A pilot study on alexithymia in adopted youths: prevalence and relationships with emotional-behavioral problems

Adopted adolescents show high rates of emotional-behavioral problems and they could also be more vulnerable to alexithymia, a risk factor for psychopathology in adolescents, that is more frequent in case of early relational trauma(s), often experienced by adoptees in pre-adoption life. However, no studies investigate alexithymia in adopted adolescents, therefore this pilot study aimed to: (a) assess the prevalence of alexithymia in adoptees in comparison with a national representative sample; (b) examine the relationships between alexithymia and emotional-behavioral problems in adoptees. Participants were 33 adoptees aged 10-19 years (54.5% boys), enrolled through social services. Measures were the self-report questionnaire Toronto Alexithymia Scale 20-item to measure participants’ alexithymia, and the Youth Self Report 11-18 years to assess emotional-behavioral problems. Main results highlighted: 1) 71% of adoptees with moderate-to-high levels of alexithymia, with adoptees as significantly more border-alexithymic (55%) than in normative peers; 2)  Alexithymia and its factors Difficulty to identifying Feelings and Externally Oriented Thinking were related to more total, internalizing, externalizing and other problems (social, attentional, thought, binge-drinking, substance abuse, suicidality, etc...); 3) The difficulty identifying feelings was the unique predictor for 38% of total problems, 40% of internalizing ones, 22% of externalizing ones and 30% of other problems. In conclusion , the results suggest the clinical and scientific relevance of continuing the study of alexithymia in adopted adolescents, and future directions of research are suggested.