Ma. Lumley et al., ALEXITHYMIA AND NEGATIVE AFFECT - RELATIONSHIP TO CIGARETTE-SMOKING, NICOTINE DEPENDENCE, AND SMOKING CESSATION, Psychotherapy and psychosomatics, 61(3-4), 1994, pp. 156-162
Alexithymia is associated with substance abuse and may interfere with
successful psychotherapy. Alexithymia's relation to smoking, nicotine
dependence, and smoking cessation therapy is unknown, and potentially
overlaps with negative affect. Three studies addressed the relations b
etween alexithymia, negative affect, and smoking. In Study 1, 67 young
adult smokers were more depressed than 370 past or never smokers, but
no different on the Toronto Alexithymia Scale total or subscale score
s. In Study 2, negative affect - but not alexithymia - was related to
greater nicotine dependence among 99 chronic smokers. In Study 3, alex
ithymia tended to predict increased patient participation in cognitive
-behavioral therapy for smoking; low nicotine dependence - but neither
alexithymia nor negative affect - predicted abstinence from smoking a
t treatment end. Alexithymia appears to be independent of negative aff
ect and unrelated to cigarette smoking or nicotine dependence, suggest
ing that the affect regulation deficits in alexithymia play a negligib
le role in nicotine addiction.