Emotional Awareness Deficits in Male Patients with Alcohol Dependence / 신경정신의학

ABSTRACT

OBJECTIVES: The individual's ability to recognize and describe emotion in self and others is an important concept of many psychiatric disorders. The purpose of this study was to investigate emotional awareness deficits in patients with alcohol dependence. METHODS: 55 male inpatients with alcohol dependence and 28 male normal controls were evaluated by the Korean version of the Levels of Emotional Awareness Scale (LEAS-K), the Korean version of the 20-item Toronto Alexithymia Scale (TAS-20K), the Openness Experience Inventory (OEI) and the Beck Depression Inventory (BDI). The LEAS-K is an objective measure to assess the ability to be aware of one's own or another's emotions and the TAS-20 is the most widely used subjective measure of alexithymia. Scores of these scales were compared between two groups using ANCOVA controlling age and BDI scores. RESULTS: The LEAS-K scores were significantly lower in alcohol-dependent patients than normal controls. The TAS-20K total scores, factor 1 (Difficulty to Identifying Feeling, DIF) and factor 3 (Externally Oriented Thinking, EOT) were significantly higher in alcohol-dependent patients than normal controls. In contrast to the LEAS-K, the TAS-20K scores correlated significantly with the BDI scores. CONCLUSION: Emotional awareness is impaired in alcohol-dependent patients and it may not be related with depressive mood. Additional studies are needed to explore the significance of alexithymia, especially impaired emotional awareness, and its relationship to depressive mood in patients with alcohol dependence.