成人依恋对述情障碍的影响
The Influence of Adult Attachment on Alexithymia
DOI: 10.12677/ap.2026.163161, PDF,   
作者: 檀 逸, 王雪艳*:天津中医药大学管理学院,天津
关键词: 述情障碍成人依恋情绪调节心智化Alexithymia Adult Attachment Emotion Regulation Mentalization
摘要: 述情障碍(Alexithymia)以识别、描述情感困难及外向型思维为主要特征,与多种心身疾病和心理障碍都存在高共病率。大量研究证实,依恋焦虑与依恋回避对述情障碍的不同维度存在特异性影响:依恋焦虑主要预测了述情障碍的识别情感困难(DIF)维度,而依恋回避则更多预测了描述情感困难(DDF)与外向型思维(EOT)维度。根据依恋理论和相关文献推测,情绪调节和心智化可能是解释依恋如何影响述情障碍的两个关键心理因素。未来研究可以进一步探讨心智化和情绪调节在依恋与述情障碍中的链式中介作用,开展纵向追踪研究以确定因果关系,探讨文化调节效应,以及制定个性化的干预方案。
Abstract: Alexithymia, characterized by difficulties in identifying and describing emotions along with an externally oriented thinking style, exhibits high comorbidity rates with various psychosomatic diseases and psychological disorders. Extensive research has confirmed that attachment anxiety and attachment avoidance exert specific effects on distinct dimensions of alexithymia: attachment anxiety primarily predicts the difficulty identifying feelings (DIF) dimension, whereas attachment avoidance predominantly predicts the difficulty describing feelings (DDF) and externally oriented thinking (EOT) dimensions. Based on attachment theory and relevant literature, it is hypothesized that emotion regulation and mentalization may serve as two key psychological mechanisms explaining how attachment influences alexithymia. Future research could further explore the chain-mediating roles of mentalization and emotion regulation in the relationship between attachment and alexithymia, conduct longitudinal research to establish causal relationships, explore cultural moderating effects, and develop personalized intervention plans.
文章引用:檀逸, 王雪艳 (2026). 成人依恋对述情障碍的影响. 心理学进展, 16(3), 461-468. https://doi.org/10.12677/ap.2026.163161

参考文献

[1] 牛杏蒙, 牛四方, 张慧明, 胡书章, 孙钰, 郭杨子叶, 等(2025). 中文版珀斯述情障碍量表在青少年中的信效度研究. 现代预防医学, 52(2), 274-279.
[2] Barberis, N., Cannavò, M., Calaresi, D., & Verrastro, V. (2023). Reflective Functioning and Alexithymia as Mediators between Attachment and Psychopathology Symptoms: Cross-Sectional Evidence in a Community Sample. Psychology, Health & Medicine, 28, 1251-1262.[CrossRef] [PubMed]
[3] Besharat, M. A., & Shahidi, V. (2014). Mediating Role of Cognitive Emotion Regulation Strategies on the Relationship between Attachment Styles and Alexithymia. Europe’s Journal of Psychology, 10, 352-362.[CrossRef
[4] Bowlby, J. (1969). Attachment and Loss. Random House.
[5] Ferraro, I. K., & Taylor, A. M. (2021). Adult Attachment Styles and Emotional Regulation: The Role of Interoceptive Awareness and Alexithymia. Personality and Individual Differences, 173, Article ID: 110641.[CrossRef
[6] Fonagy, P. (1989). On Tolerating Mental States: Theory of Mind in Borderline Patients. Bulletin of the Anna Freud Centre, 12, 91-115.
[7] Fonagy, P., Gergely, G., & Jurist, E. L. (2018). Affect Regulation, Mentalization and the Development of the Self. Routledge.
[8] Guo, X., Lin, F., Yang, F., Chen, J., Cai, W., & Zou, T. (2022). Gut Microbiome Characteristics of Comorbid Generalized Anxiety Disorder and Functional Gastrointestinal Disease: Correlation with Alexithymia and Personality Traits. Frontiers in Psychiatry, 13, Article 946808.[CrossRef] [PubMed]
[9] Hund, A. R., & Espelage, D. L. (2006). Childhood Emotional Abuse and Disordered Eating among Undergraduate Females: Mediating Influence of Alexithymia and Distress. Child Abuse & Neglect, 30, 393-407.[CrossRef] [PubMed]
[10] Khaustova, O., & Sak, L. (2021). Emotional Regulation and Attachment in Adolescents with Anorexia Nervosa. European Psychiatry, 64, S353-S353.[CrossRef
[11] Khosravi, M. (2020). The Mediating Role of Alexithymia in the Association between Attachment Styles and Borderline Personality Symptomatology. Health Psychology Research, 8, Article 1.[CrossRef] [PubMed]
[12] Kieraité, M., Bättig, J. J., Novoselac, A., Noboa, V., Seifritz, E., Rufer, M. et al. (2024). “Our Similarities Are Different” The Relationship between Alexithymia and Depression. Psychiatry Research, 340, Article ID: 116099.[CrossRef] [PubMed]
[13] Kreitler, S. (2002). The Psychosemantic Approach to Alexithymia. Personality and Individual Differences, 33, 393-407.[CrossRef
[14] Lyvers, M., Pickett, L., Needham, K., & Thorberg, F. A. (2022). Alexithymia, Fear of Intimacy, and Relationship Satisfaction. Journal of Family Issues, 43, 1068-1089.[CrossRef
[15] Lyvers, M., Ryan, N., & Thorberg, F. A. (2022). Alexithymia, Attachment Security and Negative Mood. Australian Psychologist, 57, 86-94.[CrossRef
[16] Mehta, A., Moeck, E., Preece, D. A., Koval, P., & Gross, J. J. (2025). Alexithymia and Emotion Regulation: The Role of Emotion Intensity. Affective Science, 6, 77-93.[CrossRef] [PubMed]
[17] Meins, E., Harris-Waller, J., & Lloyd, A. (2008). Understanding Alexithymia: Associations with Peer Attachment Style and Mind-mindedness. Personality and Individual Differences, 45, 146-152.[CrossRef
[18] Mikulincer, M., & Shaver, P. R. (2015). The Psychological Effects of the Contextual Activation of Security-Enhancing Mental Representations in Adulthood. Current Opinion in Psychology, 1, 18-21.[CrossRef
[19] Mikulincer, M., & Shaver, P. R. (2016). Attachment in Adulthood: Structure, Dynamics, and Change. Guilford Publications.
[20] Mikulincer, M., & Shaver, P. R. (2019). Attachment Orientations and Emotion Regulation. Current Opinion in Psychology, 25, 6-10.[CrossRef] [PubMed]
[21] Montebarocci, O., & Surcinelli, P. (2022). Adult Attachment Behavior and Alexithymia in a Nonclinical Sample from Italy. American Journal of Applied Psychology, 11, 156-161.
[22] Montebarocci, O., Codispoti, M., Baldaro, B., & Rossi, N. (2004). Adult Attachment Style and Alexithymia. Personality and Individual Differences, 36, 499-507.[CrossRef
[23] O’Loughlin, J. I., Cox, D. W., Kahn, J. H., & Wu, A. D. (2018). Attachment Avoidance, Alexithymia, and Gender: Examining Their Associations with Distress Disclosure Tendencies and Event-Specific Disclosure. Journal of Counseling Psychology, 65, 65-73.[CrossRef] [PubMed]
[24] Oskis, A., Clow, A., Hucklebridge, F., Bifulco, A., Jacobs, C., & Loveday, C. (2013). Understanding Alexithymia in Female Adolescents: The Role of Attachment Style. Personality and Individual Differences, 54, 97-102.[CrossRef
[25] Parada-Fernández, P., Herrero-Fernández, D., Oliva-Macías, M., & Rohwer, H. (2021). Analysis of the Mediating Effect of Mentalization on the Relationship between Attachment Styles and Emotion Dysregulation. Scandinavian Journal of Psychology, 62, 312-320.[CrossRef] [PubMed]
[26] Preece, D. A., Mehta, A., Petrova, K., Sikka, P., Bjureberg, J., Becerra, R. et al. (2023). Alexithymia and Emotion Regulation. Journal of Affective Disorders, 324, 232-238.[CrossRef] [PubMed]
[27] Putica, A., O’Donnell, M. L., Felmingham, K. L., & Van Dam, N. T. (2023). Emotion Response Disconcordance among Trauma-Exposed Adults: The Impact of Alexithymia. Psychological Medicine, 53, 5442-5448.[CrossRef] [PubMed]
[28] Radetzki, P. A., Wrath, A. J., Le, T., & Adams, G. C. (2021). Alexithymia Is a Mediating Factor in the Relationship between Adult Attachment and Severity of Depression and Social Anxiety. Journal of Affective Disorders, 295, 846-855.[CrossRef] [PubMed]
[29] Saladino, V., Verrastro, V., Cuzzocrea, F., & Calaresi, D. (2025). The Mediating Role of Alexithymia and Loneliness in the Relationship between Childhood Emotional Abuse and Nomophobia. Developmental Child Welfare, 7, 228-250.[CrossRef
[30] Ścigała, D. K., Sikora-Ścigała, J., & Zdankiewicz-Ścigała, E. (2025). Alexithymia and Attachment Dimensions in Relation to Parental Burnout: A Structural Equation Modelling Approach. PLOS One, 20, e0334647.[CrossRef
[31] Sifneos, P. E. (1973). The Prevalence of ‘Alexithymic’ Characteristics in Psychosomatic Patients. Psychotherapy and Psychosomatics, 22, 255-262.[CrossRef] [PubMed]
[32] Taylor, G. J., & Bagby, R. M. (2000). An Overview of the Alexithymia Construct. In R. Bar-On, & J. D. A. Parker (Eds.), The Handbook of Emotional Intelligence: Theory, Development, Assessment, and Application at Home, School, and in the Workplace (pp. 40-67). Jossey-Bass.
[33] Taylor, G. J., Bagby, R. M., & Parker, J. D. (1999). Disorders of Affect Regulation: Alexithymia in Medical and Psychiatric Illness. Cambridge University Press.
[34] Troisi, A., D’Argenio, A., Peracchio, F., & Petti, P. (2001). Insecure Attachment and Alexithymia in Young Men with Mood Symptoms. The Journal of Nervous and Mental Disease, 189, 311-316.[CrossRef] [PubMed]
[35] van der Velde, J., Swart, M., van Rijn, S., van der Meer, L., Wunderink, L., Wiersma, D. et al. (2015). Cognitive Alexithymia Is Associated with the Degree of Risk for Psychosis. PLOS ONE, 10, e0124803.[CrossRef] [PubMed]
[36] Zhu, W. (2019). Adult Attachment, Cultural Orientation and Sacrifice in Couples: A Comparison Between American and Chinese Samples. Ph.D. Thesis, University of North Texas.