Emotional Understanding: Examining Alexithymia as a Mediator of the Relationship Between Mindfulness and Empathy
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The positive mental health correlates of mindfulness have become increasingly well-established. Recent literature has documented an association between the present-moment awareness and attention that is characteristic of mindfulness, and the capacity to adopt the emotions, cognitions, and perspectives of another individual, as displayed in empathy. The mechanisms underlying this relationship, however, are still poorly understood. This study aimed to examine alexithymia—or the difficulty identifying, labeling, understanding, and processing one’s own emotions—as a mediator of the relationship between five facets of dispositional mindfulness (i.e., observing, describing, acting with awareness, nonjudging, and nonreacting) and empathy in a sample of 616 undergraduate college students. Results revealed that alexithymia mediated the relationships between the describing and acting with awareness domains of mindfulness and cognitive empathy, while accounting for the effects of the other mindfulness subscales and participant sex. These findings suggest that the relationship between specific mindfulness skills and greater understanding of another individual’s emotional and cognitive experiences may be explained in part by one’s emotional self-awareness.
KeywordsMindfulness Empathy Alexithymia College students
HZM: collaborated on designing and executing the study, analyzed the data, and wrote the paper. JLP: collaborated on designing and executing the study, collaborated in the writing and editing of the manuscript.
Compliance with Ethnical Standards
All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. This article does not contain any studies with animals performed by any of the authors.
Informed consent was obtained from all individual participants included in the study.
- Block-Lerner, J., Adair, C., Plumb, J. C., Rhatigan, D. L., & Orsillo, S. M. (2007). The case for mindfulness-based approaches in the cultivation of empathy: does nonjudgmental, present-moment awareness increase capacity for perspective-taking and empathic concern? Journal of Marital and Family Therapy, 33(4), 501–516. doi: 10.1111/j.1752-0606.2007.00034.x.CrossRefPubMedGoogle Scholar
- Davis, M. H. (1996). Empathy: A Social Psychological Approach. Boulder: Westview Press.Google Scholar
- Fritz, M.S., & MacKinnon, D.P. (2007). Required sample size to detect the mediated effect. Psychological Science 18(3), 233–239. doi: 10.1111/j.1467-9280.2007.01882.x
- Galantino, M. L., Baime, M., Maguire, M., Szapary, P. O., & Farrar, J. T. (2005). Association of psychological and physiological measures of stress in health-care professionals during an 8-week mindfulness meditation program: mindfulness in practice. Stress and Health, 21, 255–261. doi: 10.1002/smi.1062.CrossRefGoogle Scholar
- Garland, E. L., Fredrickson, B., Kring, A. M., Johnson, D. P., Meyer, P. S., & Penn, D. L. (2010). Upward spirals of positive emotions counter downward spirals of negativity: Insights from the broaden-and-build theory and affective neuroscience on the treatment of emotion dysfunctions and deficits in psychopathology. Clinical Psychology Review, 30, 849–864. doi: 10.1016/j.cpr.2010.03.002.CrossRefPubMedPubMedCentralGoogle Scholar
- Gilbert, P., McEwan, K., Gibbons, L., Chotai, S., Duarte, J., & Matos, M. (2012). Fears of compassion and happiness in relation to alexithymia, mindfulness, and self-criticism. Psychology and Psychotherapy: Theory, Research and Practice, 85(4), 374–390. doi: 10.1111/j.2044-8341.2011.02046.x.CrossRefGoogle Scholar
- Goerlich-Dobre, K. S., Lamm, C., Pripfl, J., Habel, U., & Votinov, M. (2015). The left amygdala: a shared substrate of alexithymia and empathy. Neuroimage, 12220–32. doi: 10.1016/j.neuroimage.2015.08.014.
- Hölzel, B. K., Lazar, S. W., Gard, T., Schuman-Olivier, Z., Vago, D. R., & Ott, U. (2011). How does mindfulness meditation work? Proposing mechanisms of action from a conceptual and neural perspective. Perspectives on Psychological Science, 6(6), 537–559. doi: 10.1177/1745691611419671.CrossRefPubMedGoogle Scholar
- Kooiman, C. G., Spinhoven, P., & Trijsburg, R. W. (2002). The assessment of alexithymia. A critical review of the literature and a psychometric study of the Toronto Alexithymia Scale-20. Journal of Psychosomatic Research, 53, 1083–1090. doi: 10.1016/S0022-3999(02)00348-3.CrossRefPubMedGoogle Scholar
- McDonald, H. M., Sherman, K. A., Petocz, P., Kangas, M., Grant, K., & Kasparian, N. A. (2016). Mindfulness and the experience of psychological distress: the mediating effects of emotion regulation and attachment anxiety. Mindfulness, 7(4), 799–808. doi: 10.1007/s12671-016-0517-9.CrossRefGoogle Scholar
- New, A. S., Rot, M. H., Ripoll, L. H., Perez-Rodriguez, M. M., Lazarus, S., Zipursky, E., et al. (2012). Empathy and alexithymia in borderline personality disorder: clinical and laboratory measures. Journal of Personality Disorders, 26(5), 660–675. doi: 10.1521/pedi.2012.26.5.660.CrossRefPubMedGoogle Scholar
- Park, T., Reilly-Spong, M., & Gross, C. R. (2013). Mindfulness: a systematic review of instruments to measure an emergent patient-reported outcome (PRO). Quality of Life Research: An International Journal of Quality of Life Aspects of Treatment, Care & Rehabilitation, 22(10), 2639–2659. doi: 10.1007/s11136-013-0395-8.CrossRefGoogle Scholar
- Tabachnick, B. G., & Fidell, L. S. (2007). Using Multivariate Statistics. Boston: Allyn & Bacon/Pearson Education.Google Scholar
- Tran, U. S., Glück, T. M., & Nader, I. W. (2013). Investigating the Five Facet Mindfulness Questionnaire (FFMQ): Construction of a short form and evidence of a two-factor higher order structure of mindfulness. Journal of Clinical Psychology, 69(9), 951–965. doi: 10.1002/jclp.21996.CrossRefPubMedGoogle Scholar