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

Emilio Franzoni,1 Stefano Gualandi,1 Vincenzo Caretti,2 Adriano Schimmenti,3 Elena Di Pietro,1 Gaetano Pellegrini,1 Giuseppe Craparo,3 Arianna Franchi,1 Alberto Verrotti,4 Alessandro Pellicciari11Child Neuropsychiatry Unit, University of Bologna, Italy; 2Department of Psychology, University of Paler...

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Autores principales:	Franzoni E, Gualandi S, Caretti V, Schimmenti A, Di Pietro E, Pellegrini G, Craparo G, Franchi A, Verrotti A, Pellicciari A
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2013
Materias:	Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/bd1706fd04cd4516af0d9be42e22180a
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spelling	oai:doaj.org-article:bd1706fd04cd4516af0d9be42e22180a2021-12-02T01:47:47ZThe relationship between alexithymia, shame, trauma, and body image disorders: investigation over a large clinical sample1176-63281178-2021https://doaj.org/article/bd1706fd04cd4516af0d9be42e22180a2013-02-01T00:00:00Zhttp://www.dovepress.com/the-relationship-between-alexithymia-shame-trauma-and-body-image-disor-a12244https://doaj.org/toc/1176-6328https://doaj.org/toc/1178-2021Emilio Franzoni,1 Stefano Gualandi,1 Vincenzo Caretti,2 Adriano Schimmenti,3 Elena Di Pietro,1 Gaetano Pellegrini,1 Giuseppe Craparo,3 Arianna Franchi,1 Alberto Verrotti,4 Alessandro Pellicciari11Child Neuropsychiatry Unit, University of Bologna, Italy; 2Department of Psychology, University of Palermo, Italy; 3Faculty of Human and Social Sciences, Kore University of Enna, Enna, Italy; 4Department of Pediatrics, University of Chieti, ItalyBackground: The connections between eating disorders (EDs) and alexithymia have not been fully clarified. This study aims to define alexithymia&#39;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&ndash;reactive construct.Keywords: eating disorders, trauma, alexithymia, shame, body imageFranzoni EGualandi SCaretti VSchimmenti ADi Pietro EPellegrini GCraparo GFranchi AVerrotti APellicciari ADove Medical PressarticleNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571Neurology. Diseases of the nervous systemRC346-429ENNeuropsychiatric Disease and Treatment, Vol 2013, Iss default, Pp 185-193 (2013)
institution	DOAJ
collection	DOAJ
language	EN
topic	Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
spellingShingle	Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429 Franzoni E Gualandi S Caretti V Schimmenti A Di Pietro E Pellegrini G Craparo G Franchi A Verrotti A Pellicciari A The relationship between alexithymia, shame, trauma, and body image disorders: investigation over a large clinical sample
description	Emilio Franzoni,1 Stefano Gualandi,1 Vincenzo Caretti,2 Adriano Schimmenti,3 Elena Di Pietro,1 Gaetano Pellegrini,1 Giuseppe Craparo,3 Arianna Franchi,1 Alberto Verrotti,4 Alessandro Pellicciari11Child Neuropsychiatry Unit, University of Bologna, Italy; 2Department of Psychology, University of Palermo, Italy; 3Faculty of Human and Social Sciences, Kore University of Enna, Enna, Italy; 4Department of Pediatrics, University of Chieti, ItalyBackground: The connections between eating disorders (EDs) and alexithymia have not been fully clarified. This study aims to define alexithymia&#39;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&ndash;reactive construct.Keywords: eating disorders, trauma, alexithymia, shame, body image
format	article
author	Franzoni E Gualandi S Caretti V Schimmenti A Di Pietro E Pellegrini G Craparo G Franchi A Verrotti A Pellicciari A
author_facet	Franzoni E Gualandi S Caretti V Schimmenti A Di Pietro E Pellegrini G Craparo G Franchi A Verrotti A Pellicciari A
author_sort	Franzoni E
title	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_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_sort	relationship between alexithymia, shame, trauma, and body image disorders: investigation over a large clinical sample
publisher	Dove Medical Press
publishDate	2013
url	https://doaj.org/article/bd1706fd04cd4516af0d9be42e22180a
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The relationship between alexithymia, shame, trauma, and body image disorders: investigation over a large clinical sample

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