Trait emotional intelligence and eating problems in adults: associations with alexithymia and substance use
Abstract
Background: Eating Disorders (EDs) often co-occur with substance use contributing to increasing concern about the individual’s health; both the conditions share several core features such as the tendency to use maladaptive emotion regulation strategies. The present study investigated associations between trait emotional intelligence (Trait EI), alexithymia and EDs, namely dieting, bulimia and oral control, in a nonclinical sample of adults. Moreover, the relationships with substance use frequencies were also examined with the aim of exploring the links between personality emotional competence traits (trait EI and alexithymia) and different addictive risk behaviours (EDs and substance use) in adulthood.
Methods: Data were collected from a convenience sample composed of 394 (312 women; between ages 18 and 65; mean age = 32.34; SD = 11.97) participants, through online administration of questionnaires assessing trait emotional intelligence (TEIQue-SF), eating problems (EAT-26), alexithymia (TAS-20) and frequency of substance use (in the last year).
Results: The group that exceeds the cut-off for EDs (n = 58; 14.7 %) has significantly lower trait EI scores (in all dimensions) and higher alexithymia scores than the other group. Some differences between the two groups were found on frequencies of nicotine and diuretics use. Age and all trait EI factors were negatively associated with eating disorders and alexithymia. Weak inverse correlations have emerged between EI and frequencies of substance use (namely cocaine, amphetamines, alcohol and tobacco). Female gender, well-being and self-control factors of EI emerged as significant predictors of EDs in adulthood.
Conclusions: Our results suggest the importance of targeting emotion dysregulation for EDs and substance use behaviours. Interventions aimed at promoting healthy lifestyles could benefit from trait EI enhancement efforts. Practitioners and health educators need to recognize the potential efficacy of including trait EI within gender specific interventions planned to address ED symptoms and addictive behaviours in general.
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Andrei, F., Siegling, A. B., Aloe, A. M., Baldaro, B., & Petrides, K. V. (2016). The incremental validity of the Trait Emotional Intelligence Questionnaire (TEIQue): A systematic review and meta-analysis. Journal of personality assessment, 98(3), 261-276. https://doi.org/10.1080/00223891.2015.1084630
Bagby, R. M., Parker, J. D., & Taylor, G. J. (1994). The twenty-item Toronto Alexithymia Scale. Item selection and cross-validation of the factor structure. Journal of psychosomatic research, 38(1), 23-32. https://doi.org/10.1016/j.jpsychores.2020.109940
Bahji, A., Mazhar, M. N., Hudson, C. C., Nadkarni, P., MacNeil, B. A., & Hawken, E. (2019). Prevalence of substance use disorder comorbidity among individuals with eating disorders: A systematic review and meta-analysis. Psychiatry research, 273, 58-66. https://doi.org/10.1016/j.psychres.2019.01.007
Barberis, N., Costa, S., Cuzzocrea, F., & Quattropani, M. C. (2018). Trait EI in the relationship between needs fulfilment and symptoms and attitudes associated with EDs. Mental Health & Prevention, 10, 50-55. https://doi.org/10.1016/j.mhp.2018.01.003
Baughman, H. M., Schermer, J. A., Veselka, L., Harris, J., & Vernon, P. A. (2013). A behavior genetic analysis of trait emotional intelligence and alexithymia: a replication. Twin Research and Human Genetics, 16(2), 554-559. https://doi.org/10.1017/thg.2012.151
Biolcati, R., & Passini, S. (2019). Development of the Substance Use Motives Measure (SUMM): A comprehensive eight-factor model for alcohol/drugs consumption. Addictive behaviors reports, 10, 100199. https://doi.org/10.1016/j.abrep.2019.100199
Brewer, R., Cook, R., Cardi, V., Treasure, J., & Bird, G. (2015). Emotion recognition deficits in eating disorders are explained by co-occurring alexithymia. Royal Society open science, 2(1), 140382. https://doi.org/10.1098/rsos.140382
Davis, S. K., & Humphrey, N. (2012). The influence of emotional intelligence (EI) on coping and mental health in adolescence: Divergent roles for trait and ability EI. Journal of adolescence, 35(5), 1369-1379. https://doi.org/10.1016/j.adolescence.2012.05.007
Dennis, A. B. & Pryor, T. (2017). The Complex Relationship between Eating Disorders and Substance Use Disorders. In Clinical Handbook of Complex and Atypical Eating Disorders (pp. 60-78). NY: Oxford University Press.
Dvorak, R. D., Sargent, E. M., Kilwein, T. M., Stevenson, B. L., Kuvaas, N. J., & Williams, T. J. (2014). Alcohol use and alcohol-related consequences: Associations with emotion regulation difficulties. The American Journal of Drug and Alcohol Abuse, 40(2), 125-130. https://doi.org/10.3109/00952990.2013.877920
Eskander, N., Chakrapani, S., & Ghani, M. R. (2020). The Risk of Substance Use Among Adolescents and Adults With Eating Disorders. Cureus, 12(9). 10.7759/cureus.10309
Frisone, F., Settineri, S., Sicari, P. F., & Merlo, E. M. (2020). Gambling in adolescence: a narrative review of the last 20 years. Journal of Addictive Diseases, 38(4), 438-457. https://doi.org/10.1080/10550887.2020.1782557
Gardner, K. J., & Qualter, P. (2010). Concurrent and incremental validity of three trait emotional intelligence measures. Australian Journal of Psychology, 62(1), 5-13. https://doi.org/10.1080/00049530903312857
Garner, D. M., & Garfinkel, P. E. (1979). The Eating Attitudes Test: An index of the symptoms of anorexia nervosa. Psychological medicine, 9(2), 273-279.
Garner, D. M., Olmstead, M. P., & Polivy, J. (1983). Development and validation of a multidimensional eating disorder inventory for anorexia nervosa and bulimia. International journal of eating disorders, 2(2), 15-34. https://doi.org/10.1002/1098-108X(198321)2:2<15::AID-EAT2260020203>3.0.CO;2-6
Gosling, S. D., Vazire, S., Srivastava, S., & John, O. P. (2004). Should we trust web-based studies? A comparative analysis of six preconceptions about internet questionnaires. American psychologist, 59(2), 93. https://psycnet.apa.org/doi/10.1037/0003-066X.59.2.93
Hamidi, S., Rostami, R., Farhoodi, F., & Abdolmanafi, A. (2010). A study and comparison of Alexithymia among patients with substance use disorder and normal people. Procedia-Social and Behavioral Sciences, 5, 1367-1370. https://doi.org/10.1016/j.sbspro.2010.07.289
Hansen, K., Lloyd, J., & Stough, C. (2009). Emotional intelligence and clinical disorders. In C. Stough, D. H Saklofske, & J. D. Parker (Eds.), Assessing emotional intelligence (pp. 219-237). Springer. https://doi.org/10.1007/978-0-387-88370-0_12 (2009).
IBM Corp. Released 2019. IBM SPSS Statistics for Windows, Version 26.0. Armonk, NY: IBM Corp.
Johansson, A. K., Norring, C., Unell, L., & Johansson, A. (2020). Diet and behavioral habits related to oral health in eating disorder patients: a matched case-control study. Journal of eating disorders, 8(1), 1-10. https://doi.org/10.1186/s40337-020-0281-z
Johnson, S. J., Batey, M., & Holdsworth, L. (2009). Personality and health: The mediating role of trait emotional intelligence and work locus of control. Personality and Individual Differences, 47(5), 470-475. https://doi.org/10.1016/j.paid.2009.04.025
Kotsou, I., Nelis, D., Grégoire, J., & Mikolajczak, M. (2011). Emotional plasticity: conditions and effects of improving emotional competence in adulthood. Journal of applied psychology, 96(4), 827.
Kun, B., & Demetrovics, Z. (2010). Emotional intelligence and addictions: a systematic review. Substance use & misuse, 45(7-8), 1131-1160. https://doi.org/10.3109/10826080903567855
Kun, B., Urbán, R., Paksi, B., Griffiths, M. D., Richman, M. J., & Demetrovics, Z. (2019). The effects of trait emotional intelligence on adolescent substance use: Findings from a Hungarian representative survey. Frontiers in psychiatry, 10, 367. https://doi.org/10.3389/fpsyt.2019.00367
Lee, Y., & Lee, K. S. (2019). Relationship between unhealthy weight control behaviors and substance use patterns among Korean adolescents: results from the 2017 national youth risk behavior survey. Public Health, 174, 56-64. https://doi.org/10.1016/j.puhe.2019.06.005
Martins, A., Ramalho, N., & Morin, E. (2010). A comprehensive meta-analysis of the relationship between emotional intelligence and health. Personality and individual differences, 49(6), 554-564. https://doi.org/10.1016/j.paid.2010.05.029
Merlo, E. M., Sicari, F., Frisone, F., Costa, G., Alibrandi, A., Avena, G., & Settineri, S. (2021). Uncertainty, alexithymia, suppression and vulnerability during the COVID-19 pandemic in Italy. Health Psychology Report, 9(2), 169-179. https://czasopisma.bg.ug.edu.pl/index.php/HPR/article/view/5757
Mikolajczak, M., & Pena-Sarrionanda, A. (2015). On the efficiency of emotional intelligence training in adulthood. Emotion Researcher. Retrieved from http://emotionresearcher.com/on-the-efficiency-of-emotional-intelligence-training-in-adulthood/
Mikolajczak, M., Petrides, K. V., & Hurry, J. (2009). Adolescents choosing self‐harm as an emotion regulation strategy: The protective role of trait emotional intelligence. British Journal of Clinical Psychology, 48(2), 181-193. https://doi.org/10.1348/014466508X386027
Morie, K. P., & Ridout, N. (2018). Alexithymia and maladaptive regulatory behaviors in substance use disorders and eating disorders. In O. Luminet, R. M. Bagby, & G. J. Taylor (Eds.). Alexithymia: Advances in research, theory, and clinical practice, (pp. 158-174). Cambridge University Press.
Munn-Chernoff, M. A., Few, L. R., Matherne, C. E., Baker, J. H., Men, V. Y., McCutcheon, V. V., ... & Duncan, A. E. (2020). Eating disorders in a community-based sample of women with alcohol use disorder and nicotine dependence. Drug and Alcohol Dependence, 212, 107981. https://doi.org/10.1016/j.drugalcdep.2020.107981
Myles, L. A. M., & Merlo, E. M. (2021). Alexithymia and physical outcomes in psychosomatic subjects: a cross-sectional study. Journal of Mind and Medical Sciences, 8(1), 86-93. 10.22543/7674.81.P8693 Available at: https://scholar.valpo.edu/jmms/vol8/iss1/12
Nehra, D. K., Kumar, P., Sharma, V., & Nehra, S. (2013). Alexithymia and emotional intelligence among people with cannabis dependence and healthy control: a comparative study. Dysphrenia. 5.
Nemiah, J. C., & Sifneos, P. E. (1970). Psychosomatic illness: a problem in communication. Psychotherapy and psychosomatics, 18(1-6), 154-160. https://doi.org/10.1159/000286074
Peres, V., Corcos, M., Robin, M., & Pham-Scottez, A. (2020). Emotional intelligence, empathy and alexithymia in anorexia nervosa during adolescence. Eating and Weight Disorders-Studies on Anorexia, Bulimia and Obesity, 25(1), 1-8. https://doi.org/10.1007/s40519-018-0482-5
Petrides, K. V. (2009). Psychometric properties of the Trait Emotional Intelligence Questionnaire. In J. D. A. Parker, D. H. Saklofske & J. D. Parker (Eds.). Advances in the assessment of emotional intelligence (pp. 85-101).
Springer. https://doi.org/10.1007/978-0-387-88370-0_5
Petrides, K. V., & Furnham, A. (2000). On the dimensional structure of emotional intelligence. Personality and individual differences, 29(2), 313-320. https://doi.org/10.1016/S0191-8869(99)00195-6
Petrides, K. V., & Furnham, A. (2001). Trait emotional intelligence: Psychometric investigation with reference to established trait taxonomies. European journal of personality, 15(6), 425-448. https://doi.org/10.1002/per.416
Petrides, K. V., & Furnham, A. (2003). Trait emotional intelligence: Behavioural validation in two studies of emotion recognition and reactivity to mood induction. European Journal of Personality, 17, 39-57. https://doi.org/10.1002/per.466
Petrides, K. V., Mikolajczak, M., Mavroveli, S., Sanchez-Ruiz, M. J., Furnham, A., & Pérez-González, J. C. (2016). Developments in trait emotional intelligence research. Emotion Review, 8(4), 335-341. https://doi.org/10.1177/1754073916650493
Petrides, K. V., Pita, R., & Kokkinaki, F. (2007). The location of trait emotional intelligence in personality factor space. British journal of psychology, 98(2), 273-289. https://doi.org/10.1348/000712606X120618
Pettit, M. L., Jacobs, S. C., Page, K. S., & Porras, C. V. (2010). An assessment of perceived emotional intelligence and eating attitudes among college students. American Journal of Health Education, 41(1), 46-52. https://doi.org/10.1080/19325037.2010.10599126
Resurrección, D. M., Salguero, J. M., & Ruiz-Aranda, D. (2014). Emotional intelligence and psychological maladjustment in adolescence: A systematic review. Journal of adolescence, 37(4), 461-472. https://doi.org/10.1016/j.adolescence.2014.03.012
Romero-Mesa, J., Pelaez-Fernandez, M. A., & Extremera, N. (2020). Emotional intelligence and eating disorders: a systematic review. Eating and Weight Disorders-Studies on Anorexia, Bulimia and Obesity, 1-15. https://doi.org/10.1007/s40519-020-00968-7
Salovey, P., & Mayer, J. D. (1990). Emotional intelligence. Imagination, cognition and personality, 9(3), 185-211. https://doi.org/10.2190/DUGG-P24E-52WK-6CDG
Sarrionandia, A., & Mikolajczak, M. (2020). A meta-analysis of the possible behavioural and biological variables linking trait emotional intelligence to health. Health psychology review, 14(2), 220-244. https://doi.org/10.1080/17437199.2019.1641423
Taylor, G. J. (2000). Recent developments in alexithymia theory and research. The Canadian Journal of Psychiatry, 45(2), 134-142. https://doi.org/10.1177/070674370004500203
Thomas, R. L., Kelly, A. B., Chan, G. C., Hides, L. M., Quinn, C. A., Kavanagh, D. J., & Williams, J. W. (2018). An examination of gender differences in the association of adolescent substance use with eating and weight loss attitudes. Substance use & misuse, 53(13), 2125-2131. https://doi.org/10.1080/10826084.2018.1455703
Thorberg, F. A., Young, R. M., Sullivan, K. A., & Lyvers, M. (2009). Alexithymia and alcohol use disorders: A critical review. Addictive behaviors, 34(3), 237-245. https://doi.org/10.1016/j.addbeh.2008.10.016
Treasure, J., & Schmidt, U. (2013). The cognitive-interpersonal maintenance model of anorexia nervosa revisited: a summary of the evidence for cognitive, socio-emotional and interpersonal predisposing and perpetuating factors. Journal of eating disorders, 1(1), 13. https://doi.org/10.1186/2050-2974-1-13
Tsaousis, I., & Nikolaou, I. (2005). Exploring the relationship of emotional intelligence with physical and psychological health functioning. Stress and Health: Journal of the International Society for the Investigation of Stress, 21(2), 77-86. https://doi.org/10.1002/smi.1042
Von Ranson, K. M., Iacono, W. G., & McGue, M. (2002). Disordered eating and substance use in an epidemiological sample: I. Associations within individuals. International Journal of Eating Disorders, 31(4), 389-403. https://doi.org/10.1002/eat.10050
Westwood, H., Kerr-Gaffney, J., Stahl, D., & Tchanturia, K. (2017). Alexithymia in eating disorders: Systematic review and meta-analyses of studies using the Toronto Alexithymia Scale. Journal of psychosomatic research, 99, 66-81. https://doi.org/10.1016/j.jpsychores.2017.06.007
Wilson, C. A., & Saklofske, D. H. (2018). The relationship between trait emotional intelligence, resiliency, and mental health in older adults: the mediating role of savouring. Aging & mental health, 22(5), 646-654. https://doi.org/10.1080/13607863.2017.1292207
Zysberg, L., & Tell, E. (2013). Emotional intelligence, perceived control, and eating disorders. SAGE Open, 3(3), 215824401350025. https://doi.org/10.1177/2158244013500285
DOI: https://doi.org/10.13129/2282-1619/mjcp-2983
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