PMID- 30425669
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20200930
IS  - 1664-1078 (Print)
IS  - 1664-1078 (Electronic)
IS  - 1664-1078 (Linking)
VI  - 9
DP  - 2018
TI  - Relationship Between Attachment Style in Adulthood, Alexithymia, and Dissociation 
      in Alcohol Use Disorder Inpatients. Mediational Model.
PG  - 2039
LID - 10.3389/fpsyg.2018.02039 [doi]
LID - 2039
AB  - Background: Attachment theory is a widely used framework for understanding 
      emotion regulation as well as alexithymia, and dissociation and this perspective 
      has also been applied to understand alcohol use disorders. Apart from these 
      theoretical suggestions, there has been scarce empirical research on this 
      subject-matter. Therefore, the objective of the present study was to investigate 
      potential associations between attachment style in adulthood, alexithymia, and 
      dissociation in alcohol use disorder inpatients. Methods: The Revised Adult 
      Attachment Scale (RAAS), the Toronto Alexithymia Scale-20 (TAS-20), the Michigan 
      Alcoholism Screening Test (MAST), and the Curious Experiences Survey (CES) were 
      administered to a sample of 97 alcohol use disorder inpatients recruited from 
      drug and alcohol treatment centers in Warsaw, and 104 persons in control groups, 
      Poland. Results: A comparative analysis between the group of alcohol addicts and 
      non-addicts showed statistically significant differences related to: alexithymia, 
      dissociation, and attachment styles. The analysis of models related to the impact 
      of attachment styles on the level of alcohol addiction with regard to a mediatory 
      role of alexithymia and dissociation showed that all models are well fitted to 
      data and statistically significant: intimacy F(3.197) = 34.41; p < 0.001 and 
      explains 34% (R (2) = 0.3438); depend F(3.197) = 36.55; p < 0.001, and explains 
      36% (R (2) = 0.3576); anxiety F(3.197) = 34.71; p < 0.001, and explains 35% (R 
      (2) = 0.3458) of the variability of alcohol addiction scores. Mediation analysis 
      found that alexithymia and dissociation enhance the fear of intimacy and 
      rejection in a romantic relationship. Conclusion: These findings support the 
      broad attachment theory suggesting that attachment is associated with and 
      predicts alexithymia and dissociation in the sample of substance use disorder 
      inpatients. Alexithymia and dissociation, by inhibiting the processes of 
      emotions' identification and verbalization, cause that language does not serve 
      for the purpose of changing self or others, as the communication is distorted. 
      Absent are common meanings and accurate mutual understanding in a relationship.
FAU - Zdankiewicz-Scigala, Elzbieta
AU  - Zdankiewicz-Scigala E
AD  - Faculty of Psychology, SWPS University of Social Sciences and Humanities, Warsaw, 
      Poland.
FAU - Scigala, Dawid Konrad
AU  - Scigala DK
AD  - Institute of Psychology, Faculty of Applied Social Sciences, The Maria 
      Grzegorzewska University, Warsaw, Poland.
LA  - eng
PT  - Journal Article
DEP - 20181030
PL  - Switzerland
TA  - Front Psychol
JT  - Frontiers in psychology
JID - 101550902
PMC - PMC6218579
OTO - NOTNLM
OT  - addiction
OT  - affective self-regulation
OT  - alexithymia
OT  - attachment style
OT  - dissociation
EDAT- 2018/11/15 06:00
MHDA- 2018/11/15 06:01
PMCR- 2018/10/30
CRDT- 2018/11/15 06:00
PHST- 2018/08/02 00:00 [received]
PHST- 2018/10/03 00:00 [accepted]
PHST- 2018/11/15 06:00 [entrez]
PHST- 2018/11/15 06:00 [pubmed]
PHST- 2018/11/15 06:01 [medline]
PHST- 2018/10/30 00:00 [pmc-release]
AID - 10.3389/fpsyg.2018.02039 [doi]
PST - epublish
SO  - Front Psychol. 2018 Oct 30;9:2039. doi: 10.3389/fpsyg.2018.02039. eCollection 
      2018.