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The relationship between alexithymia, shame, trauma, and body image disorders: investigation over a large clinical sample
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 Inve...
Autores principales: | , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Dove Medical Press
2013
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3579461/ https://www.ncbi.nlm.nih.gov/pubmed/23550168 http://dx.doi.org/10.2147/NDT.S34822 |
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author | Franzoni, Emilio Gualandi, Stefano Caretti, Vincenzo Schimmenti, Adriano Di Pietro, Elena Pellegrini, Gaetano Craparo, Giuseppe Franchi, Arianna Verrotti, Alberto Pellicciari, Alessandro |
author_facet | Franzoni, Emilio Gualandi, Stefano Caretti, Vincenzo Schimmenti, Adriano Di Pietro, Elena Pellegrini, Gaetano Craparo, Giuseppe Franchi, Arianna Verrotti, Alberto Pellicciari, Alessandro |
author_sort | Franzoni, Emilio |
collection | PubMed |
description | 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. |
format | Online Article Text |
id | pubmed-3579461 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2013 |
publisher | Dove Medical Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-35794612013-02-27 The relationship between alexithymia, shame, trauma, and body image disorders: investigation over a large clinical sample Franzoni, Emilio Gualandi, Stefano Caretti, Vincenzo Schimmenti, Adriano Di Pietro, Elena Pellegrini, Gaetano Craparo, Giuseppe Franchi, Arianna Verrotti, Alberto Pellicciari, Alessandro Neuropsychiatr Dis Treat Original Research 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. Dove Medical Press 2013 2013-02-18 /pmc/articles/PMC3579461/ /pubmed/23550168 http://dx.doi.org/10.2147/NDT.S34822 Text en © 2013 Franzoni et al, publisher and licensee Dove Medical Press Ltd. This is an Open Access article which permits unrestricted noncommercial use, provided the original work is properly cited. |
spellingShingle | Original Research Franzoni, Emilio Gualandi, Stefano Caretti, Vincenzo Schimmenti, Adriano Di Pietro, Elena Pellegrini, Gaetano Craparo, Giuseppe Franchi, Arianna Verrotti, Alberto Pellicciari, Alessandro The relationship between alexithymia, shame, trauma, and body image disorders: investigation over a large clinical sample |
title | The relationship between alexithymia, shame, trauma, and body image disorders: investigation over a large clinical sample |
title_full | The relationship between alexithymia, shame, trauma, and body image disorders: investigation over a large clinical sample |
title_fullStr | The relationship between alexithymia, shame, trauma, and body image disorders: investigation over a large clinical sample |
title_full_unstemmed | The relationship between alexithymia, shame, trauma, and body image disorders: investigation over a large clinical sample |
title_short | The relationship between alexithymia, shame, trauma, and body image disorders: investigation over a large clinical sample |
title_sort | relationship between alexithymia, shame, trauma, and body image disorders: investigation over a large clinical sample |
topic | Original Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3579461/ https://www.ncbi.nlm.nih.gov/pubmed/23550168 http://dx.doi.org/10.2147/NDT.S34822 |
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