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Alexithymia and suicide ideation in a sample of patients with binge eating disorder.
J Psychiatr Pract. 2012 Jan; 18(1):5-11.JP

Abstract

OBJECTIVE

The goal of this cross-sectional study was to evaluate the relationships between alexithymia and suicide ideation in 80 adult outpatients with a DSM-IV diagnosis of binge eating disorder (BED).

METHODS

Alexithymia was measured with the 20-item Toronto Alexithymia Scale (TAS-20); suicide ideation was assessed with the Scale of Suicide Ideation (SSI); severity of BED was assessed with the Binge Eating Scale (BES); and depressive and anxiety symptoms were evaluated, respectively, with the Montgomery-Åsberg Depression Rating Scale (MADRS) and the Hamilton Anxiety Rating Scale (Ham-A).

RESULTS

Prevalence of current suicide ideation was 27.5% (n = 22) in this sample and 10 subjects (12.5%) had attempted suicide at some time in their lives. Subjects with alexithymia had more significant suicide ideation, a higher prevalence of current suicide ideation, and more previous suicide attempts than those without alexithymia. In a linear regression model, higher MADRS scores and higher scores on the Difficulty in Identifying Feelings/Difficulty in Describing Feelings dimensions of the TAS-20 were associated with increased suicide ideation.

DISCUSSION

Suicidal behavior is no less common in BED than in other eating disorders. Individuals with BED may show increased suicide ideation, especially in the presence of alexithymia and depressive symptoms, even if these symptoms are subclinical. The authors also discuss limitations of this study and future research needs.

Authors+Show Affiliations

University "G. D'Annunzio" of Chieti, and Hospital "C. G. Mazzoni" Ascoli Piceno, Italy.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

22261978

Citation

Carano, Alessandro, et al. "Alexithymia and Suicide Ideation in a Sample of Patients With Binge Eating Disorder." Journal of Psychiatric Practice, vol. 18, no. 1, 2012, pp. 5-11.
Carano A, De Berardis D, Campanella D, et al. Alexithymia and suicide ideation in a sample of patients with binge eating disorder. J Psychiatr Pract. 2012;18(1):5-11.
Carano, A., De Berardis, D., Campanella, D., Serroni, N., Ferri, F., Di Iorio, G., Acciavatti, T., Mancini, L., Mariani, G., Martinotti, G., Moschetta, F. S., & Di Giannantonio, M. (2012). Alexithymia and suicide ideation in a sample of patients with binge eating disorder. Journal of Psychiatric Practice, 18(1), 5-11. https://doi.org/10.1097/01.pra.0000410982.08229.99
Carano A, et al. Alexithymia and Suicide Ideation in a Sample of Patients With Binge Eating Disorder. J Psychiatr Pract. 2012;18(1):5-11. PubMed PMID: 22261978.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Alexithymia and suicide ideation in a sample of patients with binge eating disorder. AU - Carano,Alessandro, AU - De Berardis,Domenico, AU - Campanella,Daniela, AU - Serroni,Nicola, AU - Ferri,Francesca, AU - Di Iorio,Giuseppe, AU - Acciavatti,Tiziano, AU - Mancini,Lorena, AU - Mariani,Giorgio, AU - Martinotti,Giovanni, AU - Moschetta,Francesco Saverio, AU - Di Giannantonio,Massimo, PY - 2012/1/21/entrez PY - 2012/1/21/pubmed PY - 2012/6/13/medline SP - 5 EP - 11 JF - Journal of psychiatric practice JO - J Psychiatr Pract VL - 18 IS - 1 N2 - OBJECTIVE: The goal of this cross-sectional study was to evaluate the relationships between alexithymia and suicide ideation in 80 adult outpatients with a DSM-IV diagnosis of binge eating disorder (BED). METHODS: Alexithymia was measured with the 20-item Toronto Alexithymia Scale (TAS-20); suicide ideation was assessed with the Scale of Suicide Ideation (SSI); severity of BED was assessed with the Binge Eating Scale (BES); and depressive and anxiety symptoms were evaluated, respectively, with the Montgomery-Åsberg Depression Rating Scale (MADRS) and the Hamilton Anxiety Rating Scale (Ham-A). RESULTS: Prevalence of current suicide ideation was 27.5% (n = 22) in this sample and 10 subjects (12.5%) had attempted suicide at some time in their lives. Subjects with alexithymia had more significant suicide ideation, a higher prevalence of current suicide ideation, and more previous suicide attempts than those without alexithymia. In a linear regression model, higher MADRS scores and higher scores on the Difficulty in Identifying Feelings/Difficulty in Describing Feelings dimensions of the TAS-20 were associated with increased suicide ideation. DISCUSSION: Suicidal behavior is no less common in BED than in other eating disorders. Individuals with BED may show increased suicide ideation, especially in the presence of alexithymia and depressive symptoms, even if these symptoms are subclinical. The authors also discuss limitations of this study and future research needs. SN - 1538-1145 UR - https://www.unboundmedicine.com/medline/citation/22261978/Alexithymia_and_suicide_ideation_in_a_sample_of_patients_with_binge_eating_disorder_ L2 - http://dx.doi.org/10.1097/01.pra.0000410982.08229.99 DB - PRIME DP - Unbound Medicine ER -