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Alexithymia and suicide risk among patients with schizophrenia: A cross-sectional study

Published online by Cambridge University Press:  16 April 2020

D. De Berardis ,
V. Marasco ,
N. Serroni ,
D. Campanella ,
L. Olivieri ,
T. Acciavatti ,
L. Volpe ,
G. Di Iorio ,
R. La Rovere  and
A. Cicconetti
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D. De Berardis
Affiliation:
Dipartimento di Salute Mentale, Servizio Psichiatrico Diagnosi e Cura, Ospedale Civile “G. Mazzini”, Azienda Sanitaria Locale, Teramo Dipartimento di Neuroscienze e Imaging, Cattedra di Psichiatria, Università “G. D’Annunzio”, Chieti
V. Marasco
Affiliation:
Dipartimento di Salute Mentale, Servizio Psichiatrico Diagnosi e Cura, Ospedale Civile “G. Mazzini”, Azienda Sanitaria Locale, Teramo
N. Serroni
Affiliation:
Dipartimento di Salute Mentale, Servizio Psichiatrico Diagnosi e Cura, Ospedale Civile “G. Mazzini”, Azienda Sanitaria Locale, Teramo
D. Campanella
Affiliation:
Dipartimento di Salute Mentale, Servizio Psichiatrico Diagnosi e Cura, Ospedale Civile “G. Mazzini”, Azienda Sanitaria Locale, Teramo
L. Olivieri
Affiliation:
Dipartimento di Salute Mentale, Servizio Psichiatrico Diagnosi e Cura, Ospedale Civile “G. Mazzini”, Azienda Sanitaria Locale, Teramo
T. Acciavatti
Affiliation:
Dipartimento di Salute Mentale, Servizio Psichiatrico Diagnosi e Cura, Ospedale Civile “G. Mazzini”, Azienda Sanitaria Locale, Teramo Dipartimento di Neuroscienze e Imaging, Cattedra di Psichiatria, Università “G. D’Annunzio”, Chieti
L. Volpe
Affiliation:
Dipartimento di Salute Mentale, Servizio Psichiatrico Diagnosi e Cura, Ospedale Civile “G. Mazzini”, Azienda Sanitaria Locale, Teramo
G. Di Iorio
Affiliation:
Dipartimento di Neuroscienze e Imaging, Cattedra di Psichiatria, Università “G. D’Annunzio”, Chieti
R. La Rovere
Affiliation:
Istituto Psicoriabilitativo “S. Francesco”, Vasto Marina (CH)
A. Cicconetti
Affiliation:
Dipartimento Salute Mentale, Servizio Psichiatrico Diagnosi e Cura, Ospedale Civile “S. Liberatore”, Atri (TE), Italy
A. Carano
Affiliation:
Dipartimento di Neuroscienze e Imaging, Cattedra di Psichiatria, Università “G. D’Annunzio”, Chieti
F.S. Moschetta
Affiliation:
Dipartimento di Salute Mentale, Servizio Psichiatrico Diagnosi e Cura, Ospedale Civile “G. Mazzini”, Azienda Sanitaria Locale, Teramo
M. Di Giannantonio
Affiliation:
Dipartimento di Neuroscienze e Imaging, Cattedra di Psichiatria, Università “G. D’Annunzio”, Chieti

Abstract

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Objectives

The aim of the present study was to evaluate the prevalence of alexithymia and its relationships with psychopathological features and suicide risk in a sample of adult patients with a DSM-IV diagnosis of paranoid schizophrenia.

Method

A mixed male-female sample of 60 subjects (30 males and 30 females) was evaluetd with the following rating scales: Toronto Alexithymia Scale (TAS-20), Scale for the Assessment of Negative Symptoms (SANS), Scale for the Assessment of Positive Symptoms (SAPS), Calgary Depression Scale for Schizophrenia (CDSS), Scale for Suicidal Ideation (SSI), State-Trait Anxiety Inventory (STAI). RESULTS. 22 subjects (36.7%) were categorized as alexithymic (TAS-20 scores ≥ 61). Alexithymics showed more severe negative and depressive symptoms and increased suicide risk than nonalexithymics.

However, the results of a linear regression with SSI score as dependent variable showed that Difficulty in Identifying and Describing Feelings dimensions of TAS-20 and higher CDSS scores were significantly associated with higher scores on the Scale for Suicide Ideation. Conclusions: The presence of alexithymia in schizophrenia may be related to higher risk of suicide ideation and more severe depressive symptoms, independently by the severity of positive and negative symptoms. However, results are preliminary and limitations must be considered.

Type
P03-195
Information
European Psychiatry , Volume 26 , Issue S2: Abstracts of the 19th European Congress of Psychiatry , March 2011 , pp. 1364
Copyright
Copyright © European Psychiatric Association 2011
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