PMID- 31264316
OWN - NLM
STAT- MEDLINE
DCOM- 20200429
LR  - 20200429
IS  - 1099-0968 (Electronic)
IS  - 1072-4133 (Linking)
VI  - 27
IP  - 6
DP  - 2019 Nov
TI  - Alexithymia and binge eating in obese outpatients who are starting a weight-loss 
      program: A structural equation analysis.
PG  - 628-640
LID - 10.1002/erv.2696 [doi]
AB  - OBJECTIVE: To investigate whether obese patients with binge eating (BE) have 
      higher alexithymic features; to explore the different relationships between 
      psychological features (alexithymia, depression, and anxiety) and BE. METHOD: 
      Three hundred sixty one obese BE-patients were evaluated for alexithymia, 
      psychological distress, and BE. Alexithymia was measured with the 20-item Toronto 
      Alexithymia Scale (TAS-20); BE was assessed with the BE Scale (BES), and 
      depression and anxiety symptoms were evaluated with the Hospital Anxiety and 
      Depression Scale (HADS). RESULTS: Patients with BE reported significantly higher 
      TAS-20 total scores than those without BE (p < .001). The SEM analysis showed 
      that the difficulty in identifying feelings (DIF) and difficulty in describing 
      feelings (DDF) components of alexithymia affected BE along different pathways. 
      DIF was found as a major factor influencing altered eating both directly 
      (p = .20*) and above all through the mediation of psychological distress 
      (p = .19***), whereas DDF affected BE only through psychological distress at a 
      lesser extent (p = .09**). DISCUSSION: Alexithymic difficulties in affective 
      awareness may play an important role in the onset and maintenance of BE, 
      especially when patients experienced anxiety and depression symptoms. Clinicians 
      involved in the management of obesity should address the combination of 
      alexithymic traits and emotional distress by planning effective client-focused 
      interventions.
CI  - (c) 2019 John Wiley & Sons, Ltd and Eating Disorders Association.
FAU - Conti, Chiara
AU  - Conti C
AUID- ORCID: 0000-0002-4923-4145
AD  - Department of Psychological, Health, and Territorial Sciences, University "G. 
      d'Annunzio" of Chieti-Pescara, Chieti, Italy.
FAU - Di Francesco, Giulia
AU  - Di Francesco G
AD  - Department of Psychological, Health, and Territorial Sciences, University "G. 
      d'Annunzio" of Chieti-Pescara, Chieti, Italy.
FAU - Lanzara, Roberta
AU  - Lanzara R
AD  - Department of Psychological, Health, and Territorial Sciences, University "G. 
      d'Annunzio" of Chieti-Pescara, Chieti, Italy.
AD  - Department of Dynamic and Clinical Psychology, "Sapienza" University of Rome, 
      Rome, Italy.
FAU - Severo, Melania
AU  - Severo M
AD  - Department of Psychological, Health, and Territorial Sciences, University "G. 
      d'Annunzio" of Chieti-Pescara, Chieti, Italy.
FAU - Fumagalli, Luna
AU  - Fumagalli L
AD  - Department of Psychological, Health, and Territorial Sciences, University "G. 
      d'Annunzio" of Chieti-Pescara, Chieti, Italy.
FAU - Guagnano, Maria Teresa
AU  - Guagnano MT
AD  - Department of Medicine and Aging, University "G. d'Annunzio" Chieti-Pescara, 
      Chieti, Italy.
FAU - Porcelli, Piero
AU  - Porcelli P
AD  - Department of Psychological, Health, and Territorial Sciences, University "G. 
      d'Annunzio" of Chieti-Pescara, Chieti, Italy.
LA  - eng
PT  - Journal Article
DEP - 20190702
PL  - England
TA  - Eur Eat Disord Rev
JT  - European eating disorders review : the journal of the Eating Disorders 
      Association
JID - 9436977
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Affective Symptoms/*epidemiology
MH  - Aged
MH  - Bulimia/*epidemiology
MH  - Female
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Obesity/epidemiology/*therapy
MH  - Outpatients/*psychology/statistics & numerical data
MH  - Weight Reduction Programs
MH  - Young Adult
OTO - NOTNLM
OT  - alexithymia
OT  - anxiety
OT  - binge eating
OT  - depression
OT  - obesity
EDAT- 2019/07/03 06:00
MHDA- 2020/04/30 06:00
CRDT- 2019/07/03 06:00
PHST- 2019/02/11 00:00 [received]
PHST- 2019/05/27 00:00 [revised]
PHST- 2019/05/31 00:00 [accepted]
PHST- 2019/07/03 06:00 [pubmed]
PHST- 2020/04/30 06:00 [medline]
PHST- 2019/07/03 06:00 [entrez]
AID - 10.1002/erv.2696 [doi]
PST - ppublish
SO  - Eur Eat Disord Rev. 2019 Nov;27(6):628-640. doi: 10.1002/erv.2696. Epub 2019 Jul 
      2.