The DOI matches its Crossref record; 112 of the 115 references it cites were found in a registry or an index.
Alexithymia in eating disorders: Systematic review and meta-analyses of studies using the Toronto Alexithymia Scale
Open accessAbstract
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. Of these, 44 were included in the meta-analyses, separated into: Anorexia Nervosa; Anorexia Nervosa, Restricting subtype; Anorexia Nervosa, Binge-Purge subtype, Bulimia Nervosa and Binge Eating Disorder. For all groups, there were significant differences with medium or large effect sizes between the clinical group and HCs, with the clinical group scoring significantly higher on the TAS, indicating greater difficulty with identifying and labelling emotions. CONCLUSION: Across the spectrum of eating disorders, individuals report having difficulties recognising or describing their emotions. Given the self-report design of the TAS, research to develop and evaluate treatments and clinician-administered assessments of alexithymia is warranted.
Overview
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Figures
Verification
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
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?
In the citing paper
“Many of us with AN experience alexithymia [93, 94] and suppress our emotions as an emotional coping strategy [22, 95].”
From A lived experience response to the proposed diagnosis of terminal anorexia nervosa: learning from iatrogenic harm, ambivalence and enduring hope (2023) · cites this paper as [93]
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Citations
Cites
Statistical Power Analysis for the Behavioral Sciences
Muller, K. E., & Cohen, J. (1989) · Technometrics · doi:10.2307/1270020 · Cited by 99,603
Preferred Reporting Items for Systematic Reviews and Meta-Analyses: the PRISMA statement
Moher, D., Liberati, A., Tetzlaff, J., Altman, D. G., & for the PRISMA Group (2009) · BMJ · doi:10.1136/bmj.b2535 · Cited by 83,823
Statistical power analysis for the behavioral sciences
Cohen, J. (1990) · Computers Environment and Urban Systems · doi:10.1016/0198-9715(90)90050-4 · Cited by 65,417
Measuring inconsistency in meta-analyses
Higgins, J. P. T., Thompson, S. G., Deeks, J. J., & Altman, D. G. (2003) · BMJ · doi:10.1136/bmj.327.7414.557 · Cited by 63,139
Preferred reporting items for systematic reviews and meta-analyses: the PRISMA Statement.
(2009) · PubMed Central · Cited by 44,859
Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement
Moher, D., Liberati, A., Tetzlaff, J., & Altman, D. G. (2009) · Journal of Clinical Epidemiology · doi:10.1016/j.jclinepi.2009.06.005 · Cited by 19,575
Duval, S., & Tweedie, R. (2000) · Biometrics · doi:10.1111/j.0006-341x.2000.00455.x · Cited by 14,099
Gratz, K. L., & Roemer, L. (2004) · Journal of Psychopathology and Behavioral Assessment · doi:10.1023/b:joba.0000007455.08539.94 · Cited by 8,942 · cited 1×
“The model [98] outlines four dimensions theorised to contribute to the development or maintenance of psychopathology: use of adaptive and situationally appropriate emotion regulation strategies; impulse inhibition and behavioural control when distressed; emotional awareness, clarity, and acceptance; and emotional appr…”
Bagby, R. M., Parker, J. D. A., & Taylor, G. J. (1994) · Journal of Psychosomatic Research · doi:10.1016/0022-3999(94)90005-1 · Cited by 5,293
(1997) · Medical Entomology and Zoology · Cited by 1,407
Research works printed but not linked: 3
- Deborde, 2008, The Bermond-Vorst Alexithymia Questionnaire cutoff scores: a study in eating-disordered and control subjects, Psychopathology, 41, 43, 10.1159/000109955 · DOI · Paper page
- Pollatos, 2008, Reduced perception of bodily signals in anorexia nervosa, Eat. Behav., 9, 381, 10.1016/j.eatbeh.2008.02.001 · DOI · Paper page
- Pollatos, 2008, Impaired central processing of emotional faces in anorexia nervosa, Psychosom. Med., 70, 701, 10.1097/PSY.0b013e31817e41e6 · DOI
Cited by
Sorted by citations
Investigating alexithymia in autism: A systematic review and meta-analysis
Kinnaird, E., Stewart, C., & Tchanturia, K. (2019) · European Psychiatry · doi:10.1016/j.eurpsy.2018.09.004 · Cited by 545
Self-citationEmotion regulation across eating pathology: A meta-analysis
Prefit, A.-B., Cândea, D. M., & Szentagotai-Tătar, A. (2019) · Appetite · doi:10.1016/j.appet.2019.104438 · Cited by 341
Jenkinson, P. M., Taylor, L., & Laws, K. R. (2018) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2018.04.005 · Cited by 227
Mallorquí‐Bagué, N., Vintró‐Alcaraz, C., Sánchez, I., Riesco, N., Agüera, Z., Granero, R., Jiménez‐Múrcia, S., Menchón, J. M., Treasure, J. L., & Fernández‐Aranda, F. (2017) · European Eating Disorders Review · doi:10.1002/erv.2570 · Cited by 177
fMRI neurofeedback in emotion regulation: A literature review
Linhartová, P., Látalová, A., Kóša, B., Kašpárek, T., Schmahl, C. G., & Paret, C. (2019) · NeuroImage · doi:10.1016/j.neuroimage.2019.03.011 · Cited by 162
Metadata
- Authors
- Westwood, H., Kerr-Gaffney, J., Stahl, D., & Tchanturia, K.
- Affiliations
- King's College London (GB)
- Ilia State University (GE)
- Corresponding author
- Westwood, Heather
- Venue
- Journal of Psychosomatic Research
- Publisher
- Elsevier BV
- Published
- 2017-08
- Volume
- 99
- Pages
- 66-81
- ISSN
- 0022-3999 (ISSN-L)
- PMC
- PMC5986724
- OpenAlex
- W2624833759
- Cited by
- 354
- References
- 115
- Citations by year
- 2026: 34 · 2025: 41 · 2024: 49 · 2023: 42 · 2022: 44 · 2021: 55 · 2020: 43 · 2019: 20 · 2018: 21 · 2017: 5
- FWCI
- 3.71
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Locations
- Journal of Psychosomatic Research (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Research Portal (King's College London) (submittedVersion, cc-by-nc-nd)
- Funders
- South London and Maudsley NHS Foundation Trust
- Psychiatry Research Trust
- National Institute for Health and Care Research
- King's College London
- Institute of Psychiatry, Psychology and Neuroscience, King’s College London
- Medical Research Council
- Economic and Social Research Council
- 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, eating disorders, Toronto Alexithymia Scale, anorexia nervosa, bulimia nervosa, binge eating disorder, emotional awareness, emotion recognition, healthy controls
- MeSH terms
- Adult, Affective Symptoms, Feeding and Eating Disorders, Canada, Emotions, Female, Humans, Male
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
