A1 Refereed original research article in a scientific journal

Alexithymic Traits and Hair Cortisol Concentrations in Pregnant Women




AuthorsJani Kajanoja, Max Karukivi, Paula Mustonen, Noora M. Scheinin, Susanna Kortesluoma, Ana João Rodrigues, Hasse Karlsson, Linnea Karlsson

PublisherFRONTIERS MEDIA SA

Publication year2020

JournalFrontiers in Psychiatry

Journal name in sourceFRONTIERS IN PSYCHIATRY

Journal acronymFRONT PSYCHIATRY

Article numberARTN 421

Volume11

Number of pages7

ISSN1664-0640

eISSN1664-0640

DOIhttps://doi.org/10.3389/fpsyt.2020.00421

Web address https://www.frontiersin.org/articles/10.3389/fpsyt.2020.00421/full

Self-archived copy’s web addresshttps://research.utu.fi/converis/portal/detail/Publication/48517195


Abstract
IntroductionAlexithymia, a personality construct characterized by difficulties in identifying and expressing emotions, and an externally oriented thinking style, has been associated with a number of stress-related disorders, and physiological markers of stress. We examined the relationships of alexithymia and hair cortisol concentrations (HCC), a measure of long-term cortisol levels, in pregnant women.
MethodsParticipants were 130 women from the FinnBrain Birth Cohort study. Alexithymia was measured with the Toronto Alexithymia Scale (TAS-20). Analysis of covariance and regression analyses were used to assess the associations between alexithymia and HCC. Educational level, current depressive symptoms, and body mass index (BMI) were applied as covariates.
ResultsIn the adjusted analyses, individuals with moderate to high alexithymic traits had significantly higher HCC (F = 5.11, partial eta(2) = 0.040 , p = 0.026) compared to non-alexithymics. Regression analyses in the whole sample revealed that, of the individual dimensions of alexithymia, Difficulty Identifying Feelings (DIF) was associated with HCC (beta = 0.187, t = 2.064, p = 0.041).
ConclusionsAlexithymia, and especially its dimension DIF, were associated with higher HCC and, therefore, may be linked to increased chronic physiological stress. Implications for pregnancy outcomes and infant development are discussed.

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