Reactividad simpática al estrés inducido experimentalmente en la alexitimia
- Martínez-Sánchez, Francisco
- Ato García, Manuel
ISSN: 0212-9728, 1695-2294
Año de publicación: 2011
Volumen: 27
Número: 3
Páginas: 757-762
Tipo: Artículo
Otras publicaciones en: Anales de psicología
Resumen
La alexitimia describe un trastorno específico del procesamiento emocional que se manifiesta mediante una marcada dificultad para identificar y expresar emociones. El objetivo principal de este trabajo ha sido valorar la relación entre los patrones de activación simpática, medidos mediante la actividad electrodermal, y el nivel de alexitimia, en una situación de estrés inducido experimentalmente en el laboratorio. Se emplearon mujeres jóvenes con niveles altos y bajos de alexitimia, clasificadas mediante las puntuaciones que obtuvieron en el TAS-20. El experimento comprendió seis fases, en las que se evaluó su reactividad simpática en cada una de ellas mediante el empleo del Índice de Sudoración Palmar, un indicador sensible al numero de glándulas ecrinas activas. Los resultados mostraron que en ambos grupos se produjeron incrementos significativos en el número de glándulas sudoríparas activas durante las fases de estrés, así como reducciones en las fases de relajación. Se obtuvieron también diferencias significativas en los que obtuvieron puntuaciones altas y bajas en el TAS-20 durante las distintas fases experimentales, pero no se apreciaron evidencias de intereación entre las fases y los niveles de alexitimia. Los resultados proveen un moderado apoyo a la hipótesis que sostiene que los alexitímicos son más reactivos fisiológicamente al estrés.
Referencias bibliográficas
- Bagby, R.M., Parker, J.D., & Taylor, G.J. (1994). The twenty-item Toronto Alexithymia Scale-I. Item selection and cross-validation of the factor struc-ture. Journal of Psychosomatic Research, 38(1), 23-32.
- Bagby, R.M., Taylor, G.J., & Atkinson, L. (1988). Alexithymia: a comparative study of three self-report measures. Journal of Psychosomatic Research, 32, 107-116.
- Bagby, R.M., Taylor, G.J., & Parker, J.D. (1994). The twenty-item Toronto Alexithymia Scale-II. Convergent, discriminant, and concurrente validity. Journal of Psychosomatic Research, 38(1), 33-40.
- Berenbaum, H., & Prince, J.D. (1994). Alexithymia and the interpretation of emotion-relevant information. Emotion and Cognition, 8(3), 231-244.
- Clements, K., & Turpin, G. (1996). Physiological effects of public speaking assessed using a measure of palmar sweating. Journal of Psychophysiology, 10, 283-290.
- Fernández Castro, J., Kölher, Th., Limonero, J.T., Prieto, L., & Edo, E. (1991). Un método casi desconocido para medir la actividad de las glándulas sudorí-paras. Cuadernos de Medicina Psicosomática, 19, 28-31.
- Fernández Castro, J., Martínez-Sánchez, F., & Ortiz Soria, B. (1999). Efecto modulador de la competencia personal percibida sobre la reactividad fisiológica al estrés inducido experimentalmente. Revista de Psicología Contemporánea, 6(1), 82-89.
- Franz, M., Schaefer, R., Schneider, C., Sitte, W., & Bachor, J. (2004). Visual event-related potentials in subjects with alexithymia: modified processing of emotional aversive information? American Journal of Psy-chiatry, 161, 728-735.
- Freedman, L.W., Scerbo, A.S., Dawson, M.E., Raine, A., McClure, W.O., & Venables, P.H. (1994). The relationship of sweat glands count to elec-trodermal activity. Psychophysiology, 31, 196-200.
- Friedlander, L., Lumley, M. A., Farchione, T., & Doyal, G. (1997). Testing the alexithymia hypothesis: Physiological and subjective responses during relaxa-tion and stress. Journal of Nervous and Mental Diseases, 185, 233-239.
- Fukunishi, I., Sei, H., Morita, Y., & Rahe, R.H. (1999). Sympathetic activity in alexithymics with mother's low care. Journal of Psychosomatic Research, 46, 579-589.
- Fukunishi, I., Tsuruta, T., Hirabayashi, N., & Asukai, N. (2001). Association of alexithymic characteristics and posttraumatic stress responses following medical treatment for children with refractory hematological diseases. Psycho-logical Report, 89(3), 527-534.
- Gündel, H., Greiner, A., Ceballos-Baumann, A.O., von Rad, M., Förstl, H., & Jahn, T. (2002). Erhöhte sympathische Grundaktivität bei hoch- versus nie-drig-alexithymen Patienten mit spasmodischem Tortikollis. Psychotherapie Psychosomatik und Medizinische Psychologie, 52, 461-468.
- Hendryx, M.S., Haviland, M.G., & Shaw, D.G. (1991). Dimensions of alexithymia and their relationships to anxiety and depression. Journal of Personality Assessment, 56(2), 227-237.
- Hendryx, M.S., Haviland, M.G., Shaw, D.G., & Henry, J. (1994). Alexithymia in women and men hospitalized for psychoactive substance dependence. Comprehensive Psychiatry, 35(2), 124-128.
- Horton, P.C., Gewirtz, H., & Kreutter, K.J. (1989). Alexithymia and solace. Psychotherapy and Psychosomatics, 51(2), 91-95.
- Hyer, L.A., Woods, M.G., & Boudewyns, C. (1990). Alexithymia among Vietnam veterans with posttraumatic stress disorder. Journal of Clinical Psychiatry, 51, 243-247.
- Infrasca, R. (1997). Alexithymia, neurovegetative arousal and neuroticism. An experimental study. Psychotherapy and Psychosomatics, 66, 276-280.
- Jessimer, M., & Markham, R. (1997). Alexithymia: a right hemisphere dysfunction specific to recognition of certain facial expressions?. Brain and Cognition, 34, 246-258.
- Kano, M., Fukudo, S., Gyoba J., Karachi, M., Tagawa, M., Mochizuki, H., Itoh, M., Hongo, M. & Yanai K. (2003). Specific brain processing of facial expressions in people with alexithymia: an H215O-PET study. Brain, 126(6), 1474-1484.
- Keselman, H.J., Algina, J., & Kowalchuk, R.K. (2001). The analysis of repeated measures design: a review. British Journal of Mathematical and Statistical Psychology, 54(1), 1-20.
- Köhler, Th., & Schuschel, I. (1994). Changes in the number of active sweat glands (palmar sweat index, PSI) during a distressing film. Biological Psychology, 37, 133-145.
- Köhler, Th., & Troester, U. (1991). Changes in the palmar sweat index during mental arithmetic. Biological Psychology, 32, 143-154.
- Köhler, Th., Weber, D., & Vögele, C. (1990). The behaviour of the PSI (palmar sweat index) during two stressful situations. Journal of Psychophysiology, 4, 281-287.
- Kohn, P.M., Gurevich, M., Pickering, D.I., & McDonald, E. (1994). Alexithymia, reactivity, and the adverse impact of hassles-based stress. Personality and Indi-vidual Differences, 16(6), 805-812.
- Krystal, J.H., Giller, E.L., & Cicchetti, D.V. (1986). Assessment of alexithymia in posttraumatic stress disorder and somatic illness: Introduction of a reliable measure. Psychosomatic Medicine, 48, 84-94.
- Lars-Gunnar, L., & Simonsson-Sarnecki, M. (2002). Alexithymia and cognitive bias for emotional information. Personality and Individual Differences, 32, 1063-1075.
- Larsen, J.K., Branda, N., Bermondb, B. y Hijmanc, R. (2003). Cognitive and emo-tional characteristics of alexitimia. A review of neurobiological studies. Journal of Psychosomatic Research, 54, 533- 541.
- Li, C.S & Sinha, R. (2006). Alexithymia and stress-induced brain activation in cocainedependent men and women. Journal of Psychiatry and Neuroscience 31(2), 115-121.
- Linden, W., Lenz, J.W., & Stossel, C. (1996). Alexithymia, defensiveness and cardiovascular reactivity to stress. Journal of Psychosomatic Research, 41(6), 575-583.
- Littell, R.C., Pendergast, J., & Natarajan, R. (2000). Modelling covariance structure in the analysis of repeated measures data. Statistics in Medicine, 19, 1793-1819.
- Lumley, M.A., Stettner, L., & Wehmer, F. (1996). How are alexithymia and physical illness linked? A review and critique of pathways. Journal of Psychosomatic Research, 41(6), 505-518.
- Lumley, M.A., Tomakowsky, J., & Torosian, T. (1997). The relationship of alexithymia to subjective and biomedical measures of disease. Psychosomatics, 38, 497-502.
- Martin, J. B., & Pihl, R.O. (1985). The stressalexithymia hypothesis: theoretical and empirical considerations. Psychotherapy and Psychosomatics, 43, 169-176.
- Martin, J.B., & Pihl, R.O. (1986a). Influence of alexithymic characteristics on physiological and sbjective stress responses in normal individuals. Psychotherapy and Psychosomatics, 45, 66-77.
- Martin, J.B., & Pihl, R.O. (1986b). The relevance of alexithymia for research on stress and stress-related disorders. En Humphrey, J.H. (Ed.) Human Stress, current selected research. Vol. 1 (pp. 99-111). N.Y.: AMS Press, Inc.
- Martínez-Sánchez, F. (1996). Adaptación española de la Escala de Alexitimia de Toronto (TAS-20). Clínica y Salud, 7, 19-32.
- Martínez-Sánchez, F., Ato, M., & Ortiz, B. (2003). Alexithymiastate or trait? The Spanish Journal of Psychology, 6, 51-59.
- Martínez-Sánchez, F., Ato, M., Córcoles, E., Huedo, T., & Selva, J. (1998). Stability in the alexitimia levels: a longitudinal analysis of temporary se-ries on various emotional answers. Personality and Individual Differences, 24, 767-772.
- Martínez-Sánchez, F., Ortiz, B., & Ato, M. (2001). Subjective and autonom-ic stress responses in alexithymia. Psicothema, 13, 63-68.
- Martínez-Sánchez, F., Ortiz, B., & Fernández, J. (1998). El índice de sudoración palmar: un procedimiento de evaluación de la reactividad autónoma en el es-tudio del estrés inducido experimentalmente. Ansiedad y Estrés, 4(2/3), 227-238.
- Näring, G.W.B., & van der Staak, C.P.F. (1995). Perception of heart rate and blood pressure: the role of alexithymia and anxiety. Psychotherapy and Psychoso-matics, 63, 193-200.
- Nemiah, J.C., Sifneos, P.E., & Apfel-Savitz, R. (1977). A comparison of the oxygen consumption of normal and alexithymic subjects in re-sponse to affect-provoking thoughts. Psychotherapy and Psychosomatics, 28, 167-171.
- Neumann, S. A., Sollers, J.J., Thayer, F. F. & Waldstein, S.R. (2004). Alexithymia predicts attenuated autonomic reactivity, but prolonged recovery to anger recall in young women. International Journal of Psychophysiology, 53(3), 183-195.
- Newton, T.L. & Contrada, R.J. (1994). Alexithymia and repression: contrasting emotion-focused coping styles. Psychosomatic Medicine, 56, 457-462.
- Pandey, R., & Mandal, M.K. (1996). Eysenckian personality dimensions and alexithymia: examining the overlap terms of perceived autonomic arousal. Personality and Individual Differences, 20(4), 499-504.
- Papciak, A.S., Feuerstein, M., & Spiegel, J.A. (1985). Stress reactivity in alexithy-mia: decoupling of physiological and cognitive responses. Journal of Human Stress, 11, 135-142.
- Parker, J.D., Bagby, R.M., Taylor, G.J., Endler, N.S., & Schmitz, P. (1993). Facto-rial validity of the 20-item Toronto Alexithymia Scale. European Journal of Per-sonality, 7, 221-232.
- Parker, J.D., Taylor, G.J., & Bagby, R.M. (1993). Alexithymia and processing of emotional stimuli: an experimental study. New Trends in Experimental and Clini-cal Psychiatry, IX(1/2), 9-14.
- Pinheiro, J.C., & Baltes, D.M. (2000). Mixed-effects models in S and S-PLUS. New York, NY: Springer.
- Rabavilas, A.D. (1987). Electrodermal activity in low and high alexithymia neurotic patients. Psychotherapy and Psychosomatics, 47, 101-104.
- Richter, J., Möller, B., Spitzer, C., Letzel, S., Bartols, S., Barnow, S., Frey-berger, H. J., & Grabe, H. J. (2006). Transcallosal Inhibition in Patients with and without Alexithymia. Neuropsychobiology, 53(2), 101-107.
- Roedema, T.M. & Simons, R.F. (1999). Emotion-processing deficit in alexithymia. Psychophysiology, 36, 379-387.
- SAS Institute, Inc. (1999). SAS/STAT User ́s Guide, Version 8. Cary, NC: SAS Institute Inc.
- Stone, L.A., & Nielson, K.A. (2001). Intact physiological response to arousal with impaired emotional recognition in alexithymia. Psychotherapy and Psychosomatics, 70(2), 92-102.
- Suslow, T. (1998). Alexithymia and automatic affective processing. European Journal of Personality, 12, 433-443.
- Suslow, T., & Junghanns, K. (2002). Impairments of emotion situation priming in alexithymia. Personality and Individual Differences, 32, 541-550.
- Taylor, G.J. (2000). Recent developments in alexithymia theory and re-search. Canadian Journal of Psychiatry, 45(2), 134-142.
- Taylor, G.J., Bagby, R.M., & Luminet, O. (2000). Assessment of alexithy-mia: Self-report and observer-rated measures. In R. Bar-On & J.D.A. Parker (Eds), The handbook of emotional intelligence. (pp. 301-319). San Francisco: Jossey-Bass.
- Taylor, G.J., Bagby, R.M., & Parker, J.D. (1991). The alexithymia construct. A potential paradigm for psychosomatic medicine. Psychosomatics, 32(2), 153-164.
- Taylor, G.J., Bagby, R.M., & Parker, J.D. (1997). Disorders of affect regulation. Alexithymia in medical and psychiatric illness. Cambridge: Cambridge Uni-versity Press.
- Turpin, G., & Clements, K. (1993). Electrodermal activity and psychopathology: the development of the palmar sweat index (PSI) as an applied measure for use in clinical settings. In J.C. Roy, W. Boucsein, D.C. Fowles & J.H. Gruze-lier (eds), Progress in electrodermal research (pp. 49-59). New York and London: Plenum Press.
- Verbeke, G., & Mollenberghs, G. (1997). Linear mixed models in practice: a SAS-oriented approach. New York, NY: Springer.
- Wehmer, F., Brejnak, C., Lumley, M., & Stettner, L. (1995). Alexithymia and physiological reactivity to emotion-provoking visual scenes. The Journal of Nervous and Mental Disease, 183(6), 351-357.
- Zeitlin, S.B., McNally, R.J., & Cassiday, K.L. (1993). Alexithymia in victims of sexual assault: an effect of repeated traumatization? American Journal of Psychia-try, 150(4), 661-663.