Alexithymic Feature in Digestive Diseases

Nakagawa, Toshio; Sugita, Mineyasu; Nakai, Yousuke; Ikemi, Yujiro

doi:10.1159/000287387

Cited by 17 publications

(9 citation statements)

References 8 publications

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“…Although these IBS patients were ambulatory, living in the community and continuing with activities of daily living such as employment, they were somewhat more likely to perceive that their QoL was impaired by their condition. The difference between PUD patients and the healthy sample was not significant, a finding also consistent with that of previous research (Nakagawa et al 1979;Whitehead et al 1982).…”

Section: Discussionsupporting

confidence: 92%

Assessing the quality of life of the individual: the SEIQoL with a healthy and a gastroenterology unit population

et al. 1991

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SYNOPSIS Current methods of measuring quality of life (QoL) impose an external value system on individuals, rather than allowing them to describe their lives in terms of those factors which they consider important. The Schedule for the Evaluation of Individual Quality of Life (SEIQoL) was developed to overcome such limitations. The QoL of 42 healthy attenders at an international immunization clinic was assessed using SEIQoL. Judgement reliability was high (r = 0-74) and individuals' judgement policies accounted for a large percentage of the variance in overall QoL (R 2 = 0-75) demonstrating the construct validity of judgement analysis in this context.In a second study of QoL of out-patients suffering from irritable bowel syndrome (IBS) (TV = 20) or peptic ulcer disease (PUD) (N = 20) was assessed using SEIQoL. Judgement reliability was lower (r = 0-54) although statistically highly significant (P < 001), and the variance in overall QoL judgements explained was high (R 2 = 0-74).SEIQoL is an acceptable, reliable and valid technique for measuring individual QoL that takes greater account of individual perspectives than traditional measurement approaches. ability to fulfil economic and other social roles ( e g C a r e y ; 1 9 7 4 . L a b o r d e & P o w e r S ) 1 9 8 0 ;

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Section: Discussionsupporting

confidence: 92%

Assessing the quality of life of the individual: the SEIQoL with a healthy and a gastroenterology unit population

et al. 1991

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“…Following the introduction of the alexithymia construct, empirical studies initially found IBD patients to be more alexithymic than both psychoneurotic patients [8]and patients with irritable bowel syndrome [9, 10]. The results from these earlier studies are highly questionable, however, as they employed psychometrically weak measures of alexithymia.…”

Section: Introductionmentioning

confidence: 99%

Alexithymia and Functional Gastrointestinal Disorders

Porcelli

Taylor

Bagby

et al. 1999

Psychother Psychosom

106

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Background: Although the alexithymia construct was derived from observations of patients with classical psychosomatic diseases, empirical studies have found only a moderate association between alexithymia and inflammatory bowel disease (IBD). Indeed, there is some evidence that alexithymia may be associated more strongly with functional somatic symptoms than with the psychosomatic diseases. The present study examined the relationship between alexithymia and functional gastrointestinal disorders (FGIDs) in a group of 121 FGID patients, and compared the results with findings from a group of 116 IBD patients and a group of 112 healthy subjects. Method: The subjects completed the 20-item Toronto Alexithymia Scale and the Hospital Anxiety and Depression Scale. Results: The FGID group was significantly more alexithymic than the IBD group, and the two gastrointestinal groups were more alexithymic than the normal healthy group. These differences remained even after controlling for the influence of education, gender, anxiety, depression and gastrointestinal symptoms. Conclusions: The finding of a high rate of alexithymia (66%) in the group of FGID patients is consistent with the propensity of these patients to somatization and to high levels of poorly differentiated psychological distress.

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“…Nakagawa et al [13], for example, found IBD patients to be more alexithymic than patients with irrita ble bowel syndrome; however, alexithymia was assessed solely on the basis of clinical interviews and inferences drawn from scores on a personality inventory that assesses a broad range of personality traits. Fava and Pavan [14] also found ulcerative colitis pa tients to be more alexithymic than patients with irritable bowel syndrome and patients with appendicitis; in their study alexithymia was assessed with the observer-rated Beth Is rael Hospital Questionnaire (BIQ), which is of questionable reliability [15].…”

Section: Introductionmentioning

confidence: 99%

Alexithymia in Inflammatory Bowel Disease

Porcelli¹,

Zaka²,

Leoci³

et al. 1995

Psychother Psychosom

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The purported association between alexithymia and inflammatory bowel disease (IBD) was investigated in a group of 112 IBD patients (89 with ulcerative colitis and 23 with Crohn’s disease) using the well-validated 20-Item Toronto Alexithymia Scale. Alexithymia was assessed also in a group of 112 normal subjects matched for gender, age, and education. The IBD group was significantly more alexithymic than the control group, and no significant difference was found between the ulcerative colitis and Crohn’s disease patients. Alexithymia was unrelated to the duration of illness and the level of disease activity. Although the rate of alexithymia in the IBD group (35.7%) was significantly higher than the rate in the control group (4.5%), it is lower than rates of alexithymia that have been found among psychiatric patients with disorders that also have been linked theoretically and clinically with alexithymia.

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Alexithymic Feature in Digestive Diseases

Cited by 17 publications

References 8 publications

Assessing the quality of life of the individual: the SEIQoL with a healthy and a gastroenterology unit population

Assessing the quality of life of the individual: the SEIQoL with a healthy and a gastroenterology unit population

Alexithymia and Functional Gastrointestinal Disorders

Alexithymia in Inflammatory Bowel Disease

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