Alexithymia and Emotion Recognition Over the Treatment Course in Adolescents and Emerging Adults With Anorexia Nervosa.

IF 3.9 2区心理学 Q1 PSYCHIATRY

European Eating Disorders Review Pub Date : 2025-06-24 DOI:10.1002/erv.70005

Michael Zeiler, Tanja Wittek, Stefanie Truttmann, Julia Klang, Konstantin Kopp, Helene Krauss, Ellen Auer-Welsbach, Susanne Ohmann, Petra Sackl-Pammer, Sonja Werneck-Rohrer, Ulrike Schmidt, Andreas Karwautz, Gudrun Wagner

{"title":"Alexithymia and Emotion Recognition Over the Treatment Course in Adolescents and Emerging Adults With Anorexia Nervosa.","authors":"Michael Zeiler, Tanja Wittek, Stefanie Truttmann, Julia Klang, Konstantin Kopp, Helene Krauss, Ellen Auer-Welsbach, Susanne Ohmann, Petra Sackl-Pammer, Sonja Werneck-Rohrer, Ulrike Schmidt, Andreas Karwautz, Gudrun Wagner","doi":"10.1002/erv.70005","DOIUrl":null,"url":null,"abstract":"Objective: To investigate longitudinal changes in alexithymia and emotion recognition among adolescents and emerging adults with anorexia nervosa (AN) and whether these domains can independently predict the long-term eating disorder (ED) outcome.Method: Ninety-one female patients with AN (mean age: 16.2; 87.6% restrictive type) were included. Forty-five patients received the Maudsley Model Anorexia Nervosa Treatment (MANTRa) and 46 patients received psychotherapeutic treatment-as-usual (TAU). Alexithymia and facial emotion recognition were assessed at baseline and after 1 year. ED pathology was assessed at four time points (until 18-months follow-up).Results: Alexithymia significantly improved until follow-up when controlled for weight change, with no significant difference between the MANTRa and TAU groups. There was no change in emotion recognition accuracy while we observed significant reductions in emotion recognition response times. Neither baseline alexithymia nor emotion recognition accuracy significantly predicted ED outcome when adjusted for illness severity psychiatric comorbidity. The effects of improvements in alexithymia on improvements in ED pathology were partly mediated by change in depression.Conclusions: We recommend to routinely assess alexithymia in young people with AN. Therapeutic interventions helping patients to identify, differentiate, and describe their emotions should be intensified. Psychoeducational elements, expressive writing and group intervention components may be supportive.","PeriodicalId":48117,"journal":{"name":"European Eating Disorders Review","volume":" ","pages":""},"PeriodicalIF":3.9000,"publicationDate":"2025-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"European Eating Disorders Review","FirstCategoryId":"102","ListUrlMain":"https://doi.org/10.1002/erv.70005","RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"PSYCHIATRY","Score":null,"Total":0}

引用次数: 0

Abstract

Objective: To investigate longitudinal changes in alexithymia and emotion recognition among adolescents and emerging adults with anorexia nervosa (AN) and whether these domains can independently predict the long-term eating disorder (ED) outcome.

Method: Ninety-one female patients with AN (mean age: 16.2; 87.6% restrictive type) were included. Forty-five patients received the Maudsley Model Anorexia Nervosa Treatment (MANTRa) and 46 patients received psychotherapeutic treatment-as-usual (TAU). Alexithymia and facial emotion recognition were assessed at baseline and after 1 year. ED pathology was assessed at four time points (until 18-months follow-up).

Results: Alexithymia significantly improved until follow-up when controlled for weight change, with no significant difference between the MANTRa and TAU groups. There was no change in emotion recognition accuracy while we observed significant reductions in emotion recognition response times. Neither baseline alexithymia nor emotion recognition accuracy significantly predicted ED outcome when adjusted for illness severity psychiatric comorbidity. The effects of improvements in alexithymia on improvements in ED pathology were partly mediated by change in depression.

Conclusions: We recommend to routinely assess alexithymia in young people with AN. Therapeutic interventions helping patients to identify, differentiate, and describe their emotions should be intensified. Psychoeducational elements, expressive writing and group intervention components may be supportive.

查看原文本刊更多论文

青少年及初显期神经性厌食症治疗过程中的述情障碍和情绪识别。

目的：探讨青少年和初成人神经性厌食症（AN）患者述情障碍和情绪识别的纵向变化，以及这些领域是否能独立预测长期进食障碍（ED）的预后。方法：91例女性AN患者(平均年龄16.2岁；87.6%为限制性型)。45例患者采用莫兹利神经性厌食症治疗（Maudsley Model Anorexia Nervosa Treatment, MANTRa）， 46例患者采用常规心理治疗（TAU）。在基线和1年后评估述情障碍和面部情绪识别。ED病理在四个时间点进行评估（直到随访18个月）。结果：在控制体重变化后，述情障碍在随访前有明显改善，MANTRa组与TAU组之间无显著差异。情绪识别的准确性没有变化，但我们观察到情绪识别的反应时间显著减少。当调整疾病严重程度和精神合并症时，基线述情障碍和情绪识别准确性都不能显著预测ED的结果。述情障碍的改善对ED病理改善的影响部分是由抑郁症的改变介导的。结论：我们建议对AN患者的述情障碍进行常规评估。应加强帮助患者识别、区分和描述其情绪的治疗干预措施。心理教育因素、表达性写作和团体干预因素可能是支持性的。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

European Eating Disorders Review PSYCHOLOGY, CLINICAL-

CiteScore

8.90

自引率

7.50%

发文量

期刊介绍： European Eating Disorders Review publishes authoritative and accessible articles, from all over the world, which review or report original research that has implications for the treatment and care of people with eating disorders, and articles which report innovations and experience in the clinical management of eating disorders. The journal focuses on implications for best practice in diagnosis and treatment. The journal also provides a forum for discussion of the causes and prevention of eating disorders, and related health policy. The aims of the journal are to offer a channel of communication between researchers, practitioners, administrators and policymakers who need to report and understand developments in the field of eating disorders.