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Alexithymia in Eating Disorders: A Narrative Review

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Eating Disorders

Abstract

This chapter aimed to provide a narrative and critical review of the current knowledge of alexithymia in eating disorders. Results of previous reviews and meta-analyses on the topic have been reviewed and integrated with further studies retrieved through three searches in well-known databases (e.g., SCOPUS, EBSCO). Most of the research confirmed higher levels of alexithymia in all patients diagnosed with an eating disorder than in nonclinical individuals, with no clear differences according to the type of diagnosis (anorexia, bulimia, binge eating disorder, etc.), as well as in healthy individuals showing subthreshold eating disorder symptoms. Alexithymia tends to longitudinal stability, and the various influences on treatment outcomes and therapeutic implications are reviewed. In conclusion, alexithymia could be a crucial treatment target to achieve improvements in ED symptomatology, but more research is needed to understand how to develop alexithymia-oriented efficient treatments for ED patients. Limitations and future lines of research are also discussed.

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Abbreviations

AN:

Anorexia nervosa

APA:

American Psychiatric Association

BED:

Binge eating disorder

BN:

Bulimia nervosa

BVAQ:

Bermond-Vorst Alexithymia Questionnaire

CREST:

Cognitive Remediation and Emotion Skills Training

DDF:

Difficulty describing feelings

DIF:

Difficulty identifying feelings

DSM-5:

Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition

ED:

Eating disorder

EDNOS:

Eating disorder not otherwise specified

EOT:

Externally oriented thinking

OAS:

Observer Alexithymia Scale

TAS:

Toronto Alexithymia Scale

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Correspondence to Cecilia Serena Pace .

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Pace, C.S., Muzi, S., Morganti, W. (2023). Alexithymia in Eating Disorders: A Narrative Review. In: Patel, V.B., Preedy, V.R. (eds) Eating Disorders. Springer, Cham. https://doi.org/10.1007/978-3-031-16691-4_20

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  • DOI: https://doi.org/10.1007/978-3-031-16691-4_20

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-031-16690-7

  • Online ISBN: 978-3-031-16691-4

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