Abstract
Alexithymia, a common personality style of patients seeking psychotherapeutic help, is associated with illness severity and negative treatment outcome in various mental disorders. Still, it remains unclear how alexithymia influences psychopathology and the therapeutic processes. In previous studies, a strong association of alexithymia with self-directedness (SD), a dimension of Cloninger's Temperament and Character Inventory (TCI) has been shown. In this study, we investigated the interaction of alexithymia and SD, and their impact on general psychopathology and on treatment outcome. 716 consecutively admitted day-clinic outpatients were examined at admission (t0) and discharge (t1). The Toronto Alexithymia Scale 20 (TAS-20), the SD subscale of the TCI and the Symptom Checklist 90 (SCL-90-R) were administered. Linear regression analyses were performed to calculate associations and the predictive power of TAS-20 and SD on psychopathology at admission and treatment outcome. ANOVA was used to calculate interactions of TAS-20 and SD on treatment outcome. A general linear model was applied to compare the outcome of four subgroups, defined by high/low TAS-20 and SD scores. Regression analyses revealed significant prediction of the ba...Continue Reading
References
Apr 1, 1991·Journal of Personality Assessment·M S HendryxD G Shaw
Jan 1, 1973·Psychotherapy and Psychosomatics·P E Sifneos
Jan 1, 1994·Journal of Psychosomatic Research·R M BagbyJ D Parker
Dec 1, 1993·Archives of General Psychiatry·C R CloningerT R Przybeck
Mar 27, 1998·Comprehensive Psychiatry·J D ParkerR M Bagby
Mar 4, 2000·Journal of Affective Disorders·T SatoT Uehara
May 12, 2001·Comprehensive Psychiatry·J HintikkaH Viinamäki
May 15, 2001·Psychosomatics·K HonkalampiH Viinamäki
Aug 18, 2001·Psychotherapy and Psychosomatics·H J GrabeH J Freyberger
Jul 12, 2003·Psychology and Psychotherapy·Mary McCallumAnthony S Joyce
Jun 11, 2005·Psychotherapy and Psychosomatics·Carsten SpitzerHarald J Freyberger
Dec 20, 2005·European Psychiatry : the Journal of the Association of European Psychiatrists·Pekka Jylhä, Erkki Isometsä
Jan 31, 2006·Journal of Affective Disorders·C Robert CloningerThomas R Przybeck
Nov 1, 2006·Behaviour Research and Therapy·Riccardo Dalle GraveGiulio Marchesini
Mar 3, 2007·Psychiatry Research·Ewa MörtbergAnna Aberg Wistedt
Feb 8, 2008·Psychosomatic Medicine·Richard D Lane
Mar 12, 2008·Psychotherapy and Psychosomatics·Hans Joergen GrabeCarsten Spitzer
May 24, 2008·Acta Psychiatrica Scandinavica·V SpekV Pop
Oct 4, 2008·Revista brasileira de psiquiatria : orgão oficial da Associação Brasileira de Psiquiatria, Asociación Psiquiátrica de la América Latina·Felipe CorchsMárcio Bernik
Dec 17, 2008·Psychiatry Research·Rupert ConradFranziska Geiser
Nov 26, 2009·Comprehensive Psychiatry·Feryal Cam CelikelC Robert Cloninger
Feb 16, 2010·Comprehensive Psychiatry·Yu Jin LeeSeog Ju Kim
Feb 26, 2010·Psychotherapy Research : Journal of the Society for Psychotherapy Research·Frank LewekeMarkus Stingl
May 18, 2010·Psychiatry Research·John S OgrodniczukAnthony S Joyce
Aug 10, 2010·Psychiatry Research·Sarah RowePeter Joyce
Nov 14, 2012·Psychotherapy and Psychosomatics·John S OgrodniczukWilliam E Piper
Jan 22, 2013·Psychology and Psychotherapy·Ewa Mörtberg, Gerhard Andersson
May 31, 2014·Neuropsychiatric Disease and Treatment·Filiz IzciMurad Atmaca
Citations
Apr 30, 2016·Journal of Clinical Psychology·Lauren McGillivrayCraig Harms
Aug 4, 2020·Journal of Cognitive Psychotherapy·Frida Cheok, Michael Proeve
May 7, 2020·Frontiers in Psychiatry·Federica PinnaBernardo Carpiniello
Sep 12, 2020·Research in Psychotherapy : Psychopathology, Process, and Outcome·Sandra M ReynoJackie Kinley
Feb 11, 2021·Psychiatry Research·Jan TerockHans J Grabe
Apr 1, 2021·Cognition & Emotion·Olivier LuminetNathan Ridout
Jun 8, 2021·Frontiers in Psychiatry·Roman KoposovVladislav Ruchkin
Mar 9, 2020·Neuropsychobiology·Jan TerockHans Jörgen Grabe