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Alexithymia, aggressive behavior and depression among Lebanese adolescents: A cross-sectional study

Authors
  • Sfeir, Elsa1, 2
  • Geara, Claudine1
  • Hallit, Souheil1, 3
  • Obeid, Sahar1, 3, 4
  • 1 Holy Spirit University of Kaslik (USEK), Jounieh, Lebanon , Jounieh (Lebanon)
  • 2 Notre-Dame des Secours University Hospital (CHU-NDS), Byblos, Lebanon , Byblos (Lebanon)
  • 3 Institut National de Santé Publique, Epidemiologie Clinique Et Toxicologie- Liban, Beirut, Lebanon , Beirut (Lebanon)
  • 4 Psychiatric Hospital of the Cross, Jall-Eddib, Lebanon , Jall-Eddib (Lebanon)
Type
Published Article
Journal
Child and Adolescent Psychiatry and Mental Health
Publisher
BioMed Central
Publication Date
Sep 05, 2020
Volume
14
Issue
1
Identifiers
DOI: 10.1186/s13034-020-00338-2
Source
Springer Nature
Keywords
License
Green

Abstract

BackgroundFor a long time, Lebanon has been considered an unstable country. This can have a negative impact on Lebanese adolescents that consequently face secondary emotional stress, leading to more mental health problems such as anxiety, depression, and alexithymia. The objective of this study was to assess the association between alexithymia, depression and aggressive behavior in a sample of Lebanese adolescents.MethodsThis is a cross-sectional study, conducted between September 2018 and February 2019, which enrolled 568 young adolescents aged between 15 and 18 years using a proportionate sample from two Lebanese governorates. Out of 750 questionnaires distributed, 568 (75.73%) were completed and collected back.ResultsThe mean age was 15.87 ± 0.82 years, with 302 (53.2%) females; 180 (31.7%) were alexithymic, 193 (34.0%) and 181 (31.9%) had moderate (scores between (89 and 111) and high (scores ≥ 112) aggression respectively, whereas 176 (31.0%) and 149 (26.2%) had moderate (scores between 3 and 4) and high (scores ≥ 5) depression respectively. Higher levels of alexithymia were significantly associated with higher depression (Beta = 0.44), higher total aggression (Beta = 0.78), higher physical aggression (Beta = 0.24), higher verbal aggression (Beta = 0.14), higher anger (Beta = 0.22), and higher hostility (Beta = 0.19).ConclusionThe prevalence of alexithymic behaviors, as well as aggression and depression in Lebanese students appears to be very high in comparison with students worldwide. Alexithymia was significantly associated with higher depression, physical and verbal aggression, anger and hostility among adolescents. Factors underlying the high level of alexithymia remain not fully elucidated.

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