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How Do Fibromyalgia Patients With Alexithymia Experience Their Body? A Qualitative Approach

Bibliographic Data

ID3702182
AuthorsJoeri Calsius (Hasselt University), Imke Courtois (Hasselt University), Jolien Stiers (Hasselt University), Jozef De Bie (0000-0002-5045-900X, Ziekenhuis Oost-Limburg)
Year2015
Volume5
Issue1
Pages5/1/2158244015574631
Publication date2015-03-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueSAGE Open (JOURNAL)
Journal identifiersISSN: 2158-2440 • E-ISSN: 2158-2440
PublisherSAGE Publications Inc (PUBLISHER)
DOI10.1177/2158244015574631
OpenAlexW2096050483
LanguageEN
Citations received2
References cited46

Patients suffering from chronic pain such as fibromyalgia (FM) not only experience change in their physical bodies but also in their embodiment. There are two forms of disturbed body awareness (BA), namely, "disembodiment" and "hyper-embodiment." This study describes how patients with FM experience their body and whether there is a difference in BA with or without alexithymia. Based on two self-report questionnaires (Toronto Alexithymia Scale [TAS]-20 and Hospital Anxiety and Depression Scale [HADS]), a purposeful sample of FM patients with and without alexithymia was included. Two focus groups were conducted with nine alexithymic and six nonalexithymic FM patients and were analyzed by a Interpretative Phenomenological Analysis. Body experience appeared in two themes: "the lived body as hyper present" and "alienation from the lived body." A third theme emerged as "the lived body in interaction with others" and indicates the importance of the interpersonal aspect of BA. We found no differences regarding BA between the alexithymic and nonalexithymic patients. These results suggest that BA in FM patients cannot exclusively be classified under the constructs of hyper- or disembodiment. The authors suggest to consider embodiment in FM, subjected to intra- as well as interindividual influences, as a dimensional construct whereby the equilibrium tends to hyper-embodiment. Still, a temporary shift of this equilibrium from hyper- to disembodiment due to certain emotional state or stress is possible. As alexithymia had no influence on the description of BA, it seems that FM patients primarily fail to express their BA without in fact being disembodied

Alexithymia · Anxiety · Fibromyalgia · Interpretative phenomenological analysis · Psychiatry · Psychotherapist · Qualitative research · Toronto Alexithymia Scale · Clinical Psychology · Empathy and Medical Education · Fibromyalgia and Chronic Fatigue Syndrome Research · Psychology · Psychosomatic Disorders and Their Treatments

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Unique citing works2
Citations per year0,5
Citation span2022 - 2025 (4)
Citation velocityrecent
Highly citedNo
Citation typesNeutral: 2

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