Alexithymia in schizophrenia: Associations with neurocognition and emotional distress

Psychiatry Research

Volumn 218, Issue 1-2, 2014, Pages 1-6

  Fogley, Rebecca ^a   Warman, Debbie ^a   Lysaker, Paul H ^b,c  

^a UNIVERSITY OF INDIANAPOLIS   (United States)

^b VETERANS AFFAIRS MEDICAL CENTER   (United States)

^c INDIANA UNIVERSITY SCHOOL OF MEDICINE   (United States)

Author keywords

Alexithymia; Anxiety; Depression; MATRICS; Neurocognition; Schizophrenia; Social cognition

Indexed keywords

ADULT; AFFECT; ALEXITHYMIA; ANXIETY; ARTICLE; EMOTIONAL STRESS; FEMALE; HUMAN; MAJOR CLINICAL STUDY; MALE; MEASUREMENT AND TREATMENT RESEARCH TO IMPROVE COGNITION IN SCHIZOPHRENIA; NEUROPSYCHOLOGICAL TEST; POSITIVE AND NEGATIVE SYNDROME SCALE; PRIORITY JOURNAL; SCHIZOAFFECTIVE PSYCHOSIS; SCHIZOPHRENIA; SOCIAL COGNITION; SOCIAL DESIRABILITY; TORONTO ALEXITHYMIA SCALE; VERBAL MEMORY; WORKING MEMORY; COGNITION; COMPLICATION; DEPRESSION; EMOTION; EMOTIONAL DISORDER; MENTAL STRESS; MIDDLE AGED; PSYCHOLOGICAL RATING SCALE; PSYCHOLOGY; RECOGNITION;

ADULT; AFFECTIVE SYMPTOMS; ANXIETY; COGNITION; DEPRESSION; EMOTIONS; FEMALE; HUMANS; MALE; MIDDLE AGED; PSYCHIATRIC STATUS RATING SCALES; RECOGNITION (PSYCHOLOGY); SCHIZOPHRENIA; SCHIZOPHRENIC PSYCHOLOGY; STRESS, PSYCHOLOGICAL;

EID: 84902116651     PISSN: 01651781     EISSN: 18727123     Source Type: Journal    
DOI: 10.1016/j.psychres.2014.04.020     Document Type: Article

References (59)

1. Abu-Akel A., Bo S. Superior mentalizing abilities of female patients with schizophrenia. Psychiatry Research 2013, 210(3):794-799.
2. Bagby R., Parker J.A., Taylor G.J. The twenty-item Toronto Alexithymia Scale: I. Item selection and cross-validation of the factor structure. Journal Of Psychosomatic Research 1994, 38:23-32.
3. Bagby R., Taylor G.J., Parker J.A. The twenty-item Toronto Alexithymia Scale: II. Convergent, discriminant, and concurrent validity. Journal Of Psychosomatic Research 1994, 38:33-40.
4. Bagby R., Taylor G.J., Parker J.A., Dickens S.E. The development of the Toronto Structured Interview for Alexithymia: item selection, factor structure, reliability, and concurrent validity. Psychotherapy and Psychosomatics 2006, 75:25-39.
5. Bell M., Fiszdon J., Richardson R., Lysaker P., Bryson G. Are self-reports valid for schizophrenia patients with poor insight? Relationship of unawareness of illness to psychological self-report instruments. Psychiatry Research 2007, 151:37-46.
6. Bell M., Lysaker P., Beam-Goulet J., Milstein R., Lindenmayer J. Five-component model of schizophrenia: assessing the factorial invariance of the Positive and Negative Syndrome Scale. Psychiatry Research 1994, 52:295-303.
7. Bell M.D., Zito W.Q., Greig T., Wexler B.E. Neurocognitive enhancement therapy with vocational services: work outcomes at two-year follow-up. Schizophrenia Research 2008, 105(1-3):18-29.
8. Bogdanova Y., Díaz-Santos M., Cronin-Golomb A. Neurocognitive correlates of alexithymia in asymptomatic individuals with HIV. Neuropsychologia 2010, 48:1295-1304.
9. Brent B. Mentalization-based psychodynamic psychotherapy for psychosis. Journal of Clinical Psychology 2009, 65:803-814.
10. Brüne M. Social cognition and behaviour in schizophrenia. The Social Brain-Evolution and Pathology 2003, 277-313. John Wiley and Sons, Chichester, UK. M. Brüne, H. Ribbert, W. Schiefenhövel (Eds.).
11. Buck K.D., Lysaker P.H. Addressing metacognitive capacity in the psychotherapy for schizophrenia: a case study. Clinical Case Studies 2009, 8:436-472.
12. Cedro A., Kokoszka A., Popiel A., Narkiewicz-Jodko W. Alexithymia in schizophrenia: an exploratory study. Psychological Reports 2001, 89:95-98.
13. Crowne D.P., Marlowe D. A new scale of social desirability independent of psychopathology. Journal of Consulting Psychology 1960, 24:349-354.
14. Dimaggio G., Lysaker P.H. Introduction. Metacognition and Severe Adult Mental Disorders: From Research to Treatment 2010, 1-10. Routledge/Taylor and Francis Group, New York, NY, US. G. Dimaggio, P.H. Lysaker (Eds.).
15. Dimaggio G., Vanheule S., Lysaker P.H., Carcione A., Nicolò G. Impaired self-reflection in psychiatric disorders among adults: a proposal for the existence of a network of semi independent functions. Consciousness and Cognition 2009, 18:653-664.
16. Guerrero A.G., Lysaker P.H. Socially naïve self-appraisal moderates the relationship between cognitive insight and positive symptoms in schizophrenia. Schizophrenia Research 2013, 143:97-101.
17. Hasson-Ohayon I. Integrating cognitive behavioral-based therapy with an intersubjective approach: addressing metacognitive deficits among people with schizophrenia. Journal of Psychotherapy Integration 2012, 22:356-374.
18. Haviland M.G., Warren W., Riggs M.L. An observer scale to measure alexithymia. Psychosomatics: Journal of Consultation and Liaison Psychiatry 2000, 41:385-392.
19. Helmes E., McNeill P.D., Holden R.R., Jackson C. The construct of alexithymia: associations with defense mechanisms. Journal of Clinical Psychology 2008, 64:318-331.
20. Honkalampi K., Saarinen P., Hintikka J., Virtanen V., Viinamaki H. Factors associated with alexithymia in patients suffering from depression. Psychotherapy and Psychosomatics 1999, 68:270-275.
21. Kay S., Fiszbein A., Opler L. The Positive and Negative Syndrome Scale (PANSS) for schizophrenia. Schizophrenia Bulletin 1987, 13:261-276.
22. Koelkebeck K., Pedersen A., Suslow T., Kueppers K.A., Arolt V., Ohrmann P. Theory of mind in first-episode schizophrenia patients: correlations with cognition and personality traits. Schizophrenia Research 2010, 119(1-3):115-123.
23. Kubota M., Miyata J., Hirao K., Fujiwara H., Kawada R., Fujimoto S., Murai T. Alexithymia and regional gray matter alterations in schizophrenia. Neuroscience Research 2011, 70(2):206-213.
24. Ladegaard N., Larsen E.R., Videbech P., Lysaker P.H. Higher-order social cognition in first-episode major depression. Psychiatry Research 2014, 216:37-43.
25. Lane R.D. Neural substrates of implicit and explicit emotional processes: a unifying framework for psychosomatic medicine. Psychosomatic Medicine 2008, 70:214-231.
26. Larsen J.K., Brand N., Bermond B., Hijman R. Cognitive and emotional characteristics of alexithymia: a review of neurobiological studies. Journal of Psychosomatic Research 2003, 54:533-541.
27. Leweke F., Leichsenring F., Kruse J., Hermes S. Is alexithymia associated with specific mental disorders?. Psychopathology 2011, 45:22-28.
28. Lumley M.A. Alexithymia and negative emotional conditions. Journal of Psychosomatic Research 2000, 49:51-54.
29. Lumley M.A., Gustavson B.J., Partridge R., Labouvie-Vief G. Assessing alexithymia and related emotional ability constructs using multiple methods: interrelationships among measures. Emotion 2005, 5:329-342.
30. Lysaker P.H., Buck K.D., Carcione A., Procacci M., Salvatore G., Nicolò G., Dimaggio G. Addressing metacognitive capacity for self reflection in the psychotherapy for schizophrenia: a conceptual model of the key tasks and processes. Psychology and Psychotherapy: Theory, Research and Practice 2011, 84:58-69.
31. Lysaker P.H., Dimaggio G., Buck K.D., Carcione A., Nicolò G. Metacognition within narratives of schizophrenia: associations with multiple domains of neurocognition. Schizophrenia Research 2007, 93:278-287.
32. Lysaker P.H., Glynn S.M., Wilkniss S.M., Silverstein S.M. Psychotherapy and recovery from schizophrenia: a review of potential applications and need for future study. Psychological Services 2010, 7:75-91.
33. Lysaker P.H., Gumley A., Brüne M., Vanheule S., Buck K.D., Dimaggio G. Deficits in the ability to recognize one[U+05F3]s own affects and those of others: associations with neurocognition, symptoms and sexual trauma among persons with schizophrenia spectrum disorders. Consciousness and Cognition 2011, 20:1183-1192.
34. Lysaker P.H., Shea A.M., Buck K.D., Dimaggio G., Nicolò G., Procacci M., Rand K.L. Metacognition as a mediator of the effects of impairments in neurocognition on social function in schizophrenia spectrum disorders. Acta Psychiatrica Scandinavica 2010, 122:405-413.
35. Marchesi C., Brusamonti E., Maggini C. Are alexithymia, depression, and anxiety distinct constructs in affective disorders?. Journal of Psychosomatic Research 2000, 49:43-49.
36. Marchesi C., Fonto S., Balista C., Cimmino C., Maggini C. Relationship between alexithymia and panic disorder: a longitudinal study to answer an open question. Psychotherapy and Psychosomatics 2005, 74:56-60.
37. Meganck R., Inslegers R., Vanheule S., Desmet M. The convergence of alexithymia measures. Psychologica Belgica 2011, 51:237-250.
38. Nuechterlein K.H., Green M.F., Kern R.S., Baade L.E., Barch D.M., Cohen J.D., Marder S.R. The MATRICS Consensus Cognitive Battery, Part 1: test selection, reliability, and validity. American Journal of Psychiatry 2008, 165:203-213.
39. Ogrodniczuk J.S., Piper W.E., Joyce A.S. Effect of alexithymia on the process and outcome of psychotherapy: a programmatic review. Psychiatry Research 2011, 190(1):43-48.
40. Onor M., Trevisiol M., Spano M., Aguglia E., Paradiso S. Alexithymia and aging: a neuropsychological perspective. Journal of Nervous and Mental Disease 2010, 198:891-895.
41. Parker J.D., Taylor G.J., Bagby R.M., Acklin M.W. Alexithymia in panic disorder and simple phobia: a comparative study. American Journal of Psychiatry 1993, 150:1105-1107.
42. Parker J.D., Taylor G.J., Bagby R.M. The 20-Item Toronto Alexithymia Scale: III. Reliability and factorial validity in a community population. Journal of Psychosomatic Research 2003, 55:269-275.
43. Pickup G.J. Relationship between theory of mind and executive function in schizophrenia: a systematic review. Psychopathology 2008, 41:206-213.
44. Rector N.A., Beck A.T. Cognitive behavioral therapy for schizophrenia: an empirical review. Journal of Nervous and Mental Disease 2012, 200:832-839.
45. Saarijarvi S., Salminen J.K., Toikka T.B. Alexithymia and depression: a 1-year follow-up study in outpatients with major depression. Journal of Psychosomatic Research 2001, 51:729-733.
46. Salvatore G., Lysaker P.H., Gumley A., Popolo R., Mari J., Dimaggio G. Out of illness experience: metacognition-oriented therapy for promoting self-awareness in individuals with psychosis. American Journal of Psychotherapy 2012, 66:85-106.
47. Saykin A.J., Gur R.C., Gur R.E., Mozley P.D., Mozley L.H., Resnick S.M., Kester D.B., Stafiniak P. Neuropsychological function in schizophrenia. Selective impairment in memory and learning. Archives of General Psychiatry 1991, 48:618-624.
48. Spitzer R.L., Williams J.B., Gibbon M., First M. Structured Clinical Interview for DSM-IV 1994, Biometrics Research Department, New York.
49. Stanghellini G., Ricca V. Alexithymia and schizophrenias. Psychopathology 1995, 28:263-272.
50. Taylor G.J., Bagby R.M. New trends in alexithymia research. Psychotherapy and Psychosomatics 2004, 73:68-77.
51. Taylor G.J., Bagby R.M., Luminet O. Assessment of alexithymia: self-report and observer-rated measures. The Handbook of Emotional Intelligence: Theory, Development, Assessment, and Application at Home, School, and in the Workplace 2000, 301-319. Jossey-Bass, San Francisco, CA. R. Bar-On, J.A. Parker (Eds.).
52. Taylor G.J., Bagby R.M., Parker J.D.A. Disorders of Affect Regulation: Alexithymia in Medical and Psychiatric Illness 1997, Cambridge University Press, New York, NY, US.
53. Taylor G.J., Taylor H.L. Alexithymia. Psychological Mindedness: A Contemporary Understanding 1997, 77-104. Lawrence Erlbaum Associates Publishers, Mahwah, NJ, US. M. McCallum, W.E. Piper, M. McCallum, W.E. Piper (Eds.).
54. Todarello O., Porcelli P., Grilletti F., Bellomo A. Is alexithymia related to negative symptoms of schizophrenia?. Psychopathology 2005, 38:310-314.
55. Van't Wout M., Aleman A., Bermond B., Kahn R.S. No words for feelings: alexithymia in schizophrenia patients and first-degree relatives. Comprehensive Psychiatry 2007, 48:27-33.
56. van der Meer L., van't Wout M., Aleman A. Emotion regulation strategies in patients with schizophrenia. Psychiatry Research 2009, 170:108-113.
57. Vanheule S., Inslegers R., Meganck R., Ooms E., Desmet M. Interpersonal problems in alexithymia: a review. Metacognition and Severe Adult Mental Disorders: From Research to Treatment 2010, 161-176. Routledge/Taylor and Francis Group, New York, NY, US. G. Dimaggio, P.H. Lysaker (Eds.).
58. Ventimiglia M., MacDonald D.A. An examination of the factorial dimensionality of the Marlowe Crowne Social Desirability Scale. Personality and Individual Differences 2012, 52:487-491.
59. Wingbermühle E., Theunissen H., Verhoeven W., Kessels R., Egger J. The neurocognition of alexithymia: evidence from neuropsychological and neuroimaging studies. Acta Neuropsychiatrica 2012, 24:67-80.