Disordered eating attitudes, alexithymia and suicide probability among Turkish high school girls
Abstract
We aimed to examine association between disordered eating attitudes (DEAs), alexithymia and suicide probability among adolescent females and to explore potential link between alexithymia and suicide probability in subjects with DEAs. 381 female students completed Eating Attitude Test (EAT-26), Toronto Alexithymia Scale (TAS-20) and Suicide Probability Scale (SPS). It was found that 13.2% (n=52) of the subjects have DEAs. Results indicated that total TAS-20 score and scores of Difficulty in Identifying Feelings (DIF) and Difficulty in Describing Feelings (DDF) subscales were significantly higher in DEAs group than in those non DEAs group (p<0.05). Additionally, total SPS score (p<0.001), Hopelessness (p=0.001), Suicide Ideation (p<0.001) and Hostility (p=0.003) subscales scores of SPS were significantly higher in the alexithymic DEAs than the non-alexithymic DEAs group. In order to control potential effect of depression, SPS subscales were used as covariate factors in ANCOVA. Negative Self-Evaluation subscale yielded a statistically significant difference between groups, other subscales did not. Results point out these; DEAs are relatively frequent phenomenon among female students in Turkey and presence of alexithymia was associated with an increased suicide probability in adolescents with DEAs. The results should be evaluated taking into account that depressive symptomatology was not assessed using a depression scale.
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Alexithymia is correlated with greater severity of disordered eating and suicidality in individuals with EDs.
“Alexithymia is correlated with greater severity of disordered eating and suicidality in individuals with EDs [108, 109].”
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 [109]
Cites
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 · see citing works
The Eating Attitudes Test: an index of the symptoms of anorexia nervosa
Garner, D. M., & Garfinkel, P. (1979) · Psychological Medicine · doi:10.1017/s0033291700030762 · Cited by 3,617 · see citing works
Adolescent suicide and suicidal behavior
Bridge, J. A., Goldstein, T. R., & Brent, D. A. (2006) · Journal of Child Psychology and Psychiatry · doi:10.1111/j.1469-7610.2006.01615.x · Cited by 1,361 · see citing works
The Alexithymia Construct: A Potential Paradigm for Psychosomatic Medicine
Taylor, G. J., Bagby, R. M., & Parker, J. D. A. (1991) · Psychosomatics · doi:10.1016/s0033-3182(91)72086-0 · Cited by 742 · see citing works
Family genetic studies, suicide, and suicidal behavior
Brent, D. A., & Mann, J. J. (2005) · American Journal of Medical Genetics Part C Seminars in Medical Genetics · doi:10.1002/ajmg.c.30042 · Cited by 618 · see citing works
Hopelessness, Depression, and Attempted Suicide
Minkoff, K., BERGMAN, E., Beck, A. T., & Beck, R. W. (1973) · American Journal of Psychiatry · doi:10.1176/ajp.130.4.455 · Cited by 527 · see citing works
Patton, G. C., Johnson‐Sabine, E., Wood, K., MANN, A. H., & Wakeling, A. (1990) · Psychological Medicine · doi:10.1017/s0033291700017700 · Cited by 461 · see citing works
The epidemiology of eating disorders in six European countries: results of the ESEMeD-WMH project.
Preti, A., Girolamo, G. D., Vilagut, G., Alonso, J., Graaf, R. D., Bruffaerts, R., Demyttenaere, K., Pinto-Meza, A., Haro, J. M., & Morosini, P. (2009) · Journal of Psychiatric Research · doi:10.1016/j.jpsychires.2009.04.003 · Cited by 456 · see citing works
Comprehensive clinical psychology
(1999) · Choice Reviews Online · doi:10.5860/choice.36-4766 · Cited by 408 · see citing works
Time trends in eating disorder incidence
Currin, L. G., Schmidt, U. H., Treasure, J. L., & Jick, H. (2005) · The British Journal of Psychiatry · doi:10.1192/bjp.186.2.132 · Cited by 362 · see citing works
Vulnerability and resiliency to suicidal behaviours in young people
Fergusson, D. M., Beautrais, A. L., & Horwood, L. J. (2002) · Psychological Medicine · doi:10.1017/s0033291702006748 · Cited by 348 · see citing works
Disordered eating attitudes and behaviours in teenaged girls: a school-based study.
Jones, J. M., Bennett, S., Olmsted, M. P., Lawson, M. L., & Rodin, G. (2001) · Europe PMC (PubMed Central) · Cited by 328 · see citing works
Alexithymia and eating disorders: a critical review of the literature
Nowakowski, M. E., McFarlane, T., & Cassin, S. E. (2013) · Journal of Eating Disorders · doi:10.1186/2050-2974-1-21 · Cited by 315 · see citing works
Prevalence of eating disorders: a comparison of Western and non-Western countries.
Makino, M., Tsuboi, K., & Dennerstein, L. (2004) · PubMed Central · Cited by 293 · see citing works
Disordered eating attitudes and behaviors in overweight youth
Goldschmidt, A. B., Aspen, V. P., Sinton, M. M., Tanofsky‐Kraff, M., & Wilfley, D. E. (2008) · Obesity · doi:10.1038/oby.2007.48 · Cited by 257 · see citing works
A cognitive model of bulimia nervosa
Cooper, M. J., Wells, A., & Todd, G. (2004) · British Journal of Clinical Psychology · doi:10.1348/014466504772812931 · Cited by 253 · see citing works
Alexithymia and anxiety sensitivity in panic disorder and obsessive- compulsive disorder
Zeitlin, S. B., & McNally, R. J. (1993) · American Journal of Psychiatry · doi:10.1176/ajp.150.4.658 · Cited by 196 · see citing works
Alexithymia and somatic complaints in psychiatric out-patients
Taylor, G. J., Parker, J. D. A., Michael Bagby, R., & Acklin, M. W. (1992) · Journal of Psychosomatic Research · doi:10.1016/0022-3999(92)90002-j · Cited by 190 · see citing works
Suicidality in eating disorders: clinical and psychological correlates
Favaro, A., & Santonastaso, P. (1997) · Acta Psychiatrica Scandinavica · doi:10.1111/j.1600-0447.1997.tb10139.x · Cited by 184 · see citing works
Cooper, M. J. (2005) · Clinical Psychology Review · doi:10.1016/j.cpr.2005.01.003 · Cited by 161 · see citing works
FRANCES, A. J., Fyer, M. R., & Clarkin, J. F. (1986) · Annals of the New York Academy of Sciences · doi:10.1111/j.1749-6632.1986.tb27907.x · Cited by 145 · see citing works
Alexithymia ratings in bulimia nervosa: clinical correlates
Jimerson, D. C., Wolfe, B. E., Franko, D. L., Covino, N. A., & Sifneos, P. E. (1994) · Psychosomatic Medicine · doi:10.1097/00006842-199403000-00002 · Cited by 138 · see citing works
Alexithymia and its relationships with body checking and body image in a non-clinical female sample
Berardis, D. D., Carano, A., Gambi, F., Campanella, D., Giannetti, P., Ceci, A., Mancini, E., Rovere, R. L., Cicconetti, A., Penna, L. L., et al. (2006) · Eating Behaviors · doi:10.1016/j.eatbeh.2006.11.005 · Cited by 98 · see citing works
Affect, Emotional Conflict, and Deficit: An Overview
Sifneos, P. E. (2010) · Psychotherapy and Psychosomatics · doi:10.1159/000288543 · Cited by 93 · see citing works
Kuğu, N., Akyüz, G., Doğan, O., Erşan, E. E., & Izgiç, F. (2006) · Australian & New Zealand Journal of Psychiatry · doi:10.1080/j.1440-1614.2006.01759.x · Cited by 92 · see citing works
Alexithymia and Suicide Ideation in a Sample of Patients with Binge Eating Disorder
Carano, A., De Berardis, D., Campanella, D., Serroni, N., Ferri, F., Di Iorio, G., Acciavatti, T., Mancini, L., Mariani, G., Martinotti, G., et al. (2012) · Journal of Psychiatric Practice · doi:10.1097/01.pra.0000410982.08229.99 · Cited by 91 · see citing works
Depression and Attempted Suicide: A Study of 91 Cases Seen in a Casualty Department
Birtchnell, J., & Alarcón, J. (1971) · The British Journal of Psychiatry · doi:10.1192/bjp.118.544.289 · Cited by 90 · see citing works
Suicide attempts in women with bulimia nervosa: frequency and characteristics
Corcos, M., Taïeb, O., Benoit‐Lamy, S., Paterniti, S., Jeammet, P., & Flament, M. F. (2002) · Acta Psychiatrica Scandinavica · doi:10.1034/j.1600-0447.2002.02318.x · Cited by 80 · see citing works
DeLeel, M. L., Hughes, T. L., Miller, J., Hipwell, A. E., & Theodore, L. A. (2009) · Psychology in the Schools · doi:10.1002/pits.20415 · Cited by 75 · see citing works
Disordered eating attitudes in relation to body image and emotional intelligence in young women
Costarelli, V., Demerzi, M., & Stamou, D. (2009) · Journal of Human Nutrition and Dietetics · doi:10.1111/j.1365-277x.2009.00949.x · Cited by 75 · see citing works
Suicide Over the Life Cycle: Risk Factors, Assessment, and Treatment of Suicidal Patients
Deluty, R. H. (1991) · The Journal of Nervous and Mental Disease · doi:10.1097/00005053-199104000-00016 · Cited by 73 · see citing works
Berardis, D. D., Serroni, N., Campanella, D., Carano, A., Gambi, F., Valchera, A., Conti, C. M., Sepede, G., Scali, M., Fulcheri, M., et al. (2008) · Progress in Neuro-Psychopharmacology and Biological Psychiatry · doi:10.1016/j.pnpbp.2008.09.022 · Cited by 67 · see citing works
Alexithymia and Eating Disorder Symptoms in Adolescents
Karukivi, M., Hautala, L., Korpelainen, J., Haapasalo‐Pesu, K., Liuksila, P., Joukamaa, M. I., & Saarijãrvi, S. (2010) · Eating Disorders · doi:10.1080/10640261003719518 · Cited by 54 · see citing works
Chang, Y.-J., Lin, W., & Wong, Y. (2011) · Journal of the American College of Nutrition · doi:10.1080/07315724.2011.10719942 · Cited by 48 · see citing works
Palma‐Coca, O., Hernández-Serrato, M. I., Villalobos-Hernández, A. L., Santoncini, C. U., Olaiz-Fernández, G. A., & Bojórquez, I. (2011) · Journal of Adolescent Health · doi:10.1016/j.jadohealth.2011.01.019 · Cited by 46 · see citing works
Musaiger, A. O., & Al-Mannai, M. A. (2013) · Journal of Biosocial Science · doi:10.1017/s0021932013000278 · Cited by 45 · see citing works
Haines, J., Ziyadeh, N. J., Franko, D. L., McDonald, J. C., Mond, J., & Austin, S. B. (2011) · Journal of School Health · doi:10.1111/j.1746-1561.2011.00623.x · Cited by 41 · see citing works
Identifying depressed and suicidal adolescents in a teen health clinic
Cappelli, M., Clulow, M., Goodman, J. T., Davidson, S. I., Feder, S., Baron, P., Manion, I. G., & McGrath, P. J. (1995) · Journal of Adolescent Health · doi:10.1016/1054-139x(94)00076-q · Cited by 37 · see citing works
Lee, H., Park, S., Kim, C., Choi, D.-W., Lee, J. S., Oh, S. M., Cho, E., Park, H. K., Kwon, K., & Oh, S. W. (2013) · PLoS ONE · doi:10.1371/journal.pone.0057880 · Cited by 36 · see citing works
Keiko, S., Tanaka, K., & Hishimoto, A. (2011) · PubMed · doi:10.24546/81002777 · Cited by 34 · see citing works
Factors Associated with Abnormal Eating Attitudes among Greek Adolescents
Bilali, A., Galanis, P., Velonakis, E., & Katostaras, T. (2010) · Journal of Nutrition Education and Behavior · doi:10.1016/j.jneb.2009.06.005 · Cited by 33 · see citing works
Eating disorders and suicide ideation: the mediating role of depression and aggressiveness
Miotto, P., & Preti, A. (2007) · Comprehensive Psychiatry · doi:10.1016/j.comppsych.2007.01.006 · Cited by 29 · see citing works
Zaitsoff, S. L., & Grilo, C. M. (2009) · Comprehensive Psychiatry · doi:10.1016/j.comppsych.2009.03.005 · Cited by 29 · see citing works
Low Socioeconomic Status Predicts Abnormal Eating Attitudes in Latin American Female Adolescents
Power, Y., Power, L., & Canadas, M. B. (2008) · Eating Disorders · doi:10.1080/10640260801887261 · Cited by 28 · see citing works
Kiyotaki, Y., & Yokoyama, K. (2006) · Personality and Individual Differences · doi:10.1016/j.paid.2006.02.013 · Cited by 28 · see citing works
Altug, A., Elal, G., Slade, P. D., & Tekcan, A. Í. (2000) · PubMed · Cited by 26 · see citing works
Brief report: Young people at risk for eating disorders in Southeast Brazil
Moya, T., Fleitlich‐Bilyk, B., & Goodman, R. (2005) · Journal of Adolescence · doi:10.1016/j.adolescence.2005.05.006 · Cited by 26 · see citing works
Disordered eating attitudes and behaviours in the high-school students of a rural Canadian community
Jonat, L., & Birmingham, C. L. (2004) · Eating and Weight Disorders - Studies on Anorexia Bulimia and Obesity · doi:10.1007/bf03325083 · Cited by 24 · see citing works
Unikel, C., Holle, A. V., Bulik, C., & Ocampo, R. (2012) · European eating disorders review · doi:10.1002/erv.1070 · Cited by 20 · see citing works
Eating Attitudes in Female College Students with Self-Reported Alexithymic Characteristics
Fukunishi, I. (1998) · Psychological Reports · doi:10.2466/pr0.1998.82.1.35 · Cited by 16 · see citing works
The Relationship Between Eating Disorders and Socioeconomic Status: It's Not What You Think
Gibbons, P. (2001) · eScholarship (California Digital Library) · Cited by 16 · see citing works
Suicidal behavior among Turkish patients with Parkinson’s disease
Özdilek, B., & Gültekin, B. K. (2014) · Neuropsychiatric Disease and Treatment · doi:10.2147/ndt.s60450 · Cited by 13 · see citing works
Eating attitudes in adolescent girls.
Radmanović-Burgić, M., Gavrić, Ž., & Burgić, S. (2011) · PubMed · Cited by 9 · see citing works
Cochrane (1993) · doi:10.1002/1098-108x(199309)14:2
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Elwyn, R. (2023) · Journal of Eating Disorders · doi:10.1186/s40337-022-00729-0 · Cited by 61 · see citing works
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Vuillier, L., Carter, Z., Teixeira, A. R., & Moseley, R. L. (2020) · Molecular Autism · doi:10.1186/s13229-020-00364-z · Cited by 48 · see citing works
- Authors
- Alpaslan, A. H., Soylu, N., AVCI, K., Coşkun, K. Ş., Kocak, U., & Taş, H. U.
- Affiliations
- Afyon Kocatepe University (TR)
- Inonu University (TR)
- Corresponding author
- Alpaslan, Ahmet Hamdi
- Venue
- Psychiatry Research
- Publisher
- Elsevier BV
- Published
- 2015-03
- Volume
- 226
- Issue
- 1
- Pages
- 224-229
- ISSN
- 0165-1781 (ISSN-L)
- OpenAlex
- W1977249654
- Cited by
- 45
- References
- 54
- Citations by year
- 2025: 2 · 2024: 2 · 2023: 4 · 2022: 6 · 2021: 5 · 2020: 5 · 2019: 5 · 2018: 4 · 2017: 5 · 2016: 7
- FWCI
- 6.62
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Psychiatry Research (publishedVersion)
- PubMed (publishedVersion)
- 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 › Clinical Psychology › Suicide and Self-Harm Studies
- Keywords
- disordered eating attitudes, alexithymia, suicide probability, adolescent girls, suicidal ideation, hopelessness, hostility, difficulty identifying feelings, difficulty describing feelings, eating disorders, Turkish adolescents
- MeSH terms
- Adolescent, Affective Symptoms, Feeding and Eating Disorders, Attitude, Depression, Depressive Disorder, Female, Humans, Neuropsychological Tests, Personality Inventory, Probability, Psychiatric Status Rating Scales, Schools, Students, Turkey, Suicidal Ideation, Diagnostic Self Evaluation
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