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Emotional Eating Alexithymia

Matteo Aloi, Marianna Rania, Mariarita Caroleo, Pasquale De Fazio, Cristina Segura-García
OBJECTIVE: This study aims to evaluate the theory of mind ability in a sample of obese patients with and without binge eating disorder (BED) and to explore the correlations between emotional and clinical assessments. METHODS: Overall, 20 non-BED, 16 under-threshold BED and 22 BED obese patients completed a battery of tests assessing social cognition and eating disorder psychopathology. RESULTS: Binge eating disorder, non-BED and under-threshold-BED obese patients showed similar ability to recognise others' emotions, but BED obese patients exhibited a deficit in recognising their own emotions as demonstrated by more impaired levels of alexithymia and interoceptive awareness and were more depressed...
February 17, 2017: European Eating Disorders Review: the Journal of the Eating Disorders Association
Marco Innamorati, Rossella M Quinto, Claudio Imperatori, Viviana Lora, Dario Graceffa, Mariantonietta Fabbricatore, David Lester, Anna Contardi, Claudio Bonifati
BACKGROUND: Health-related quality of life (HRQoL) in psoriasis patients could be negatively affected by medical (e.g., obesity) and psychological (e.g., depression, anxiety, and alexithymia) conditions the presence of which suggests difficulties in understanding and regulating inner states and emotions. Thus, the aim of this study was to investigate HRQoL and its association with obesity and difficulties in understanding and regulating inner states and emotions in patients with psoriasis...
October 2016: Comprehensive Psychiatry
Signe Holm Pedersen, Stig Poulsen, Susanne Lunn
The theory of mentalization has recently been applied in the area of eating disorders (Skårderud 2012). This article reports a qualitative study based on interviews with five women suffering from bulimia nervosa. All five scored high on the Reflective Functioning Scale, indicating a highly developed ability to mentalize. The present qualitative study, which focuses on the women's capacity to relate to and regulate affects, supports the finding that they are relatively skilled at reflecting on their own and others' thoughts and emotions...
August 2015: Journal of the American Psychoanalytic Association
Rebecca Brewer, Richard Cook, Valentina Cardi, Janet Treasure, Geoffrey Bird
Previous research has yielded inconsistent findings regarding the ability of individuals with eating disorders (EDs) to recognize facial emotion, making the clinical features of this population hard to determine. This study tested the hypothesis that where observed, emotion recognition deficits exhibited by patients with EDs are due to alexithymia, a co-occurring condition also associated with emotion recognition difficulties. Ability to recognize facial emotion was investigated in a sample of individuals with EDs and varying degrees of co-occurring alexithymia, and an alexithymia-matched control group...
January 2015: Royal Society Open Science
Federico D'Agata, Paola Caroppo, Federico Amianto, Angela Spalatro, Marcella M Caglio, Mauro Bergui, Luca Lavagnino, Dorico Righi, Giovanni Abbate-Daga, Lorenzo Pinessi, Paolo Mortara, Secondo Fassino
AIMS: Alexithymia is a personality trait that consists of difficulty in identifying and acknowledging one's own and others' feelings. Recent studies reported that alexithymia is present in both anorexia (AN) and bulimia nervosa (BN). Brain morphological studies on healthy subjects showed that alexithymia correlates with several brain regions involved in emotions processing. The aim of this study was to investigate the anatomical correlates of alexithymia in AN and BN. METHODS: We performed a voxel-based morphometry study on 21 patients with AN and 18 with BN...
November 2015: Psychiatry and Clinical Neurosciences
Piergiuseppe Vinai, Federica Provini, Elena Antelmi, Marco Marcatelli, Silvia Cardetti, Luisa Vinai, Paolo Vinai, Cecilia Bruno, Maurizio Speciale, Kelly C Allison
OBJECTIVE: Patients affected by Night Eating Syndrome (NES) complain of insomnia, mood, anxiety and overeating, which have all been linked to difficulties in dealing with emotions, but no research has examined the levels of alexithymia among NES patients. We compared the levels of alexithymia among samples of: NES patients, insomniac patients who do not eat at night, and a control group. METHOD: The study included 153 participants: 34 with NES, 47 with insomnia, and 72 in the control group...
April 2015: Eating Behaviors
Federica Pinna, Lucia Sanna, Bernardo Carpiniello
A high percentage of individuals affected by eating disorders (ED) achieve incomplete recovery following treatment. In an attempt to improve treatment outcome, it is crucial that predictors of outcome are identified, and personalized care approaches established in line with new treatment targets, thus facilitating patient access to evidence-based treatments. Among the psychological factors proposed as predictors of outcome in ED, alexithymia is of outstanding interest. The objective of this paper is to undertake a systematic review of the literature relating to alexithymia, specifically in terms of the implications for treatment of ED...
2015: Psychology Research and Behavior Management
Annaig Courty, Nathalie Godart, Christophe Lalanne, Sylvie Berthoz
Socio-affective difficulties, in particular difficulties in representing, communicating and feeling emotions, may play a critical role in anorexia nervosa (AN). The aim of this longitudinal study was to explore the links between alexithymia and two types of difficulties in AN: eating symptoms and social avoidance. Sixty adolescent girls with AN were recruited following hospitalisation in a specialised department. They completed self-administered questionnaires of alexithymia (TAS-20), of central symptoms of the eating disorders (EDI), and of anxious and depressive affects (SCL-90)...
January 2015: Comprehensive Psychiatry
Monica Bomba, Mirella Marfone, Elisa Brivio, Silvia Oggiano, Fiorenza Broggi, Francesca Neri, Renata Nacinovich
OBJECTIVE: The aim of the study is to investigate deficits in autobiographical memory in adolescents with anorexia nervosa (AN). METHODS: Sixty female individuals with AN and 60 healthy volunteers with an age range of 11-18 years were enrolled. The Autobiographical Memory Test (AMT), the Eating Disorder Inventory-3, the Toronto Alexithymia Scale-20 for the evaluation of alexithymia and Children's Depression Inventory to evaluate depressive traits were administered...
November 2014: European Eating Disorders Review: the Journal of the Eating Disorders Association
Matilda E Nowakowski, Traci McFarlane, Stephanie Cassin
Alexithymia is characterized by difficulties identifying feelings and differentiating between feelings and bodily sensations, difficulties communicating feelings, and a concrete cognitive style focused on the external environment. Individuals with eating disorders have elevated levels of alexithymia, particularly difficulties identifying and describing their feelings. A number of theoretical models have suggested that individuals with eating disorders may find emotions unacceptable and/or frightening and may use their eating disorder symptoms (i...
2013: Journal of Eating Disorders
Dorothée Lulé, Ulrike M E Schulze, Kathrin Bauer, Friederike Schöll, Sabine Müller, Anne-Katharina Fladung, Ingo Uttner
PURPOSE: Psychopathological changes and dysfunction in emotion processing have been described for anorexia nervosa (AN). Yet, findings are applicable to adult patients only. Furthermore, potential for discriminative power in clinical practice in relation to clinical parameters has to be discussed. The aim of this study was to investigate psychopathology and emotional face processing in adolescent female patients with AN. METHODS: In a sample of 15 adolescent female patients with AN (16...
June 2014: Eating and Weight Disorders: EWD
H Pinar Caglar-Nazali, Freya Corfield, Valentina Cardi, Suman Ambwani, Jenni Leppanen, Olaolu Olabintan, Stephanie Deriziotis, Alexandra Hadjimichalis, Pasquale Scognamiglio, Ertimiss Eshkevari, Nadia Micali, Janet Treasure
Social and emotional problems have been implicated in the development and maintenance of eating disorders (ED). This paper reviews the facets of social processing in ED according to the NIMH Research and Domain Criteria (NIMH RDoC) 'Systems for Social Processes' framework. Embase, Medline, PsycInfo and Web of Science were searched for peer-reviewed articles published by March 2013. One-hundred and fifty four studies measuring constructs of: attachment, social communication, perception and understanding of self and others, and social dominance in people with ED, were identified...
May 2014: Neuroscience and Biobehavioral Reviews
Delphine Rommel, Jean-Louis Nandrino, Pascal Antoine, Vincent Dodin
OBJECTIVES: This study aimed (1) to determine whether inpatients with eating disorders (EDs) have difficulty differentiating their emotions and being aware of the emotions of others; (2) to investigate the link between actual skills in emotional awareness and the sense of self-efficacy concerning these skills; and (3) to assess the impact of the quality of parental bonding on patients' levels of emotional awareness. METHODS: A sample of 44 inpatients with EDs, including a subgroup of 25 patients with restricting type anorexia nervosa (AR) and a subgroup of 19 patients with purging symptoms (PUR), were compared with 37 controls...
June 2013: British Journal of Clinical Psychology
Almut Zeeck, Nicola Stelzer, Hans Wolfgang Linster, Andreas Joos, Armin Hartmann
This study compares 20 binge eaters (BED), 23 obese patients (OB) and 20 normal weight controls (CO) with regard to everyday emotions and the relationship between emotions, the desire to eat and binge eating. Modified versions of the Differential Affect Scale and Emotional Eating Scale were used and the TAS-20 and Symptom-Check-List-27 administered to assess overall psychopathology and alexithymia. BED-subjects show a more negative pattern of everyday emotions, higher alexithymia scores and the strongest desire to eat, especially if emotions are linked to interpersonal aspects...
September 2011: European Eating Disorders Review: the Journal of the Eating Disorders Association
G Bird, R Cook
It is widely accepted that autism is associated with disordered emotion processing and, in particular, with deficits of emotional reciprocity such as impaired emotion recognition and reduced empathy. However, a close examination of the literature reveals wide heterogeneity within the autistic population with respect to emotional competence. Here we argue that, where observed, emotional impairments are due to alexithymia-a condition that frequently co-occurs with autism-rather than a feature of autism per se...
2013: Translational Psychiatry
Susanne Ohmann, Christian Popow, Marcus Wurzer, Andreas Karwautz, Petra Sackl-Pammer, Bibiana Schuch
BACKGROUND: Anorexic girls have difficulties in handling their emotions. We examined emotional problems of adolescent girls with anorexia nervosa (AN) during the course of cognitive behavioral group therapy (G-CBT). METHODS: Overall, 29 girls with AN (age 13-17 years) participated in four groups of manual based G-CBT. We assessed the body mass index (BMI), eating behavior psychopathology, emotions, depression, hedonistic activities, self-care and-efficacy, social phobia, sense of coherence (SOC), and alexithymia before, during and up to 1 year after therapy...
2013: Neuropsychiatrie: Klinik, Diagnostik, Therapie und Rehabilitation
G Martinez, S Cook-Darzens, P Chaste, M-C Mouren, C Doyen
INTRODUCTION: Anorexia nervosa is a serious psychiatric disorder, for which very few validated therapeutic strategies exist. The specific sociocognitive style of anorexic patients has already been described in the 1960s: it involves a concrete style with abstraction difficulties. Current neuropsychological tests have contributed to a more precise definition of these difficulties. NEUROPSYCHOLOGICAL DATA: IS THERE A SPECIFIC COGNITIVE PROFILE?: Contrary to common beliefs, these patients' intellectual performances are not superior to those of the general population...
April 2014: L'Encéphale
Irina G Malkina-Pykh
The aims of the present study were: a) to examine associations between pre-treatment BMI, body dissatisfaction, perfectionism, alexithymia, and restraint, emotional and external eating behaviour in obese patients; b) to analyze the impact of the pre-treatment measures in psychological variables on the outcome of cognitive-behavioral therapy (CBT) program; c) to test the effectiveness of rhythmic movement therapy (RMT) in the treatment of disordered eating behaviors and obesity with the CBT non-responders. At the first stage of treatment a total of 104 patients (32 males and 72 females, mean age was 37...
November 2012: Spanish Journal of Psychology
Sarah Spence, Christine Courbasson
This study explored the role of emotional dysregulation in 178 participants with concurrent EDs and SUDs. We ran two path analyses: Model 1 predicted negative mood regulation from alexithymia, and Model 2 predicted emotional eating from negative mood regulation. For Model 1, difficulty identifying and describing feelings was related to poor coping expectancies, while externally-oriented thinking was related to greater coping expectancies. For Model 2, poor coping expectancies in general were related to emotional eating, while greater coping expectancies in relation to behavior (i...
December 2012: Eating Behaviors
Paul E Jenkins, Helen O'Connor
This article delineates the phenomenon of "cognitive-affective division" in eating disorders, used to refer to the difficulty some patients face in translating what they "think" cognitively to what they "feel" emotionally. A clinical description of cognitive-affective division is first presented, drawing on existing research, before moving on to discuss psychological theories that might shed some light on this often-seen but seldom understood phenomenon. These include the role of emotion awareness and alexithymia, cognitive and emotional development, and neuropsychological theories...
2012: Eating Disorders
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