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Alcohol. 2019 Aug 30. pii: S0741-8329(19)30028-X. doi: 10.1016/j.alcohol.2019.08.007. [Epub ahead of print]

Impact of the interaction between alexithymia and the adult attachment styles in participants with alcohol use disorder.

Author information

1
Faculty of Science, Lebanese University, Fanar, Lebanon.
2
Psychiatric Hospital of the Cross, Jal Eddib, Lebanon.
3
Faculty of Pharmacy, Lebanese University, Beirut, Lebanon; INSPECT-LB: Institut National de Santé Publique, Epidemiologie Clinique et Toxicologie, Beirut, Lebanon; Faculty of Medicine, Lebanese University, Beirut, Lebanon.
4
INSPECT-LB: Institut National de Santé Publique, Epidemiologie Clinique et Toxicologie, Beirut, Lebanon; School of Pharmacy, Lebanese International University, Beirut, Lebanon.
5
Faculty of Science, Holy Spirit University of Kaslik (USEK), Jounieh, Lebanon.
6
INSPECT-LB: Institut National de Santé Publique, Epidemiologie Clinique et Toxicologie, Beirut, Lebanon; Drug Information Center, Order of Pharmacists of Lebanon, Beirut, Lebanon.
7
INSPECT-LB: Institut National de Santé Publique, Epidemiologie Clinique et Toxicologie, Beirut, Lebanon; Faculty of Medicine and Medical Sciences, Holy Spirit University of Kaslik (USEK), Jounieh, Lebanon. Electronic address: souheilhallit@hotmail.com.
8
Psychiatric Hospital of the Cross, Jal Eddib, Lebanon; Faculty of Philosophy and Human Sciences, Holy Spirit University of Kaslik (USEK), Lebanon; Faculty of Pedagogy, Lebanese University, Beirut, Lebanon. Electronic address: saharobeid23@hotmail.com.

Abstract

The current study aims to investigate the effect of the interaction between adult attachment styles and alexithymia among participants with alcohol use disorder (AUD). This study is cross-sectional, conducted between November 2017 and March 2018, which enrolled 789 community dwelling participants. The interaction between alexithymia and secure relationship tended to significance (p=0.057). Higher interaction between alexithymia and a fearful relationship style (Beta=0.04) was significantly associated with higher AUD. The interaction model revealed the importance to stratify the results according to presence/absence of alexithymia. Being a female and having a secure relationship style were significantly associated with lower AUD in both group. Being divorced was significantly associated with higher AUD in both group. Increasing age (Beta=-1.48), secondary (Beta=-4.65) and university level of education (Beta=-6.46) were significantly associated with lower AUD in the non alexithymic group. Intermediate monthly income (Beta=2.69) and being widowed (Beta=8.24) were significantly associated with higher AUD in non alexithymic group. High monthly income (Beta=3.46) was significantly associated with higher AUD in the alexithymic group. The results of this study showed that the consideration of combination between attachment styles and alexithymia is of significance in the diagnosis and therapy of alcohol use disorders.

KEYWORDS:

alcohol use disorder; alexithymia; attachment style; dismissing; fearful; insecure; preoccupied

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