Abstract
Difficulty in labeling and communicating emotions (commonly known as alexithymia) may play a role in how women and men respond to a depressed mood. In the current study, we hypothesized that alexithymia would be associated with a lower probability of seeking support from close others or health care professionals. We also tested the hypothesis that gender differences in response to depressive symptoms could be accounted for by alexithymia. One hundred and seventy-two employees of a small urban university completed the Toronto Alexithymia Scale-20, the Beck Depression Inventory, and a Responses to Depression Analogue Questionnaire. This sample was 67% women, 90% Caucasian, and was highly educated overall. Difficulties in communicating emotion were associated with a lower self-reported probability of seeking social support from friends or family, or thinking about the reasons for problems. No relationship was found between alexithymia and the probability of seeking help from a professional. Partial support was found for alexithymia as a mediator of gender differences in response to depressive symptoms. Overall, the results are consistent with the idea that the abilities to recognize, label, and communicate affective experiences are related to the ways in which people cope with depression, and that these relationships differ according to gender.
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REFERENCES
Bagby, R. M., Parker, J. D. A., & Taylor, G. J. (1994). The Twenty—Item Toronto Alexithymia Scale—I. Item selection and cross—validation of the factor structure. Journal of Psychosomatic Research, 38, 23–32.
Bagby, R. M., Taylor, G. J., & Ryan, D. P. (1986). Toronto Alexithymia Scale: Relationship with personality and psychopathology measures. Psychotherapy and Psychosomatics, 45, 207–215.
Baron, R. M., & Kenny, D. A. (1986). The moderator-mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations. Journal of Personality and Social Psychology, 51, 1173–1182.
Beck, A. T., Steer, R. A., & Garbin, M. G. (1988). Psychometric properties of the Beck Depression Inventory: Twenty-five years of evaluation. Clinical Psychology Review, 8, 77–100.
Beck, A. T., Ward, C., Mendelson, M., Mock, J., & Erbaugh, J. (1961). An inventory for measuring depression. Archives of General Psychiatry, 4, 561–571.
Bem, S. L. (1974). The measurement of psychological androgyny. Journal of Consulting and Clinical Psychology, 42, 155–162.
Blazina, C., & Watkins, C. E. (1996). Masculine gender role conflict: Effects of college men's psychological well-being, chemical substance usage, and attitudes toward help-seeking. Journal of Counseling Psychology, 43, 461–466.
Cochran, C. E., Brewerton, T. D., Wilson, D. B., & Hodges, E. L. (1993). Alexithymia in the eating disorders. International Journal of Eating Disorders, 14, 219–222.
Cramer, K. M. (1999). Psychological antecedents to help-seeking behavior: A reanalysis using path modeling structures. Journal of Counseling Psychology, 46, 381–387.
Dobson, K. S. (1989). Ameta-analysis of the efficacy of cognitive therapy for depression. Journal of Consulting and Clinical Psychology, 57, 414–419.
Elkin, I., Shec, M. T., Watkins, J. T., Imber, S. D., et al. (1989). National Institute of Mental Treatment of Depression Collaborative Research Program: General effectiveness of treatments. Archives of General Psychiatry, 46(11), 971–982.
Fukunishi, I., Ichikawa, M., Ichikawa, T., Matsuzawa, K, Fujimura, K., Tabe, T., Iida, Y., & Saito, S. (1992). Psychopathology, 25, 326–330.
Gardner, D. G., Cummings, L. L., Dunham, R. B., & Pierce, J. L. (1998). Single-item versus multiple-item measurement scales: An empirical comparison. Educational and Psychological Measurement, 58, 898–915.
Garland, A. F., & Zigler, E. F. (1994). Psychological correlates of help-seeking attitudes among children and adolescents. American Journal of Orthopsychiatry, 64, 586–594.
Greenley, J. R., & Mechanic, D. (1976). Social selection in seeking help for psychological problems. Journal of Health and Social Behavior, 17, 249–262.
Haviland, M. G., Hendryx, M. S., Shaw, D. G., Henry, J. P. (1994). Alexithymia in women and men hospitalized for psychoactive substance dependence. Comprehensive Psychiatry, 35, 124–128.
Hegelson, V. S. (1995). Masculinity, men's roles, and coronary heart disease. In D. F. Sabo and D. F. Gordon (Eds.), Men's Health and Illness: Gender, Power, and the Body (pp. 190–220). Thousand Oaks, CA: Sage Publications.
Horowitz, M. (1986). Stress response syndrome. Northval, NJ: Aronson.
Howard, K. I., Cornille, T. A., Lyons, J. S., Vessey, J. T., Lueger, R. J., & Saunders, S.M. (1996). Patterns of mental health service utilization. Archives of General Psychiatry, 53, 697–703.
Husaini, B. A., Moore, S. T., & Cain, V. A. (1994). Psychiatric symptoms and help-seeking behavior among the elderly: An analysis of racial and gender differences. Journal of Gerontological Social Work, 21, 177–196.
Ingram, R. E., Cruet, D., Johnson, B. R., & Wisnicki, K. S. (1988). Self-focused attention, gender, gender role, and vulnerability to negative affect. Journal of Personality and Social Psychology, 55, 967–978.
Kessler, R. C., Brown, R. L., & Broman, C. L. (1981). Sex differences in psychiatric helpseeking: Evidence from four large scale surveys. Journal of Health and Social Behavior, 22, 49–64.
Kessler, R. C., McGonagle, K. A., Zhao, S., & Nelson, C. B. (1994). Lifetime and 12-month prevalence of DSM-III-R psychiatric disorders in the United States: Results from the National Comorbidity Study. Archives of General Psychiatry, 51, 8–19.
Legorreta, G., Bull, R. H., & Kiely, M. C. (1988). Alexithymia and symbolic function in the obese. Psychotherapy and Psychosomatics, 50, 88–94.
Lumley, M. A., & Norman, S. (1996). Alexithymia and health care utilization. Psychosomatic Medicine, 58, 197–202.
Martin, L. L., & Tesser, A. (1989). Toward a motivational and structural theory of ruminative thought. In Unintended thought. New York: Guilford Press.
McKenzie, N., & Marks, I. (1999). Quick rating of depressed mood inpatients with anxiety disorders. British Journal of Psychiatry, 174, 266–269.
Morrow, J., & Nolen-Hoeksema, S. (1990). Effects of responses to depression on the remediation of depressive affect. Journal of Personality and Social Psychology, 58, 519–527.
Nolen-Hoeksema, S. (1987). Sex differences in unipolar depression: Evidence and theory. Psychological Bulletin, 101, 259–282.
Nolen-Hoeksema, S., Parker, L. E., & Larson, J. (1994). Ruminative coping with depressed mood following loss. Journal of Personality and Social Psychology, 67, 92–105.
Norman, J., & Rosvall, S. B. (1994). Help-seeking behavior among mental health practitioners. Clinical Social Work Journal, 22, 449–461.
O'Neil, J. M., Good, G. E., & Holmes, S. (1995). Fifteen years of theory and research on men's gender role conflict: New paradigms for empirical research. In R. F. Levant & W. S. Pollack (Eds.), A new psychology of men. New York: Basic Books.
O'Neil, J. M., Helms, B., Gable, R. K., David, L., & Wrightsman, L. S. (1986). Gender-role conflict scale: College men's fear of femininity. Sex Roles, 14, 335–350.
Paez, D., Basabe, N., Valdoseda, M., Velasco, C., & Iraurgi, I. (1996). Confrontation: Inhibition, alexithymia, and health. In J. Pennebaker (Ed.), Emotion, disclosure, and health (pp. 194–222). Washington, DC: American Psychological Association.
Parker, J. D., Bagby, R. M., Taylor, G. J., Endler, N. S., & Schmitz, P. (1993). Factorial validity of the 20-item Toronto Alexithymia Scale. European Journal of Personality, 7, 221–232.
Parker, J. D. A., Taylor, G. J., & Bagby, R. M. (1998). Alexithymia: Relationship with ego defense and coping styles. Comprehensive Psychiatry, 39, 91–98.
Pennebaker, J.W., & Beal, S. K. (1986). Confronting a traumatic event:Toward an understanding of inhibition and disease. Journal of Abnormal Psychology, 95, 274–281.
Pennebaker, J.W., & O'Heeran, A. (1984). Confiding in others and illness rate among spousesof suicide and accidental death victims. Journal of Abnormal Psychology, 93, 473–476.
Richter, P., Werner, J., Heerlein, A., Kraus, A, & Sauer, H. (1998). On the validity of the Beck Depression Inventory: A review. Psychopathology, 31, 160–168.
Ritter, A. J., & Cole, M. J. (1992). Men's issues: Gender role conflict and substance abuse. Drug and Alcohol Review, 11, 163–167.
Sabo, D., & Frederick Gordon, D. (1995). Men's health and illness. California: Sage.
Schmidt, U., Jiwany, A., & Treasure, J. (1993). A controlled study of alexithymia in eating disorders. Comprehensive Psychiatry, 34, 54–58.
Sifneos, P. E. (1972/3). Is dynamic psychotherapy contraindicated for a large number of patients with psychosomatic diseases? Psychosomatics, 21, 133–136.
Smyth, J. M. (1998). Written emotional expression: Effect sizes, outcome types, and moderating variables. Journal of Consulting and Clinical Psychology, 66, 174–184.
Strauss, J., Muday, T, NcNall, K., & Wong, M. (1997). Response style theory revisited: Gender differences and stereotypes in rumination and distraction. Sex Roles, 36, 771–792.
Taylor, G. J., & Taylor, H. L. (1997). Alexithymia. In M. McCallum & W. Piper (Eds.), Psychological mindedness. Hillsdale, NJ: Erlbaum.
Wisch, A. F., Mahalik, J. R., Hayes, J. A., & Nutt, E. A. (1995). The impact of gender role conflict and counseling technique on psychological help-seeking in men. Sex Roles, 33, 77–90.
Wise, T. N., Mann, L. S., & Hill, B. (1990). Alexithymia and depressed mood in the psychiatric patient. Psychotherapy and Psychosomatics, 54, 26–31
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Carpenter, K.M., Addis, M.E. Alexithymia, Gender, and Responses to Depressive Symptoms. Sex Roles 43, 629–644 (2000). https://doi.org/10.1023/A:1007100523844
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DOI: https://doi.org/10.1023/A:1007100523844