Journal
SCANDINAVIAN JOURNAL OF PSYCHOLOGY
Volume 56, Issue 4, Pages 405-419Publisher
WILEY
DOI: 10.1111/sjop.12217
Keywords
Alexithymia; self-harm; non suicidal self-injury (NSSI)
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This paper presents a systematic review of the literature concerning the relationship between alexithymia and self-harm. Fifteen studies were selected following a systematic search of relevant databases. Results indicate significantly higher levels of alexithymia in women who self-harm compared with women who do not self-harm. Studies of men were less conclusive and require further investigation. A subsample of the studies found that childhood abuse and bullying were more likely to be associated with self-harm if alexithymia was present as a mediator. Other studies found that depression mediated between alexithymia and self-harm. The results indicate that the poor emotional cognition and expression associated with alexithymia may increase vulnerability to self-harm, particularly in women.
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