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

The DOI matches its Crossref record; 40 of the 40 references it cites were found in a registry or an index.

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
Open this paper in CoChat — free account

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.

Overview

Integrity signals

Registry

Crossref · 10.1016/0010-440x(95)90099-h

Cites

40 of 40 references verified0 citation errors · 0 not checkable

Statistics

Recomputing p-values needs the paper’s full text.

Verification

Claims the paper makes

This paper’s full text isn’t openly available, so its claims and self-check weren’t run. The registry and citation checks still apply.

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

Citations

Cites

Research works printed but not linked: 1

  1. Lane, 1987, Levels of emotional awareness: a cognitive-developmental theory and its application to psychopathology, Am J Psychiatry, 144, 133

Cited by

Sorted by citations

See all 171

Related

See all

Metadata

Authors
de Groot, J. M., Rodin, G., & Olmsted, M. P.
Affiliations
University of Toronto (CA)
ORCID
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

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review