Emotion Dysregulation and Alexithymia within Marital Burnout through an Emotion-Focused Therapy Lens

References

• Ahrnberg, H., Pajulo, M., Scheinin, N. M., Karlsson, L., Karlsson, H., & Karukivi, M. (2020). Association between parental alexithymic traits and self-reported postnatal reflective functioning in a birth cohort population. Findings from the FinnBrain Birth Cohort Study. Psychiatry Research, 286, 112869. https://doi.org/10.1016/j.psychres.2020.112869
   PubMed Web of Science ®Google Scholar
• Akbari, E., Azimi, Z., Talebi, S., & Fahimi, S. (2020). Prediction of couples’ emotional divorce based on early maladaptive schemas and emotion regulation’s components. Clinical Psychology and Personality, 14(2), 79–92. https://doi.org/10.22070/14.2.79
   Google Scholar
• Albach, F. M. P. P., Moormann, P. P., & Bermond, B. (1996). Memory recovery of childhood sexual abuse. Dissociation, 9(4), 261–273. https://hdl.handle.net/11245/1.136275
   Google Scholar
• Alexandru, A. M. (2022). Attachment styles, alexithymia and interpersonal relationships. Studia Doctoralia, 13(1), 23–34. https://doi.org/10.47040/sdpsych.v13i1
   Google Scholar
• Alizadeh Aghdam, M. B., Abbaszadeh, M., & Saei, M. (2022). A sociological study of students’ academic burnout (Case study: Students of Tabriz University). Quarterly of Social Studies and Research in Iran, 11(2), 489–516. https://doi.org/10.22059/jisr.2022.319915.1191
   Google Scholar
• Allendorf, K., & Ghimire, D. J. (2013). Determinants of marital quality in an arranged marriage society. Social Science Research, 42(1), 59–70. https://doi.org/10.1016/j.ssresearch.2012.09.002
   PubMed Web of Science ®Google Scholar
• Alsawalqa, R. O. (2019). Marriage burnout: When the emotions exhausted quietly quantitative research. Iranian Journal of Psychiatry and Behavioral Sciences, 13(2), e68833. https://doi.org/10.5812/ijpbs.68833
   Web of Science ®Google Scholar
• Bagby, R. M., Parker, J. D., & Taylor, G. J. (1994). The twenty-item Toronto Alexithymia Scale—I. Item selection and cross-validation of the factor structure. Journal of psychosomatic research, 38(1), 23–32.
   PubMed Web of Science ®Google Scholar
• Beasley, C. C., & Ager, R. (2019). Emotionally focused couples therapy: A systematic review of its effectiveness over the past 19 years. Journal of Evidence-Based Social Work, 16(2), 144–159. https://doi.org/10.1080/23761407.2018.1563013
   PubMedGoogle Scholar
• Bekker, M. H. J., Bachrach, N., & Croon, M. A. (2007). The relationships of antisocial behavior with attachment styles, autonomy-connectedness and alexithymia. Journal of Clinical Psychology, 63(6), 507–527. https://doi.org/10.1002/jclp.20363
   PubMed Web of Science ®Google Scholar
• Besharat, M. A. (2007). Reliability and factorial validity of a Farsi version of the 20-item Toronto Alexithymia Scale with a sample of Iranian students. Psychological Reports, 101(1), 209–220. https://doi.org/10.2466/pr0.101.1.209-220
   PubMed Web of Science ®Google Scholar
• Besharat, M. A., & Khajavi, Z. (2013). The relationship between attachment styles and alexithymia: Mediating role of defense mechanisms. Asian Journal of Psychiatry, 6(6), 571–576. https://doi.org/10.1016/j.ajp.2013.09.003
   PubMedGoogle Scholar
• Besharat, M. A., & Shahidi, V. (2014). Mediating role of cognitive emotion regulation strategies on the relationship between attachment styles and alexithymia. Europe’s Journal of Psychology, 10(2), 352–362. https://doi.org/10.5964/ejop.v10i2.671
   Google Scholar
• Bjureberg, J., Ljótsson, B., Tull, M. T., Hedman, E., Sahlin, H., Lundh, L.-G., Bjärehed, J., DiLillo, D., Messman-Moore, T., Gumpert, C. H., & Gratz, K. L. (2016). Development and validation of a brief version of the difficulties in emotion regulation scale: The DERS-16. Journal of Psychopathology and Behavioral Assessment, 38(2), 284–296.https://doi.org/10.1007/s10862-015-9514-x
   PubMed Web of Science ®Google Scholar
• Bowlby, J. (1973). Attachment and loss: Separation: Anxiety and anger. Vol. 2. Hogarth Press.
   Google Scholar
• Bowlby, J. (1988). A secure base: Clinical applications of attachment theory. Routledge.
   Google Scholar
• Brandão, T., Matias, M., Ferreira, T., Vieira, J., Schulz, M. S., & Matos, P. M. (2020). Attachment, emotion regulation, and well‐being in couples: Intrapersonal and interpersonal associations. Journal of Personality, 88(4), 748–761. https://psycnet.apa.org/doi/10.1111/jopy.12523
   PubMed Web of Science ®Google Scholar
• Brown, T. A., Avery, J. C., Jones, M. D., Anderson, L. K., Wierenga, C. E., & Kaye, W. H. (2018). The impact of alexithymia on emotion dysregulation in anorexia nervosa and bulimia nervosa over time. European Eating Disorders Review : The Journal of the Eating Disorders Association, 26(2), 150–155. https://doi.org/10.1002/erv.2574
   PubMed Web of Science ®Google Scholar
• Cheche Hoover, R., & Jackson, J. B. (2021). Insecure attachment, emotion dysregulation, and psychological aggression in couples. Journal of Interpersonal Violence, 36(19-20), NP10908–NP10936. https://doi.org/10.1177/0886260519877939
   PubMed Web of Science ®Google Scholar
• Ciarrochi, J. V., & Deane, F. P. (2001). Emotional competence and willingness to seek help from professional and nonprofessional sources. British Journal of Guidance & Counselling, 29(2), 233–246. https://doi.org/10.1080/03069880124843
   Web of Science ®Google Scholar
• Cooper, M. J., & Warren, L. (2011). The relationship between body weight (body mass index) and attachment history in young women. Eating Behaviors, 12(1), 94–96. https://doi.org/10.1016/j.eatbeh.2010.11.006
   PubMed Web of Science ®Google Scholar
• Costa, C. B. D., & Mosmann, C. P. (2020). Aspects of the marital relationship that characterize secure and insecure attachment in men and women. Estudos de Psicologia (Campinas), 37, e190045. https://doi.org/10.1590/1982-0275202037e190045
   Google Scholar
• Darrow, S. M., & Follette, W. C. (2014). A behavior analytic interpretation of alexithymia. Journal of Contextual Behavioral Science, 3(2), 98–108. https://doi.org/10.1016/j.jcbs.2014.03.002
   PubMedGoogle Scholar
• DiMaggio, D. J. (2020). What contributes to marital satisfaction? The relationship between attachment style, emotion regulation, mentalization and marital satisfaction (Doctoral dissertation, Alliant International University).
   Google Scholar
• Elliott, R., Watson, J. C., Goldman, R. N., & Greenberg, L. S. (2004). Learning emotion-focused therapy: The process-experiential approach to change. American Psychological Association. https://psycnet.apa.org/doi/10.1037/10725-000
   Google Scholar
• Epözdemir, H. (2012). The effect of alexithymic characteristics of married couples on their marital adjustment. Journal of Family Psychotherapy, 23(2), 116–130. https://doi.org/10.1080/08975353.2012.679902
   Google Scholar
• Falahati, F., & Mohammadi, M. (2020). Prediction of marital burnout based on automatic negative thoughts and alexithymia among couples. Journal of Midwifery and Reproductive Health, 8(2), 2218–2226. https://doi.org/10.22038/jmrh.2021.55174.1673
   Google Scholar
• Fallah, M. Y., Talemi, A. N., Bagheri, M., Allameh, Y., Mazloumirad, M., Zandnia, F., Gheitarani, B., & Ghahari, S. (2019). Attachment styles, marital conflicts, coping strategies, and sexual satisfaction in spouse abused and non-abused women. Journal of Pharmaceutical Research International, 26(4), 1–9. https://doi.org/10.9734/jpri/2019/v26i430141
   Web of Science ®Google Scholar
• Fallahian, H., & Mikaeli, N. (2019). The role of marital burnout, marital instability, and cognitive failure in predicting tendency to divorce in couples. Family Pathology, Counseling and Enrichment Journal, 5(1), 139–154. http://dorl.net/dor/20.1001.1.24234869.1398.5.1.6.3
   Google Scholar
• Ferri, P., Guerra, E., Marcheselli, L., Cunico, L., & Di Lorenzo, R. (2015). Empathy and burnout: An analytic cross-sectional study among nurses and nursing students.
   Google Scholar
• Firoozabadi, A., Abedi, Z., Aliyari, R., Zolfaghari, B., & Ghanizadeh, A. (2014). Psychometric characteristics of the Persian (Farsi) version of attachment style questionnaire. Iranian Journal of Medical Sciences, 39(6), 506–514.
   PubMedGoogle Scholar
• Fonagy, P., & Gergely, G. (2018). In Jurist, E. L. (Ed.). Affect regulation, mentalization and the development of the self. Routledge.
   Google Scholar
• Fowers, B. J., & Olson, D. H. (1989). ENRICH marital inventory: A discriminant validity and cross‐validation assessment. Journal of Marital and Family Therapy, 15(1), 65–79. https://doi.org/10.1111/j.1752-0606.1989.tb00777.x
   PubMed Web of Science ®Google Scholar
• Frye-Cox, N. E., & Hesse, C. R. (2013). Alexithymia and marital quality: The mediating roles of loneliness and intimate communication. Journal of Family Psychology: JFP: Journal of the Division of Family Psychology of the American Psychological Association (Division 43), 27(2), 203–211. https://doi.org/10.1037/a0031961
   PubMed Web of Science ®Google Scholar
• Gallo, L. C., & Smith, T. W. (2001). Attachment style in marriage: Adjustment and responses to interaction. Journal of Social and Personal Relationships, 18(2), 263–289. https://psycnet.apa.org/doi/10.1177/0265407501182006
   Web of Science ®Google Scholar
• Gillath, O., & Shaver, P. R. (2007). Effects of attachment style and relationship context on selection among relational strategies. Journal of Research in Personality, 41(4), 968–976. https://doi.org/10.1016/j.jrp.2006.11.003
   Web of Science ®Google Scholar
• Goerlich, K. S. (2018). The multifaceted nature of alexithymia—A neuroscientific perspective. Frontiers in Psychology, 9, 1614. https://doi.org/10.3389/fpsyg.2018.01614
   PubMed Web of Science ®Google Scholar
• Greenberg, L. S. (2010). Emotion-focused therapy: A clinical synthesis. FOCUS, 8(1), 32–42. https://doi.org/10.1176/foc.8.1.foc32
   Google Scholar
• Greenberg, L. S., & Goldman, R. N. (2019). Clinical handbook of emotion-focused therapy (pp. xiv–534). American Psychological Association.
   Google Scholar
• Greenberg, L. S., & Johnson, S. M. (1988). Emotionally focused therapy for couples. Guilford Press. https://psycnet.apa.org/doi/10.1037/h0085753
   Google Scholar
• Greenberg, L. S., & Watson, J. C. (2006). Emotion-focused therapy for depression. American Psychological Association. https://psycnet.apa.org/doi/10.1037/11286-000
   Google Scholar
• Greenberg, L. S., Ford, C. L., Alden, L. S., & Johnson, S. M. (1993). In-session change in emotionally focused therapy. Journal of Consulting and Clinical Psychology, 61(1), 78–84. https://psycnet.apa.org/doi/10.1037/0022-006X.61.1.78 https://doi.org/10.1037//0022-006x.61.1.78
   PubMed Web of Science ®Google Scholar
• Gross, J. J. (2008). Emotion regulation. Handbook of Emotions, 3(3), 497–513.
   Google Scholar
• Halford, W. K., Sanders, M. R., & Behrens, B. C. (2001). Can skills training prevent relationship problems in at-risk couples? Four-year effects of a behavioral relationship education program. Journal of Family Psychology: JFP: Journal of the Division of Family Psychology of the American Psychological Association (Division 43), 15(4), 750–768. https://doi.org/10.1037//0893-3200.15.4.750
   PubMed Web of Science ®Google Scholar
• Hazan, C., & Shaver, P. (1987). Romantic love conceptualized as an attachment process. Journal of Personality and Social Psychology, 3, 511–524. https://doi.org/10.1037/0022-3514.52.3.511
   Google Scholar
• Hesse, C., & Gibbons, S. (2019). The longitudinal effects of alexithymia on romantic relationships. Personal Relationships, 26(4), 566–585. https://doi.org/10.1111/pere.12294
   Web of Science ®Google Scholar
• Hesse, C., Pauley, P. M., & Frye-Cox, N. E. (2015). Alexithymia and marital quality: The mediating role of relationship maintenance behaviors. Western Journal of Communication, 79(1), 45–72. https://doi.org/10.1080/10570314.2014.943418
   Web of Science ®Google Scholar
• Hexel, M. (2003). Alexithymia and attachment style in relation to locus of control. Personality and Individual Differences, 35(6), 1261–1270. https://doi.org/10.1016/S0191-8869(02)00333-1
   Web of Science ®Google Scholar
• Hibbs, R., Pugh, M., & Fox, J. R. (2021). Applying emotion-focused therapy to work with the “anorexic voice” within anorexia nervosa: A brief intervention. Journal of Psychotherapy Integration, 31(4), 327–347. https://psycnet.apa.org/doi/10.1037/int0000252
   Web of Science ®Google Scholar
• Horowitz, L. M., Wilson, K. R., Turan, B., Zolotsev, P., Constantino, M. J., & Henderson, L. (2006). How interpersonal motives clarify the meaning of interpersonal behavior: A revised circumplex model. Personality and Social Psychology Review: An Official Journal of the Society for Personality and Social Psychology, Inc, 10(1), 67–86. https://doi.org/10.1207/s15327957pspr1001_4
   PubMed Web of Science ®Google Scholar
• Huston, T. L. (2009). What’s love got to do with it? Why some marriages succeed and others fail. Personal Relationships, 16(3), 301–327. https://psycnet.apa.org/doi/10.1111/j.1475-6811.2009.01225.x
   Web of Science ®Google Scholar
• Johnson, S. M. (2012). The practice of emotionally focused couple therapy: Creating connection. Routledge. https://doi.org/10.4324/9780203017999
   Google Scholar
• Johnson, S. M., & Wittenborn, A. K. (2012). New research findings on emotionally focused therapy: Introduction to special section. Journal of Marital and Family Therapy, 38, 18–22. https://doi.org/10.1111/j.1752-0606.2012.00292.x
   PubMed Web of Science ®Google Scholar
• Karukivi, M., Tolvanen, M., Karlsson, L., & Karlsson, H. (2014). Is alexithymia linked with marital satisfaction or attachment to the partner? A study in a pregnancy cohort of parents-to-be. Comprehensive Psychiatry, 55(5), 1252–1257. https://doi.org/10.1016/j.comppsych.2014.03.019
   PubMed Web of Science ®Google Scholar
• Kennedy, F., & Moore, G. P. (2020). What Is the personal and professional significance for the trainee therapist of learning emotion‐focused therapy? The Journal of Humanistic Counseling, 59(2), 86–105. https://doi.org/10.1002/johc.12132
   Web of Science ®Google Scholar
• Khayyat-Abuaita, U., Paivio, S., Pascual-Leone, A., & Harrington, S. (2019). Emotional processing of trauma narratives is a predictor of outcome in emotion-focused therapy for complex trauma. Psychotherapy (Chicago, Ill.), 56(4), 526–536. https://doi.org/10.1037/pst0000238
   PubMed Web of Science ®Google Scholar
• Kim, Y. S., Lee, W. K., & Park, S. D. (2011). The relationship between attachment style, alexithymia, marital satisfaction and depressive symptoms. Journal of Korean Neuropsychiatric Association, 50(5), 362–367. https://doi.org/10.17795/mejrh-29709
   Google Scholar
• Knoke, J., Burau, J., & Roehrle, B. (2010). Attachment styles, loneliness, quality, and stability of marital relationships. Journal of Divorce & Remarriage, 51(5), 310–325. https://doi.org/10.1080/10502551003652017
   Google Scholar
• Kosten, T. R., Krystal, J. H., Giller, E. L., Frank, J., & Dan, E. (1992). Alexithymia as a predictor of treatment response in post-traumatic stress disorder. Journal of Traumatic Stress, 5(4), 563–573. https://doi.org/10.1007/BF00979225
   Web of Science ®Google Scholar
• Laible, D. (2007). Attachment with parents and peers in late adolescence: Links with emotional competence and social behavior. Personality and Individual Differences, 43(5), 1185–1197. https://doi.org/10.1016/j.paid.2007.03.010
   Web of Science ®Google Scholar
• Lavender, J. M., Wonderlich, S. A., Engel, S. G., Gordon, K. H., Kaye, W. H., & Mitchell, J. E. (2015). Dimensions of emotion dysregulation in anorexia nervosa and bulimia nervosa: A conceptual review of the empirical literature. Clinical Psychology Review, 40, 111–122. https://doi.org/10.1016/j.cpr.2015.05.010
   PubMed Web of Science ®Google Scholar
• Lesser, I. M. (1981). A review of the alexithymia concept. Psychosomatic Medicine, 43(6), 531–543. https://doi.org/10.1097/00006842-198112000-00009
   PubMed Web of Science ®Google Scholar
• Luyten, P., Campbell, C., & Fonagy, P. (2020). Borderline personality disorder, complex trauma, and problems with self and identity: A social‐communicative approach. Journal of Personality, 88(1), 88–105. https://doi.org/10.1111/jopy.12483
   PubMed Web of Science ®Google Scholar
• Lyvers, M., Mayer, K., Needham, K., & Thorberg, F. A. (2019). Parental bonding, adult attachment, and theory of mind: A developmental model of alexithymia and alcohol‐related risk. Journal of Clinical Psychology, 75(7), 1288–1304. https://doi.org/10.1002/jclp.22772
   PubMed Web of Science ®Google Scholar
• Lyvers, M., Pickett, L., Needham, K., & Thorberg, F. A. (2022). Alexithymia, fear of intimacy, and relationship satisfaction. Journal of Family Issues, 43(4), 1068–1089. https://doi.org/10.1177/0192513X211010206
   Web of Science ®Google Scholar
• Marty, P., & M’uzan, M. (1963). de et David. C.: L’investigation psychosomatique. PUF. https://doi.org/10.3917/rfps.035.0005
   Google Scholar
• Mendes, I., Ribeiro, A. P., Angus, L., Greenberg, L. S., Sousa, I., & Gonçalves, M. M. (2011). Narrative change in emotion-focused psychotherapy: A study on the evolution of reflection and protest innovative moments. Psychotherapy Research: Journal of the Society for Psychotherapy Research, 21(3), 304–315. https://doi.org/10.1080/10503307.2011.565489
   PubMed Web of Science ®Google Scholar
• Meza-Concha, N., Arancibia, M., Salas, F., Behar, R., Salas, G., Silva, H., & Escobar, R. (2017). Towards a neurobiological understanding of alexithymia. Medwave, 17(4), e6960. https://doi.org/10.5867/medwave.2017.04.6960
   PubMedGoogle Scholar
• Mikulincer, M., & Shaver, P. R. (2007). Attachment in adulthood: Structure, dynamics, and change. Guilford Press.
   Google Scholar
• Mikulincer, M., & Shaver, P. R. (2012). An attachment perspective on psychopathology. World Psychiatry: Official Journal of the World Psychiatric Association (WPA), 11(1), 11–15. https://doi.org/10.1016/j.wpsyc.2012.01.003
   PubMed Web of Science ®Google Scholar
• Mikulincer, M., & Shaver, P. R. (2019). Attachment orientations and emotion regulation. Current Opinion in Psychology, 25, 6–10. https://doi.org/10.1016/j.copsyc.2018.02.006
   PubMed Web of Science ®Google Scholar
• Mikulincer, M., Shaver, P. R., & Pereg, D. (2003). Attachment theory and affect regulation: The dynamics, development, and cognitive consequences of attachment-related strategies. Motivation and Emotion, 27(2), 77–102. https://doi.org/10.1023/A:1024515519160
   Web of Science ®Google Scholar
• Millon, T., & Davis, R. D. (1997). The MCMI–III: Present and future directions. Journal of Personality Assessment, 68(1), 69–85. https://doi.org/10.1207/s15327752jpa6801_6
   PubMed Web of Science ®Google Scholar
• Mohammadi, M., Sheykh Hadi Siruii, R., Garafar, A., Zahrakar, K., Shakarami, M., & Davarniya, R. (2017). Effect of group cognitive behavioral couples therapy on couple burnout and divorce tendency in couples. Armaghane Danesh, 21(11), 1069–1086.
   Google Scholar
• Montebarocci, O., Codispoti, M., Baldaro, B., & Rossi, N. (2004). Adult attachment style and alexithymia. Personality and Individual Differences, 36(3), 499–507. https://doi.org/10.1016/S0191-8869(03)00110-7
   Web of Science ®Google Scholar
• Moormann, P. P., Bermond, B., & Albach, F. (1997). Alexithymia dissociation and childhood sexual abuse. https://hdl.handle.net/11245/1.136282
   Google Scholar
• Moormann, P. P., Bermond, B., & Albach, F. (2004). The reality escape model: The intricate relation between alexithymia, dissociation, and anesthesia in victims of child sexual abuse. In I. Nyklíček, L. Temoshok, & A. Vingerhoets (Eds.), Emotional expression and health: Advances in theory, assessment and clinical applications (pp. 82–98). Brunner-Routledge.
   Google Scholar
• Morie, K. P., Jackson, S., Zhai, Z. W., Potenza, M. N., & Dritschel, B. (2019). Mood disorders in high-functioning autism: The importance of alexithymia and emotional regulation. Journal of Autism and Developmental Disorders, 49(7), 2935–2945. https://doi.org/10.1007/s10803-019-04020-1
   PubMed Web of Science ®Google Scholar
• Nejatian, M., Alami, A., Momeniyan, V., Delshad Noghabi, A., & Jafari, A. (2021). Investigating the status of marital burnout and related factors in married women referred to health centers. BMC Women’s Health, 21(1), 1–9. https://doi.org/10.1186/s12905-021-01172-0
   PubMed Web of Science ®Google Scholar
• Ogrodniczuk, J. S., Piper, W. E., & Joyce, A. S. (2011). Effect of alexithymia on the process and outcome of psychotherapy: A programmatic review. Psychiatry Research, 190(1), 43–48. https://doi.org/10.1016/j.psychres.2010.04.026
   PubMed Web of Science ®Google Scholar
• Olcay Imamoğlu, E., Ads, M., & Weisfeld, C. C. (2019). What is the impact of choosing one’s spouse on marital satisfaction of wives and husbands? The case of arranged and self-choice Turkish marriages. Journal of Family Issues, 40(10), 1270–1298. https://doi.org/10.1177/0192513X19835874
   Web of Science ®Google Scholar
• Oldham, J. M., & Morris, L. B. (1990). The personality self-portrait. Bantam.
   Google Scholar
• Oldham, J., & Morris, L. (1995). Personality self-portrait: Why you think, love, work and act the way you do.
   Google Scholar
• Oskis, A., Clow, A., Hucklebridge, F., Bifulco, A., Jacobs, C., & Loveday, C. (2013). Understanding alexithymia in female adolescents: The role of attachment style. Personality and Individual Differences, 54(1), 97–102. https://psycnet.apa.org/doi/10.1016/j.paid.2012.08.023
   Web of Science ®Google Scholar
• Pace, C. S., Muzi, S., Calugi, S., & Dalle Grave, R. (2021). Attachment representations and alexithymia in community adolescents with binge-eating attitudes. Eating and Weight Disorders: EWD, 26(2), 689–693. https://doi.org/10.1007/s40519-020-00897-5
   PubMed Web of Science ®Google Scholar
• Paivio, S. C., & Laurent, C. (2001). Empathy and emotion regulation: Reprocessing memories of childhood abuse. Journal of Clinical Psychology, 57(2), 213–226. https://doi.org/10.1002/1097-4679(200102)57:2%3C213::aid-jclp7%3E3.0.co;2-b
   PubMed Web of Science ®Google Scholar
• Pamuk, M., & Durmuş, E. (2015). Investigation of burnout in marriage. International Journal of Human Sciences, 12(1), 162–177. https://doi.org/10.14687/ijhs.v12i1.3002
   Google Scholar
• Panayiotou, G., & Constantinou, E. (2017). Emotion dysregulation in alexithymia: Startle reactivity to fearful affective imagery and its relation to heart rate variability. Psychophysiology, 54(9), 1323–1334. https://doi.org/10.1111/psyp.12887
   PubMed Web of Science ®Google Scholar
• Pandey, R., Saxena, P., & Dubey, A. (2011). Emotion regulation difficulties in alexithymia and mental health. Europe’s Journal of Psychology, 7(4), 604–623. https://doi.org/10.1111/psyp.12887
   Google Scholar
• Perrotta, G. (2020). Dysfunctional attachment and psychopathological outcomes in childhood and adulthood. Open Journal of Trauma, 4(1), 012.
   Google Scholar
• Pérusse, F., Boucher, S., & Fernet, M. (2012). Observation of couple interactions: Alexithymia and communication behaviors. Personality and Individual Differences, 53(8), 1017–1022. https://doi.org/10.1016/j.paid.2012.07.022
   Web of Science ®Google Scholar
• Pines, A. M. (1996). Couple burnout: Causes and cures. New York/London: Routledge.
   Google Scholar
• Pines, A. M. (1987). Marriage burnout: A new conceptual framework for working with couples. Psychotherapy in Private Practice, 5(2), 31–44.
   Google Scholar
• Pines, A. M. (2013). Couple burnout: Causes and cures. Routledge.
   Google Scholar
• Pinna, F., Manchia, M., Paribello, P., & Carpiniello, B. (2020). The impact of alexithymia on treatment response in psychiatric disorders: A systematic review. Frontiers in Psychiatry, 11, 311. https://doi.org/10.3389/fpsyt.2020.00311
   PubMed Web of Science ®Google Scholar
• Pinna, F., Sanna, L., & Carpiniello, B. (2015). Alexithymia in eating disorders: Therapeutic implications. Psychology Research and Behavior Management, 8, 1–15. https://doi.org/10.2147/prbm.s52656
   PubMed Web of Science ®Google Scholar
• Pos, A. E., & Greenberg, L. S. (2007). Emotion-focused therapy: The transforming power of affect. Journal of Contemporary Psychotherapy, 37(1), 25–31. https://doi.org/10.1007/s10879-006-9031-z
   Google Scholar
• Prochazka, R., & Lečbych, M. (2018). Problems in specifying alexithymia: A review of the empirical literature. Ad Alta: Journal of Interdisciplinary Research, 8(2), 198–203.
   Web of Science ®Google Scholar
• Ramos, K., Langer, S. L., Todd, M., Romano, J. M., Ghosh, N., Keefe, F. J., Baucom, D. H., Syrjala, K. L., & Porter, L. S. (2020). Attachment style, partner communication, and physical well‐being among couples coping with cancer. Personal Relationships, 27(3), 526–549. https://psycnet.apa.org/doi/10.1111/pere.12330
   Google Scholar
• Romeo, A., Di Tella, M., Ghiggia, A., Tesio, V., Fusaro, E., Geminiani, G. C., & Castelli, L. (2020). Attachment style and parental bonding: Relationships with fibromyalgia and alexithymia. PloS One, 15(4), e0231674. https://doi.org/10.1371/journal.pone.0231674
   PubMed Web of Science ®Google Scholar
• Rostami, A. R. (2019). An investigation of the relationship between married teachers’ perception of sacrificing behavior, alexithymia, and marital burnout. Quarterly Journal of Family and Research, 16(3), 53–68. http://dorl.net/dor/20.1001.1.26766728.1398.16.3.3.2
   Google Scholar
• Rovers, M., Kocum, L., Briscoe-Dimock, S., Myers, P. C., Cotnam, S., Henry, T., Kwasniewski, E., & Sheppard, D. (2007). Choosing a partner of equal differentiation: A new paradigm utilizing similarity and complementarity measures. Journal of Couple & Relationship Therapy, 6(3), 1–23. https://doi.org/10.1300/J398v06n03_01
   Google Scholar
• Rufer, M., Ziegler, A., Alsleben, H., Fricke, S., Ortmann, J., Brückner, E., Hand, I., & Peter, H. (2006). A prospective long-term follow-up study of alexithymia in obsessive-compulsive disorder. Comprehensive Psychiatry, 47(5), 394–398. https://doi.org/10.1016/j.comppsych.2005.12.004
   PubMed Web of Science ®Google Scholar
• Schmidt, U., Frame, S. B., Nerlich, M. L., Rowe, D. W., Enderson, B. L., Maull, K. I., & Tscherne, H. (1992). On-scene helicopter transport of patients with multiple injuries—Comparison of a German and an American system. The Journal of Trauma, 33(4), 548–553. https://doi.org/10.1097/00005373-199210000-00010
   PubMedGoogle Scholar
• Schuetz, S., & Multon, K. D. (2017). The relationship of alexithymia, interpersonal problems and self-understanding to psychological distress in college students. North American Journal of Psychology, 19(1), 139.
   Google Scholar
• Scimeca, G., Bruno, A., Pandolfo, G., Micò, U., Romeo, V. M., Abenavoli, E., Schimmenti, A., Zoccali, R., & Muscatello, M. R. A. (2013). Alexithymia, negative emotions, and sexual behavior in heterosexual university students from Italy. Archives of Sexual Behavior, 42(1), 117–127. https://doi.org/10.1007/s10508-012-0006-8
   PubMed Web of Science ®Google Scholar
• Shahabi, M., Hasani, J., & Bjureberg, J. (2020). Psychometric properties of the brief Persian version of the difficulties in emotion regulation scale (The DERS-16). Assessment for Effective Intervention, 45(2), 135–143. https://doi.org/10.1177/1534508418800210
   Web of Science ®Google Scholar
• Shaver, P. R., & Mikulincer, M. (2014). Adult attachment and emotion regulation. In J. J. Gross (Ed.), Handbook of emotion regulation (pp. 237–250). The Guilford Press.
   Google Scholar
• Shiri, T., Farahbakhsh, K., & ZolfaghRI, S. (2020). Anticipation of divorce tendency based on marital burnout and distress tolerance by the mediation of loneliness in female applicants for divorce. Counseling Culture and Psycotherapy, 11(42), 121–141. https://doi.org/10.22054/qccpc.2020.43452.2164
   Google Scholar
• Siegel, A., Levin, Y., & Solomon, Z. (2019). The role of attachment of each partner on marital adjustment. Journal of Family Issues, 40(4), 415–434. https://psycnet.apa.org/doi/10.1177/0192513X18812005
   Web of Science ®Google Scholar
• Siffert, A., & Schwarz, B. (2011). Spouses’ demand and withdrawal during marital conflict in relation to their subjective well-being. Journal of Social and Personal Relationships, 28(2), 262–277. https://doi.org/10.1177/0265407510382061
   Web of Science ®Google Scholar
• Sirin, H. D., & Deniz, M. (2016). The effect of the family training program on married women’s couple-burnout levels. Educational Sciences: Theory and Practice, 16(5), 1563–1585. https://doi.org/10.12738/estp.2016.5.2781
   Google Scholar
• Spence, S., & Courbasson, C. (2012). The role of emotional dysregulation in concurrent eating disorders and substance use disorders. Eating Behaviors, 13(4), 382–385. https://doi.org/10.1016/j.eatbeh.2012.05.006
   PubMed Web of Science ®Google Scholar
• Spitzer, C., Siebel-Jürges, U., Barnow, S., Grabe, H. J., & Freyberger, H. J. (2005). Alexithymia and interpersonal problems. Psychotherapy and Psychosomatics, 74(4), 240–246. https://doi.org/10.1159/000085148
   PubMed Web of Science ®Google Scholar
• Stasiewicz, P. R., Bradizza, C. M., Gudleski, G. D., Coffey, S. F., Schlauch, R. C., Bailey, S. T., Bole, C. W., & Gulliver, S. B. (2012). The relationship of alexithymia to emotional dysregulation within an alcohol dependent treatment sample. Addictive Behaviors, 37(4), 469–476. https://doi.org/10.1016/j.addbeh.2011.12.011
   PubMed Web of Science ®Google Scholar
• Stuart Parrigon, K., Kerns, K. A., Movahed Abtahi, M., & Koehn, A. (2015). Attachment and emotion in middle childhood and adolescence. Psihologijske Teme, 24(1), 27–50.
   Google Scholar
• Taylor, G. J., & Bagby, R. (2000). An overview of the alexithymia construct. The handbook of emotional intelligence: Theory, development, assessment, and application at home, school, and in the workplace. Jossey-Bass.
   Google Scholar
• Taylor, G. J., Bagby, R. M., Kushner, S. C., Benoit, D., & Atkinson, L. (2014). Alexithymia and adult attachment representations: Associations with the five-factor model of personality and perceived relationship adjustment. Comprehensive Psychiatry, 55(5), 1258–1268. https://doi.org/10.1016/j.comppsych.2014.03.015
   PubMed Web of Science ®Google Scholar
• Timulak, L., & Pascual‐Leone, A. (2015). New developments for case conceptualization in emotion‐focused therapy. Clinical Psychology & Psychotherapy, 22(6), 619–636. https://doi.org/10.1002/cpp.1922
   PubMed Web of Science ®Google Scholar
• van der Velde, J., Servaas, M. N., Goerlich, K. S., Bruggeman, R., Horton, P., Costafreda, S. G., & Aleman, A. (2013). Neural correlates of alexithymia: A meta-analysis of emotion processing studies. Neuroscience and Biobehavioral Reviews, 37(8), 1774–1785. https://doi.org/10.1016/j.neubiorev.2013.07.008
   PubMed Web of Science ®Google Scholar
• Vanheule, S., Desmet, M., Meganck, R., & Bogaerts, S. (2007). Alexithymia and interpersonal problems. Journal of Clinical Psychology, 63(1), 109–117. https://doi.org/10.1002/jclp.20324
   PubMed Web of Science ®Google Scholar
• Vorst, H. C., & Bermond, B. (2001). Validity and reliability of the Bermond–Vorst alexithymia questionnaire. Personality and Individual Differences, 30(3), 413–434. https://doi.org/10.1016/S0191-8869(00)00033-7
   Web of Science ®Google Scholar
• Waller, E., & Scheidt, C. E. (2004). Somatoform disorders as disorders of affect regulation: A study comparing the TAS-20 with non-self-report measures of alexithymia. Journal of Psychosomatic Research, 57(3), 239–247. https://doi.org/10.1016/S0022-3999(03)00613-5
   PubMed Web of Science ®Google Scholar
• Wiebe, S. A., Elliott, C., Johnson, S. M., Burgess Moser, M., Dalgleish, T. L., Lafontaine, M. F., & Tasca, G. A. (2019). Attachment change in emotionally focused couple therapy and sexual satisfaction outcomes in a two-year follow-up study. Journal of Couple & Relationship Therapy, 18(1), 1–21. https://doi.org/10.1080/15332691.2018.1481799
   Web of Science ®Google Scholar
• Wiebe, S. A., Johnson, S. M., Burgess Moser, M., Dalgleish, T. L., & Tasca, G. A. (2017). Predicting follow‐up outcomes in emotionally focused couple therapy: The role of change in trust, relationship‐specific attachment, and emotional engagement. Journal of Marital and Family Therapy, 43(2), 213–226. https://doi.org/10.1111/jmft.12199
   PubMed Web of Science ®Google Scholar
• Zakeri, F., Safarian Tosi, M., & Nejat, H. (2019). Investigating the role of self-compassion moderator on the relationship between alexithymia and couple burnout in incompatible women. Journal of Excellence in Counseling and Psychotherapy, 8(29), 52–64.
   Google Scholar
• Zare Baghbidi, M., & Etemadifard, A. (2020). Determining the mediating role of communication skills in the relationship between alexithymia and marital burnout of divorce client couples in Yazd. Quarterly Social Psychology Research, 10(38), 135–150.
   Google Scholar