ArticleNeuropsychiatric disease and treatment2014
Alexithymia in parents and adolescent anorexic daughters: comparing the responses to TSIA and TAS-20 scales.
Article in Neuropsychiatric disease and treatment, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.
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Who cites it
22 citing papers in PubMed, 1 synthesis or guideline pooled it, 37 citations in OpenAlex.
- Alexithymia in eating disorders: Systematic review and meta-analyses of studies using the Toronto Alexithymia Scale.Journal of psychosomatic research · 2017Pooled it
- Adult attachment insecurity and uncertain reflective functioning as mediators between traumatic experiences and alexithymia in young adults: a structural equation modeling approach.BMC psychology · 2026Article
- Associations Between Parental Alexithymia and Family Dynamics in Autism Spectrum Disorder.Healthcare (Basel, Switzerland) · 2025Article
- The impact of family alexithymia on the severity of restrictive eating disorders in adolescent patients.Child and adolescent psychiatry and mental health · 2023Article
- Caregivers in anorexia nervosa: is grief underlying parental burden?Eating and weight disorders : EWD · 2023Article
- Investigating Functioning Profile of Adolescents with Anorexia before and during the COVID-19 Pandemic: A Cross-Sectional Study on Mentalizing, Alexithymia, and Impulsiveness.International journal of environmental research and public health · 2023Article
- The Family Caregiving Environment Associates with Adolescent Patients' Severity of Eating Disorder and Interpersonal Problems: A Cross-Sectional Study.Children (Basel, Switzerland) · 2023Article
- Parental-Bonding and Alexithymia in Adolescents with Anorexia Nervosa, Their Parents, and Siblings.Behavioral sciences (Basel, Switzerland) · 2022Article
- Can alexithymia be assessed through an interview in adolescents? The Toronto Structured Interview for Alexithymia: Reliability, concurrent validity, discriminant validity, and relationships with emotional-behavioral symptoms.Frontiers in psychiatry · 2022Article
- Women and Violence: Alexithymia, Relational Competence and Styles, and Satisfaction with Life: A Comparative Profile Analysis.Behavioral sciences (Basel, Switzerland) · 2021Article
- The Role of Alexithymia in Social Withdrawal during Adolescence: A Case-Control Study.Children (Basel, Switzerland) · 2021Article
- The Role of Food in the Family Relationships of Adolescents With Anorexia Nervosa and Bulimia in Northeastern Brazil: A Qualitative Study Using Photo Elicitation.Frontiers in psychiatry · 2021Article
- Facial Emotion Recognition Predicts Alexithymia Using Machine Learning.Computational intelligence and neuroscience · 2021Article
- Alexithymia Profile in Relation to Negative Affect in Parents of Autistic and Typically Developing Young Children.Brain sciences · 2020Article
- Alexithymia and tic disorders: a study on a sample of children and their mothers.European child & adolescent psychiatry · 2019Article
- Factorial Validity of the Toronto Alexithymia Scale (TAS-20) in Clinical Samples: A Critical Examination of the Literature and a Psychometric Study in Anorexia Nervosa.Journal of clinical psychology in medical settings · 2019Review
- Emotion Regulation and Parental Bonding in Families of Adolescents With Internalizing and Externalizing Symptoms.Frontiers in psychology · 2018Article
- The parental bonding in families of adolescents with anorexia: attachment representations between parents and offspring.Neuropsychiatric disease and treatment · 2017Article
- Maternal Alexithymia and Attachment Style: Which Relationship with Their Children's Headache Features and Psychological Profile?Frontiers in neurology · 2017Article
- Triadic Interactions in Families of Adolescents with Anorexia Nervosa and Families of Adolescents with Internalizing Disorders.Frontiers in psychology · 2016Article
Corrections and comments
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
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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