Attachment representations and alexithymia in community adolescents with binge-eating attitudes

Cecilia Serena Pace1, Stefania Muzi1, Simona Calugi2, Riccardo Dalle Grave2
1Department of Educational Sciences (DISFOR), University of Genoa, Genova, Italy
2Department of Eating and Weight Disorders, Villa Garda Hospital, Garda, Italy

Tóm tắt

The aims of the current study were: (a) to compare community adolescent groups with and without binge eating (BE) on attachment representations and alexithymia, using an age-adapted interview to assess attachment; and (b) to explore the independent role of attachment and alexithymia as potentially related to BE in community adolescents. Three hundred eighty-two community adolescents were screened with respect to BE symptoms through the Binge Eating Scale (BES). The 22 girls identified with BE (BE group) and 22 age- and gender-matched peers without BE (NBE group) were assessed with the Friends and Family Interview (FFI) and the Toronto Alexithymia Scale (TAS-20). Binge eating group reported greater attachment preoccupation in comparison to NBE, while no difference emerged in alexithymia. More insecure attachment patterns, both preoccupied and dismissing, were significantly and independently associated with BES score in community girls. Insecure attachment, assessed with semi-structured interview, is associated with BE among adolescents’ community girls, while apparently alexithymia is not. Future prospective studies should assess the role of attachment in the development of BE in adolescents. III, case–control analytic study.

Tài liệu tham khảo

Marzilli E, Cerniglia L, Cimino S (2018) A narrative review of binge eating disorder in adolescence: prevalence, impact, and psychological treatment strategies. Adolesc Health Med Ther 9:17–30. https://doi.org/10.2147/AHMT.S148050 Pace CS, Muzi S (2019) Binge-eating symptoms, emotional-behavioral problems and gender differences among adolescents: a brief report. Mediterr J Clin Psychol. 7:1–9. https://doi.org/10.6092/2282-1619/2019.7.2161 Gander M, Sevecke K, Buchheim A (2015) Eating disorders in adolescence: attachment issues from a developmental perspective. Front Psychol. 6:1136. https://doi.org/10.3389/fpsyg.2015.01136 Faber A, Dube L, Knaeuper B (2018) Attachment and eating: a meta-analytic review of the relevance of attachment for unhealthy and healthy eating behaviors in the general population. Appetite. 123:410–438. https://doi.org/10.1016/j.appet.2017.10.043 Ballarotto G, Porreca A, Erriu M, Ronconi L, Cimino S, Cerniglia L, Tambelli R (2017) Does alexithymia have a mediating effect between impulsivity and emotional-behavioural functioning in adolescents with Binge Eating Disorder? Clin Neuropsychiatry J Treat Eval 14:247–256 Bagby RM, Parker JDA, Taylor GJ (1994) The twenty-item Toronto Alexithymia Scale: I. Item selection and cross-validation of the factor structure. J Psychosom Res 38:23–32. https://doi.org/10.1016/0022-3999(94)90005-1 Westwood H, Kerr-Gaffney J, Stahl D, Tchanturia K (2017) Alexithymia in eating disorders: systematic review and meta-analyses of studies using the Toronto Alexithymia Scale. J Psychosom Res 99:66–81. https://doi.org/10.1016/j.jpsychores.2017.06.007 Boone L (2013) Are attachment styles differentially related to interpersonal perfectionism and binge eating symptoms? Pers Individ Differ 54:931–935. https://doi.org/10.1016/j.paid.2013.01.006 Shank LM, Tanofsky-Kraff M, Kelly NR et al (2019) The association between alexithymia and eating behavior in children and adolescents. Appetite 142:104381. https://doi.org/10.1016/j.appet.2019.104381 Gormally J, Black S, Daston S, Rardin D (1982) The assessment of binge eating severity among obese persons. Addict Behav 7:47–55. https://doi.org/10.1016/0306-4603(82)90024-7 Di Bernardo M, Barciulli E, Ricca V, Mannucci E, Moretti S, Cabras PL, Rotella CM (1998) Validazione della versione Italiana della binge eating scale in pazienti obesi. Minerva Psichiatr 39:125–130 Steele H, Steele M, Kriss A (2009). FFI Scoring System. New York, NY: Unpublished Manuscript, Center for Attachment Research, New School for Social Research. Dell'Osso L, Carpita B, Gesi C, Cremone IM, Corsi M, Massimetti E, Ricca V (2018) Subthreshold autism spectrum disorder in patients with eating disorders. Compr Psychiatry. 81:66–72. https://doi.org/10.1016/j.comppsych.2017.11.007