Interpersonal Problems and Cognitive Characteristics of Interpersonal Representations in Alexithymia

Inslegers, Ruth; Vanheule, Stijn; Meganck, Reitske; Debaere, Virginie; Trenson, Eline; Desmet, Mattias

doi:10.1097/nmd.0b013e31825bfad9

Cited by 22 publications

(20 citation statements)

References 46 publications

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“…It may be a significant clinical index that could influence family relationships. 58 Subsequent studies could explore the value of this index as a discriminant factor in relation to the kind of family functioning, the potential therapeutic alliance with the families, and perhaps the daughter’s outcome. In fact, literature considers family relationships to be more relevant than the parents’ individual personality and psychopathological traits in predicting the anorexic daughter’s alexithymia.…”

Section: Discussionmentioning

confidence: 99%

Alexithymia in parents and adolescent anorexic daughters: comparing the responses to TSIA and TAS-20 scales

Balottin¹,

Nacinovich²,

Bomba³

et al. 2014

NDT

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BackgroundA growing body of literature has been focusing on individual alexithymia in anorexia nervosa, while there are only scarce and conflicting studies on alexithymia in the families of anorexic patients, despite the important role played by family dynamics in the development of the anorexic disorder, especially in adolescent patients. The aim of this study is to assess alexithymia in anorexic adolescent patients and in their parents using a multimethod measurement to gain more direct, in-depth knowledge of the problem.MethodsForty-six subjects, anorexic adolescent patients and their parents, underwent the Toronto Alexithymia Scale (TAS-20) along with the Toronto Structured Interview for Alexithymia (TSIA), which represents the first comprehensive clinically structured interview focused specifically on assessing alexithymia. The use of latent trait Rasch analysis allowed a comparison of the two instruments’ sensitivity and ability to detect the presence and intensity of alexithymic components in patients and parents.ResultsSignificant discordance was found between the two measures. The clinical instrument allowed detection of a greater level of alexithymia compared with the self-report, in particular in our adult parent sample. Moreover, a significant alexithymic gap emerged within families, particularly within parental couples, with noticeably more alexithymic fathers compared with the mothers.ConclusionThe TSIA clinical interview may be a more sensitive instrument in detecting alexithymia, minimizing parents’ negation tendency. Clinical questions have arisen on how useful it would be to give greater weight to family functioning (ie, alexithymic gap) in order to predict the possibility of establishing a therapeutic alliance, and thus the outcome of the anorexic adolescent.

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Section: Discussionmentioning

confidence: 99%

Alexithymia in parents and adolescent anorexic daughters: comparing the responses to TSIA and TAS-20 scales

Balottin¹,

Nacinovich²,

Bomba³

et al. 2014

NDT

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“…The monitoring metacognitive impairment that has been most extensively studied is alexithymia (Bagby, Parker, & Taylor, 1994). Alexithymia has been linked both with interpersonal problems (Nicolò et al, 2011), and with a cold, distant, and nonassertive personality style (Inslegers et al, 2012;Spitzer, Sieble-Jürges, Barnow, Grabe, & Freyberger, 2005). Positive correlations have been found with schizotypal, avoidant, and dependent personality traits (Bach, de Zwaan, Ackard, Nutzinger, & Mitchell, 1994), with schizoid and antisocial traits (De Rick & Vanhule, 2007), with Cluster C traits (Honkalampi, Hintikka, Antikainen, Lehtonen, & Viinamaki, 2001), and with avoidant, dependent, passive-aggressive and depressive traits, but not with Cluster B traits (Nicolò et al, 2011).…”

Section: Monitoring In Self-domainmentioning

confidence: 99%

“…Adopting a methodology similar to that used in Hopwood et al's study, we expect to discriminate similar personality styles with specific metacognitive impairments. We expect low monitoring performance to be related to Withdrawal, because difficulties in monitoring inner states have been found in AVPD and alexithymia has been associated with a cold and detached style (Inslegers at al., 2012). We expect decentering impairment to be associated with Peculiarity personality style.…”

Section: Current Studymentioning

confidence: 99%

Metacognitive Dysfunctions in Personality Disorders: Correlations With Disorder Severity and Personality Styles

Semerari¹,

Colle²,

Pellecchia³

et al. 2014

Journal of Personality Disorders

127

106

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Metacognitive impairment is crucial to explaining difficulties in life tasks of patients with personality disorders (PDs). However, several issues remain open. There is a lack of evidence that metacognitive impairments are more severe in patients with PDs. The relationship between severity of PD pathology and the extent of metacognitive impairment has not been explored, and there has not been any finding to support the linking of different PDs with specific metacognitive profiles. The authors administered the Metacognitive Assessment Interview to 198 outpatients with PDs and 108 outpatients with no PDs, differentiating overall severity from stylistic elements of personality pathology. Results showed that metacognitive impairments were more severe in the group with PDs than in the control group, and that metacognitive dysfunctions and the severity of the PD were highly associated. Positive correlations were found between specific metacognitive dysfunctions and specific personality styles. Results suggest that metacognitive impairments could be considered a common pathogenic factor for PDs.

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“…Similar to our results, Chen et al (19) stated that patients with adjustment disorder had problems with identification of emotions, which is a feature of alexithymia. The literature has shown that individuals who display alexithymic features have a hard time identi-fying emotions, have trouble connecting with other people, and have a limited capacity for empathy, all of which combine to give them a hard time in interpersonal relationships (22,30). Alexithymic features may play a role in the manifestation of adjustment disorder symptoms or in the severity of symptoms.…”

Section: Discussionmentioning

confidence: 99%

Childhood traumatic experiences, alexithymia, and resilience in patients with adjustment disorder

Öksüz¹,

Mersin²,

Özcan³

2018

Gulhane Med J

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Aims: Although adjustment disorder is a common disorder and causes a loss of function, there are limited studies about it. This study aimed to determine the level of childhood traumatic experiences, alexithymia, and resilience in patients with adjustment disorder. Methods: This was a case-control study. The study sample consisted of 110 healthy individuals (control group) and 158 patients with adjustment disorder (case group) treated in the psychiatric department of a university hospital in Turkey. The Childhood Traumatic Experience Scale (CTES), Toronto Alexithymia Scale-20 (TAS-20), and Resilience Scale for Adults (RSA) were used to collect the data for this study. Results: In this study, the CTES and TAS-20 total mean scores of the case group were found to be higher than the control group, and the RSA total mean score of the case group was found to be lower than the control group (p<0.05). Conclusions: Consequently, the traumatic childhood experiences of the case group were excessive; their alexithymia levels were high, and their resilience levels were low. Investigating childhood traumatic experiences, alexithymia, and resilience are considered to be significant in the selection of therapy and education programs in patients with adjustment disorder.

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Interpersonal Problems and Cognitive Characteristics of Interpersonal Representations in Alexithymia

Cited by 22 publications

References 46 publications

Alexithymia in parents and adolescent anorexic daughters: comparing the responses to TSIA and TAS-20 scales

Alexithymia in parents and adolescent anorexic daughters: comparing the responses to TSIA and TAS-20 scales

Metacognitive Dysfunctions in Personality Disorders: Correlations With Disorder Severity and Personality Styles

Childhood traumatic experiences, alexithymia, and resilience in patients with adjustment disorder

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