Emotional Awareness Deficits in Inpatients of a Psychosomatic Ward: A Comparison of Two Different Measures of Alexithymia

Subič-Wrana, Claudia; Bruder, Susanne; Thomas, W. Rees; Lane, Richard D.; Köhle, Karl

doi:10.1097/01.psy.0000160461.19239.13

Cited by 161 publications

(142 citation statements)

References 39 publications

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“…In relative accordance with literature (Lumley 2000), in our study EOT did not correlate with depression (although it was related with anxiety), and the same was observed with LEAS scores. Subic-Wrana et al (2005) suggested that perhaps the measurement of the words used to express affect, provided by the LEAS scoring system, captures better the deficits in symbolizing capacities at a level that is not substantially interfered by negative affect, than does TAS-20. These considerations support the relevance for considering both measures in assessing emotional regulation deficits: one of them seems to be more sensitive to the presence of negative affect and to emotional developmental dimensions, and the other one more specific in measuring the representational abilities or deficits in a way that seems to be less interfered by the quality of affect.…”

Section: Discussionmentioning

confidence: 99%

Alexithymia, Emotional Awareness and Perceived Dysfunctional Parental Behaviors in Heroin Dependents

Torrado

Ouakinin

Bacelar–Nicolau

2013

Int J Ment Health Addiction

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The aim of this study was to analyse alexithymia and deficits in emotional awareness, in heroin addicts, and their relationship with perceptions of early parental interactions. The sample included 99 opiate dependent outpatients and 43 healthy controls. Assessment was performed using the Toronto Alexithymia Scale, the Levels of Emotional Awareness Scale, the Inventory for Assessing Memories of Parental Rearing Behavior, the Mini-Mental State Examination and the Hospital Anxiety and Depression Scale. Findings suggest parental representations, which were mostly characterized by emotional unavailability and a rejection interaction pattern, significantly related to alexithymia. Emotional awareness was associated with the number of years of drug use and methadone level. Negative affect was associated with alexithymia but not to emotional awareness. Regression analyses emphasized the influence of perceived dysfunctional parenting behaviors in alexithymia and difficulties in identifying feelings, particularly an interaction with paternal rejection, moderated by self-reported anxiety. These results are discussed addressing comprehensive issues of emotion regulation and treatment strategies in heroin dependence.Keywords Alexithymia . Emotional awareness . Parental rearing behaviors . Heroin dependence . Negative affect Alexithymia has been studied over the past decades in healthy subjects and in a large number of psychiatric disorders, and it seems to be well established as a personality trait that influences Int J Ment Health Addiction

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Section: Discussionmentioning

confidence: 99%

Alexithymia, Emotional Awareness and Perceived Dysfunctional Parental Behaviors in Heroin Dependents

Torrado

Ouakinin

Bacelar–Nicolau

2013

Int J Ment Health Addiction

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“…18,19 For patients experiencing panic seemingly out of the blue, we considered the LEAS a potentially important patient variable. Indeed, baseline LEAS had a strong effect at treatment termination.…”

Section: Limitationsmentioning

confidence: 99%

Implementing Panic-Focused Psychodynamic Psychotherapy into Clinical Practice

Beutel¹,

Scheurich²,

Knebel

et al. 2013

Can J Psychiatry

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Objective: To determine the effectiveness of manualized panic-focused psychodynamic psychotherapy (PFPP) in routine care in Germany.Method: German psychoanalysts were trained according to the PFPP manual. Fifty-four consecutive outpatients with panic disorder (with or without agoraphobia) were randomly assigned in a 2:1 ratio to PFPP or cognitive-behavioural therapy (CBT) plus exposure therapy. Subjects (female 57.4%; mean age 36.2 years) had high rates of psychiatric (68.5%) and somatic (64.8%) comorbidity, and previous psychiatric treatments (57.4%). Assessments were performed pre-and posttreatment and at 6-month follow-up. The primary outcome measure was the Panic Disorder Severity Scale.Results: Both treatments were highly effective. In patients randomized to PFPP, remission was achieved in 44.4% at termination and by 50% at follow-up (CBT 61.1% and 55.6%, respectively). No significant differences were found. Emotional awareness, a posited moderator of good outcome in psychotherapies, was significantly higher in the CBT group at baseline. It was found to be a strong moderator of treatment effectiveness in both treatments. After adjusting for initial Levels of Emotional Awareness Scale (LEAS) scores, effect sizes (ESs) for the primary outcome were Cohen d = 1.28, from pre-to posttreatment, and d = 1.03, from pretreatment to follow-up, for PFPP, and d = 1.81 and 1.28 for CBT, respectively.Conclusions: PFPP was implemented effectively into clinical practice by psychoanalysts in the community in a sample with severe mental illness with large ESs. Assessment of LEAS may facilitate the identification of patients suitable for short-term psychotherapy.(Clinical Trial Registration Number: German Clinical Trials Register, DRKS00000245; Universal Trial Number, U1111-1112-4245) W W W Mise en oeuvre de la psychothérapie psychodynamique axée sur la panique dans la pratique clinique Objectif : Déterminer l'efficacité de la psychothérapie psychodynamique axée sur la panique (PPAP), pratiquée d'après un manuel, dans les soins courants en Allemagne.Méthode : Les psychanalystes allemands ont été formés en conformité avec le manuel de PPAP. Cinquante-quatre patients ambulatoires consécutifs souffrant de trouble panique

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“…Research has shown alexithymia to be a relatively stable trait under changing emotion, stress, and pathology levels (Luminet, Bagby, & Taylor, 2001; Mikolajczak & Luminet, 2006;Subic-Wrana, Bruder, Thomas, Lane, & Kohle, 2005).…”

Section: Introductionmentioning

confidence: 99%

Memory for emotionally provocative words in alexithymia: A role for stimulus relevance

Meltzer

Nielson

2010

Consciousness and Cognition

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Eighty-five high or low alexithymia participants viewed and rated arousing illness-related (''pain"), emotionally positive (''thrill"), negative (''hatred"), and neutral words (''horse"). Recall was assessed 45 min later.High alexithymia participants recalled significantly fewer negative emotion words but also more illness-related words than low alexithymia participants. The results suggest that personal relevance can shape cognitive processing of stimuli, even to enhance retention of a subclass of stimuli whose retention is generally impaired in alexithymia.

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Emotional Awareness Deficits in Inpatients of a Psychosomatic Ward: A Comparison of Two Different Measures of Alexithymia

Abstract: The LEAS captured a change in emotional awareness due to treatment, whereas the TAS 20 captured a change in negative affect. The LEAS appears to be a more specific measure of change in emotional awareness in clinical contexts than the TAS 20.

Cited by 161 publications

References 39 publications

Alexithymia, Emotional Awareness and Perceived Dysfunctional Parental Behaviors in Heroin Dependents

Alexithymia, Emotional Awareness and Perceived Dysfunctional Parental Behaviors in Heroin Dependents

Implementing Panic-Focused Psychodynamic Psychotherapy into Clinical Practice

Memory for emotionally provocative words in alexithymia: A role for stimulus relevance

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