Advanced

Affect School for chronic benign pain patients showed improved alexithymia assessments with TAS-20

Melin, Eva O; Thulesius, Helle LU and BA, Persson (2010) In BioPsychoSocial Medicine 4(5). p.1-10
Abstract
Background: Alexithymia is a disturbance associated with psychosomatic disorders, pain syndromes, and a variety of

psychiatric disorders. The Affect School (AS) based on Tomkins Affect Theory is a therapy focusing on innate affects and

their physiological expressions, feelings, emotions and scripts. In this pilot study we tried the AS-intervention method

in patients with chronic benign pain.

Methods: The AS-intervention, with 8 weekly group sessions and 10 individual sessions, was offered to 59 patients

with chronic non-malignant pain at a pain rehabilitation clinic in Sweden 2004-2005. Pre and post intervention

assessments were done with the Hospital Anxiety and Depression scale (HAD),... (More)
Background: Alexithymia is a disturbance associated with psychosomatic disorders, pain syndromes, and a variety of

psychiatric disorders. The Affect School (AS) based on Tomkins Affect Theory is a therapy focusing on innate affects and

their physiological expressions, feelings, emotions and scripts. In this pilot study we tried the AS-intervention method

in patients with chronic benign pain.

Methods: The AS-intervention, with 8 weekly group sessions and 10 individual sessions, was offered to 59 patients

with chronic non-malignant pain at a pain rehabilitation clinic in Sweden 2004-2005. Pre and post intervention

assessments were done with the Hospital Anxiety and Depression scale (HAD), the Toronto Alexithymia Scale-20 (TAS-

20), the Visual Analogue Scale for pain assessment (VAS-pain), the European Quality of Life health barometer (EQoL)

and the Stress and Crisis Inventory-93 (SCI-93). After the group sessions we used Bergdahl's Questionnaire for assessing

changes in interpersonal relations, general well-being and evaluation of AS.

Results: The AS intervention was completed by 54 out of 59 (92%) patients. Significant reductions in total TAS-20 posttest

scores (p = 0.0006) as well as TAS-20 DIF and DDF factors (Difficulties Identifying Feelings, and Difficulties

Describing Feelings) were seen (p = 0.0001, and p = 0.0008) while the EOT factor (Externally Oriented Thinking) did not

change. Improvements of HAD-depression scores (p = 0.04), EQoL (p = 0.02) and self-assessed changes in relations to

others (p < 0.001) were also seen. After Bonferroni Correction for Multiple Analyses the TAS-20 test score reduction was

still significant as well as Bergdahl's test after group sessions. The HAD, EQoL, SCI-93, and VAS-pain scores were not

significantly changed. The AS-intervention was ranked high by the participants.

Conclusions: This pilot study involving 59 patients with chronic benign pain indicates that the alexithymia DIF and

DDF, as well as depression, social relations and quality of life may be improved by the Affect School therapeutic

intervention. (Less)
Please use this url to cite or link to this publication:
author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
chronic benign pain, alexithymia, depression, anxiety, stress, psychoeducation, Affect School and Script Analysis
in
BioPsychoSocial Medicine
volume
4
issue
5
pages
1 - 10
external identifiers
  • other:doi: 10.1186/1751-0759-4-5
  • scopus:77952983038
language
English
LU publication?
yes
id
58bdfd40-0ffb-4026-948a-84e189a63de6 (old id 4814239)
date added to LUP
2015-03-12 12:24:33
date last changed
2017-05-21 04:47:34
@article{58bdfd40-0ffb-4026-948a-84e189a63de6,
  abstract     = {Background: Alexithymia is a disturbance associated with psychosomatic disorders, pain syndromes, and a variety of<br/><br>
psychiatric disorders. The Affect School (AS) based on Tomkins Affect Theory is a therapy focusing on innate affects and<br/><br>
their physiological expressions, feelings, emotions and scripts. In this pilot study we tried the AS-intervention method<br/><br>
in patients with chronic benign pain.<br/><br>
Methods: The AS-intervention, with 8 weekly group sessions and 10 individual sessions, was offered to 59 patients<br/><br>
with chronic non-malignant pain at a pain rehabilitation clinic in Sweden 2004-2005. Pre and post intervention<br/><br>
assessments were done with the Hospital Anxiety and Depression scale (HAD), the Toronto Alexithymia Scale-20 (TAS-<br/><br>
20), the Visual Analogue Scale for pain assessment (VAS-pain), the European Quality of Life health barometer (EQoL)<br/><br>
and the Stress and Crisis Inventory-93 (SCI-93). After the group sessions we used Bergdahl's Questionnaire for assessing<br/><br>
changes in interpersonal relations, general well-being and evaluation of AS.<br/><br>
Results: The AS intervention was completed by 54 out of 59 (92%) patients. Significant reductions in total TAS-20 posttest<br/><br>
scores (p = 0.0006) as well as TAS-20 DIF and DDF factors (Difficulties Identifying Feelings, and Difficulties<br/><br>
Describing Feelings) were seen (p = 0.0001, and p = 0.0008) while the EOT factor (Externally Oriented Thinking) did not<br/><br>
change. Improvements of HAD-depression scores (p = 0.04), EQoL (p = 0.02) and self-assessed changes in relations to<br/><br>
others (p &lt; 0.001) were also seen. After Bonferroni Correction for Multiple Analyses the TAS-20 test score reduction was<br/><br>
still significant as well as Bergdahl's test after group sessions. The HAD, EQoL, SCI-93, and VAS-pain scores were not<br/><br>
significantly changed. The AS-intervention was ranked high by the participants.<br/><br>
Conclusions: This pilot study involving 59 patients with chronic benign pain indicates that the alexithymia DIF and<br/><br>
DDF, as well as depression, social relations and quality of life may be improved by the Affect School therapeutic<br/><br>
intervention.},
  author       = {Melin, Eva O and Thulesius, Helle and BA, Persson},
  keyword      = {chronic benign pain,alexithymia,depression,anxiety,stress,psychoeducation,Affect School and Script Analysis},
  language     = {eng},
  number       = {5},
  pages        = {1--10},
  series       = {BioPsychoSocial Medicine},
  title        = {Affect School for chronic benign pain patients showed improved alexithymia assessments with TAS-20},
  volume       = {4},
  year         = {2010},
}