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PubMed2006

[Risk factors affecting the survival rate in serious multiple trauma patients associated with acute lung injure/acute respiratory distress syndrome].

OBJECTIVE: To investigate risk factors affecting the survival rate in serious multiple traumatic patients associated with acute lung injure (ALI)/acute respiratory distress syndrome (ARDS). METHODS: The clinical data of 76 serious multiple trauma patients associated with ALI and 95 cases in ARDS, totally 171 patients associated with ALI/ARDS, were retrospectively studied, and stepwise logistic regression analysis was used to analyze 20 possible risk factors affecting survival rate. RESULTS: The risk factors affecting survival rate in the ALI group: included smoking (B = -5.235, OR = 0.005, P = 0.001), sepsis secondary to trauma (B = -2.753, OR = 0.064, P = 0.031), and gastrointestinal hemorrhage (B = -2.876, OR = 0.056, P = 0.033). The risk factors affecting survival rate in the ARDS group included the time of induction factor persisting to attacking (B = 3.524, OR = 33.933, P = 0.008), sepsis secondary to trauma (B = -5.183, OR = 0.006, P = 0.004); renal insufficiency(B = -4.745, OR = 0.009, P = 0.009), and gastrointestinal hemorrhage (B = -6.335, OR = 0.002, P = 0.007). CONCLUSION: Different from the results of study of traditional risk factors affecting survival rate in ALI/ARDS, this study reveals that smoking may be an independent risk factor; the earlier ALI/ARDS appears, the lower the predictable survival rate in condition of serious multiple trauma; MODS is easily induced in the course of complicating renal insufficiency during the time of lung injury; sepsis and gastrointestinal hemorrhage are still the infective factors or infection inducing factors affecting the survival rate after trauma; and the primary disease causing infection must be treated actively.

Acute Disease↗
PubMed2006

Bonding durability of a self-etching primer system to normal and caries-affected dentin under hydrostatic pulpal pressure in vitro.

PURPOSE: To evaluate the bonding durability of a self-etching primer system to normal and caries-affected dentin under hydrostatic pulpal pressure. METHODS: 18 extracted human molars with occlusal caries were used. Their occlusal dentin surfaces were ground flat to expose normal and caries-affected dentin using #600 SiC paper under running water. Clearfil SE Bond was placed on the dentin surface including the caries-affected dentin according to the manufacturer's instructions and then the crowns were built up with resin composite (Clearfil AP-X) under either a pulpal pressure of 15 cm H2O or none (control). The bonded specimens were stored in 100% humidity for 1 day (control) or for 1 week and 1 month with hydrostatic pulpal pressure. After storage, the specimens were serially sectioned into 0.7 mm-thick slabs and trimmed to an hour-glass shape with a 1 mm2 cross-section, isolated by normal or caries-affected dentin, and then subjected to the micro-tensile bond test. Data were analyzed by two-way ANOVA and Tukey's test (P< 0.05). RESULTS: Hydrostatic pulpal pressure significantly reduced the bond strength to normal dentin after 1-month storage (P< 0.05), but did not affect the bond strength to caries-affected dentin.

Analysis of Variance↗
PubMed1991

[The affected sib-set method: revision based on the mixed model using a conditional probability approach].

One of the implicit assumptions of the single locus model, having been used so far in the analysis of linkage between the genetic marker locus and the disease predisposition locus, is the requirement of independent--from the rest of genotype--action of genotypes of the disease predisposition locus considered. In this communication, it is emphasized that the lack of this requirement makes problematical the theoretical substantiation of the affected sib-pair method in the linkage analysis. To remove this obstacle, explicit pointing out of independence of the action of the single locus genotypes on the rest of the genotype is necessary in formulating of the single locus model which, with due regard for this assumption, represents a special, perhaps, unique case of the gene action characterized by incomplete differential penetrances of the genotypes under conditions, when the genes of the rest of genotype involved to the disease, are fixed. In this connection, the mixed model of inheritance with the "major gene", proposed by Morton and MacLean (1974), is considered, on the basis of which the theoretical expectations of the proportions of the affected sib pairs, sharing the x = 2, 1, 0 haplotypes, identical by descent (IBD) in phenotypic matings with the h = 2, 1, 0 affected parents are derived. Based on the combinatorial analysis of IBD relationships in sib pairs and of the distribution of sibships of any size s greater than or equal to 2 by the numbers L = 2, 3, 4 haplotypes, inherited by s siblings, the empirical assessment of data on sibships of any size with r greater than or equal to 2 affected siblings is considered, which makes it possible to reduce the data observed on distribution of the numbers L in sibships, to that of the IBD relationships in the affected sib pairs. It is also pointed out that conditional probability approach, proposed by the author earlier, allows at the same time to obtain the empirical estimates of the recurrence risks, conditional both on phenotypes of siblings (r affected; s-r normal siblings), and on the number of L haplotypes inherited by sibships.

Chromosome Mapping↗
PubMed1991

Intracellular localization of glycosyl-phosphatidylinositol-anchored CD67 and FcRIII (CD16) in affected neutrophil granulocytes of patients with paroxysmal nocturnal hemoglobinuria.

Immunoelectron microscopical studies performed in healthy human neutrophils showed the presence of glycosyl-phosphatidylinositol (GPI)-linked CD67 in granules. The use of immunogold double-labeling of CD67 and lactoferrin (LF; as marker for specific granules) or CD67 and myeloperoxidase (MPO; as marker for azurophilic granules) showed that CD67 occurred only in the specific granules. Furthermore, flow cytometry showed that CD67 has a low level of expression on the plasma membrane of these cells. In paroxsymal nocturnal hemoglobinuria (PNH)-affected neutrophils, CD67 was not detected in any intracellular compartment by immunoelectron microscopy, and flow cytometry showed no CD67 on the plasma membrane. In earlier studies, FcRIII was found on the plasma membrane, in electron-lucent vesicles, and in the Golgi complex of healthy neutrophils, and in the Golgi complex of some of the PNH-affected neutrophils. Here we have studied FcRIII in PNH-affected cells of three other patients and found, by immunoelectron microscopy, that the receptor can not be detected in these cells. However, flow cytometry showed that FcRIII was not completely absent on the plasma membrane of the affected cells, but that the level of expression on these cells was low. Thus, PNH patients can differ from one another with respect to the occurrence of affected neutrophils that have a detectable level of FcRIII in the Golgi complex. In summary, these findings show not only that the expression of the two GPI-linked proteins, CD67 and FcRIII, is markedly lower on the plasma membrane, but also that neither occurred in any of the intracellular compartments of affected neutrophils of the PNH patients examined in this study.

Antigens, CD↗
PubMed1990

Behavioural responses affecting gilt and sow reproduction.

Behavioural responses can have direct effects on reproduction when the performance of the behaviour contributes to productivity (e.g. achievement of copulation). Alternatively, there are indirect effects where a behavioural change is insufficient to allow adaptation to an environmental change and so the animal has to resort to physiological mechanisms with potential adverse effects on productivity. Boar contact has substantial effects on a number of female behaviours that can directly affect her productivity. Either daily introduction to a boar or continuous housing adjacent to boars is effective in stimulating the onset of oestrus in weaned sows. In addition, daily boar contact is necessary to maintain ovarian activity in post-pubertal gilts. The efficiency of the back-pressure test (BPT) in detecting sexually receptive females depends on females receiving intense and close boar contact at the time of testing. However, there are situations in which continuous stimulation from boars may adversely affect sexual behaviour; continuous housing of gilts adjacent to boars, with a wire-mesh division separating them, reduces the efficiency of detection of oestrus by means of the BPT or a boar. There is some evidence to indicate that housing weaned sows adjacent to boars may adversely affect the duration of oestrus but not detection rate of oestrus. The effects of female contact on productivity are generally indirect with physiological responses (rather than behavioural responses) to suboptimal group size, space allowance or housing system predominantly responsible for any adverse effects on reproduction. The literature on the effects of individual or group housing on reproduction is equivocal, but there is a trend for a reduced conception rate or pregnancy rate in individual housing. Group size and space allowance may affect the efficiency of detection of oestrus. A space allowance of 1 m2/animal appears to affect detection of oestrus adversely for gilts, probably via a chronic stress response associated with overcrowding. The literature on the effects of group size on sexual behaviour of female pigs is also equivocal, perhaps because in some studies there were suboptimal space allowances. Nevertheless, there appear to be problems with detection of oestrus in very small groups and in large groups. The effects of human contact on female reproduction are indirect. There are no direct effects on the sexual behaviour of female pigs and the effects on reproduction are probably mediated by a chronic stress response. High levels of fear of humans may depress the reproductive performance of pigs and this fear response is probably affected by the behaviour of the stockperson.(ABSTRACT TRUNCATED AT 400 WORDS)

Animals↗
PubMed1986

[Affective disorders of temporal lobe epilepsy patients according to follow-up findings].

An analysis of the clinical time-course of affective disorders in the presence of temporal epilepsy (100 patients) has shown that at the initial stages of the disease epileptic paroxysms prevailed over affective disorders. With the further development of the epileptic process the progression of the paroxysmal symptomatology correlated with the deterioration of affective disturbances. In the progressive course of the disease the affect becomes more monotonous and viscous. The frequency of affective disorders (dysphorias) increases and prevails over the incidence of epileptic attacks. An early institution of a combined therapy (combination of anticonvulsants with psychotropic drugs) at the initial stage of the disease effectively controls affective disturbances, which somewhat palliates the development of their severe forms at the subsequent stages of the disease course.

Anticonvulsants↗
PubMed1985

[Psychopathology and clinical picture of coupled affective paroxysms in schizophrenia].

The clinical characteristics of schizophrenia running with double affective paroxysms were studied (80 patients). The systematics of manias and depressions developing in double paroxysms was elaborated, which included 5 single-type variants of polar affective states. The findings obtained point to a great variability of the possible combinations of these states: in 64% of cases, there were combinations of the psychopathological simple and complex polar affective syndromes, in 30% those of simple and in 3% of complex syndromes. Affective disturbances were marked by a pronounced dissociation of the clinical manifestations of the affective triad. The complex affective syndromes were characterized by the development of isolated psychopathological disturbances more typical for the directly opposite states. The clinical course of the disease was characterized in some cases by a complication and in others by a simplification of the psychopathological patterns of double paroxysms. The paroxysmal course was inevitably transformed into a continuous one which accounted for the unfavourable social and occupational prognosis.

Adult↗
PubMed1984

The affected sib method. III. Selection and recombination.

The affected sib-pair method has been used to investigate the mode of inheritance, and to estimate the "disease" allele frequency, for a number of HLA-associated diseases. One of the assumptions of the original sib-pair method is that the disease confers no selective disadvantage on affected individuals. This is obviously not the situation for most diseases. We have determined the expected HLA haplotype-sharing distribution among affected sib-pairs when selection against individuals with the disease is taken into account. We have shown that if the mode of inheritance of the selectively disadvantageous disease is recessive or additive, the original affected sib-pair analysis, ignoring selection, still estimates the true mode of inheritance, but usually yields an underestimate of the "disease" allele frequency. For intermediate and dominant models of disease predisposition, both the estimates of the degree of penetrance of the "disease" genotypes, and the "disease" allele frequency, are altered if selection is ignored in the analysis. Similarly, allowing for recombination between the "disease" locus and the HLA region does not affect the determination of the mode of inheritance of the disease if it is recessive or additive; in other cases, however, the estimate of the mode of inheritance is affected. The "disease" allele frequency is overestimated when nonzero recombination is ignored for all the modes of inheritance that have been studied.

Alleles↗
PubMed1994

Persistence of affected T lymphocytes in long-term clinical remission in paroxysmal nocturnal hemoglobinuria.

Long-term clinical remission of more than 10 years is rarely seen in paroxysmal nocturnal hemoglobinuria (PNH). Affected blood cells in PNH lack glycosylphosphatidylinositol (GPI)-anchored membrane proteins such as decay-accelerating factor (DAF) and CD59. We performed a flow cytometric analysis of circulating blood cells obtained from two patients with PNH who had been in clinical remission for more than 10 and 25 years, respectively. Affected cells with the PNH phenotype were demonstrated only among T-lymphocytes. Persistent affected T cells were negative for the CD52 protein only, this protein being a GPI-anchored lymphocyte marker without complement regulatory activity. The persistence of the affected T cells may be explained either by an inherently long life span after the disappearance of the PNH stem cell or by insidious production at a subclinical level by affected stem cell. In either event, detection of affected T cells, especially CD52-negative T cells, may be useful for the evaluation of long-term clinical remission in PNH.

Adrenal Cortex Hormones↗
PubMed1995

The economic burden of affective disorders.

BACKGROUND: This paper summarises the methods and sources of data used to estimate costs of affective disorders and presents the results. METHOD: A timing model employing regression analysis was developed to estimate morbidity costs. This model measures the lifetime effect on current income of individuals with affective disorders, taking into account the timing of onset and the duration of these disorders. RESULTS: Affective disorders imposed an estimated US$ 20.8 billion burden in 1985 and US$ 30.4 billion in 1990 in the US. Affective disorders represent 21% of the costs of all mental illnesses. Direct treatment costs comprised 58.4% of the total in 1985; morbidity costs, 8.1%; mortality costs, the present value of future earnings lost due to premature mortality, 28.9%, based on a 6% discount rate; and other related costs, including the cost of crime, lost productivity due to incarceration, and caregiver services, 4.6%. Private sources account for 49% of the total direct expenditures for treatment of persons with affective disorders; state and local funds, 26%; and federal funds, 25%. CONCLUSION: In light of the high burden of affective disorders on societal resources, more attention should be directed at comprehensive, research-based strategies to reduce the prevalence of these disorders in the United States.

Adolescent↗
PubMed1993

Some developments on the affected-pedigree-member method of linkage analysis.

Some improvements are presented for the affected-pedigree-member method of linkage analysis, which is a generalization of the sib-pair method. The test statistic is extended to include contrasts between affected and unaffected pedigree members, so that it now utilizes marker information from all typed pedigree members rather than just the typed affected members. Computer simulation using a sample pedigree of 14 individuals shows that this modification can substantially increase statistical power where there is a direct association between marker variation and disease and where disease risk is elevated in carriers of the disease allele. Data on Huntington disease in 16 British families, which were analyzed previously using only the affected individuals, are reanalyzed with the unaffected individuals included. Strong rejection of the null hypothesis of no association between Huntington disease and the HindIII polymorphism is confirmed, but the particular families in which the association is significant differs from that obtained through an analysis based only on affected individuals and reflects more closely the results obtained from a lod-score analysis. The test statistic is also modified here to incorporate contrasts between individuals of zero kinship, if needed. This enables contrasts between individuals from different pedigrees, as well as contrasts involving individuals sampled from the general population, to be incorporated into the test of association. For population data, the methodology reduces to a type of contingency-table analysis, in which the rows of the table correspond to different marker-locus genotypes and in which the two columns categorize subjects into an "affected" group versus an "unaffected," or control, group. This aspect of the methodology is illustrated using two population data sets, the first relating APO-E genotype to the frequency of individuals undergoing maintenance hemodialysis and the second relating APO-B genotype to the frequency of coronary artery disease. The present methodology confirms the lack of association between marker and disease in the former data set and confirms the presence of association in the latter. Finally, the methodology is formulated here in terms of ordinary, multiperson kinship coefficients rather than in terms of the generalized kinship coefficients originally proposed. This greatly reduces the number of coefficients to be calculated, thereby enhancing the computational efficiency of the computer program.

Apolipoproteins B↗
PubMed1997

[Tools for clinical evaluation of affective temperaments].

The authors argue from an "adult" perspective, that clinically ascertained affective dysregulations are prevalent in the prebipolar history. This hypothesis is based: 1) on early age of onset; 2) gender ratio; 3) high propensity to mood switching under antidepressant treatment; 4) high rate of recurrence; 5) family affective loading and; 6) the frequent superposition of major episodes on affective temperamental dysregulation (prominence of mood lability and explosive anger: indicators of mixed states). The authors submit that affective temperaments (cyclothymic, hyperthymic and dysthymic) represent putative developmental pathways to bipolarity. A french version of the semi-structured interview and self-assessment of affective temperaments had been constructed by the authors. The french version of these psychometric tools is presented in this chapter. The authors hoped that current knowledge and new research in the domain of affective temperaments will encourage clinicians to further understanding the manic-depressive illness and to make early detection of different clinical expressions of bipolarity. More clinical sophistication is needed to go beyond the classical "diagnostic" instruments and artificial classifications (as in DSM IV) and to delineate the psycho-biological pathways to bipolarity.

Bipolar Disorder↗
PubMed1998

Factors affecting hemopoietic recovery after high-dose therapy and autologous peripheral blood progenitor cell transplantation: a single center experience.

BACKGROUND AND OBJECTIVE: While the minimum number of CD34+ cells required for complete and long-lasting engraftment is quite well established, there is not general agreement about the optimal number of CD34+ per kg needed in order to obtain engraftment as rapidly as possible. In the present study we assess factors affecting hemopoietic recovery and the optimal peripheral blood progenitor cell (PBPC) number for rapid engraftment in patients treated with high-dose therapy. DESIGN AND METHODS: We enrolled 80 consecutive patients affected by hematologic and non-hematologic malignancies treated with a median of 10 chemotherapy courses (range 3-38). PBPC collection was performed after mobilization with high-dose chemotherapy and G-CSF 5 micrograms/kg/day. The circulating and harvested CD34+ cells were recognized in the cytofluorimetric CD45+/CD14- lymphocyte gate. After myeloablative therapy, PBPC infusion was followed by G-CSF 5 micrograms/kg/day from day +5 until WBC > or = 5.0 x 10(9)/L. Univariate and multivariate Cox analyses were performed to investigate factors affecting hemopoietic recovery. The Kaplan-Meier probabilities of hemopoietic reconstitution were compared by log-rank test to assess the optimal CD34+ cell number for rapid engraftment. RESULTS: We performed a median of two apheresis (range 1-4) per patient and we infused a median of 6.1 x 10(6) CD34+ cells/kg (range 0.5-30.5). Absolute neutrophil count (ANC) > 0.5 x 10(9)/L was reached after 11 days (range 8-15). The only factor affecting granulocyte recovery proved to be the CD34+ cell number; 5.0 to 7.8 x 10(6) CD34+ cells/kg allowed a significantly faster granulocyte recovery than < 2.5 x 10(6) CD34+ cells/kg (p = 0.0312). Platelet transfusion independence (> 20 x 10(9)/L) and 50 x 10(9)/L platelets were reached after 12 (range 8-24) and 15 days (range 9-40), respectively. The CD34+ cell number was also the only factor affecting platelet recovery; the number of 5.0 to 7.8 CD34+ cells/kg allowed a significantly faster platelet recovery than the lower dose, whereas a higher number did not. No late graft failures were observed. Patients receiving 5.0 to 7.8 x 10(9) CD34+ cells/kg had a significantly shorter duration of neutropenia, fewer platelet transfusions and less time spent in hospital than those receiving lower number did, whereas patients transplanted with a higher number had no advantage. INTERPRETATION AND CONCLUSIONS: When G-CSF is employed both for PBPC mobilization and after PBPC transplantation, the CD34+ cell number is the only factor that affects hemopoietic recovery. Moreover, > 5.0 x 10(6) CD34+ cells/kg is the optimal number for obtaining rapid platelet recovery and reducing the costs of HDT but there is no advantage exceeding the threshold of 7.8 x 10(6) CD34+ cells/kg.

Adolescent↗
PubMedDate not supplied

Alexithymia, affect intensity and emotional range in suicidal patients.

BACKGROUND: Although negative affect in general has been widely associated with suicide, the role of specific emotions and affect features in depression and suicidality is unclear. This study examined the potential of three major components of the affect structure as predictors of suicidal behavior. METHODS: Twenty suicidal depressed (SD) inpatients were compared with 20 nonsuicidal depressed (NSD) inpatients and 20 healthy controls for alexithymia, emotional range (ER; i.e. variety of emotions experienced by the subjects) and affect intensity (AI; i.e. the intensity of their emotional responsiveness). RESULTS: Both the SD and the NSD patients had a narrower range of emotions, a stronger AI and a higher degree of alexithymia than did the healthy controls. No differences were found between the scores of the two inpatients groups. CONCLUSIONS: The three affect components examined (alexithymia, AI and ER) did not prove to represent sensitive predictors of suicidal behavior. Hopelessness and depression severity were found to be more reliable in the prediction of suicidal risk. We discuss the implications of this study, particularly the possibility of early detection and intervention in patients at risk.

Adult↗
PubMed1976

Appropriate and background affect in facial displays of emotion. Comparison of normal and schizophrenic males.

The hypothesis that normal subjects can express emotions more accurately than schizophrenics was tested by having judges match photographs of five posed affects with five emotion words for each of 16 normal and 16 schizophrenic male expressors. Discrimination accuracy was high, but the hypothesis was not confirmed. The results of a second study, in which separate measures of appropriate (intended) and "background" affect (eg, the rated intensity of anger displayed in a subject's nonangry poses) were provided, supported our expectation that discrimination accuracy is a function of both appropriate and background affect. The normal men tended to display more appropriate affect generally, and displayed more background happiness, while the schizophrenics expressed more background anger, sadness, and fear. Both intended and background affect, therefore, must be carefully considered in studies of emotional expressions.

Adult↗
PubMed1993

Prevalence of seasonal affective disorder in Iceland.

OBJECTIVE: To investigate seasonal patterns in mood and behavior and estimate the prevalence of seasonal affective disorder (SAD) and subsyndromal seasonal affective disorder (S-SAD) in the Icelandic population. PARTICIPANTS AND SETTING: A random sample generated from the Icelandic National Register, consisting of 1000 men and women aged 17 to 67 years from all parts of Iceland. It represents 6.4 per million of the Icelandic population in this age group. DESIGN: The Seasonal Pattern Assessment Questionnaire, an instrument for investigating mood and behavioral changes with the seasons, was mailed to a random sample of the Icelandic population. The data were compared with results obtained with similar methods in populations in the United States. MAIN OUTCOME MEASURES: Seasonality score and prevalence rates of seasonal affective disorder and subsyndromal seasonal affective disorder. RESULTS: The prevalence of SAD and S-SAD were estimated at 3.8% and 7.5%, respectively, which is significantly lower than prevalence rates obtained with the same method on the east coast of the United States (chi 2 = 9.29 and 7.3; P < .01). The standardized rate ratios for Iceland compared with the United States were 0.49 and 0.63 for SAD and S-SAD, respectively. No case of summer SAD was found. CONCLUSIONS: Seasonal affective disorder and S-SAD are more common in younger individuals and among women. The weight gained by patients during the winter does not seem to result in chronic obesity. The prevalence of SAD and S-SAD was lower in Iceland than on the East Coast of the United States, in spite of Iceland's more northern latitude. These results are unexpected since the prevalence of these disorders has been found to increase in more northern latitudes. The Icelandic population has remained remarkably isolated during the past 1000 years. It is conceivable that persons with a predisposition to SAD have been at a disadvantage and that there may have been a population selection toward increased tolerance of winter darkness.

Adolescent↗
PubMed1999

Symptom reporting in cancer patients II: relations to social desirability, negative affect, and self-reported health behaviors.

BACKGROUND: Patients' appraisal of somatic symptoms is correlated with their negative affect. The authors have investigated whether social desirability is associated with patients' symptom and health behavior reporting. METHODS: One hundred fourteen surgical cancer patients who participated in either an outpatient or an inpatient follow-up care program filled out the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire-C30, the New Social Desirability Scale, and a health behavior checklist. RESULTS: Patients' reports of somatic symptoms were correlated inversely with social desirability (r = -0.50) and positively with negative affect (r = 0.72). When objective health and demographic variables (e.g., prognosis, adjuvant therapy prior to follow-up, and gender) were entered first in hierarchical multiple regression analyses, social desirability and negative affect accounted for an additional 16% and 36% of the symptom variance, respectively. Similar results were found when global quality of life was the dependent variable. Self-reported health behaviors were explained only through the set of health and demographic variables (14%), and social desirability and negative affect did not account for additional variance. On the average, patients reported that they had a median of 4.7 (out of a list of 21) self-initiated health behaviors, and 11% of the patients admitted to having used unproven therapies. CONCLUSIONS: Symptom reports do not give a pure picture of patients' health status, but they are strongly correlated with social desirability and negative affect. Detection of such psychologic variables is essential to understanding the dynamics of quality of life. In applied settings, quality-of-life measures should be used together with conventional criteria. As practical experience and scientific understanding grow, the relative positioning of these patient-oriented versus clinic-oriented endpoints will become clear.

Adaptation, Psychological↗
PubMed1997

Alexithymia and affect pathology among adult male alcoholics.

The present study attempts to validate earlier findings of a positive relationship between the severity of alexithymia and symptoms of affect pathology among alcoholics. One hundred adult male outpatient alcoholics were given instruments to assess alexithymia and symptoms of affect pathology. Controlling for alcoholism severity, Pearson Product Moment Correlations demonstrated that the severity of alexithymia was significantly correlated with dysphoria and affect intolerance, as well as with certain interpersonal difficulties resulting from these affective disturbances. Such findings support the usefulness of the alexithymia construct in the understanding and treatment of affect pathology and its consequences among alcoholics.

Adult↗