Alexithymia and self-directedness as predictors of psychopathology and psychotherapeutic treatment outcome

Comprehensive Psychiatry
Jan TerockHans Jörgen Grabe

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

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Citations

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
Apr 1, 2021·Cognition & Emotion·Olivier LuminetNathan Ridout

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