Memory recovery of childhood sexual abuse

p. 261-273In this study, no empirical evidence was found for the notion that most patients recover memories of childhood sexual abuse because their therapist had suggested to them that they were abused as children. Instead, our data seem to suggest that memory recovery is a spontaneous phenomenon, triggered by abuse-related stimuli. The issue of traumatic versus ordinary memories was investigated by comparing a group of 97 sexually abused women with a group of 65 matched controls for memory impairments. Having experienced an episode of inability to recall the event (i.e., amnesia) appeared to be extremely rare (1 %) in the control group, but rather common (35 %) in the traumatized group. Other features of motivated forgetting, like intentionally avoiding to think about the event, just not having thought about it, and having experienced an amnestic turning point were significantly more frequently mentioned by the traumatized than by the control group as well. Characteristics of the abuse, such as early age or violence, did not appear to be predictive of abuse-related amnesia. However, an inverse relation was found between prolonged sexual abuse (extending into adulthood) and amnesia. Women who initially consented to the abuse to get attention from the perpetrator were found to be more amnestic

Alexithymia in long-term survivors of childhood cancer

OBJECTIVE: To investigate the incidence of alexithymia (difficulties in describing or recognizing one's own emotions, a limited fantasy life, and general constriction in the affective life) in a group of childhood cancer survivors and to explore medical determinants which predict alexithymia. METHODS: Five years after completing therapy, 72 participants were asked to complete the Bermond-Vorst Alexithymia Questionnaire (BVAQ). RESULTS: Male cancer survivors scored significantly lower on overall alexithymia compared to healthy males. They also showed higher ability to fantasize, a higher emotional arousal, and were better able to verbalize their emotional reactions. The female survivors did not show differences compared to the normal female population. No medical determinant was associated with alexithymia. CONCLUSIONS: Stress due to childhood cancer does not affect the alexithymia scores of females. However, male cancer survivors score less alexithymic than age matched control

A cognitive and an affective dimension of alexithymia in six languages and seven populations

The Dutch Bermond–Vorst Alexithymia Questionnaire (BVAQ) is translated into various languages. The aim of this research was to establish the factor structure of subscales on seven cultural groups. The BVAQ consists of five subscales of eight items each: Emotionalising, Fantasising, Analysing, Identifying, and Verbalising emotions. The BVAQ was administered to a group of Dutch students (n=375), a group of English students (n=175), a group of Australian students, university employees and visitors (n=216), a group of French speaking Belgian students (n=175), a group of Italian people (n=791; a mix of various clinical groups), a group of Polish people (n=427; also a mix of various clinical groups) and a group of Russian people (n=141; general population). The hypothesised two-factor structure of an affective alexithymia dimension (Emotionalising, Fantasising) and a cognitive alexithymia dimension (Insight and Verbalising), with “Analysing emotions” loading on both factors, was clearly supported by confirmatory factor analyses (CFA). Both orthogonal and oblique principal components analyses (PCA), without restriction concerning the number of factors, provided the same two-factor solution in all groups explaining between 55% and 64% of the variance. Oblique rotation further demonstrated that the correlations between these two factors were low in all populations. The combined CFA and PCA results, therefore, indicated that a model with two independent factors has to be preferred over the model assuming two correlated factors

Psychometric Properties of the Chinese Bermond–Vorst Alexithymia Questionnaire: An Exploratory Structural Equation Modeling Study

The Toronto Alexithymia Scale-20 (TAS-20) has been widely used to assess alexithymia. The Bermond–Vorst Alexithymia Questionnaire (BVAQ) assesses two additional features of alexithymia—the affective factors of emotionalizing and fantasizing, which are not included in the TAS-20. However, there is currently no Chinese version of the BVAQ. Here, the authors collected data from 439 college students (293 females, aged 17–27, mean ± SD = 20.25 ± 1.88) to evaluate the psychometric properties for a Chinese BVAQ translation. Exploratory structural equation modeling and confirmatory factor analysis provided satisfactory validity and acceptable reliability for a six-factor first-order solution of a 35-item Chinese BVAQ. This adaptation retained the five original BVAQ factors (identifying, analyzing, verbalizing, emotionalizing, and fantasizing) and further specified the factor of identifying (successful identifying and unsuccessful identifying feelings). The authors also found a two-factor second-order model of cognitive and affective components for alexithymia in the Chinese population. Higher correlations with the TAS-20 were observed for identifying, analyzing, and verbalizing feelings (0.34 ∼ 0.61) relative to fantasizing and emotionalizing (0.02 ∼ −0.05). These results support the construct validity of the adaptation. This work provides a reliable and valid Chinese adaptation of the BVAQ

A cognitive and an affective dimension of alexithymia in six languages and seven populations

The Dutch Bermond-Vorst Alexithymia Questionnaire (BVAQ) is translated into various languages. The aim of this research was to establish the factor structure of subscales on seven cultural groups. The BVAQ consists of five subscales of eight items each: Emotionalising, Fantasising, Analysing, Identifying, and Verbalising emotions. The BVAQ was administered to a group of Dutch students (n=375), a group of English students (n=175), a group of Australian students, university employees and visitors (n=216), a group of French speaking Belgian students (n=175), a group of Italian people (n=791; a mix of various clinical groups), a group of Polish people (n=427; also a mix of various clinical groups) and a group of Russian people (n=141; general population). The hypothesised two-factor structure of an affective alexithymia dimension (Emotionalising, Fantasising) and a cognitive alexithymia dimension (Insight and Verbalising), with “Analysing emotions” loading on both factors, was clearly supported by confirmatory factor analyses (CFA). Both orthogonal and oblique principal components analyses (PCA), without restriction concerning the number of factors, provided the same two-factor solution in all groups explaining between 55% and 64% of the variance. Oblique rotation further demonstrated that the correlations between these two factors were low in all populations. The combined CFA and PCA results, therefore, indicated that a model with two independent factors has to be preferred over the model assuming two correlated factors.12 page(s

Memory functions in prednisone-treated kidney transplant patients

The literature indicates that high daily doses of gluco-corticosteroids have a degenerating effect upon the hippocampus and thus result in reduced declarative memory capacities. In order to prevent rejection, renal transplant recipients are treated with moderate daily doses of gluco-corticosteroids and, if necessary, with high pulse-doses during a few days. The question, therefore, arises as to whether or not such standard treatments result in memory impairments. For this reason, declarative memory capacities were measured, by means of a Dutch version of Rey's 15 Words Test, in a group of 52 renal transplant recipients. Results clearly indicated severe reductions in declarative memory capacities in these patient