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      식이장애 환자에서 나타나는 감정표현불능증의 치료적 함의 = The Therapeutic Implications of Alexithymia in Patients with Eating Disorders

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      https://www.riss.kr/link?id=A102403245

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      다국어 초록 (Multilingual Abstract) kakao i 다국어 번역

      Alexithymia is characterized by difficulties identifying and describing feelings, impoverished fantasy life, and concrete and poorly introspective thinking. Alexithymic patients have been reported to show a stable deficit with regard to processing and regulating emotions. Eating disorders are characterized by a persistent disturbance of eating or eating-related behavior that significantly impairs physical health or psychosocial functioning. Like alexithymic patients, patients with eating disorders show the impaired capacity to process and regulate emotions. There is a robust body of literature showing patients with eating disorders are more alexithymic than healthy controls. Specifically, patients with eating disorders experience difficulties identifying and describing emotions. Childhood maltreatment can increase the risk for depression and alexithymia, which can in turn lead to disordered eating symptoms. Also, higher levels of alexithymia are correlated with a less favorable clinical outcome in patients with eating disorder. Therefore, treatments to help processing and regulating emotions of eating disorder patients with pronounced alexithymic traits may seem to lead to a higher possibility of recovery.
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      Alexithymia is characterized by difficulties identifying and describing feelings, impoverished fantasy life, and concrete and poorly introspective thinking. Alexithymic patients have been reported to show a stable deficit with regard to processing and...

      Alexithymia is characterized by difficulties identifying and describing feelings, impoverished fantasy life, and concrete and poorly introspective thinking. Alexithymic patients have been reported to show a stable deficit with regard to processing and regulating emotions. Eating disorders are characterized by a persistent disturbance of eating or eating-related behavior that significantly impairs physical health or psychosocial functioning. Like alexithymic patients, patients with eating disorders show the impaired capacity to process and regulate emotions. There is a robust body of literature showing patients with eating disorders are more alexithymic than healthy controls. Specifically, patients with eating disorders experience difficulties identifying and describing emotions. Childhood maltreatment can increase the risk for depression and alexithymia, which can in turn lead to disordered eating symptoms. Also, higher levels of alexithymia are correlated with a less favorable clinical outcome in patients with eating disorder. Therefore, treatments to help processing and regulating emotions of eating disorder patients with pronounced alexithymic traits may seem to lead to a higher possibility of recovery.

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      참고문헌 (Reference)

      1 Clyne C, "Treatment of emotional dysregulation in full syndrome and subthreshold binge eating disorder" 18 : 408-424, 2010

      2 Iancu I, "Treatment of eating disorders improves eating symptoms but not alexithymia and dissociation proneness" 47 : 189-193, 2006

      3 Bagby RM, "The twenty-item Toronto Alexithymia Scale--I. Item selection and cross-validation of the factor structure" 38 : 23-32, 1994

      4 Waller G, "The role of emotional abuse in the eating disorders : implications for treatment" 15 : 317-331, 2007

      5 Sexton MC, "The relationship between alexithymia, depression, and axis II psychopathology in eating disorder inpatients" 23 : 277-286, 1998

      6 Grotstein JS, "The psychology of powerlessness : Disorders of self-regulation and interactional regulation as a newer paradigm for psychopathology" 6 : 93-118, 1986

      7 Sifneos PE, "The prevalence of ‘alexithymic’ characteristics in psychosomatic patients" 22 : 255-262, 1973

      8 Becker-Stoll F, "The impact of a four-month day treatment programme on alexithymia in eating disorders" 12 : 159-163, 2004

      9 Taylor GJ, "The Revised Toronto Alexithymia Scale: some reliability, validity, and normative data" 57 : 34-41, 1992

      10 Goodsitt A, "Self-regulatory disturbances in eating disorders" 2 : 51-60, 1983

      1 Clyne C, "Treatment of emotional dysregulation in full syndrome and subthreshold binge eating disorder" 18 : 408-424, 2010

      2 Iancu I, "Treatment of eating disorders improves eating symptoms but not alexithymia and dissociation proneness" 47 : 189-193, 2006

      3 Bagby RM, "The twenty-item Toronto Alexithymia Scale--I. Item selection and cross-validation of the factor structure" 38 : 23-32, 1994

      4 Waller G, "The role of emotional abuse in the eating disorders : implications for treatment" 15 : 317-331, 2007

      5 Sexton MC, "The relationship between alexithymia, depression, and axis II psychopathology in eating disorder inpatients" 23 : 277-286, 1998

      6 Grotstein JS, "The psychology of powerlessness : Disorders of self-regulation and interactional regulation as a newer paradigm for psychopathology" 6 : 93-118, 1986

      7 Sifneos PE, "The prevalence of ‘alexithymic’ characteristics in psychosomatic patients" 22 : 255-262, 1973

      8 Becker-Stoll F, "The impact of a four-month day treatment programme on alexithymia in eating disorders" 12 : 159-163, 2004

      9 Taylor GJ, "The Revised Toronto Alexithymia Scale: some reliability, validity, and normative data" 57 : 34-41, 1992

      10 Goodsitt A, "Self-regulatory disturbances in eating disorders" 2 : 51-60, 1983

      11 Marchesi C, "Relationship between alexithymia and panic disorder : a longitudinal study to answer an open question" 74 : 56-60, 2005

      12 Storch M, "Psychoeducation in affect regulation for patients with eating disorders : a randomized controlled feasibility study" 65 : 81-93, 2011

      13 Balestrieri M, "Psychoeducation in Binge Eating Disorder and EDNOS : a pilot study on the efficacy of a 10-week and a 1-year continuation treatment" 18 : 45-51, 2013

      14 Speranza M, "Predictive value of alexithymia in patients with eating disorders: a 3-year prospective study" 63 : 365-371, 2007

      15 Rozenstein MH, "Perception of emotion and bilateral advantage in women with eating disorders, their healthy sisters, and nonrelated healthy controls" 134 : 386-395, 2011

      16 Safer DL, "Outcome from a randomized controlled trial of group therapy for binge eating disorder : comparing dialectical behavior therapy adapted for binge eating to an active comparison group therapy" 41 : 106-120, 2010

      17 Mitchell KS, "Mediators of the association between abuse and disordered eating in undergraduate men" 6 : 318-327, 2005

      18 Troop NA, "Feelings and fantasy in eating disorders : a factor analysis of the Toronto Alexithymia Scale" 18 : 151-157, 1995

      19 Meganck R, "Factorial validity and measurement invariance of the 20-item Toronto Alexithymia Scale in clinical and nonclinical samples" 15 : 36-47, 2008

      20 Gilboa-Schechtman E, "Emotional processing in eating disorders: specific impairment or general distress related deficiency?" 23 : 331-339, 2006

      21 Bydlowski S, "Emotion-processing deficits in eating disorders" 37 : 321-329, 2005

      22 Lafrance Robinson A, "Emotion-Focused Family Therapy for Eating Disorders Across the Lifespan : A Pilot Study of a 2-Day Transdiagnostic Intervention for Parents" 23 : 14-23, 2016

      23 Beales DL, "Eating disordered patients: personality, alexithymia, and implications for primary care" 50 : 21-26, 2000

      24 Telch CF, "Dialectical behavior therapy for binge eating disorder" 69 : 1061-1065, 2001

      25 American Psychiatric Association, "Diagnostic and statistical manual of mental disorders" American Psychiatric Publishing 2013

      26 Bagby RM, "Construct validity of the Toronto Alexithymia Scale" 50 : 29-34, 1988

      27 Linehan MM, "Cognitive-behavioral treatment of borderline personality disorder" Guilford Press 1993

      28 Cooper MJ, "Cognitive theory in anorexia nervosa and bulimia nervosa: progress, development and future directions" 25 : 511-531, 2005

      29 Hund AR, "Childhood emotional abuse and disordered eating among undergraduate females : mediating influence of alexithymia and distress" 30 : 393-407, 2006

      30 De Panfilis C, "Body image disturbance, parental bonding and alexithymia in patients with eating disorders" 36 : 239-246, 2003

      31 Mazzeo SE, "Anxiety, alexithymia, and depression as mediators of the association between childhood abuse and eating disordered behavior in African American and European American women" 32 : 267-280, 2008

      32 Shiina A, "An open trial of outpatient group therapy for bulimic disorders : combination program of cognitive behavioral therapy with assertive training and self-esteem enhancement" 59 : 690-696, 2005

      33 Haviland MG, "An observer scale to measure alexithymia" 41 : 385-392, 2000

      34 Luminet O, "An evaluation of the absolute and relative stability of alexithymia in patients with major depression" 70 : 254-260, 2001

      35 Tchanturia K, "Altered social hedonic processing in eating disorders" 45 : 962-969, 2012

      36 de Groot JM, "Alexithymia, depression, and treatment outcome in bulimia nervosa" 36 : 53-60, 1995

      37 Jimerson DC, "Alexithymia ratings in bulimia nervosa : clinical correlates" 56 : 90-93, 1994

      38 Cochrane CE, "Alexithymia in the eating disorders" 14 : 219-222, 1993

      39 Montebarocci O, "Alexithymia in female patients with eating disorders" 11 : 14-21, 2006

      40 Rastam M, "Alexithymia in anorexia nervosa : a controlled study using the 20-item Toronto Alexithymia Scale" 95 : 385-388, 1997

      41 Leweke F, "Alexithymia as a predictor of outcome of psychodynamically oriented inpatient treatment" 19 : 323-331, 2009

      42 Spitzer C, "Alexithymia and interpersonal problems" 74 : 240-246, 2005

      43 Parling T, "Alexithymia and emotional awareness in anorexia nervosa: time for a shift in the measurement of the concept?" 11 : 205-210, 2010

      44 de Timary P, "Absolute and relative stability of alexithymia in alcoholic inpatients undergoing alcohol withdrawal : relationship to depression and anxiety" 157 : 105-113, 2008

      45 Schmidt U, "A controlled study of alexithymia in eating disorders" 34 : 54-58, 1993

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      연월일 이력구분 이력상세 등재구분
      2027 평가예정 재인증평가 신청대상 (재인증)
      2021-01-01 평가 등재학술지 유지 (재인증) KCI등재
      2018-01-01 평가 등재학술지 유지 (등재유지) KCI등재
      2015-01-01 평가 등재학술지 선정 (계속평가) KCI등재
      2013-01-01 평가 등재후보 1차 FAIL (등재후보1차) KCI등재후보
      2011-01-01 평가 등재후보학술지 선정 (신규평가) KCI등재후보
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      기준연도 WOS-KCI 통합IF(2년) KCIF(2년) KCIF(3년)
      2016 0.09 0.09 0.17
      KCIF(4년) KCIF(5년) 중심성지수(3년) 즉시성지수
      0.31 0.27 0.444 0.04
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