Emotional awareness deficits in inpatients of a psychosomatic ward: A comparison of two different measures of alexithymia

Psychosomatic Medicine

Volumn 67, Issue 3, 2005, Pages 483-489

  Subic Wrana, Claudia ^a   Bruder, Susanne ^a   Thomas, Walther ^a   Lane, Richard D ^b   Köhle, Karl ^a  

^a UNIVERSITY OF COLOGNE   (Germany)

^b UNIVERSITY OF ARIZONA COLLEGE OF MEDICINE   (United States)

Author keywords

Alexithymia; Emotional awareness; LEAS; Negative affect; Psychosomatic patients; TAS 20

Indexed keywords

ADJUSTMENT DISORDER; ALEXITHYMIA; ANOREXIA NERVOSA; ANXIETY DISORDER; ARTICLE; AWARENESS; BULIMIA; DEPRESSION; EATING DISORDER; EMOTION; HOSPITAL PATIENT; HUMAN; INTERMETHOD COMPARISON; LEVELS OF EMOTIONAL AWARENESS SCALE; MAJOR CLINICAL STUDY; MENTAL PATIENT; OBSESSIVE COMPULSIVE DISORDER; PRIORITY JOURNAL; PSYCHOMETRY; PSYCHOSOMATIC DISORDER; PSYCHOTHERAPY; QUESTIONNAIRE; RATING SCALE; SELF REPORT; SOMATOFORM DISORDER; STATE TRAIT ANXIETY INVENTORY; TORONTO ALEXITHYMIA SCALE; TREATMENT OUTCOME;

ADULT; AFFECTIVE SYMPTOMS; AWARENESS; EMOTIONS; FEMALE; HOSPITAL UNITS; HUMANS; INPATIENTS; MALE; MIDDLE AGED; PSYCHOLOGICAL TESTS; PSYCHOSOMATIC MEDICINE; SELF ASSESSMENT (PSYCHOLOGY);

EID: 19444376125     PISSN: 00333174     EISSN: None     Source Type: Journal    
DOI: 10.1097/01.psy.0000160461.19239.13     Document Type: Article

References (41)

1. Sifneos PE. The prevalence of "alexithymic" characteristics in psychosomatic patients. Psychother Psychosom 1973;22:255-62.
2. Sifneos PE. Alexithymia: past and present. Am J Psychiat 1996;153: 137-42.
3. Krystal H. Integration and self-healing: affect, trauma and alexithymia. Hillsdale: Analytic Press; 1988.
4. MacLean PD. Psychosomatic disease and the "visceral brain": Recent developments bearing on the Papez theory of emotion. Psychosom Med 1949:338-53.
5. Nemiah JC. Emotions and physiology: an introduction. Amsterdam: Elsevier; 1972.
6. Lane RD, Taitano EK. Alexithimie. In: Adler RH, Herrmann JM, Kohle K, Langewitz W, Schonecke OW, v Uexküll T, Wesiak W, editors. Psychosomatische Medizin 6th ed. München, Jena: Urban & Fischer; 2002. p. 279-94.
7. Taylor JB, Bagby RM, Parker, JDA. Disorders of affect regulation. Cambridge, U.K.: Cambridge University Press; 1997.
8. Bagby RM, Taylor GJ, Parker JD, Loiselle C. Cross-validation of the factor structure of the Toronto Alexithymia Scale. J Psychosom Res 1990;34:47-51.
9. Linden W, Wen F, Paulhus DL. Measuring alexithymia: reliability, validity and prevalence. In: Butcher NJ, Spielberger CD, editors. Adv personal assessment, vol. 10. Hillsdale, New York: Lawrence Erlbaum Associates; 1995. p. 51-95.
10. Bagby RM, Parker JD, Taylor GJ. The twenty-item Toronto Alexithymia Scale-I. Item selection and cross-validation of the factor structure. J Psychosom Res 1994;38:23-32.
11. Bagby RM, Taylor GJ, Parker JDA. The twenty-item Toronto Alexithymia Scale-II. Convergent, discriminant, and concurrent validity. J Psychosom Res 1994;38:33-40.
12. Taylor GJ, Bagby RM, Parker JDA. The 20-item Toronto Alexithymia Scale. IV. Reliability and factorial validity in different languages and cultures. J Psychosom Res 2003;55:277-83.
13. Lane RD, Quinlan DM, Schwartz GE, Walker PA, Zeilin SB. The Levels of Emotional Awareness Scale: a cognitive-developmental measure of emotion. J Personality Ass 1990;55:124-34.
14. Lane RD, Schwartz GE. Levels of emotional awareness: a cognitive-developmental theory and its application to psychopathology. Am J Psychiatry 1987;144:133-43.
15. Lane RD, Garfield DAS. Becoming aware of feelings: integration of cognitive-developmental, neuroscientific and psychoanalytic perspectives (under revision).
16. Lane RD, Sechrest L, Riedel R, Weldon V, Kaszniak AW, Schwartz GE. Impaired verbal and nonverbal recognition in alexithymia. Psychosom Med 1996;58:203-10.
17. Kauhanen J, Kaplan GA, Cohen RD, Julkunen J, Salonen JT. Alexithymia and risk of death in middle-aged men. J Psychosom Res 1996;41: 541-9.
18. Lumley MA, Norman S. Alexithymia and health care utilization. Psychosom Med 1996;58:197-202.
19. Niklicek I, Vingerhoets AJ. Alexithymia is associated with low tolerance to experimental painful stimulation. Pain 2000;85:471-5.
20. Lumley MA. Alexithymia and negative emotional conditions. J Psychosom Res 2000;49:51-5.
21. Porcelli P, De Carne M. Criterion-related validity of the diagnostic criteria for psychosomatic research for alexithymia in patients with functional gastrointestinal disorders. Psychother Psychosom 2001;70:184-8.
22. Luminat O, Bagby RM, Taylor GJ. An evaluation of the absolute and relative stability of alexithymia in patients with major depression. Psychother Psychosom 2001;70,5:254-60.
23. Saarijarvi S, Salminen JK, Toikka TB. Alexithymia and depression: a 1-year-follow-up study in outpatients with major depression. J Psychosom Res 2001;51:729-33.
24. Yucel B, Kora K, Ozyalcin S, Alcalar N, Ozdemir O, Yucel A. Depression, automatic thoughts, alexithymia and assertiveness in patients with tension-type headache. Headache 2202;42:194-9.
25. Fortune DG, Richards HL, Griffiths CE, Main CJ. Psychological stress, distress and disability in patients with psoriasis: consensus and variation in the contribution of illness perception, coping and alexithymia. Br J Clin Psychol 2002;41:157-74.
26. Lumley MA, Smith JA, Longo DJ. The relationship of alexithymia to pain severity and impairment among patients with chronic myofascial pain: comparison with self-efficacy, catastrophizing and depression. J Psychsom Res 2002;53:823-30.
27. Wise TN, Osborne C, Strand J, Pagan PJ, Schmidt CW Jr. Alexithymia in patients attending a sexual disorders clinic. J Sex Marital Ther 2002; 28:445-50.
28. Muller J, Buhner M, Ellgring H. Relationship and differential validity of alexithymia and depression: a comparison of the Toronto Alexithymia and Self-Rating Depression scales. Psychopathology 2003;36:71-7.
29. Porcelli P, Bagby RM, Taylor GJ, De Carne M, Leandro G, Todarello O. Alexithymia as predictor of treatment outcome in patients with functional gastrointestinal disorders. J Psychosom Med 2003;65:911-8.
30. Scheier MF, Bridges MW. Person variables and health: personality predispositions and acute psychological states as shared determinates for disease. Psychosom Med 1995;57:255-68.
31. Suslow T, Donges US, Kersting A, Arolt V. 20-Item Toronto Alexithymia Scale: do difficulties describing feelings assess proneness to shame instead of difficulties symbolizing emotions? Scand J Psychol 2000;41: 329-34.
32. Salminen JK, Saarrijarve S, Aarela E, Toikka T, Kauhanen J. Prevalence of alexithymia and its association with sociodemographic variables in the general population of Finland. J Psychosom Res 1999;46:75-82.
33. Subic-Wrana C, Thomas W, Huber M, Köhle K. Levels of Emotional Awareness Scale-die deutsche Version eines neuen Alexithymietests. Psychotherapeut 2001;46:176-81.
34. Subic-Wrana C, Thomas W, Gaus E, Merkle W, Köhle K. Verteilung des Persönlichkeitsmerkmals Alexithymie bei Patienten in stationärer psychosomatischer Behandlung-gemessen mit TAS-20 und LEAS. Psychother Psych Med 2002;52:454-60.
35. Hintikka J, Honkalampi K, Lethonen J, Viinamaki H. Are alexithymia and depression distinct or overlapping constructs? a study in a general population. Compr Psychiat 2001;42:234-9.
36. Ruesch J. The infantile personality. Psychosom Med 1948;10:134-44.
37. Bucci W. Symptoms and symbols: a multiple code theory of somatisation. Psychoanalytic Inquiry 1997;12:152-72.
38. Schmidt U, Jiwany A, Treasure JA. Controlled study of alexithymia in eating disorders. Compr Psychiat 1993;34:54-8.
39. Smith GM, Amner G, Johnsson P, Franck A. Alexithymia in patients with eating disorders: an investigation using a new projective technique. Percept Mot Sills 1997;85:247-56.
40. Taylor GJ, Parker JD, Bagby RM, Bourke MP. Relationships between alexithymia and psychological characteristics associated with eating disorders. J Psychosom Res 1996;41:561-8.
41. Bruch H. Eating disorders. New York: Basic Books; 1978.