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

Vincenzo Caretti, Alessandro Pellicciari, Adriano Schimmenti, Giuseppe Craparo, Elena Di Pietro, Gaetano Pellegrini, Arianna Franchi, Stefano Gualandi, Emilio Franzoni, Alberto Verrotti

Risultato della ricerca: Article

34 Citazioni (Scopus)

Abstract

BackgroundThe 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.MethodsWe 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.ResultsThe 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.ConclusionShame 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.
Lingua originaleEnglish
pagine (da-a)185-193
Numero di pagine9
RivistaNeuropsychiatric Disease and Treatment
Volumedoi: 10.2147/NDT.S34822
Stato di pubblicazionePublished - 2013

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Body Dysmorphic Disorders
Shame
Affective Symptoms
Wounds and Injuries
Dissociative Disorders
Emotions
Regression Analysis
Equipment and Supplies
Population

All Science Journal Classification (ASJC) codes

  • Psychiatry and Mental health
  • Biological Psychiatry

Cita questo

Caretti, V., Pellicciari, A., Schimmenti, A., Craparo, G., Di Pietro, E., Pellegrini, G., ... Verrotti, A. (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.

The relationship between alexithymia, shame, trauma, and body image disorders: investigation over a large clinical sample. / Caretti, Vincenzo; Pellicciari, Alessandro; Schimmenti, Adriano; Craparo, Giuseppe; Di Pietro, Elena; Pellegrini, Gaetano; Franchi, Arianna; Gualandi, Stefano; Franzoni, Emilio; Verrotti, Alberto.

In: Neuropsychiatric Disease and Treatment, Vol. doi: 10.2147/NDT.S34822, 2013, pag. 185-193.

Risultato della ricerca: Article

Caretti, V, Pellicciari, A, Schimmenti, A, Craparo, G, Di Pietro, E, Pellegrini, G, Franchi, A, Gualandi, S, Franzoni, E & Verrotti, A 2013, 'The relationship between alexithymia, shame, trauma, and body image disorders: investigation over a large clinical sample.', Neuropsychiatric Disease and Treatment, vol. doi: 10.2147/NDT.S34822, pagg. 185-193.
Caretti V, Pellicciari A, Schimmenti A, Craparo G, Di Pietro E, Pellegrini G e altri. The relationship between alexithymia, shame, trauma, and body image disorders: investigation over a large clinical sample. Neuropsychiatric Disease and Treatment. 2013;doi: 10.2147/NDT.S34822:185-193.
Caretti, Vincenzo ; Pellicciari, Alessandro ; Schimmenti, Adriano ; Craparo, Giuseppe ; Di Pietro, Elena ; Pellegrini, Gaetano ; Franchi, Arianna ; Gualandi, Stefano ; Franzoni, Emilio ; Verrotti, Alberto. / The relationship between alexithymia, shame, trauma, and body image disorders: investigation over a large clinical sample. In: Neuropsychiatric Disease and Treatment. 2013 ; Vol. doi: 10.2147/NDT.S34822. pagg. 185-193.
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abstract = "BackgroundThe 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.MethodsWe 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.ResultsThe 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.ConclusionShame 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.",
author = "Vincenzo Caretti and Alessandro Pellicciari and Adriano Schimmenti and Giuseppe Craparo and {Di Pietro}, Elena and Gaetano Pellegrini and Arianna Franchi and Stefano Gualandi and Emilio Franzoni and Alberto Verrotti",
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AU - Caretti, Vincenzo

AU - Pellicciari, Alessandro

AU - Schimmenti, Adriano

AU - Craparo, Giuseppe

AU - Di Pietro, Elena

AU - Pellegrini, Gaetano

AU - Franchi, Arianna

AU - Gualandi, Stefano

AU - Franzoni, Emilio

AU - Verrotti, Alberto

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N2 - BackgroundThe 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.MethodsWe 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.ResultsThe 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.ConclusionShame 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.

AB - BackgroundThe 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.MethodsWe 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.ResultsThe 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.ConclusionShame 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.

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