ArticleClinical psychology & psychotherapy2022
Alexithymia, dissociation and emotional regulation in eating disorders: Evidence of improvement through specialized inpatient treatment.
Article in Clinical psychology & psychotherapy, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 1 of them a synthesis that pooled it.
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Who cites it
30 citing papers in PubMed, 1 synthesis or guideline pooled it, 46 citations in OpenAlex.
- Cognitive and emotional empathy in acute and remitted anorexia nervosa: a systematic review.Frontiers in psychiatry · 2024Pooled it
- Trial
- Conceptualising trauma in eating disorders: a reflexive commentary on the role of neglect, iatrogenic harm, and epistemic injury.Journal of eating disorders · 2026Article
- Understanding inner self-states in eating disorders: preliminary findings from a structured elicitation study.Eating and weight disorders : EWD · 2026Article
- Introducing the Diathesis-Compassion Layered Care Model (DCLCM): an IPA study of dissociation and complex trauma in eating disorders in Iran.Journal of eating disorders · 2026Article
- Alexithymia, Resilience, and Depression in Functional Impairment Among Adolescents With Eating Disorders: A Case-Control Study.Alpha psychiatry · 2026Article
- Assessing schema modes for eating disorders and their association with personality traits: validation of the English version of the short form of the schema modes inventory for eating disorders (EN-SMI-ED-SF).Journal of eating disorders · 2025Article
- Examining the Effects of Ostracism and Overinclusion in the Eating Disorder Binge Spectrum: Evidence From a Controlled Cyberball Task.European eating disorders review : the journal of the Eating Disorders Association · 2025Article
- Emotional intelligence and loneliness in eating disorders: a cluster-analytic study across diagnostic categories.Journal of eating disorders · 2025Article
- Group Dialectical Behavior Therapy for Binge Eating Disorder: Emotion Dysregulation and Alexithymia as Mediators of Symptom Improvement.Nutrients · 2025Article
- Equity in eating disorders: a dialectical approach to stigma, expertise, and the coproduction of knowledge.Journal of eating disorders · 2025Article
- Psychoneurological Links Contributing to Body Mass Index and Eating Disorder Severity.Nutrients · 2025Article
- Cognitive and emotional processing in brothers of individuals with anorexia nervosa: exploring familial cognitive vulnerability.Frontiers in psychiatry · 2025Article
- A network analysis of eating disorder, PTSD, major depression, state-trait anxiety, and quality of life measures in eating disorder patients treated in residential care.European eating disorders review : the journal of the Eating Disorders Association · 2025Article
- Prevalence of Alexithymia and Associated Factors Among Dental Students in Saudi Arabia: A Cross-Sectional Study.Healthcare (Basel, Switzerland) · 2024Article
- Alexithymia and negative emotions among nursing students: a moderated mediation model.BMC nursing · 2024Article
- Anorexia nervosa through the lens of a severe and enduring experience: 'lost in a big world'.Journal of eating disorders · 2024Article
- Metaphors of adolescence during COVID-19 pandemic: a mixed-method analysis in relation to well-being and alexithymia.Frontiers in psychology · 2024Article
- The impact of family alexithymia on the severity of restrictive eating disorders in adolescent patients.Child and adolescent psychiatry and mental health · 2023Article
- Let the Body Talk: Preliminary Data of an Open Trial of Dance Movement Therapy for Eating Disorders.Journal of clinical medicine · 2023Article
Corrections and comments
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The research into emotional regulation in eating disorders (EDs) has shown specific impairments and maladaptive coping strategies in patients, and there is an increasing interest in the role of the emotional domain in the treatment outcome. This study aims to evaluate the effect of a specialized inpatient treatment characterized by both an intensive and comprehensive standardized multidisciplinary programme based on cognitive-behavioural therapy and a flexible and personalized component implemented by third-wave interventions. A cohort of 67 female ED patients (anorexia nervosa = 28, bulimia nervosa = 28 and binge eating disorder = 11) underwent an evaluation of emotional regulation difficulties, alexithymia and dissociative symptomatology at admission to a specialized ED ward. The psychological modifications were subsequently re-evaluated upon discharge, after an inpatients treatment of 60 days, examining specific changes in the specific psychopathology. A significant improvement after specialized ED treatment was shown in alexithymia, emotional regulation difficulties and dissociation symptoms, with higher effect sizes in patients with higher alexithymia scores. As regards the specific effect of the psychological improvement, changes into alexithymia scores have shown specific correlations with ED psychopathology (p < 0.010) and with difficulties in emotional regulation (p < 0.010) in patients with higher alexithymia levels at admission. Emotional regulation and dissociation should therefore be evaluated in ED patients and may be improved with specific therapeutic approaches, while alexithymia remains a clinical trait, even with a significant reduction.
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