The Effectiveness of Cognitive-behavioral Therapy and Mindfulness-based Cognitive Therapy on Emotion Disorder in People with Bulimia Nervosa

Document Type : Research Paper

Authors

1 Ph.D. Student in Health Psychology, Department of Psychology, Islamic Azad University, United Arab Emirates Branch

2 Associate Professor, Department of Clinical Psychology, Faculty of Psychology and Education, Kharazmi University, Tehran, Iran

3 Professor, Department of Psychology, Faculty of Psychology, Islamic Azad University, United Arab Emirates Branch

Abstract

The aim of this study was to compare the effectiveness of cognitive-behavioral therapy and mindfulness-based cognitive therapy on emotion disorder in people with bulimia nervosa. The research method was quasi-experimental. The statistical population of the present study was all secondary school students in Kerman in District 2 of Education. The sample size of the present study according to the test power (0.80), effect size (0.50) and confidence level (0.05) was considered for each sample group of 15 people, which were initially in the form of multi-stage clusters. Selected from 4 high schools for girls. First, through the behavioral screening questionnaire of people who are suspected of overeating through the cut-off point; Was separated. Then, by conducting clinical interviews, 45 of them who had the final diagnosis of overeating disorder were selected and randomly assigned to three groups of 15 people. The research tool was a scale of difficulty in regulating emotion Graz and Roemer (2004). The experimental groups underwent cognitive-behavioral intervention and mindfulness-based cognitive therapy. Data analysis was performed after examining statistical assumptions by analysis of covariance. The results of the analysis showed that the intervention based on cognitive-behavioral intervention and mindfulness-based cognitive therapy were effective on the difficult dimensions of emotion regulation.

Keywords

References

بساک‌نژاد، سودابه، هومن، فرزانه، و قاسمی‌نژاد، محمدعلی (1391). رابطۀ بین سبک‌های مقابلة اجتناب شناختی رفتاری و اختلال خوردن در دانشجویان دانشگاه. اصول بهداشت روانی، 14(2)، 37-49.
جواهری، مژگان (1385). اثربخشی درمان مبتنی بر ذهن‌آگاهی به صورت گروهی در کاهش شدت درد و پریشانی‌های روان‌شناختی زنان مبتلا به درد مزمن. مجلة روان‌پزشکی و روان‌شناسی بالینی ایران (اندیشه و رفتار)، 17(4)، 104-92.
خدابخش، محمدرضا، و کیانی، فریبا (1393). نقش علائم افسردگی و ناگویی خلقی در پیش‌بینی رفتارهای خوردن آشفته در دانشجویان دختر. سلامت جامعه، 8(4)، 36-27.
صفرزاده، سمیه، و محمودی خورندی، زینب (1394). بررسی اختلالات خوردن (بی‌اشتهایی عصبی و پرخوری عصبی) در نوجوانان 13 تا 18 سالة شهرستان گناباد. مجلة دانشگاه علوم پزشکی رفسنجان، 14، 404-393.
عسگری، محمد، و متینی، اعظم (1399). تأثیر آموزش تنظیم هیجان به روش گراس بر تکانشگری دانشجویان سیگاری. فرهنگ مشاوره و روان‌درمانی (فرهنگ مشاوره)، 11(42)، 230-205.
غلامحسینی، محمد، و ولی‌زاده، حسین (1393). اثربخشی درمان مبتنی بر پذیرش و تعهد روی نشانه‌های افسردگی و تصویر بدن نامطلوب در زنان. پایان‌نامة کارشناسی ارشد رشتة روان‌شناسی بالینی، دانشگاه علامه طباطبایی.
مولودی، رضا، دژکام، محمود، موتابی، فرشته، و امیدوار، نسرین (1389). مقایسة طرحواره‌های ناسازگار اولیه در افراد چاق مبتلا به اختلال پرخوری و فاقد اختلال پرخوری. علوم رفتاری، 4(2)، 114-109.
نوریان، لیلی، و آقایی، اصغر، و قربانی، مریم (1394). اثربخشی درمان مبتنی بر پذیرش و تعهد بر خوردن هیجانی در زنان چاق. دانش و پژوهش در روان‌شناسی کاربردی، 16(2)، 23-15.
Anderson, N. D., Lau, M. A., Segal, Z. V., & Bishop, S. R. (2007). Mindfulness-based stress reduction and attentional control. Clinical Psychology & Psychotherapy, 14(6), 449-463.
Ayala, E. E., Winseman, J. S., Johnsen, R. D., Mason, H. R. C. (2018). U.S. medical students who engage in self-care report less stress and higher quality of life. BMC Med Educ, 18(1), 189.
Cizza, G. (2013). Evening phonotype is associated with changes in eating behavior, more sleep apnea, and increased stress hormones in short sleeping obese individuals. PloS one, 8(4), 122-137.
Creastller, A., Theuninck, A., Frederickson, J., & Job, R. (2011). Mechanisms of social emotion regulation: From neuroscience to psychotherapy. Emotion Regulation: Processes, Cognitive Effects and Social Consequences, 57-84.
Dalean, B. C., Jimerson, M., Haxton, C., Jimerson, D. C. (2010). Initial evaluation, diagnosis, and treatment of anorexia nervosa and bulimia nervosa. Am Fam Physician, 1, 91(1), 46-52.
Forman, E. M., Butryn, M. L., Hoffman, K. L., & Herbert, J. D. (2009). An open trial of an acceptance-based behavioral intervention for weight loss. Cogn Behav Pract, 16(2), 223-235.
Gianni, L. M., White, M. A., & Mashed, R. M. (2015). Eating pathology, emotion regulation, and emotional overeating in obese adults with binge eating disorder. Eat Behave, 14, 309-313.
Goldin, P. R., Manber, T., Hakimi, S., Canli, T., & Gross, J. J. (2009). Neural bases of social anxiety disorder: emotional reactivity and cognitive regulation during social and physical threat. Arch Gen Psychiatry, 66(2), 170-18.
Hayes, S. C., Luoma, J. B., Bond, F. W., Masuda, A., & Lillis, J., (1999). Acceptance and commitment therapy: Model, processes and outcomes. Behaviour Research and Therapy, 44, 1-25.
Hidalgo, M. P. (2012). Night eating patterns and phonotypes: A correlation with binge eating behaviors. Psychiatry Research, 200(2), 489-493.
Hilbert, A., & Tuschen-Caffier, B. (2016). Maintenance of binge eating through negative mood: A naturalistic comparison of binge eating disorder and bulimia nervosa. Eating Disorders, 40(8), 521-530.
Kabat-Zinn, J. (1990). An outpatient program in behavioral medicine for chronic pain patients based on the practice of mindfulness meditation: Theoretical considerations and preliminary results. General hospital psychiatry, 4(1), 33-47.
Katterman, S. N., & Goldstein, S. P. (2014). Efficacy of an acceptance-based behavioral intervention for weight gain prevention in young adult women. Journal of Contextual Behavioral Science, 3(1), 45-50.
Pearson, E. M., et al. (2012). Comparison of the effectiveness of cognitive-behavioral therapy and acceptance and commitment therapy on negative spontaneous and self-injurious thoughts in a heterogeneous eating disorder sample. Compr Psychiatry,73,143-150.
Ramel, W., Goldin, Ph. R., Carmona, P. E., & McQuaid, J. R. (2004). The effects of mindfulness meditation on cognitive processes and affect in patients with past depression. Cognitive Therapy and Research, 28(4), 433-455.
Schli, B. (2003). The efficacy of a short version of a cognitive-behavioral treatment followed by booster sessions for binge eating disorder. Behav Res Ther, 47(7), 628-635.
Segal, Z. V., Bishop, S. R., Anderson, N. D., Lau, M. A. (2002). Mindfulness-based stress reduction and attentional control. Clinical Psychology & Psychotherapy, 14(6), 449-463.
Windland, T. A., Sternberg, J. A., Letizia, K. A., Stunkard, A. J., & Foster, G. D. (2012). Treatment of obesity by very low-calorie diet, behaviour therapy, and their combination: A five year perspective. Obesity, 13(2), 39-46.

Files

Share

How to cite

Statistics