The role of imagery-based techniques in cognitive–behavioural therapy for adults with eating disorders

2011 ◽  
Vol 31 (7) ◽  
pp. 1101-1109 ◽  
Author(s):  
Madeleine Tatham
Keyword(s):  
Eating Disorders ◽  
Cognitive Behavioural Therapy ◽  
Behavioural Therapy ◽  
Cognitive Behavioural

scholarly journals The role of embodiment in the treatment of patients with anorexia and bulimia nervosa: a 2-year follow-up study proposing an integration between enhanced cognitive behavioural therapy and a phenomenological model of eating disorders

2021 ◽  
Author(s):  
Eleonora Rossi ◽  
Giovanni Castellini ◽  
Emanuele Cassioli ◽  
Carolina Sensi ◽  
Milena Mancini ◽  
...  
Keyword(s):  
Eating Disorders ◽  
Bulimia Nervosa ◽  
Cognitive Behavioural Therapy ◽  
Indirect Effect ◽  
Phenomenological Model ◽  
Case Series ◽  
Behavioural Therapy ◽  
Cognitive Behavioural ◽  
Body Uneasiness

Abstract Purpose Recent studies demonstrated that the embodiment disorder represents a core feature of eating disorders (EDs). The aim of this study was to evaluate the role of its variation as a possible mediator of the efficacy of enhanced cognitive behavioural therapy (CBT-E) on classic ED symptomatology, including body uneasiness. Methods 73 patients with anorexia nervosa and 68 with bulimia nervosa were treated with a multidisciplinary approach including CBT-E. Psychometric questionnaires were administered at baseline (T0) and after one (T1) and 2 years (T2) to evaluate general and ED-specific psychopathology, body uneasiness and the embodiment disorder. Data regarding diagnostic crossover and remission were also collected. Results Longitudinal analysis showed an improvement of all psychopathological dimensions at T1, which remained stable at T2 (p < 0.05). Remission rate at T2 was 44.7%, and diagnostic crossover occurred in 17.0% of patients. Higher levels of embodiment disorder predicted increased diagnostic instability (OR: 1.80 [1.01–3.20], p = 0.045). The amelioration of the embodiment disorder mediated the decrease in both ED-specific psychopathology (indirect effect: 0.67 [0.46–0.92]) and body uneasiness (indirect effect: 0.43 [0.28–0.59]). Conclusion For the first time, these findings highlighted the role of the embodiment disorder as a maintaining factor of ED symptomatology, supporting the importance of integrating CBT-E with a phenomenological model of EDs. Level of evidence Level IV, longitudinal observational study (case series).

scholarly journals The role of cognitive behavioural therapy in living well with COPD

Breathe ◽  
2019 ◽  
Vol 15 (2) ◽  
pp. 95-97 ◽  
Author(s):  
Karen Heslop-Marshall ◽  
Graham Burns
Keyword(s):  
Cognitive Behavioural Therapy ◽  
Behavioural Therapy ◽  
Living Well ◽  
Cognitive Behavioural

scholarly journals Early Improvement in Eating Attitudes during Cognitive Behavioural Therapy for Eating Disorders: The Impact of Personality Disorder Cognitions

2013 ◽  
Vol 42 (2) ◽  
pp. 224-237 ◽  
Author(s):  
Emma C. Park ◽  
Glenn Waller ◽  
Kenneth Gannon
Keyword(s):  
Eating Disorders ◽  
Eating Disorder ◽  
Personality Disorder ◽  
Personality Disorders ◽  
Cognitive Behavioural Therapy ◽  
Behavioural Therapy ◽  
Eating Attitudes ◽  
Drop Out ◽  
Cognitive Behavioural ◽  
The Impact

Background: The personality disorders are commonly comorbid with the eating disorders. Personality disorder pathology is often suggested to impair the treatment of axis 1 disorders, including the eating disorders. Aims: This study examined whether personality disorder cognitions reduce the impact of cognitive behavioural therapy (CBT) for eating disorders, in terms of treatment dropout and change in eating disorder attitudes in the early stages of treatment. Method: Participants were individuals with a diagnosed eating disorder, presenting for individual outpatient CBT. They completed measures of personality disorder cognitions and eating disorder attitudes at sessions one and six of CBT. Drop-out rates prior to session six were recorded. Results: CBT had a relatively rapid onset of action, with a significant reduction in eating disorder attitudes over the first six sessions. Eating disorder attitudes were most strongly associated with cognitions related to anxiety-based personality disorders (avoidant, obsessive-compulsive and dependent). Individuals who dropped out of treatment prematurely had significantly higher levels of dependent personality disorder cognitions than those who remained in treatment. For those who remained in treatment, higher levels of avoidant, histrionic and borderline personality disorder cognitions were associated with a greater change in global eating disorder attitudes. Conclusions: CBT's action and retention of patients might be improved by consideration of such personality disorder cognitions when formulating and treating the eating disorders.

An examination of structural dissociation of the personality and the implications for cognitive behavioural therapy

2011 ◽  
Vol 4 (2) ◽  
pp. 53-67 ◽  
Author(s):  
Simon Harper
Keyword(s):  
Literature Review ◽  
Cognitive Behavioural Therapy ◽  
Dissociative Identity Disorder ◽  
Behavioural Therapy ◽  
Top Down ◽  
Bottom Up ◽  
Cognitive Behavioural ◽  
Structural Dissociation

AbstractThe aim of this review was to ascertain whether an examination of the theory of structural dissociation of the personality (TSDP) and its treatment may lead to recommendations in the treatment of dissociative identity disorder (DID) and other trauma-related disorders utilizing CBT. An analysis of the neurobiology of trauma will aid this process. The literature review considers a variety of literature on TSDP. Several themes were identified which suggested that dissociation refers to a structural dividedness of the personality and that there is a psychobiological pathway for all trauma-related disorders. Additionally the role of bottom-up vs. top-down processing was explored. Recommendations for the treatment of trauma-related disorders using CBT have been made.

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