Predicting improvement in cognitive behavioral therapy for somatization disorder: The role of alexithymia.

More About This Textbook

Overview

Alexithymia has been defined as difficulty identifying and expressing emotions and an externally oriented mode of thinking. Previous research has linked alexithymia with somatoform symptoms yet there is little prospective data examining the role of alexithymia in somatization disorder. Thus, changes in alexithymia were examined over the course of a 10-session controlled trial of cognitive behavioral therapy for somatization disorder. It was predicted that the treatment would lead to reductions in alexithymia not seen in the group whose physicians received only a psychiatric consultation letter (PCL) and that CBT participants would score significantly lower on alexithymia than PCL participants. It was also hypothesized that changes in alexithymia from pre- to post-test, assessed through the Toronto Alexithymia Scale (TAS-20), would predict improvement in somatization symptoms, as assessed through the Clinician's Global Impression Scale for Somatization Disorder (CGI-SD) at post-test and at 12-month follow-up. Daily symptom diaries and physical functioning, assessed through the MOS-PF, were also examined as outcomes. Participants were 84 individuals diagnosed with full somatization disorder according to the DSM-IV. Baseline severity and post-treatment mental health, defensiveness, and somatosensory amplification were controlled for in regression analyses. Results partially supported hypotheses. Participants in the CBT condition decreased more in the TAS-20 and the DIF domain and marginally more in the EOT domain over the course of the study than participants in the PCL condition. They differed significantly from PCL participants at post-treatment in the EOT domain but not in the full scale TAS-20 or in any other domains. There were no significant differences between groups in alexithymia at follow-up. Decreases in alexithymia were significantly correlated with improvement in somatization symptoms and greater physical functioning. Although decreases in alexithymia significantly predicted certain outcomes at post-treatment and follow-up over and above control variables, tests for mediation yielded non-significant results. Findings from the current study support emotional functioning as a factor in somatization but do not advance the notion of alexithymia as a mediator of improvement in treatment for somatization disorder. Implications and suggestions for future areas of research are discussed.
Read More Show Less

Product Details

  • ISBN-13: 9781109062793
  • Publisher: ProQuest LLC
  • Sold by: Barnes & Noble
  • Format: eTextbook
  • Pages: 92
  • File size: 2 MB

Customer Reviews

Be the first to write a review
( 0 )
Rating Distribution

5 Star

(0)

4 Star

(0)

3 Star

(0)

2 Star

(0)

1 Star

(0)

Your Rating:

Your Name: Create a Pen Name or

Barnes & Noble.com Review Rules

Our reader reviews allow you to share your comments on titles you liked, or didn't, with others. By submitting an online review, you are representing to Barnes & Noble.com that all information contained in your review is original and accurate in all respects, and that the submission of such content by you and the posting of such content by Barnes & Noble.com does not and will not violate the rights of any third party. Please follow the rules below to help ensure that your review can be posted.

Reviews by Our Customers Under the Age of 13

We highly value and respect everyone's opinion concerning the titles we offer. However, we cannot allow persons under the age of 13 to have accounts at BN.com or to post customer reviews. Please see our Terms of Use for more details.

What to exclude from your review:

Please do not write about reviews, commentary, or information posted on the product page. If you see any errors in the information on the product page, please send us an email.

Reviews should not contain any of the following:

  • - HTML tags, profanity, obscenities, vulgarities, or comments that defame anyone
  • - Time-sensitive information such as tour dates, signings, lectures, etc.
  • - Single-word reviews. Other people will read your review to discover why you liked or didn't like the title. Be descriptive.
  • - Comments focusing on the author or that may ruin the ending for others
  • - Phone numbers, addresses, URLs
  • - Pricing and availability information or alternative ordering information
  • - Advertisements or commercial solicitation

Reminder:

  • - By submitting a review, you grant to Barnes & Noble.com and its sublicensees the royalty-free, perpetual, irrevocable right and license to use the review in accordance with the Barnes & Noble.com Terms of Use.
  • - Barnes & Noble.com reserves the right not to post any review -- particularly those that do not follow the terms and conditions of these Rules. Barnes & Noble.com also reserves the right to remove any review at any time without notice.
  • - See Terms of Use for other conditions and disclaimers.
Search for Products You'd Like to Recommend

Recommend other products that relate to your review. Just search for them below and share!

Create a Pen Name

Your Pen Name is your unique identity on BN.com. It will appear on the reviews you write and other website activities. Your Pen Name cannot be edited, changed or deleted once submitted.

 
Your Pen Name can be any combination of alphanumeric characters (plus - and _), and must be at least two characters long.

Continue Anonymously

    If you find inappropriate content, please report it to Barnes & Noble
    Why is this product inappropriate?
    Comments (optional)