Alexithymia stability and therapeutic outcome in an Australian psychiatric outpatient sample

Lauren McGillivray, Rodrigo Becerra, Craig Harms

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Background: The aim was to examine the role of alexithymia on therapeutic outcome in a naturalistic group therapy setting, as well as the effectiveness of cognitive-behavioural group therapy in reducing alexithymia. Methods: A pre-test/post-test research design was used to examine alexithymia before and after treatment. Pre- and post-alexithymia and psychological distress scores from routinely administered measures were retrieved for 61 psychiatric outpatients referred for group therapy at a mental health facility. Correlation, repeated measures t-test, and regression analyses were conducted to explore the data. Results: Baseline alexithymia was not a significant predictor of group therapy outcome (change in psychological distress) once baseline psychological distress was controlled for. There was a small but significant reduction in mean-level alexithymia scores over the course of therapy. A high level of relative stability was observed in alexithymia scores, independent of change in psychological distress severity. A reduction in alexithymia during treatment was a significant predictor of a reduction in psychological distress over the course of therapy. Conclusions: High baseline alexithymia does not present a therapeutic disadvantage for patients receiving cognitive-behavioural group therapy. However, cognitive-behavioural group therapy is somewhat effective at improving alexithymic features, and this improvement can provide symptom relief by the end of treatment. Thus, it may advantageous for clinicians to treat alexithymia in order to enhance therapeutic intervention.

Original languageEnglish
Pages (from-to)37-46
Number of pages10
JournalClinical Psychologist
Volume23
Issue number1
Early online date17 Feb 2018
DOIs
Publication statusPublished - 1 Mar 2019
Externally publishedYes

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Affective Symptoms
Psychiatry
Outpatients
Group Psychotherapy
Psychology
Cognitive Therapy
Therapeutics
Health Facilities
Mental Health
Research Design
Regression Analysis

Cite this

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Alexithymia stability and therapeutic outcome in an Australian psychiatric outpatient sample. / McGillivray, Lauren; Becerra, Rodrigo; Harms, Craig.

In: Clinical Psychologist, Vol. 23, No. 1, 01.03.2019, p. 37-46.

Research output: Contribution to journalArticle

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