrl":null,"url":null,"abstract":"Alexithymia is a recognized risk factor for psychopathology, showing relationships with internalizing and externalizing symptoms. The prevalence of alexithymia ranges from 7-21% in low-risk community adolescents, especially girls. Further, few retrospective studies suggest a higher incidence in individuals with past traumatic experiences, but they are mostly on clinical adults. Therefore, the current narrative review aimed to examine the state-of-art of literature on alexithymia (in terms of prevalence, gender differences, and relationships with internalizing-externalizing symptoms), in non-clinical adolescents potentially at “high-risk” for alexithymia because placed for adoption, in foster care or institutions due to adverse and potentially traumatic experiences (parental abandonment, neglect, abuse, etc). The review of the literature was computed on documents retrieved through electronic databases (ProQuest, PsycInfo, PsycArticles, PubMed, WOS, Scopus, Google Scholar), included according to their pertinence and type (empirical studies). Of 6379 documents, only 6 studies (0.2%) on institutionalized adolescents met the inclusion criteria, none in adopted and foster care groups. \nMain results revealed: 1) higher prevalence of alexithymia in institutionalized adolescents (38-85%) compared to community peers; 2) institutionalized girls as more alexithymic, showing more difficulty in identifying and describing feelings than boys, like in community groups; 3) Higher alexithymia was related to more total, internalizing and externalizing problems through similar mechanisms of risk than in community groups. Methodological limits and future directions of research are discussed for each topic, highlighting the need to bridge the research gap on adolescents with adverse backgrounds, potentially at “high-risk” for alexithymia and its negative consequences.","PeriodicalId":18428,"journal":{"name":"Mediterranean Journal of Clinical Psychology","volume":null,"pages":null},"PeriodicalIF":1.8000,"publicationDate":"2020-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"8","resultStr":"{\"title\":\"A narrative review on alexithymia in adolescents with previous adverse experiences placed for adoption, in foster care, or institutions. Prevalence, gender differences, and relations with internalizing and externalizing symptoms\",\"authors\":\"S. Muzi\",\"doi\":\"10.6092/2282-1619/MJCP-2449\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Alexithymia is a recognized risk factor for psychopathology, showing relationships with internalizing and externalizing symptoms. The prevalence of alexithymia ranges from 7-21% in low-risk community adolescents, especially girls. Further, few retrospective studies suggest a higher incidence in individuals with past traumatic experiences, but they are mostly on clinical adults. Therefore, the current narrative review aimed to examine the state-of-art of literature on alexithymia (in terms of prevalence, gender differences, and relationships with internalizing-externalizing symptoms), in non-clinical adolescents potentially at “high-risk” for alexithymia because placed for adoption, in foster care or institutions due to adverse and potentially traumatic experiences (parental abandonment, neglect, abuse, etc). The review of the literature was computed on documents retrieved through electronic databases (ProQuest, PsycInfo, PsycArticles, PubMed, WOS, Scopus, Google Scholar), included according to their pertinence and type (empirical studies). Of 6379 documents, only 6 studies (0.2%) on institutionalized adolescents met the inclusion criteria, none in adopted and foster care groups. \\nMain results revealed: 1) higher prevalence of alexithymia in institutionalized adolescents (38-85%) compared to community peers; 2) institutionalized girls as more alexithymic, showing more difficulty in identifying and describing feelings than boys, like in community groups; 3) Higher alexithymia was related to more total, internalizing and externalizing problems through similar mechanisms of risk than in community groups. Methodological limits and future directions of research are discussed for each topic, highlighting the need to bridge the research gap on adolescents with adverse backgrounds, potentially at “high-risk” for alexithymia and its negative consequences.\",\"PeriodicalId\":18428,\"journal\":{\"name\":\"Mediterranean Journal of Clinical Psychology\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":1.8000,\"publicationDate\":\"2020-08-13\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"8\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Mediterranean Journal of Clinical Psychology\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.6092/2282-1619/MJCP-2449\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"PSYCHOLOGY, CLINICAL\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Mediterranean Journal of Clinical Psychology","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.6092/2282-1619/MJCP-2449","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"PSYCHOLOGY, CLINICAL","Score":null,"Total":0}
A narrative review on alexithymia in adolescents with previous adverse experiences placed for adoption, in foster care, or institutions. Prevalence, gender differences, and relations with internalizing and externalizing symptoms
Alexithymia is a recognized risk factor for psychopathology, showing relationships with internalizing and externalizing symptoms. The prevalence of alexithymia ranges from 7-21% in low-risk community adolescents, especially girls. Further, few retrospective studies suggest a higher incidence in individuals with past traumatic experiences, but they are mostly on clinical adults. Therefore, the current narrative review aimed to examine the state-of-art of literature on alexithymia (in terms of prevalence, gender differences, and relationships with internalizing-externalizing symptoms), in non-clinical adolescents potentially at “high-risk” for alexithymia because placed for adoption, in foster care or institutions due to adverse and potentially traumatic experiences (parental abandonment, neglect, abuse, etc). The review of the literature was computed on documents retrieved through electronic databases (ProQuest, PsycInfo, PsycArticles, PubMed, WOS, Scopus, Google Scholar), included according to their pertinence and type (empirical studies). Of 6379 documents, only 6 studies (0.2%) on institutionalized adolescents met the inclusion criteria, none in adopted and foster care groups.
Main results revealed: 1) higher prevalence of alexithymia in institutionalized adolescents (38-85%) compared to community peers; 2) institutionalized girls as more alexithymic, showing more difficulty in identifying and describing feelings than boys, like in community groups; 3) Higher alexithymia was related to more total, internalizing and externalizing problems through similar mechanisms of risk than in community groups. Methodological limits and future directions of research are discussed for each topic, highlighting the need to bridge the research gap on adolescents with adverse backgrounds, potentially at “high-risk” for alexithymia and its negative consequences.
期刊介绍:
The MJCP is an Open Access Peer-Reviewed International Journal in Clinical Psychology. MJCP accepts research related to innovative and important areas of clinical research: 1. Clinical studies related to Clinical Psychology, 2. Psychopathology and Psychotherapy; 3. Basic studies pertaining to clinical psychology field as experimental psychology, psychoneuroendocrinology and psychoanalysis; 4. Growing application of clinical techniques in clinical psychology, psychology of health, clinical approaches in projective methods; 5. Forensic psychology in clinical research; 6. Psychology of art and religion; 7. Advanced in basic and clinical research methodology including qualitative and quantitative research and new research findings.