Alexithymia, responsibility attitudes and suicide ideation among outpatients with obsessive-compulsive disorder: an exploratory study.

Obsessive-compulsive disorder (OCD) is psychiatric disorder with a significant suicide risk, and the presence of alexithymia may increase this risk. As several studies attribute an important role, in OCD, to responsibility, the aims of this study were to evaluate possible clinical differences between patients positive or not for alexithymia concerning disorder severity, responsibility attitudes and suicide ideation and investigate which variables were associated with increased suicide ideation. 104 adult outpatients with OCD were recruited. Alexithymia was measured with Toronto Alexithymia Scale (TAS-20), attitude about responsibility was tested with Responsibility Attitude Scale (RAS), suicide ideation was assessed with Scale of Suicide Ideation (SSI) and depressive symptoms were evaluated with Montgomery Åsberg Depression Rating Scale (MADRS). Score of item #11 on the Y-BOCS was considered as a measure of insight. Patients positive for alexithymia showed higher responsibility attitudes and more severe suicide ideation. In a blockwise regression model, the presence of lower insight, higher RAS scores and difficulty in identifying feelings dimension of TAS-20 were associated with higher SSI scores. OCD patients with alexithymia may show higher disorder severity, lower insight and inflated responsibility, all related to suicide ideation, independently from depressive symptoms. Implications were discussed and study limitations considered and reported.

De Berardis D ，Serroni N ，Campanella D ，Rapini G ，Olivieri L ，Feliziani B ，Carano A ，Valchera A ，Iasevoli F ，Tomasetti C ，Mazza M ，Fornaro M ，Perna G ，Di Nicola M ，Martinotti G ，Di Giannantonio M ... -  《-》

Alexithymia, suicidal ideation, and serum lipid levels among drug-naïve outpatients with obsessive-compulsive disorder.

De Berardis D ，Serroni N ，Marini S ，Rapini G ，Carano A ，Valchera A ，Iasevoli F ，Mazza M ，Signorelli M ，Aguglia E ，Perna G ，Martinotti G ，Varasano PA ，Pressanti GL ，Di Giannantonio M ... -  《-》

Alexithymia and perfectionism traits are associated with suicidal risk in patients with obsessive-compulsive disorder.

There is limited evidence on suicidality and its associated factors in patients with obsessive-compulsive disorder (OCD). The present study investigated the potential contributing traits such as alexithymia and perfectionism and clinical risk factors including symptom dimensions associated with high suicidality in OCD patients. A total of 81 patients with OCD were included (mean age: 28.89 years, SD=7.95 years, 62% men). Suicidal risk was assessed using the Scale for Suicide Ideation and history taking. To assess alexithymia and perfectionism, the Toronto Alexithymia Scale-20 and the Measure of Constructs Underlying Perfectionism were applied. Clinical characteristics of OCD were assessed with the Yale-Brown Obsessive-Compulsive Scale, the Dimensional Obsessive-Compulsive Scale, and the Montgomery-Asberg Depression Rating Scale. Among OCD patients, 37% had a history of previous suicidal attempt, and 56.8% had current suicidal ideation. Those with lifetime suicide attempts scored significantly higher for alexithymia and ego-dystonic perfectionism than those without such history. In the binary logistic regression analysis, high score for alexithymia and the responsibility for harm, injury, or bad luck were significant determinants for lifetime suicide attempts. As for current suicide ideation, ego-dystonic perfectionism and the dimension of unacceptable thought were significant predictors of suicidal risk. The classification of suicidal risk and personality traits relied on self-report measures. The present findings indicate that personality traits such as alexithymia and perfectionism may contribute to high suicidality in patients with OCD, and patients suffering with unacceptable thoughts need to be assessed more carefully for warning signs of suicide.

Kim H ，Seo J ，Namkoong K ，Hwang EH ，Sohn SY ，Kim SJ ，Kang JI ... -  《-》

Insight and alexithymia in adult outpatients with obsessive-compulsive disorder.

De Berardis D ，Campanella D ，Gambi F ，Sepede G ，Salini G ，Carano A ，La Rovere R ，Pelusi L ，Penna L ，Cicconetti A ，Cotellessa C ，Salerno RM ，Ferro FM ... -  《-》

Alexithymia and suicide ideation in a sample of patients with binge eating disorder.

Carano A ，De Berardis D ，Campanella D ，Serroni N ，Ferri F ，Di Iorio G ，Acciavatti T ，Mancini L ，Mariani G ，Martinotti G ，Moschetta FS ，Di Giannantonio M ... -  《-》