Background The connections between eating disorders (EDs) and alexithymia have not been fully clarified. This study aims to define alexithymia’s connections with shame, trauma, dissociation, and body image disorders. Methods We administered the Dissociative Experience Scale-II, Trauma Symptom Inventory, Experience of Shame Scale, Toronto Alexithymia Scale-20, and Body Uneasiness Test questionnaires to 143 ED subjects. Extensive statistical analyses were performed. Results The subjects showed higher scores on alexithymia, shame, dissociation, and traumatic feelings scales than the nonclinical population. These aspects are linked with each other in a statistically significant way. Partial correlations highlighted that feelings of shame are correlated to body dissatisfaction, irrespective of trauma or depressed mood. Multiple regression analysis demonstrates that shame (anorexic patients) and perceived traumatic conditions (bulimic and ED not otherwise specified) are associated with adverse image disorders. Conclusion Shame seems to hold a central role in the perception of an adverse self-image. Alexithymia may be interpreted as being a consequence of previous unelaborated traumatic experiences and feelings of shame, and it could therefore be conceptualized as a maladaptive–reactive construct.

FRANZONI, E., GUALANDI, S., CARETTI, V., SCHIMMENTI, A., DI PIETRO, E., & PELLEGRINI G, C.G. (2013). The relationship between alexithymia, shame, trauma, and body image disorders: investigation over a large clinical sample. NEUROPSYCHIATRIC DISEASE AND TREATMENT, doi: 10.2147/NDT.S34822, 185-193 [10.2147/NDT.S34822].

The relationship between alexithymia, shame, trauma, and body image disorders: investigation over a large clinical sample.

CARETTI, Vincenzo;
2013

Abstract

Background The connections between eating disorders (EDs) and alexithymia have not been fully clarified. This study aims to define alexithymia’s connections with shame, trauma, dissociation, and body image disorders. Methods We administered the Dissociative Experience Scale-II, Trauma Symptom Inventory, Experience of Shame Scale, Toronto Alexithymia Scale-20, and Body Uneasiness Test questionnaires to 143 ED subjects. Extensive statistical analyses were performed. Results The subjects showed higher scores on alexithymia, shame, dissociation, and traumatic feelings scales than the nonclinical population. These aspects are linked with each other in a statistically significant way. Partial correlations highlighted that feelings of shame are correlated to body dissatisfaction, irrespective of trauma or depressed mood. Multiple regression analysis demonstrates that shame (anorexic patients) and perceived traumatic conditions (bulimic and ED not otherwise specified) are associated with adverse image disorders. Conclusion Shame seems to hold a central role in the perception of an adverse self-image. Alexithymia may be interpreted as being a consequence of previous unelaborated traumatic experiences and feelings of shame, and it could therefore be conceptualized as a maladaptive–reactive construct.
Settore M-PSI/07 - Psicologia Dinamica
FRANZONI, E., GUALANDI, S., CARETTI, V., SCHIMMENTI, A., DI PIETRO, E., & PELLEGRINI G, C.G. (2013). The relationship between alexithymia, shame, trauma, and body image disorders: investigation over a large clinical sample. NEUROPSYCHIATRIC DISEASE AND TREATMENT, doi: 10.2147/NDT.S34822, 185-193 [10.2147/NDT.S34822].
File in questo prodotto:
Non ci sono file associati a questo prodotto.

I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.

Utilizza questo identificativo per citare o creare un link a questo documento: http://hdl.handle.net/10447/77231
Citazioni
  • ???jsp.display-item.citation.pmc??? ND
  • Scopus 55
  • ???jsp.display-item.citation.isi??? ND
social impact