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Emotional Eating Alexithymia

Silvia Cimino, Alessandra Simonelli, Micol Parolin, Giulia Ballarotto, Paola Carbone, Luca Cerniglia
This study aimed at identifying specific clusters of maladaptive emotional-behavioral symptoms in adolescent victims of motorbike collisions considering their scores on alexithymia and impulsivity in addition to examining the prevalence of clinical binge eating behaviors (respectively through the Youth Self-Report (YSR), Toronto Alexithymia Scale-20 (TAS-20), Barratt Impulsiveness Scale-11 (BIS-11), and Binge Eating Scale (BES)). Emotional-behavioral profiles, difficulties in identifying and describing feelings, impulsivity, and binge eating behaviors have been assessed in 159 adolescents addressing emergency departments following motorbike collisions...
February 17, 2018: International Journal of Environmental Research and Public Health
Deborah J Wallis, Nathan Ridout, Emma Sharpe
Emotion recognition deficits have consistently been reported in clinical and sub-clinical disordered eating. However, most studies have used static faces, despite the dynamic nature of everyday social interactions. The current aims were to confirm previous findings of emotion recognition deficits in non-clinical disordered eating and to determine if these deficits would be more evident in response to static as compared to dynamic emotional stimuli. We also aimed to establish if these emotion recognition deficits could be explained by comorbid psychopathology (depression, anxiety or alexithymia)...
January 31, 2018: Eating Behaviors
Cindy Schmelkin, Franziska Plessow, Jennifer J Thomas, Emily K Gray, Dean A Marengi, Reitumetse Pulumo, Lisseth Silva, Karen K Miller, Nouchine Hadjikhani, Debra L Franko, Kamryn T Eddy, Elizabeth A Lawson
OBJECTIVE: Anorexia nervosa is associated with social-emotional functioning deficits and low levels of the social neurohormone oxytocin, even after weight gain. The relationship between low oxytocin levels and social-emotional functioning impairment has not been studied. METHOD: We performed a cross-sectional study of 79 women (19 who were less than 85% of ideal body weight [IBW] with anorexia nervosa [AN], 26 who were 90-120% IBW with a history of AN [AN-WR], and 34 who were 90-120% IBW with no eating disorder history [H])...
November 2017: International Journal of Eating Disorders
J Fernandes, F Ferreira-Santos, K Miller, S Torres
The role of emotional functioning in the development and maintenance of obesity has been investigated, but the literature is poorly integrated. A systematic review and meta-analysis was performed to explore emotional processing impairments in obesity. PubMed, Web of Knowledge and PsycINFO databases were searched in March 2016, yielding 31 studies comparing emotional processing competencies in individuals with obesity, with or without binge eating disorder (BED), and control groups. Meta-analyses demonstrated that individuals with obesity had higher scores of alexithymia (d = 0...
January 2018: Obesity Reviews: An Official Journal of the International Association for the Study of Obesity
Esther Fujiwara, Veronica L Kube, Daniel Rochman, Alexander K Macrae-Korobkov, Vanessa Peynenburg
Eating disorders (EDs) are often accompanied by social-emotional problems. Recently, alexithymia has been suggested to explain objective emotion processing deficits in EDs. We tested if elevated levels of alexithymia may explain emotional face-processing problems in a mixed ED group (N = 24, 19 with anorexia and five with bulimia), comparing them with high-alexithymic (N = 25) and low-alexithymic healthy controls (N = 25). Participants judged the mixture ratio of clear and ambiguous facial emotion blends while eye movements were recorded...
November 2017: European Eating Disorders Review: the Journal of the Eating Disorders Association
Heather Westwood, Jess Kerr-Gaffney, Daniel Stahl, Kate Tchanturia
OBJECTIVE: The aim of this review was to synthesise the literature on the use of the Toronto Alexithymia Scale (TAS) in eating disorder populations and Healthy Controls (HCs) and to compare TAS scores in these groups. METHOD: Electronic databases were searched systematically for studies using the TAS and meta-analyses were performed to statistically compare scores on the TAS between individuals with eating disorders and HCs. RESULTS: Forty-eight studies using the TAS with both a clinical eating disorder group and HCs were identified...
August 2017: Journal of Psychosomatic Research
David R Kolar, Michael Huss, Hanna M Preuss, Ekkehart Jenetzky, Ann F Haynos, Arne Bürger, Florian Hammerle
Individuals with anorexia nervosa (AN) often report difficulties in identifying emotions, which have been mostly studied as an alexithymia trait. In a controlled two-day ecological momentary assessment, we studied the influence of time of day and aversive tension on self-reported momentary emotion identification. Analysis on an aggregated level revealed a significant lower mean emotion identification in the AN group. In a mixed model analysis, the AN group showed lower emotion identification than the control group (HC)...
September 2017: Psychiatry Research
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...
May 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
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