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

35 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

All Science Journal Classification (ASJC) codes

  • Psychiatry and Mental health
  • Biological Psychiatry

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    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, doi: 10.2147/NDT.S34822, 185-193.