Cited by 171Eating Disorders and BehaviorsPsychosomatic Disorders and Their TreatmentsAnxiety, Depression, Psychometrics, Treatment, Cognitive Processes

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Alexithymia, depression, and treatment outcome in bulimia nervosa

de Groot, Janet M, Rodin, Gary, Olmsted, Marion P·1995·Comprehensive Psychiatry

DOI 10.1016/0010-440x(95)90099-h

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Abstract

Disturbances in emotional awareness, sometimes referred to as alexithymia, have been hypothesized to contribute to the development of binge/purge symptoms among women with bulimia nervosa (BN) and/or are considered secondary to the state of depression and/or disordered eating. The present study was designed to assess alexithymia among women with BN, to evaluate the interrelationship between alexithymia, depression, and somatic symptoms, and to determine whether an intensive group psychotherapy program contributes to a reduction in the degree of alexithymia. Thirty-one of 50 BN women (62%) who completed The Toronto Hospital Day Hospital Program for Eating Disorders (DHP) were administered pretreatment and posttreatment questionnaires. Findings from this clinical sample were compared with those from 20 non-eating-disordered women who completed the same battery. Using the Toronto Alexithymia Scale (TAS), significantly more BN women were alexithymic at pretreatment (61.3%) and post-treatment (32.3%) than in the comparison group (5.0%), even when depression was controlled for. At discharge, abstinence from binge/purge episodes was associated with a significant reduction in alexithymia, although there was a significant correlation between TAS scores, depression, and vomit frequency. Alexithymia among BN women is not simply a concomitant of disordered eating. Its partial reversibility following an intensive psychotherapy program may be a direct effect of the treatment and/or may be secondary to a reduction in depressive and/or binge/purge symptoms.

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Authors: de Groot, J. M., Rodin, G., & Olmsted, M. P.
Affiliations: University of Toronto (CA)
ORCID: Rodin, Gary
Olmsted, Marion P
Venue: Comprehensive Psychiatry
Publisher: Elsevier BV
Published: 1995-01
Volume: 36
Issue: 1
Pages: 53-60
ISSN: 0010-440X (ISSN-L)
DOI: 10.1016/0010-440x(95)90099-h
OpenAlex: W1985088673
Cited by: 171
References: 40
Citations by year: 2026: 2 · 2024: 1 · 2023: 2 · 2022: 2 · 2021: 6 · 2020: 3 · 2019: 6 · 2018: 6 · 2017: 2 · 2016: 4 · 2015: 4 · 2014: 12 · 2013: 11 · 2012: 10
FWCI: 3.97
Type: journal article
Language: en
Open access: closed
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: Comprehensive Psychiatry (publishedVersion)
PubMed (publishedVersion)
DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
Topics: Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
Keywords: alexithymia, bulimia nervosa, depression, emotional awareness, group therapy, day hospital treatment, binge-purge behavior, vomiting, treatment outcomes, women
MeSH terms: Adolescent, Adult, Affective Symptoms, Awareness, Bulimia, Day Care, Medical, Depression, Female, Follow-Up Studies, Humans, Personality Assessment, Psychotherapy, Group, Somatoform Disorders, Treatment Outcome

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Alexithymia, depression, and treatment outcome in bulimia nervosa

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