Psychiatry Research
Volume 135, Issue 2 , Pages 153-163 , 15 June 2005

Depressive personality dimensions and alexithymia in eating disorders

  • Mario Speranza

      Affiliations

    • Department of Child Psychiatry, Centre Hospitalier de Versailles, 177 rue de Versailles, 78157 Le Chesnay, France
    • Department of Adolescent and Young Adult Psychiatry, Institut Mutualiste Montsouris, 75014 Paris, France
    • Corresponding Author InformationCorresponding author. Department of Child Psychiatry, Centre Hospitalier de Versailles, 177 rue de Versailles, 78157 Le Chesnay, France. Tel.: +33 1 39 63 90 90; fax: +33 1 39 63 94 25.
  • ,
  • Maurice Corcos

      Affiliations

    • Department of Adolescent and Young Adult Psychiatry, Institut Mutualiste Montsouris, 75014 Paris, France
  • ,
  • Gwenolé Loas

      Affiliations

    • Department of Psychiatry, Hôpital Pinel, 80044 Amiens, France
  • ,
  • Philippe Stéphan

      Affiliations

    • Department of Child and Adolescent Psychiatry, SUPEA, Lausanne, Switzerland
  • ,
  • Olivier Guilbaud

      Affiliations

    • Department of Adolescent and Young Adult Psychiatry, Institut Mutualiste Montsouris, 75014 Paris, France
  • ,
  • Fernando Perez-Diaz

      Affiliations

    • Centre National de la Recherche Scientifique, Hôpital de la Salpêtrière, 75013 Paris, France
  • ,
  • Jean-Luc Venisse

      Affiliations

    • Department of Psychiatry, Hôpital Saint-Jacques, BP 1005, 44035 Nantes, France
  • ,
  • Paul Bizouard

      Affiliations

    • Department of Psychiatry CHU de Besançon, 25000 Besançon, France
  • ,
  • Olivier Halfon

      Affiliations

    • Department of Child and Adolescent Psychiatry, SUPEA, Lausanne, Switzerland
  • ,
  • Martine Flament

      Affiliations

    • Centre National de la Recherche Scientifique, Hôpital de la Salpêtrière, 75013 Paris, France
  • ,
  • Philippe Jeammet

      Affiliations

    • Department of Adolescent and Young Adult Psychiatry, Institut Mutualiste Montsouris, 75014 Paris, France

Received 22 April 2003 ,Accepted 28 July 2003.

References 

  1. American Psychiatric Association . Diagnostic and Statistical Manual of Mental Disorders. 4 ed.. Washington, DC: APA; 1994;
  2. Atger F, Frasson G, Loas G, Guiborge S, Corcos M, Perez-Diaz F, et al. Etude de validation du Depressive Experience Questionnaire. L'Encéphale. 2003;29(5):445–655
  3. Bach M, de Zwaan M, Ackard D, Nutzinger DO, Mitchell JE. Alexithymia: relationship to personality disorders. Comprehensive Psychiatry. 1994;35:239–243
  4. Bagby RM, Cox BJ, Schuller DR, Levitt AJ, Swinson RP, Joffe RT. Diagnostic specificity of the dependent and self-critical personality dimensions in major depression. Journal of Affective Disorders. 1992;26:59–63
  5. Bagby RM, Parker JD, Taylor GJ. The twenty-item Toronto Alexithymia Scale: I. Item selection and cross-validation of the factor structure. Journal of Psychosomatic Research. 1994;38:23–32
  6. Beck AT, Beck RW. Screening depressed patients in family practice. A rapid technique. Postgraduate Medicine. 1972;52:81–85
  7. Beck AT, Ward C, Mendelson M, Mock J, Erbaugh MD. An inventory for measuring depression. Archives of General Psychiatry. 1961;4:892–898
  8. Beck AT, Rial WY, Rickels K. Short form of depression inventory: cross-validation. Psychological Reports. 1974;34:1184–1186
  9. Beck AT, Steer RA, Garbin MG. Psychometric properties of the Beck Depression Inventory: twenty-five years of evaluation. Clinical Psychology Review. 1988;8:77–100
  10. Blatt SJ, Zuroff DC. Interpersonal relatedness and self-definition: two prototypes for depression. Clinical Psychology Review. 1992;12:527–562
  11. Blatt SJ, D'Afflitti JP, Quinlan DM. Depressive Experiences Questionnaire. New Haven, CT: Yale University Press; 1976;
  12. Blatt SJ, Zohar AH, Quinlan DM, Zuroff DC, Mongrain M. Subscales within the dependency factor of the Depressive Experiences Questionnaire. Journal of Personality Assessment. 1995;64:319–339
  13. Bobon DP, Sanchez-Blanque A, Von Franckell D. Comparison between the short form of the Beck Depression Inventory and the combined Beck Pichot Inventory. Journal de Psychiatrie Biologique et Thérapeutique. 1981;1:211–218
  14. Bruch H. Eating Disorders: Obesity, Anorexia Nervosa and the Person Within. New York: Basic Books; 1973;
  15. Bourke MP, Taylor GJ, Parker JD, Bagby RM. Alexithymia in women with anorexia nervosa. A preliminary investigation. British Journal of Psychiatry. 1992;161:240–243
  16. Cochrane CE, Brewerton TD, Wilson DB, Hodges EL. Alexithymia in the eating disorders. International Journal of Eating Disorders. 1993;14:219–222
  17. Collet L, Cottraux J. [The shortened Beck Depression Inventory: study of the concurrent validity with the Hamilton Scale and Widlöcher's retardation scale]. Encéphale. 1986;12:77–79
  18. Corcos M, Guilbaud O, Speranza M, Paterniti S, Loas G, Stephan P, et al. Alexithymia and depression in eating disorders. Psychiatry Research. 2000;93:265–268
  19. Corcos M, Nezelof S, Speranza M, Topa S, Girardon N, Taieb O, et al. Psychoactive substance consumption in eating disorders. Eating Behaviors. 2001;2:27–38
  20. Crittenden PM. Peering into the black box: an exploratory treatise on the development of self in young children. In:  Cicchetti D,  Toth SL editor. Rochester Symposium on Developmental Psychopathology. Disorder and Dysfunction of the Self. vol. 5:Rochester, NY: University of Rochester Press; 1994;p. 79–148
  21. Davis C, Claridge G. The eating disorders as addiction: a psychobiological perspective. Addictive Behaviors. 1998;23:463–475
  22. de Groot JM, Rodin G, Olmsted P. Alexithymia, depression, and treatment outcome in bulimia nervosa. Comprehensive Psychiatry. 1995;36:53–60
  23. Fonagy P, Target M. The place of psychodynamic theory in developmental psychopathology. Developmental Psychopathology. 2002;12:407–425
  24. Garner DM, Myerholtz LE. Eating disorders. In:  Bellack AS,  Hersen M editor. Comprehensive Clinical Psychology. Elsevier Science; 2000;
  25. Garner DM, Garner M, Rosen L. Anorexia nervosa “restricters” who purge: implications for subtyping anorexia nervosa. International Journal of Eating Disorders. 1993;13:171–185
  26. Goodsitt A. Self-regulatory disturbances in eating disorders. International Journal of Eating Disorders. 1983;2:51–60
  27. Grotstein JS. The psychology of powerlessness: disorder of self-regulation and interactional regulation as a newer paradigm for psychopathology. Psychoanalytic Inquiry. 1986;6:93–118
  28. Heatherton TF, Baumeister RF. Binge eating as escape from self-awareness. Psychological Bulletin. 1991;110:86–108
  29. Herzog DB, Keller MB, Sacks NR, Yeh CJ, Lavori PW. Psychiatric morbidity in treatment-seeking anorexics and bulimics. Journal of the American Academy of Child and Adolescent Psychiatry. 1992;31:810–818
  30. Kraemer S, Loader P. Passing through life: alexithymia and attachment disorders. Journal of Psychosomatic Research. 1995;39:937–941
  31. Lecrubier Y, Sheehan DV, Weiller E, Amorim P, Bonora IH, Sheehan K, et al. The Mini International Neuropsychiatric Interview (MINI). A short diagnostic structured interview: reliability and validity according to the CIDI. European Psychiatry. 1997;12:224–231
  32. Loas G, Fremaux D, Marchand MP. Étude de la structure factorielle et de la cohérence interne de la version française de l'échelle d'alexithymie de Toronto, 20 items (TAS-20) chez un groupe de 183 sujets sains. Encéphale. 1995;21:117–122
  33. Loas G, Otmani O, Fremaux D, Lecercle C, Duflot M, Delahouss J. Étude de la validité externe, de la fidélité et détermination des notes seuils des échelles d'alexithymie de Toronto (TAS et TAS-20) chez un groupe de malades alcooliques. Encéphale. 1996;22:35–40
  34. Loas G, Otmani O, Lecercle C, Jouvent R. Relationships between the emotional and cognitive components of alexithymia and dependency in alcoholics. Psychiatry Research. 2000;96:63–74
  35. Loas G, Corcos M, Stephan P, Pellet J, Bizouard P, Venisse JL, et al. Factorial structure of the 20-item Toronto Alexithymia Scale. Confirmatory factorial analyses in nonclinical and clinical sample. Journal of Psychosomatic Research. 2001;50:255–261
  36. Luminet O, Bagby RM, Taylor GJ. An evaluation of the absolute and relative stability of alexithymia in patients with major depression. Psychotherapy and Psychosomatics. 2001;70:254–260
  37. Meyer C, Leung N, Feary R, Mann B. Core beliefs and bulimic symptomatology in non-eating-disordered women: the mediating role of borderline characteristics. International Journal of Eating Disorders. 2001;30:434–440
  38. National Institute of Mental Health . CGI: Clinical Global Impressions. In:  Guy W,  Bonato RR editor. Manual for the ECDEU Assessment Battery. 2nd rev ed. Superintendent of Documents. Washington, DC: U.S. Government Printing Office; 1970;p. 12–16
  39. Schmidt U, Jiwany A, Treasure J. A controlled study of alexithymia in eating disorders. Comprehensive Psychiatry. 1993;34:54–58
  40. Sexton MC, Sunday SR, Hurt S, Halmi KA. The relationship between alexithymia, depression, and axis II psychopathology in eating disorder inpatients. International Journal of Eating Disorders. 1998;23:277–286
  41. Sheehan DV, Lecrubier YH, Sheehan K, Janavs J, Weiller E, Keskiner A, et al. The validity of the Mini International Neuropsychiatric Interview (MINI) according to the SCID-P and its reliability. European Psychiatry. 1997;12:232–241
  42. Sheehan DV, Lecrubier Y, Sheehan KH, Amorim P, Janavs J, Weiller E, et al. The Mini-International Neuropsychiatric Interview (MINI): the development and validation of a structured diagnostic psychiatric interview for DSM-IV and ICD-10. Journal of Clinical Psychiatry. 1998;59(Suppl. 20):22–33
  43. Sifneos PE. The prevalence of alexithymic characteristics in psychosomatic patients. Psychotherapy and Psychosomatics. 1973;22:255–262
  44. Speranza M, Corcos M, Godart N, Flament M, Jeammet Ph. Obsessive compulsive disorders in eating disorders. Eating Behaviors. 2001;2:193–207
  45. Speranza M, Corcos M, Atger F, Paterniti S, Jeammet Ph. Binge eating behaviours, depression and weight control strategies. Eating and Weight Disorders. 2003;8(3):201–206
  46. Stice E. Relations of restraint and negative affect to bulimic pathology: a longitudinal test of three competing models. International Journal of Eating Disorders. 1998;23:243–260
  47. Sund AM, Wichstrom L. Insecure attachment as a risk factor for future depressive symptoms in early adolescence. Journal of the American Academy of Child and Adolescent Psychiatry. 2002;41:1478–1485
  48. Taylor GJ, Parker JDA, Bagby RM, Bourke MP. Relationships between alexithymia and psychological characteristics associated with eating disorders. Journal of Psychosomatic Research. 1996;41:561–568
  49. Taylor GJ, Bagby RM, Parker JDA. Disorders of Affect Regulation: Alexithymia in Medical and Psychiatric Illness. Cambridge: Cambridge University Press; 1997;
  50. Troop NA, Schmidt UH, Treasure JL. Feelings and fantasy in eating disorders: a factor analysis of the Toronto Alexithymia Scale. International Journal of Eating Disorders. 1995;18:151–157
  51. Ward A, Ramsay R, Treasure J. Attachment research in eating disorders. British Journal of Medical Psychology. 2000;73:35–51
  52. Westen D, Moses MJ, Silk KR, Lohr NE, Cohen R, Segal H. Quality of depressive experience in borderline personality disorder and major depression. When depression is not just depression. Journal of Personality Disorders. 1992;6:383–392
  53. Williamson DA, Womble LG, Smeets MA, Netemeyer RG, Thaw JM, Kutlesic V, et al. Latent structure of eating disorder symptoms: a factor analytic and taxometric investigation. American Journal of Psychiatry. 2002;159:412–418
  54. Zanarini MC, Frankenburg FR, Dubo ED, Sickel AE, Trikha A, Levin A, et al. Axis I comorbidity of borderline personality disorder. American Journal of Psychiatry. 1998;155:1733–1739
  55. Zuroff DC, Quinlan DM, Blatt SJ. Psychometric properties of the Depressive Experience Questionnaire in a college population. Journal of Personality Assessment. 1990;55:65–72

PII: S0165-1781(05)00095-8

doi: 10.1016/j.psychres.2005.04.001

Psychiatry Research
Volume 135, Issue 2 , Pages 153-163 , 15 June 2005