Alexithymia, emotion processing and social anxiety in adults with ADHD

Edel, M-A; Rudel, A; Hubert, C; Scheele, D; Brüne, M; Juckel, G; Assion, H-J

doi:10.1186/2047-783x-15-9-403

Cited by 51Attention Deficit Hyperactivity DisorderPsychosomatic Disorders and Their TreatmentsAnxiety, Depression, Psychometrics, Treatment, Cognitive Processes

Alexithymia, emotion processing and social anxiety in adults with ADHD

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Edel, M-A, Rudel, A, Hubert, C, Scheele, D, Brüne, M, Juckel, G, Assion, H-J·2010·European Journal of Medical Research

DOI 10.1186/2047-783x-15-9-403PMC PMC3351908

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Abstract

Objective given sparse research on the issue, this study sought to shed light upon the interactions of alexithymia, emotion processing, and social anxiety in adults with attention-deficit hyperactivity disorder (ADHD). Subjects and methods 73 German adults with ADHD according to DSM-IV diagnostic criteria participated. We used the Toronto Alexithymia Scale (TAS-20) to assess alexithymia, the Social Phobia Scale (SPS) and the Social Interaction Anxiety Scale (SIAS) to assess different features of social anxiety, and we applied the German "Experience of Emotions Scalerdquor; (SEE) to measure emotion processing. Results 40% of the sample were found to meet the DSM-IV criteria of social anxiety disorder, and about 22% were highly alexithymic according to a TAS-20 total score ≥ 61; however, the mean TAS-20 total score of 50.94 ± 9.3 was not much higher than in community samples. Alexithymic traits emerged to be closely linked to emotion processing problems, particularly 'difficulty accepting own emotions', and to social anxiety features. Discussion/conclusion our findings suggest interactions of alexithymia, emotion processing dysfunction, and social anxiety in adults with ADHD, which may entail the therapeutic implication to thoroughly instruct these patients to identify, accept, communicate, and regulate their emotions to aid reducing interaction anxiety.

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High prevalence of alexithymia may account for negative experience of emotions, such as feeling 'flooded' by emotions or difficulties accepting one's own emotions, in those with ADHD.
“It has also been suggested that high prevalence of alexithymia may account for negative experience of emotions, such as feeling ‘flooded’ by emotions or difficulties accepting one’s own emotions (Edel et al., 2010), in those with ADHD.”
From Atypical interoception as a common risk factor for psychopathology: A review (2021) · cites this paper as Edel et al., 2010

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The twenty-item Toronto Alexithymia Scale--I. Item selection and cross-validation of the factor structure
Bagby, R. M., Parker, J. D. A., & Taylor, G. J. (1994) · Journal of Psychosomatic Research · doi:10.1016/0022-3999(94)90005-1 · Cited by 5,293 · see citing works
Development and validation of measures of social phobia scrutiny fear and social interaction anxiety11Editor’s note: This article was written before the development of some contemporary measures of social phobia, such as the Social Phobia and Anxiety Inventory (Turner et al., 1989). We have invited this article for publication because of the growing interest in the scales described therein. S.T.
Mattick, R. P., & Clarke, J. C. (1998) · Behaviour Research and Therapy · doi:10.1016/s0005-7967(97)10031-6 · Cited by 3,367 · see citing works
The Prevalence of ‘Alexithymic’ Characteristics in Psychosomatic Patients
Sifneos, P. E. (2010) · Psychotherapy and Psychosomatics · doi:10.1159/000286529 · Cited by 2,818 · see citing works
Untitled work
(1993) · Medical Entomology and Zoology · Cited by 2,491 · see citing works
The twenty-item Toronto Alexithymia scale—II. Convergent, discriminant, and concurrent validity
Bagby, R. M., Taylor, G. J., & Parker, J. D. A. (1994) · Journal of Psychosomatic Research · doi:10.1016/0022-3999(94)90006-x · Cited by 2,431 · see citing works
Diagnostic and Statistical Manual of Mental Disorders
Preedy, V., & Watson, R. (2010) · Springer eBooks · doi:10.1007/978-0-387-78665-0_5485 · Cited by 1,146 · see citing works
The 20-Item Toronto Alexithymia Scale
Parker, J. D. A., Taylor, G. J., & Bagby, R. M. (2003) · Journal of Psychosomatic Research · doi:10.1016/s0022-3999(02)00578-0 · Cited by 1,036 · see citing works
Wittchen, H.-U., Zaudig, M. & Fydrich, T. (1997). SKID Strukturiertes Klinisches Interview für DSM-IV. Achse I und II. Göttingen: Hogrefe, DM 158,-. Hiller, W., Zaudig, M. & Mombour, W. (1997). IDCL Internationale Diagnosen Checklisten für DSM-IV und ICD-10. Göttingen: Hogrefe, DM 198,- bzw. DM 239,-
Demmel, R. (1999) · Zeitschrift für Klinische Psychologie und Psychotherapie · doi:10.1026//0084-5345.28.1.68 · Cited by 1,010 · see citing works
Patterns of psychiatric comorbidity, cognition, and psychosocial functioning in adults with attention deficit hyperactivity disorder
(1993) · American Journal of Psychiatry · doi:10.1176/ajp.150.12.1792 · Cited by 950 · cited 1× · see citing works
“to close the circle, social anxiety disorder emerged to be a frequent comorbid disorder in adults with AdHd [8].”
Background
SKID I. Strukturiertes Klinisches Interview für DSM-IV. Achse I: Psychische Störungen. Interviewheft und Beurteilungsheft. Eine deutschsprachige, erweiterte Bearb. d. amerikanischen Originalversion des SKID I
Wïttchen, H., Wunderlich, U., Gruschwitz, S., & Zaudig, M. (1997) · Max Planck Institute for Plasma Physics · Cited by 769 · see citing works
New Trends in Alexithymia Research
Taylor, G. J., & Bagby, R. M. (2004) · Psychotherapy and Psychosomatics · doi:10.1159/000075537 · Cited by 653 · see citing works
Behavioral inhibition, sustained attention, and executive functions: Constructing a unifying theory of ADHD.
Barkley, R. A. (1997) · Psychological Bulletin · doi:10.1037//0033-2909.121.1.65 · Cited by 580 · see citing works
Emotion dysregulation in generalized anxiety disorder: A comparison with social anxiety disorder
Turk, C. L., Heimberg, R. G., Luterek, J. A., Mennin, D. S., & Fresco, D. M. (2005) · Cognitive Therapy and Research · doi:10.1007/s10608-005-1651-1 · Cited by 443 · see citing works
Alexithymia in the German general population
Franz, M., Popp, K., Schaefer, R., Sitte, W., Schneider, C. B., Hardt, J., Decker, O., & Brähler, E. (2007) · Social Psychiatry and Psychiatric Epidemiology · doi:10.1007/s00127-007-0265-1 · Cited by 394 · see citing works
Psychotherapy of attention deficit hyperactivity disorder in adults: A pilot study using a structured skills training program
Hesslinger, B., Tebartz van Elst, L., Nyberg, E., Dykierek, P., Richter, H., Berner, M., & Ebert, D. (2002) · European Archives of Psychiatry and Clinical Neuroscience · doi:10.1007/s00406-002-0379-0 · Cited by 366 · see citing works
Attention Deficit Disorder ('Minimal Brain Dysfunction') in Adults: A Replication Study of Diagnosis and Drug Treatment
Wender, P. H. (1981) · Archives of General Psychiatry · doi:10.1001/archpsyc.1981.01780290083009 · Cited by 337 · see citing works
Instrumente zur Diagnostik der Aufmerksamkeitsdefizit-/Hyperaktivitätsstörung (ADHS) im Erwachsenenalter
Rösler, M., Retz, W., Retz‐Junginger, P., Thome, J., Supprian, T., Nissen, T. D., Stieglitz, R., Blocher, D., Hengesch, G., & Trott, G.-E. (2004) · Der Nervenarzt · doi:10.1007/s00115-003-1622-2 · Cited by 330 · see citing works
Alexithymia and Interpersonal Problems
Spitzer, C., Siebel, U., Barnow, S., Grabe, H. J., & Freyberger, H. J. (2005) · Psychotherapy and Psychosomatics · doi:10.1159/000085148 · Cited by 327 · see citing works
Wender Utah Rating Scale (WURS-k) Die deutsche Kurzform zur retrospektiven Erfassung des hyperkinetischen Syndroms bei Erwachsenen
Retz-Junginger, P., Retz, W., Blocher, D., Weijers, H., Trott, G., Wender, P. H., & Rössler, M. (2002) · Der Nervenarzt · doi:10.1007/s00115-001-1215-x · Cited by 276 · see citing works
Die Erfassung sozialer Phobie durch die Social Interaction Anxiety Scale (SIAS) und die Social Phobia Scale (SPS)
Stangier, U., Heidenreich, T., Berardi, A., Golbs, U., & Hoyer, J. (1999) · Zeitschrift für Klinische Psychologie und Psychotherapie · doi:10.1026//0084-5345.28.1.28 · Cited by 264 · see citing works
Emotional Dysregulation in Adult ADHD and Response to Atomoxetine
Reimherr, F. W., Marchant, B. K., Strong, R. E., Hedges, D. W., Adler, L., Spencer, T. J., West, S. A., & Soni, P. (2005) · Biological Psychiatry · doi:10.1016/j.biopsych.2005.04.040 · Cited by 258 · see citing works
Alexithymia and interpersonal problems
Vanheule, S., Desmet, M., Meganck, R., & Bogaerts, S. (2007) · Journal of Clinical Psychology · doi:10.1002/jclp.20324 · Cited by 243 · see citing works
Experienced emotion and affect recognition in adult attention-deficit hyperactivity disorder.
Rapport, L. J., Friedman, S. R., Tzelepis, A., & Voorhis, A. V. (2002) · Neuropsychology · doi:10.1037//0894-4105.16.1.102 · Cited by 229 · see citing works
Alexithymia and depression: Distinct or overlapping constructs?
Parker, J. D. A., Bagby, R. M., & Taylor, G. J. (1991) · Comprehensive Psychiatry · doi:10.1016/0010-440x(91)90015-5 · Cited by 226 · see citing works
Alexithymia in DSM-IV disorder: Comparative evaluation of somatoform disorder, panic disorder, obsessive–compulsive disorder, and depression
Bankier, B., Aigner, M., & Bach, M. (2001) · Psychosomatics · doi:10.1176/appi.psy.42.3.235 · Cited by 210 · see citing works
An overview of the alexithymia construct.
Taylor, G. J., & Bagby, R. M. (2000) · Cited by 196 · see citing works
Structured Group Psychotherapy in Adults With Attention Deficit Hyperactivity Disorder: Results of An Open Multicentre Study
Philipsen, A., Richter, H., Peters, J., Alm, B., Sobanski, E., Colla, M., Münzebrock, M., Scheel, C., Jacob, C., Perlov, E., et al. (2007) · Journal of Nervous & Mental Disease · doi:10.1097/nmd.0b013e31815c088b · Cited by 195 · see citing works
Aspects of social and emotional competence in adult attention-deficit/hyperactivity disorder.
Friedman, S. R., Rapport, L. J., Lumley, M., Tzelepis, A., VanVoorhis, A., Stettner, L., & Kakaati, L. (2003) · Neuropsychology · doi:10.1037/0894-4105.17.1.50 · Cited by 188 · see citing works
Alexithymia in panic disorder and simple phobia: a comparative study
Parker, J. D., Taylor, G. J., Bagby, R. M., & Acklin, M. W. (1993) · American Journal of Psychiatry · doi:10.1176/ajp.150.7.1105 · Cited by 154 · see citing works
Measurement and validation of the alexithymia construct
Bagby, M. R., & Taylor, G. J. (1997) · Cambridge University Press eBooks · doi:10.1017/cbo9780511526831.006 · Cited by 84 · see citing works
Anhedonia, Alexithymia and Locus of Control in Unipolar Major Depressive Disorders
Loas, G., Dhee-Perot, Chaperot, Fremaux, Gayant, & Boyer (1998) · Psychopathology · doi:10.1159/000029041 · Cited by 44 · see citing works
Dr. Parker and Associates Reply
Parker, G. B., Barrett, E. B., & Hickie, I. B. (1993) · American Journal of Psychiatry · doi:10.1176/ajp.150.6.990-b · Cited by 30 · see citing works

Flagged first, then by citations

Research works printed but not linked: 3

Retz-Junginger P, Retz w, Blocher d, weijers Hg, trott gE, wender PH, Rösler M. wender utah rating scale. the short-version for the assessment of the attention- deficit hyperactivity disorder (german). nervenarzt 2002;73:830-38
Rösler M, Retz w, Retz-Junginger P, thome J, supprian t, nissen t, stieglitz Rd, Blocher d, Hengesch g, trott gE. tools fort he diagnosis of attention-deficit/hyperac- tivity disorder in adults. self-rating behaviour question- naire and diagnostic checklist (german). nervenarzt 2004;75:888-95
Vanheule s, desmet M, Meganck R, Bogaerts s. Alex- ithymia and interpersonal problems. J clin Psychol 2007;63:109-17

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الفقى, آ. إ. (2012) · دراسات عربية في التربية و علم النفس · doi:10.21608/saep.2012.67977
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DOI 10.1186/s12991-015-0082-y
Edel, S., Krüger, M. C., Juckel, G., & Brüne, M. (2016)
Self-citation

Authors: Edel, M.-A., Rudel, A., Hubert, C., Scheele, D., Brüne, M., Juckel, G., & Assion, H.-J.
Affiliations: LWL-Universitätsklinikum Bochum (DE)
Corresponding author: Assion, H-J
ORCID: Scheele, D
Brüne, M
Juckel, G
Venue: European Journal of Medical Research
Publisher: Springer Science and Business Media LLC
Published: 2010-09-24
Volume: 15
Issue: 9
Pages: 403-9
ISSN: 0949-2321 (ISSN-L)
2047-783X
DOI: 10.1186/2047-783x-15-9-403
PMC: PMC3351908
OpenAlex: W2101570588
Cited by: 51
References: 32
Citations by year: 2026: 4 · 2025: 5 · 2024: 5 · 2023: 4 · 2022: 3 · 2021: 3 · 2020: 5 · 2019: 5 · 2018: 2 · 2017: 2 · 2015: 2 · 2014: 5 · 2013: 2 · 2012: 3
FWCI: 1.31
Type: journal article
Language: en
Open access: bronze
doi.org
Licence: www.springer.com/tdm (tdm)
Locations: European journal of medical research (publishedVersion)
PubMed Central (publishedVersion)
PubMed (publishedVersion)
DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
Topics: Health Sciences › Medicine › Psychiatry and Mental health › Attention Deficit Hyperactivity Disorder
Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
Keywords: alexithymia, emotional processing, social anxiety, adult ADHD, social anxiety disorder, emotional acceptance, Toronto Alexithymia Scale, Social Interaction Anxiety Scale, Social Phobia Scale, emotion regulation
MeSH terms: Adult, Affective Symptoms, Anxiety Disorders, Attention Deficit Disorder with Hyperactivity, Emotions, Female, Germany, Humans, Male, Middle Aged, Outpatients, Phobic Disorders, Social Behavior, Comorbidity, Prevalence, Sex Distribution

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