Maternal alexithymia and caregiving behavior: the role of executive functioning - A FinnBrain Birth Cohort study

  • Elisabeth Nordenswan
  • , Kirby Deater-Deckard
  • , Eeva-Leena Kataja
  • , Mira Karrasch
  • , Matti Laine
  • , Juho Pelto
  • , Eeva Holmberg
  • , Hetti Lahtela
  • , Hanna Ahrnberg
  • , Jani Kajanoja
  • , Max Karukivi
  • , Hasse Karlsson
  • , Linnea Karlsson
  • , Riikka Korja

    Research output: Contribution to journalArticleScientificpeer-review

    1 Citation (Scopus)
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    Abstract

    Purpose: The growing interest in parental cognition calls for research clarifying how cognition interacts with other parenting determinants to shape caregiving behavior. We studied the interplay between executive functioning (EF; cognitive processes that enable goal-directed thinking and behavior) and alexithymic traits (characterized by emotion processing/regulation difficulties) in relation to emotional availability (EA; the dyad’s ability to share an emotionally healthy relationship). As EF has been reported to shape parents’ ability to regulate thoughts and emotions during caregiving, we examined whether EF moderated the association between maternal alexithymic traits, and EA. Methods: Among 119 mothers with 2.5-year-olds drawn from the FinnBrain Birth Cohort, EF was measured with Cogstate tasks, alexithymic traits with the Toronto Alexithymia Scale (TAS-20), and caregiving with the Emotional Availability Scales (EAS). Results: More alexithymic traits on the TAS-20 subscale Externally Oriented Thinking (EOT) were associated with poorer caregiving in a hierarchical regression analysis (ΔR 2 = 0.05, p =.01). A marginally significant moderation effect was found when adding the EOTxEF interaction term to the model (ΔR 2 = 0.03, p =.06). These associations weakened slightly when controlling for education level. Estimation of simple slopes and a Johnson-Neyman figure indicated a significant association between higher EOT and lower EAS, that increased in strength as EF decreased from the group mean level. Conclusions: The influence of cognitive alexithymic traits on EA could be especially pronounced among low EF parents, but further studies are needed to support and extend the findings. The potential role of parental reflective functioning in this context is discussed.

    Original languageEnglish
    JournalArchives of Women's Mental Health
    DOIs
    Publication statusPublished - 5 Nov 2024
    MoE publication typeA1 Journal article-refereed

    Funding

    This work was supported by the Academy of Finland [grant numbers: 253270, 134950, 308252 (RK), and 325292 Profi 5 (LK)], the Jane and Aatos Erkko Foundation, the Signe and Ane Gyllenberg Foundation (LK and RK), the State Research Funding of the Turku University Hospital (LK and RK), The Finnish Cultural Foundation (E-LK, LK and RK), the Victoria Foundation (EN), the Agneta and Carl-Erik Olin Foundation (EN), and a Fulbright-University of Turku grant (KD-D). The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.

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