Régulation émotionnelle, alexithymie et dissociation chez les adolescents hospitalisés : un modèle de médiation par équation structurelle

Q4 Medicine

Neuropsychiatrie de l''Enfance et de l''Adolescence Pub Date : 2025-01-01 DOI:10.1016/j.neurenf.2024.11.002

S. Chergui , P. Fourneret , P. Espi , C. Gauld

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引用次数: 0

Abstract

Objectives

Dissociation is a major phenomenon in child and adolescent psychiatry. It involves an involuntary disruption in the adequate integration of psychological functions, related to various neuropsychological mechanisms. This study aims to examine the relationships between dissociation, emotion regulation, and alexithymia in adolescents.

Patients and methods

. Forty-eight hospitalized adolescents (aged 12–16) were recruited from February 2022 to October 2023. They completed the Dissociative Experience Scale (DES), the Difficulties in Emotion Regulation Scale (DERS), and the Toronto Alexithymia Scale (TAS-20). A series of multiple regressions and Structural Equation Modeling (SEM) were conducted to analyze the relationships among these variables.

Results

The findings revealed a significant association between dissociation (DES) and alexithymia (TAS) (β = 1.45, P = 0.002), as well as between dissociation and difficulties in emotion regulation (DERS) (β = 0.98, P = 0.018). The SEM indicated that while the total effect of alexithymia on dissociation was significant (P < 0.001), the specific mediating effect of emotion regulation was not statistically significant (P = 0.29).

Discussion

These results highlight the importance of alexithymia in the dissociative experience of adolescents, independent of emotion regulation difficulties. The absence of a mediating effect of DERS suggests that dissociation and alexithymia may be directly related without the involvement of emotion regulation.

Conclusions

This study opens avenues for therapeutic interventions targeting alexithymia to alleviate dissociative symptoms.

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来源期刊

Neuropsychiatrie de l''Enfance et de l''Adolescence Medicine-Pediatrics, Perinatology and Child Health

CiteScore

0.60

自引率

0.00%

发文量

期刊介绍： Organ of the Société française de psychiatrie de enfant et de adolescent, Neuropsychiatrie de enfance et de adolescence tackles all fields of child-adolescent psychiatry and offers a link between field and clinical work. As a reference and training tool for students and practitioners, the journal publishes original papers in child psychiatry as well as book reviews and conference reports. Each issue also offers a calendar of the main events dealing with the speciality.