Alexithymia, dissociation and emotional regulation in eating disorders: Evidence of improvement through specialized inpatient treatment

none4noThe research into emotional regulation in eating disorders (EDs) has shown specificimpairments and maladaptive coping strategies in patients, and there is an increasinginterest in the role of the emotional domain in the treatment outcome. This studyaims to evaluate the effect of a specialized inpatient treatment characterized by bothan intensive and comprehensive standardized multidisciplinary programme based oncognitive–behavioural therapy and a flexible and personalized componentimplemented by third-wave interventions. A cohort of 67 female ED patients(anorexia nervosa = 28, bulimia nervosa = 28 and binge eating disorder = 11)underwent an evaluation of emotional regulation difficulties, alexithymia and dissociative symptomatology at admission to a specialized ED ward. The psychological modifications were subsequently re-evaluated upon discharge, after an inpatients treatment of 60 days, examining specific changes in the specific psychopathology. A significant improvement after specialized ED treatment was shown in alexithymia, emotional regulation difficulties and dissociation symptoms,with higher effect sizes in patients with higher alexithymia scores. As regards the specific effect of the psychological improvement, changes into alexithymia score shave shown specific correlations with ED psychopathology (p < 0.010) and with difficulties in emotional regulation (p < 0.010) in patients with higher alexithymia levels at admission. Emotional regulation and dissociation should therefore be evaluated in ED patients and may be improved with specific therapeutic approaches,while alexithymia remains a clinical trait, even with a significant reduction.nonePaolo Meneguzzo; Alice Garolla; Elisa Bonello; Patrizia TodiscoMeneguzzo, Paolo; Garolla, Alice; Bonello, Elisa; Todisco, Patrizi

Body evaluation in men: the role of body weight dissatisfaction in appearance evaluation, eating, and muscle dysmorphia psychopathology

Abstract Background Body image dissatisfaction is a significant concern among men, influencing appearance evaluation, eating behaviors, and muscle dysmorphia psychopathology. However, research on these correlations is notably deficient in men, largely because body image concerns are unevenly distributed between genders. Therefore, this study aims to assess the various dimensions of concerns about body image in men and explore their associations with characteristics such as sexual orientation. Methods A cross-sectional study was conducted with 251 adult men from fitness centers in the Veneto Region, Italy. Participants completed self-report questionnaires, including the Eating Attitudes Test (EAT-26), the Appearance Schemas Inventory-Revised (ASI-R), and the Muscle Dysmorphic Disorder Inventory (MDDI). Body weight perception and dissatisfaction were evaluated using a Figure Rating Scale (FRS) with 12 male biometric silhouettes. Results Participants were divided into three subgroups based on the experienced levels of body weight dissatisfaction: those who rated a smaller body (BWsmaller), those who rated a larger body (BWlarger) more highly relative to their own estimated body size, and those who reported implicit neutrality with their current weight (BWneu). BWsmaller participants reported higher levels of eating-related concern, while BWlarger participants exhibited higher levels of muscle dysmorphia. Additionally, the BWlarger group showed the highest degree of quantitative perceptual underestimation of their body weight. Sexual orientation was found to have an impact on body weight dissatisfaction, with bisexual men more likely to desire an increase in weight and gay men more likely to desire a decrease. Conclusions Body weight dissatisfaction significantly impacts appearance evaluation, eating behaviors, and muscle dysmorphia psychopathology in males. Tailored interventions that consider individual differences can support the well-being of men. The study provides useful insight into male body image issues, warranting further exploration to inform effective interventions and promote positive body image and mental health in this population

HIV infection in IVDU

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Anti-poliomyelitic immunity: a follow-up study

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Tossicodipendenza e infezione da HIV

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The impact of weight suppression and weight loss speed on baseline clinical characteristics and response to treatment

none11Growing evidence suggests an impact of weight suppression (WS) on severity and course of symptoms in patients with eating disorders (ED), but no study explored also the role of the weight loss speed (WLS) together with WS on the same clinical variables, which is the aim of the present work.noneSolmi, Marco; Gallicchio, Davide; Collantoni, Enrico; Meneguzzo, Paolo; Zanetti, Tatiana; Degortes, Daniela; Tenconi, Elena; Bonello, Elisa; Veronese, Angela; Ronzan, Andrea; Favaro, AngelaSolmi, Marco; Gallicchio, Davide; Collantoni, Enrico; Meneguzzo, Paolo; Zanetti, Tatiana; Degortes, Daniela; Tenconi, Elena; Bonello, Elisa; Veronese, Angela; Ronzan, Andrea; Favaro, Angel