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Alexithymia and psychopathology may influence the way individuals experience psychological distress and somatic symptoms. This study evaluated patients referred to psychiatric and gastroenterologic outpatient settings in order to This study evaluated patients referred to psychiatric and gastroenterologic outpatient settings in order to investigate the levels of alexithymia and psychopathology, and the possible role of alexithymia in symptom perception and health care utilization.
The association between psychiatric disorders and functional gastrointestinal disorders FGIDs was also assessed. Psychopathology by the Revised item Symptom Checklist , alexithymia by the item Toronto Alexithymia Scale , and gastrointestinal symptoms by the Gastrointestinal Symptom Rating Scale were evaluated in 52 psychiatric outpatients and 58 medical outpatients with FGIDs. Forty-eight percent of the psychiatric patients had associated FGIDs, and The FGID patients had significantly less psychopathology, but significantly higher alexithymia and more severe gastrointestinal symptoms, than the psychiatric patients.
In the comparison of the two subgroups with comorbidity, FGID patients with psychiatric disorders were still more alexithymic and had less psychopathology than psychiatric patients with FGIDs, but gastrointestinal symptoms were not significantly different.
Circulating biomarkers of cognitive decline and dementia more. In particular, alexithymia, persistent somatization, functional somatic symptoms secondary to a psychiatric disorder, and demoralization were the most prevalent syndromes. Furthermore, psychosomatic severity as measured with the presence of more than one DCPR conditions strongly predicted the treatment outcome in patients with functional gastrointestinal disorders.
In particular, alexithymia and persistent somatization were independent predictors of unimprovement and health anxiety of improvement after 6 months of treatment as usual, after controlling for gastrointestinal symptoms at baseline.
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