A naturalistic study of alexithymia among psychiatric outpatients treated in an integrated group therapy program
Abstract
OBJECTIVES: Alexithymia is common among psychiatric outpatients and can complicate treatment. There has been little research into whether alexithymia can be modified by psychological intervention, and whether change in alexithymia is related to other areas of improvement. The purpose of the present study was to examine whether participation in an integrated group therapy program could effect change in alexithymia, and whether such change is related to improvement in interpersonal functioning. DESIGN AND METHODS: Sixty-eight consecutively admitted psychiatric outpatients to a comprehensive group therapy program were evaluated at baseline, post-therapy, and 3-month follow-up using the Toronto Alexithymia Scale 20, the Beck Depression Inventory, and the Inventory of Interpersonal Problems-28. Associations among variables were evaluated with correlations and among group comparisons with t test, ANOVA, chi-square tests, and logistic regression. Change in alexithymia was examined using repeated measures ANOVA, controlling for change in depressive symptoms. RESULTS: Alexithymia, particularly difficulty identifying feelings, decreased significantly during the treatment period. Post-therapy levels of alexithymia were maintained during the 3 months following treatment completion. Changes in alexithymia were significantly associated with changes in interpersonal problems, both during therapy and during the follow-up period. CONCLUSIONS: The results of our study suggest that a comprehensive, integrated group therapy program can affect change in alexithymia, and that such change can be maintained once therapy is completed. Also, modifying alexithymia may contribute to improvement in interpersonal functioning.
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Recent studies found that specifically focusing on alexithymia during treatment improved treatment outcomes in terms of symptom reduction and general functioning.
“Recent studies found that specifically focusing on alexithymia during treatment improved treatment outcomes in terms of symptom reduction and general functioning (5–9), but the results of a 2013 systematic review (10) were inconclusive, and was suggested that development of evidence-based treatments are necessary (10).”
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Additional file 1 of Alexithymia and interpersonal problems in healthy young individuals
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- Authors
- Ogrodniczuk, J. S., Sochting, I., Piper, W. E., & Joyce, A. S.
- Affiliations
- University of British Columbia (CA)
- University of Alberta (CA)
- Corresponding author
- Ogrodniczuk, John S.
- Venue
- Psychology and Psychotherapy Theory Research and Practice
- Publisher
- Wiley
- Published
- 2011-08-19
- Volume
- 85
- Issue
- 3
- Pages
- 278-291
- ISSN
- 1476-0835 (ISSN-L)
- 2044-8341
- OpenAlex
- W1946471840
- Cited by
- 56
- References
- 47
- Citations by year
- 2026: 1 · 2025: 2 · 2024: 1 · 2023: 3 · 2021: 2 · 2020: 5 · 2019: 7 · 2018: 8 · 2017: 6 · 2016: 6 · 2015: 6 · 2014: 8 · 2013: 1
- FWCI
- 1.97
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Psychology and Psychotherapy Theory Research and Practice (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Keywords
- alexithymia, group therapy, psychiatric outpatients, interpersonal functioning, interpersonal problems, difficulty identifying feelings, maintenance of treatment effects, depressive symptoms, Toronto Alexithymia Scale
- MeSH terms
- Adaptation, Psychological, Adult, Affective Symptoms, Ambulatory Care, Analysis of Variance, Depressive Disorder, Emotions, Female, Humans, Interpersonal Relations, Male, Middle Aged, Personality Inventory, Psychiatric Status Rating Scales, Psychotherapy, Group, Logistic Models, Treatment Outcome, Young Adult
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 ›
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