REMIND THE BODY - Dipartimento di Psicologia · Giornata di Studio del Dipartimento –Marialaura Di Tella 11 Psychological distress: depression (20-80%) anxiety (13-64%) Alexithymia:

REMIND THE BODYDepartment of Psychology – University of Turin

Unità di Reumatologia

dott. Fusaro

Unità di Neurologia

prof. Lopiano

Unità di Cardiologia

dott. Marra

Rete Oncologica

Prof. Lorys Castelli

Marialaura Di Tella,

Ph.D

Valentina Tesio, Ph.D

Ada Ghiggia, Ph.D

Tina Romeo, Ph.D

Sara Larice,

Ph.D Student

Psicologia Clinica

e Oncologica –

A.O.U Città della

Salute e della

Scienza

prof. Torta

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Giornata di Studio del Dipartimento – Marialaura Di Tella 2

Interdisciplinary research

group focused on the study

of psychological and

psychosomatic components

in different medical

conditions.

The studies are mainly

conducted within the areas

of clinical psychology,

psychosomatic and clinical

neuropsychology.

The role of psychological factors in

the onset and maintenance of

Fibromyalgia Syndrome and other

chronic pain syndromes

Psychological distress and

posttraumatic growth in cancer

patients

Psychological and cognitive effects

of Deep Brain Stimulation in

patients with Parkinson's Disease


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SUBJECT AREA 1:

PSYCHOLOGICAL AND COGNITIVE FACTORS IN CHRONIC PAIN

Alexithymia, pain, coping strategies and psychological distress in patients with

Fibromyalgia (FM)

Psychosomatic components and traumatic life events: FM vs. Rheumatoid

Arthritis

Dissociation, attachment style and trauma: FM vs. HC

Attribution of pain to emotional facial expressions: FM vs. HC

Social cognition: recognition of one’s own emotions, empathic capacities,

recognition of other’s emotions, representation of other people’s affective

mental states in FM patients vs. HC

Neuropsychological aspects in FM: fibro-fog


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SUBJECT AREA 1:

PUBLICATIONS LIST


SUBJECT AREA 1:

PUBLICATIONS LIST


SUBJECT AREA 1:

PUBLICATIONS LIST

Commentary: Mindfulness training for reducing anger,

anxiety, and depression in fibromyalgia patients.

Lorys Castelli1*

, Valentina Tesio1

1Department of Psychology, University of Turin, Italy

Submitted to Journal:

Frontiers in Psychology

ISSN:

1664-1078

Article type:

Frontiers Commentary Article

Received on:

17 Feb 2016

Accepted on:

04 May 2016

Provisional PDF published on:

04 May 2016

Frontiers website link:

www.frontiersin.org

Citation:

Castelli L and Tesio V(2016) Commentary: Mindfulness training for reducing anger, anxiety, and

depression in fibromyalgia patients.. Front . Psychol . 7:740. doi:10.3389/fpsyg.2016.00740

Copyright statement:

© 2016 Castelli and Tesio. This is an open-access article distributed under the terms of the Creative

Commons Attribution License (CC BY). The use, distribution and reproduction in other forums is

permitted, provided the original author(s) or licensor are credited and that the o riginal publication

in this journal is cited, in accordance with accepted academic practice. No use, distribution or

reproduction is permitted which does not comply with these terms.

This Provisional PDF corresponds to the article as it appeared upon acceptance, after peer-review. Fully formatted PDF

and full text (HTML) versions will be made available soon.

Frontiers in Psychology | www.frontiersin.org

Provisional

Commentary: Mindfulness training for reducing anger,

anxiety, and depression in fibromyalgia patients.

Lorys Castelli1*

, Valentina Tesio1

1Department of Psychology, University of Turin, Italy

Submitted to Journal:

Frontiers in Psychology

ISSN:

1664-1078

Article type:

Frontiers Commentary Article

Received on:

17 Feb 2016

Accepted on:

04 May 2016

Provisional PDF published on:

04 May 2016

Frontiers website link:

www.frontiersin.org

Citation:

Castelli L and Tesio V(2016) Commentary: Mindfulness training for reducing anger, anxiety, and

depression in fibromyalgia patients.. Front . Psychol . 7:740. doi:10.3389/fpsyg.2016.00740

Copyright statement:

© 2016 Castelli and Tesio. This is an open-access article distributed under the terms of the Creative

Commons Attribution License (CC BY). The use, distribution and reproduction in other forums is

permitted, provided the original author(s) or licensor are credited and that the o riginal publication

in this journal is cited, in accordance with accepted academic practice. No use, distribution or

reproduction is permitted which does not comply with these terms.

This Provisional PDF corresponds to the article as it appeared upon acceptance, after peer-review. Fully formatted PDF

and full text (HTML) versions will be made available soon.

Frontiers in Psychology | www.frontiersin.org

ProvisionalGiornata di Studio del Dipartimento – Marialaura Di Tella 7

SUBJECT AREA 1&2:

PUBLICATIONS LIST



• Central sensitization syndrome characterized by chronic

widespread musculoskeletal pain, in association with a series of

other conditions:

hyperalgesia and/or allodynia

disrupted or non-restorative sleep

cognitive difficulties (fibrofog)

psychological disorders

other functional complaints

FIBROMYALGIA


• Higher prevalence in female sex with a

female to male ratio of 10:1

PSYCHOLOGICAL ASPECTS IN FM


Psychological distress:

depression (20-80%)

anxiety (13-64%)

Alexithymia:

• a difficulty in identifying and describing subjective feelings;

• a difficulty distinguishing between feelings and the bodily

sensations of emotional arousal;

• externally oriented cognitive style.

AIMS

a) To characterize the clinical profile of

alexithymic FM patients by comparing

them to non-alexithymic ones on:

pain (pain experience – affective vs.

sensory dimensions – and pain intensity)

psychological distress (anxiety,

depression and emotional distress)

b)To investigate, by means of multiple

hierarchical regression analyses, the

relationship between alexithymia and pain,

controlling for psychological distressPain

Alexithymia

Anxiety-

Depressive

Symptoms

Emotional

Distress


MEASURES

Pain evaluation:

Questionario Italiano sul Dolore (QUID): pain experience

Item “Pain” of the Italian version of the Fibromyalgia Impact

Questionnaire (FIQ): pain intensity

Psychological assessment:

Hospital Anxiety and Depression Scale (HADS): anxiety and

depression

Distress Thermometer (DT): emotional distress

Toronto Alexithymia Scale (TAS-20): alexithymia


RESULTS

CLINICAL AND PAIN EVALUATION

QUID-S and QUID-A = Sensory and Affective classes of Questionario Italiano sul dolore; FIQ-Pain = item “Pain” of the

Fibromyalgia Impact Questionnaire


PSYCHOLOGICAL ASSESSMENT

HADS-A and HADS-D = Anxiety and Depression subscales of the Hospital Anxiety; DT = Distress Thermometer; TAS-20 =

Twenty-item Toronto Alexithymia Scale; TAS-20 DIF = Difficult Identifying Feelings factor of Toronto Alexithymia Scale; TAS-20

DDF = Difficulty Describing Feelings factor of Toronto Alexithymia Scale; TAS-20 EOT = Externally-Oriented Thinking factor of

Toronto Alexithymia Scale.


ALEXITHYMIC VS. NON-ALEXITHYMIC FM PATIENTS


REGRESSION ANALYSES (1)


REGRESSION ANALYSES (2)


MEDIATION ANALYSIS


CONCLUSIONS (1)

The results of the comparisons between alexithymic vs. non-

alexithymic FM patients on pain measures and psychological

distress, showed in alexithymic patients:

higher scores on pain experience, on both the

affective and sensory dimensions, and pain intensity

higher levels of psychological distress (anxiety,

depression and emotional distress)


CONCLUSIONS (2)

a) Positive correlations were found between alexithymia and the

affective, but not the sensory, dimension of pain experience, and

between alexithymia and pain intensity

b) The results of the regression analyses showed that:

none of the alexithymia factors significantly explained pain

intensity’s variance

alexithymia (difficulty identifying feelings factor) ceased to

uniquely predict affective pain, after controlling for

psychological distress, particularly anxiety

c) A significant effect of anxiety in mediating the relationship between

alexithymia and affective pain was finally found


THANK YOU FOR YOUR

ATTENTION!

REFERENCES Ghiggia, A., Torta, R., Tesio, V., Di Tella, M., Romeo, A., Colonna, F., ... & Castelli, L. (2017). Psychosomatic syndromes in

fibromyalgia. Clinical and experimental rheumatology, 35(3), 106.

Ghiggia, A., Romeo, A., Tesio, V., Di Tella, M., Colonna, F., Geminiani, G. C., ... & Castelli, L. (2017). Alexithymia and depression in

patients with fibromyalgia: When the whole is greater than the sum of its parts. Psychiatry Research, 255, 195-197.

Romeo, A., Ghiggia, A., Tesio, V., Di Tella, M., Torta, R., & Castelli, L. (2017). Post-traumatic growth, distress and attachment style

among women with breast cancer. Journal of Psychosocial Oncology, 35(3), 309-322.

Di Tella, M., Ghiggia, A., Tesio, V., Romeo, A., Colonna, F., Fusaro, E., ... & Castelli, L. (2017). Pain experience in Fibromyalgia

Syndrome: The role of alexithymia and psychological distress. Journal of affective disorders, 208, 87-93.

Di Tella, M., & Castelli, L. (2016). Alexithymia in chronic pain disorders. Current rheumatology reports, 18(7), 41.

Castelli, L., & Tesio, V. (2016). Commentary: Mindfulness training for reducing anger, anxiety, and depression in fibromyalgia patients.

Frontiers in psychology, 7.

Torta, R. G., Tesio, V., Ieraci, V., Castelli, L., & Zizzi, F. B. (2016). Fibro-fog. Clinical and experimental rheumatology, 34(2 Suppl 96),

S6-8.

Di Tella, M., Castelli, L., Colonna, F., Fusaro, E., Torta, R., Ardito, R. B., & Adenzato, M. (2015). Theory of mind and emotional

functioning in fibromyalgia syndrome: an investigation of the relationship between social cognition and executive function. PLoS One,

10(1), e0116542.

Tesio, V., Torta, D. M., Colonna, F., Leombruni, P., Ghiggia, A., Fusaro, E., ... & Castelli, L. (2015). Are fibromyalgia patients

cognitively impaired? Objective and subjective neuropsychological evidence. Arthritis care & research, 67(1), 143-150.

Di Tella, M., & Castelli, L. (2013). Alexithymia and fibromyalgia: clinical evidence. Frontiers in psychology, 4.

Castelli, L., De Santis, F., De Giorgi, I., Deregibus, A., Tesio, V., Leombruni, P., ... & Torta, R. (2013). Alexithymia, anger and

psychological distress in patients with myofascial pain: a case-control study. Frontiers in psychology, 4.

Castelli, L., Tesio, V., Colonna, F., Molinaro, S., Leombruni, P., Bruzzone, M., ... & Torta, R. (2012). Alexithymia and psychological

distress in fibromyalgia: prevalence and relation with quality of life. Clin Exp Rheumatol, 30(6 Suppl 74), 70-7.

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REMIND THE BODY - Dipartimento di Psicologia · Giornata di Studio del Dipartimento –Marialaura Di Tella 11 Psychological distress: depression (20-80%) anxiety (13-64%) Alexithymia: