Alexithymia in patients with an eating disorder
https://doi.org/10.31146/1682-8658-ecg-227-7-50-56
Abstract
To date, eating disorders (anorexia nervosa, bulimia) have become widespread among the population. Alexithymia is considered to be one of the main features of patients with an eating disorder. In this regard, the purpose of this study was to identify and register the components of alexithymia in patients with an eating disorder, conceptually reflecting the features of this phenomenon. The research methods included: the Toronto Alexithymic Scale (TAS-20), the Lyusin Emotional Intelligence Test, the Karpov Reflexivity Questionnaire, the Giessen Questionnaire of Somatic Complaints (GBB), the Method «Identification of essential features». The methods of data processing and analysis were carried out using the IBM SPSS Statistics 26 program, which used the Spearman rank correlation coefficient and the Mann-Whitney U-criterion. As a result, it was revealed that patients with an eating disorder are characterized by a general deficiency of emotional regulation, which reflects the inability to identify, understand and describe emotions. At the same time, patients diagnosed with anorexia nervosa demonstrated a reduced ability to reflect, and were also characterized by a predominance of a specific situational style of thinking over an abstract logical one. The revealed features of the phenomenon of alexithymia in patients with an eating disorder can later be used in an integrated approach to the preparation and implementation of psychotherapeutic interventions, thereby increasing the effectiveness of therapeutic measures.
About the Authors
D. S. Petrov
Ryazan State Medical University
Russian Federation
Russian Federation
I. A. Pankova
Ryazan State Medical University
Russian Federation
Russian Federation
A. P. Filimonov
Ryazan State Medical University
Russian Federation
Russian Federation
References
1. Barylnik Yu. B., Filippova N. V., Deeva M. A., Guseva M. A. Anorexia nervosa and bulimia nervosa: from history to modernity.Russian Psychiatric Journal. 2016;(3):36-45. (In Russ.)@@ Барыльник Ю. Б., Филиппова Н. В., Деева М. А., Гусева М. А. Нервная анорексия и нервная булимия: от истории к современности. Российский психиатрический журнал. 2016;(3):36-45.
2. Psychiatry: a national guide / edited by Yu. A. Alexandrovsky, N. G. Neznanov - 2nd edition, revised and supplemented. Moscow; Publishing group “GEOTAR-Media», 2018. 1891 p. (in Russ.)@@ Психиатрия: национальное руководство / под ред. Ю. А. Александровского, Н. Г. Незнанова - 2-е издание, переработанное и дополненное. - М.: Издательская группа “ГЭОТАР-Медиа”, 2018. - 1891 с.
3. Kabicheva N. O. Psychological characteristics of people with eating disorders: a literature review. Innovative science. 2023;1(1):87-90. (In Russ.)@@ Кабичева Н. О. Психологические особенности лиц с расстройствами пищевого поведения: обзор литературы. Инновационная наука. 2023;1(1):87-90.
4. Frédérique R. E., van Hoeken D., Hoek H. W. Epidemiology, course, and outcome of eating disorders. Current Opinion in Psychiatry. 2013;26(6):543-548. doi: 10.1097/YCO.0b013e328365a24f.
5. Yemelyanova M., Buttsinova D. Research of personality characteristics of patients with eating disorders. Skif. Questions of student science. 2018;11(27):57-60. (In Russ.)@@ Емельянова М., Бутцинова Д. Исследование особенностей личности пациентов с пищевыми расстройствами. Скиф. Вопросы студенческой науки. 2018;11(27):57-60.
6. van Eeden A. E., van Hoeken D., Hoek H. W. Incidence. Prevalence and mortality of anorexia nervosa and bulimia nervosa. Current Opinion in Psychiatry. 2021;34(6):515-524. doi: 10.1097/YCO.0000000000000739.
7. Bobrov A. E. Psychopathological aspects of anorexia nervosa. The Almanac of Clinical Medicine. 2015;(S1):13-23. (In Russ.)@@ Бобров А. Е. Психопатологические аспекты нервной анорексии. Альманах клинической медицины. 2015;(S1):13-23.
8. Westwood H., Kerr-Gaffney J., Stahl D., Tchanturia K. Alexithymia in eating disorders: systematic review and meta-analyses of studies using the Toronto alexithymia scale. Journal of Psychosomatic Research. 2017;99:66-81 doi: 10.1016/j.jpsychores.2017.06.007.
9. Kelina M. Yu., Meshkova T. A. Alexithymia and its relation to nutritional attitudes in a non-clinical population of adolescent and adolescent girls. Clinical and special psychology. 2012;(2):53-65. (In Russ.)@@ Келина М. Ю., Мешкова Т. А. Алекситимия и ее связь с пищевыми установками в неклинической популяции девушек подросткового и юношеского возраста. Клиническая и специальная психология. 2012;(2):53-65.
10. Amianto F., Bertorello A., Migliore F. et al. Ubiquitous and primary trait. Cogent Psychology. 2016;3(1):1-15. doi: 10.1080/23311908.2016.1185994.
11. Wallis D.J., Ridout N. Direct and indirect effects of alexithymia on eating disorder symptoms in a non-clinical female sample: determining the role of negative affect. Frontiers in Psychiatry. Sec. Psychological Therapy and Psychosomatics. 2022;24(13). doi: 10.3389/fpsyt.2022.994024.
12. Morie K.P., Ridout N. Alexithymia and Maladaptive Regulatory Behaviors in Substance Use Disorders and Eating Disorders. Cambridge: Cambridge University Press. 2018;3(10):158-173. doi: 10.1017/9781108241595.012.
13. Nowakowski M.E., McFarlane T., Cassin S. Alexithymia and eating disorders: a critical review of the literature. Journal Eating Disorders. 2013;1(21):1-14. doi: 10.1186/2050-2974-1-21.
14. Schmidt U., Jiwany A., Treasure J. A controlled study of alexithymia in eating disorders.Comprehensive psychiatry.1993;34(1):54-58. doi: 10.1016/0010-440x(93)90036-4.
15. Pascual A., Etxebarria I., Cruz MS. Emotional differences between women with different types of eating disorders.International Journal of Psychology and Psychological Therapy. 2011;11(1):1-11.
16. Gilboa-Schechtman E., Avnon L., Zubery E., Jeczmien P. Emotional processing in eating disorders: specific impairment or general distress related deficiency. Depression and Anxiety. 2006;23(6):331-339. doi: 10.1002/da.20163.
17. Verbitskaya O. N. The relationship between alexithymia and interpersonal interaction in the family. Socio-cultural and psychological problems of the modern family: topical issues of support and support: Collection of materials of the VIII International Scientific and Practical Conference. 2022:36-42. (In Russ.)@@ Вербицкая О. Н. Взаимосвязь алекситимии и межличностного взаимодействия в семье. Социокультурные и психологические проблемы современной семьи: актуальные вопросы сопровождения и поддержки: Сборник материалов VIII Международной научно-практической конференции. 2022:36-42.
18. Potapova N. A., Grekhov R. A., Suleymanova G. P., Adamovich E. I. Problems of studying the phenomenon of alexithymia in psychology. Bulletin of the Volgograd State University. Episode 11: Natural Sciences. 2016;2(16):65-73. (In Russ.) doi: 10.15688/jvolsu11.2016.2.8.@@ Потапова Н. А., Грехов Р. А., Сулейманова Г. П., Адамович Е. И. Проблемы изучения феномена алекситимии в психологии. Вестник Волгоградского государственного университета. Серия 11: Естественные науки. 2016;2(16):65-73. doi: 10.15688/jvolsu11.2016.2.8.
19. Brel E. Y. The problem of studying alexithymia in psychological research. Bulletin of Kemerovo State University. 2012;3(51):173-176. (In Russ.)@@ Брель Е. Ю. Проблема изучения алекситимии в психологических исследованиях. Вестник Кемеровского государственного университета. 2012;3(51):173-176.
20. Bylkina N. D. Alexithymia (analytical review of foreign studies). Bulletin of the Moscow University. 1995;(1):43-53. (In Russ.)@@ Былкина Н. Д. Алекситимия (аналитический обзор зарубежных исследований). Вестник Московского университета. 1995;(1):43-53.
21. Garanyan N. G., Kholmogorova A. B. The concept of alexithymia (review of foreign studies). Social and clinical psychiatry. 2003;13(1):128-145. (In Russ.)@@ Гаранян Н. Г., Холмогорова А. Б. Концепция алекситимии (обзор зарубежных исследований). Социальная и клиническая психиатрия. 2003;13(1):128-145.
22. Vorst H.C.M., Bermond B. Validity and reliability of the Bermond-Vorst Alexithymia Questionnaire. Personality and Individual Differences. 2001;30(3):413-434. doi: 10.1016/S0191-8869(00)00033-7.
23. Larionov P. M. Key problems of alexithymia research and its relationship with cognitive strategies of emotion regulation, coping elasticity and emotional disorders. Counseling psychology and psychotherapy. 2021;29(1):44-65. (In Russ.) doi: 10.17759/cpp.2021290104.@@ Ларионов П. М. Ключевые проблемы исследования алекситимии и ее взаимосвязь с когнитивными стратегиями регуляции эмоций, эластичностью копинга и эмоциональными нарушениями. Консультативная психология и психотерапия. 2021;29(1):44-65. doi: 10.17759/cpp.2021290104.
24. Starostina E. G., Taylor G. D., Quilty L. K. et al. Toronto Alexithymia scale (20 points): validation of the Russian-language version in a sample of therapeutic patients. Social and clinical psychiatry. 2010;20(4):31-38. (In Russ.)@@ Старостина Е. Г., Тэйлор Г. Д., Квилти Л. К. И соавт. Торонтская шкала алекситимии (20 пунктов): валидизация русскоязычной версии на выборке терапевтических больных. Социальная и клиническая психиатрия. 2010;20(4):31-38.
25. Taylor G.J., Bagby R., Parker J. D. The Revised Toronto Alexithymia Scale: some reliability, validity, and normative data. Psychother Psychosom. 1992;57(1-2):34-41. doi: 10.1159/000288571.
Review
For citations:
Petrov D.S., Pankova I.A., Filimonov A.P. Alexithymia in patients with an eating disorder. Experimental and Clinical Gastroenterology. 2024;(7):50-56. (In Russ.) https://doi.org/10.31146/1682-8658-ecg-227-7-50-56
Views:
2245
Email this article 