ALEXITHYMIA: PREVALENCE AND ASSOCIATION WITH EXECUTIVE FUNCTION AMONG PHYSIOTHERAPY STUDENTS IN KARACHI, PAKISTAN

Authors

Keywords:

Alexithymia, executive function, physiotherapy, students, emotions, prevalence

Abstract

Background of the Study: Alexithymia is a set of cognitive traits, including the inability to verbalize and recognize one's emotions. Physiotherapy students are more vulnerable to developing Alexithymia due to their academic workload and intense clinical postings. This neurobiological deficit involves frontal lobe dysfunction and reduced anterior cingulate cortex function, impacting executive function. This study aims to determine the prevalence of Alexithymia and its association with executive function among physiotherapy students.

Methodology: A cross-sectional survey was conducted among physiotherapy students using the Toronto Alexithymia scale (TAS-20) to assess prevalence and executive function. It was evaluated through two neurophysiological tasks: Trail making and Verbal fluency tests. Data was analyzed using SPSS Version 26.0.

Result: Out of 400 participants, the private license of Alexithymia was estimated to be 55%. Among physiotherapy students 24% were found to be at risk of possible Alexithymia. Alexithymia and executive function showed significant association with 85% of students demonstrating reduced performance on the trail-making test A (p=0.001). 83.3% of students had low outcomes on the trail-making test B (p=0.002), and 90% of students had low performance on verbal fluency tests (p=0.002).

Conclusion: Alexithymia is linked with male gender, marital status, academic year, smoking, internet use and bullying history. We are increasing awareness and developing interventions to enhance the mental well-being of students.

References

Di Tella M, Adenzato M, Catmur C, Miti F, Castelli L, Ardito RB. The role of Alexithymia in social cognition: Evidence from a non-clinical population. Journal of Affective Disorders. 2020 Aug 1;273:482-92.

Obeid S, Akel M, Haddad C, Fares K, Sacre H, Salameh P, Hallit S. Factors associated with Alexithymia among the Lebanese population: cross-sectional study results. BMC psychology. 2019 Dec;7(1):1-0.

van der Cruijsen R, Murphy J, Bird G. Alexithymic traits can explain the association between puberty and symptoms of depression and anxiety in adolescent females. PLoS One. 2019 Jan 16;14(1):e0210519

Preece DA, Mehta A, Becerra R, Chen W, Allan A, Robinson K, Boyes M, Hasking P, Gross JJ. Why is Alexithymia a risk factor for affective disorder symptoms? The role of emotion regulation. Journal of affective. 2022 Jan 1;296:337-41.

Alimoradi Z, Majd NR, Broström A, Tsang HW, Singh P, Ohayon MM, Lin CY, Pakpour AH. Is Alexithymia associated with sleep problems? A systematic review and meta-analysis. Neuroscience & Biobehavioral Reviews. 2022 Feb 1;133:104513.

Runcan R. Alexithymia in Adolescents: A Review of Literature. Agora Psycho-Pragmatica. 2020 Jul 16;14(1).

Young AC, Kyranides MN. Understanding Emotion Regulation and Humor Styles in Individuals with Callous-Unemotional Traits and Alexithymic Traits. J Psychol. 2022;156(2):147-166.

Messina, Antonino & Beadle, Janelle & Paradiso, Sergio. (2014). Towards a classification of Alexithymia: Primary, secondary and organic. Journal of Psychopathology. 20. 38-49.

Alzahrani SH, Coumaravelou S, Mahmoud I, Beshawri J, Algethami M. Prevalence of Alexithymia and associated factors among medical students at King Abdulaziz University: a cross-sectional study. Annals of Saudi Medicine. 2020 Jan;40(1):55-62.

Samur D, Tops M, Slapšinskaitė R, Koole SL. Getting lost in a story: how narrative engagement emerges from narrative perspective and individual differences in Alexithymia. Cognition and Emotion. 2021 Apr 3;35(3):576-88.

Battista F, Lanciano T, Curci A. Does Alexithymia affect memory for a crime? The relationship between Alexithymia, executive functions, and memories. Frontiers in Psychology. 2021 Jun 30;12:669778.

Santorelli GD, Ready RE. Alexithymia and executive function in younger and older adults. The Clinical Neuropsychologist. 2015 Oct 3;29(7):938-55.

Correro AN, Paitel ER, Byers SJ, Nielson KA. The role of Alexithymia in memory and executive functioning across the lifespan. Cognition and Emotion. 2021 Apr 3;35(3):524-39.

Bagby RM, Parker JD, Taylor GJ. Twenty-five years with the 20-item Toronto Alexithymia Scale. Journal of Psychosomatic Research. 2020 Apr 1;131:109940.

Shao Z, Janse E, Visser K, Meyer AS. What do verbal fluency tasks measure? Predictors of verbal fluency performance in older adults. Frontiers in psychology. 2014 Jul 22;5:772.

Karki S, Shrestha O, Thapa N, Gupta S, Chaudhary A, Yadav A, Manandhar P. Prevalence of Alexithymia among medical students in Nepal: A cross‐sectional study based on a self‐administered questionnaire. Health Science Reports. 2023 May;6(5):e1262.

Zhu YaXin ZY, Luo Ting LT, Liu Jie LJ, Qu Bo QB. Influencing factors of Alexithymia in Chinese medical students: a cross-sectional study.

Levantini V, Camodeca M, Iannello NM. The contribution of bullying involvement and Alexithymia to somatic complaints in preadolescents. Children. 2023 May 21;10(5):905.

Youssef L, Salameh P, Sacre H, Akel M, Hallit S, Obeid S. Association between Alexithymia, emotional intelligence, smoking addiction, and alcohol use disorder among a sample of Lebanese adults. Plos one. 2023 Nov 30;18(11):e0295114.

Germani A, Lopez A, Martini E, Cicchella S, De Fortuna AM, Dragone M, Pizzini B, Troisi G, De Luca Picione R. The relationships between compulsive Internet use, Alexithymia, and dissociation: Gender differences among Italian adolescents. International Journal of Environmental Research and Public Health. 2023 Jul 22;20(14):6431.

Zhang Y, Liang T, Gan X, Zheng X, Li H, Zhang J. Social Self-Efficacy and Internet Gaming Disorder Among Chinese Undergraduates: The Mediating Role of Alexithymia and the Moderating Role of Empathy. Frontiers in Psychology. 2022 Jul 5;13:898554.

Agharebparast Z, Abed N. Investigating the mediating role of parental self-efficacy in the relationship between emotion regulation and Alexithymia with parent-child relationship in single mothers. Journal of Research in child and adolescent psychotherapy. 2023;2(1):57-70.

Mohebi M, Asadzade H, Farrokhi N. Modeling the structural relationships of internet addiction based on executive functions and interpersonal problems: Alexithymia's mediating role. Shenakht Journal of Psychology and Psychiatry. 2020 Jul 10;7(3):150-65.1

Khan AN, Jaffee SR. Alexithymia in individuals maltreated as children and adolescents: a meta‐analysis. Journal of child psychology and psychiatry. 2022 Sep;63(9):963-72.

Pisani S, Murphy J, Conway J, Millgate E, Catmur C, Bird G. The relationship between Alexithymia and theory of mind: A systematic review. Neuroscience & Biobehavioral Reviews. 2021 Dec 1;131:497-524.

Sfeir E, Geara C, Hallit S, Obeid S. Alexithymia, aggressive behavior and depression among Lebanese adolescents: A cross-sectional study. Child and adolescent psychiatry and mental health. 2020 Dec;14:1-7.

Toqeer S, Aqeel M, Shuja KH, Bibi A, Abbas J. Attachment styles, facebook addiction, dissociation and Alexithymia in university students; a mediational model. Nature-Nurture Journal of Psychology. 2021;1(1):28-37.

Downloads

Published

2024-07-06

How to Cite

ALEXITHYMIA: PREVALENCE AND ASSOCIATION WITH EXECUTIVE FUNCTION AMONG PHYSIOTHERAPY STUDENTS IN KARACHI, PAKISTAN. (2024). Pakistan Journal of Rehabilitation, 13(2), 127-134. https://ojs.zu.edu.pk/pjr/article/view/2581