Negative Self-Beliefs in Relation to Eating Disorder and Depressive Symptoms: Different Themes Are Characteristic of the Two Sets of Symptoms in Those With Eating Disorders and/or Depression

2009 ◽  
Vol 23 (2) ◽  
pp. 147-159 ◽  
Author(s):  
Myra J. Cooper ◽  
Phil Cowen
Keyword(s):  
Eating Disorders ◽  
Eating Disorder ◽  
Depressive Symptoms ◽  
Depressive Symptomatology ◽  
Self Report ◽  
Control Group ◽  
Core Beliefs ◽  
Regression Analyses ◽  
Eating Disordered ◽  
Eating Disorder Symptoms

This study aimed to identify differences in the personal themes in negative self or core beliefs that might be characteristic of high levels of eating disorder symptoms when compared to high levels of depressive symptoms in those with an eating disorder and/or depression. Differences between putative diagnostic subgroups were also examined. One hundred and ninety-three participants completed self-report measures of negative self-beliefs, eating, and depressive symptoms. Putative diagnostic subgroups were also identified, including an eating disorder group that also had high levels of depressive symptomatology and in most cases a diagnosis of depression. Six themes descriptive of the self corresponding to 6 robust factors were identified and provisionally labeled isolated, repelled by self, self-dislike, lacking in warmth, childlike, and highly organized. Multiple regression analyses indicated that, in the whole sample, eating disorder symptoms were uniquely predicted by subscales reflective of repelled by self and lacking in warmth, though depressive symptoms were uniquely predicted by subscales measuring isolation and self-dislike. Between-group analyses indicated that high scores on isolation, self-dislike, and lacking in warmth were typical of both eating-disordered and depressed-only diagnostic groups when compared to the control group, though only the eating-disordered group (also high in depressive symptoms and “diagnosis” of depression) also had high scores on repelled by self. The findings indicate that eating disorder and depressive symptoms are associated with some potentially important differences in self-beliefs. Putative diagnostic subgroups may also differ in these beliefs. The findings further indicate that psychometrically sound themes exist in the core or negative self-beliefs associated with eating disorder and depressive symptoms. Implications of the findings for cognitive therapy with eating disorders and depression are briefly considered, and the limitations and implications of the diagnostic subgroups identified here are discussed.

Efficacy of an online intervention for treatment of depressive disorders: a three-arm randomized controlled trial comparing guided and unguided self-help with waitlist control (Preprint)

2021 ◽  
Author(s):  
Krämer Rico
Keyword(s):  
Depressive Symptoms ◽  
Depressive Disorders ◽  
Depressive Symptomatology ◽  
Controlled Trial ◽  
Intervention Group ◽  
Online Intervention ◽  
Self Report ◽  
Secondary Outcome ◽  
Control Group

BACKGROUND Digital health applications are efficacious treatment options for mild-to-moderate depressive disorders. However, the extent to which psychological guidance increases the efficacy of these applications is controversial. OBJECTIVE We evaluated the efficacy of the online intervention “Selfapy” for unipolar depression. We also investigated differences between a psychotherapist-guided vs. unguided version compared with those from a control group. METHODS A cohort of 401 participants with mild-to-severe depressive disorders were assigned randomly to either participate in a guided version of Selfapy (involving weekly telephone calls of 25-min duration), an unguided version of Selfapy, or to the waiting list (control group). Selfapy is a cognitive behavioral therapy-based intervention for depressive disorders of duration 12 weeks. Symptom assessment was undertaken at T1 (before study entrance), T2 (after 6 weeks), T3 (post-treatment, after 12 weeks), and T4 (follow-up, after 6 months). The main outcome was reduction in depressive symptoms in the Beck Depression Inventory (BDI-II) from T1 to T3. Secondary-outcome parameters were the Quick Inventory of Depressive Symptomatology – Self Report (QIDS-SR 16) and Beck Anxiety Inventory (BAI). RESULTS A total of 297 out of 401 participants (74.06%) completed the post-measurement at T3. In the primary analysis, both intervention groups showed a significantly higher reduction in depressive symptoms (BDI-II) from T1 to T3 compared with that in the control group, with high within-effect sizes (guided: d = 1.46; unguided d = 1.36). No significant differences were found for guided vs. unguided treatment groups. The response rate (BDI-II) for intention-to-treat data in the guided version was 46.4%, 40.0% for the unguided version, and 2.0% in the control group. After 6 months (T4), treatment effects could been maintained for both intervention groups (BDI-II) without differences between either intervention group. CONCLUSIONS Conclusions: Selfapy can help to reduce depressive symptoms in guided or unguided version. Follow-up data suggest that these effects could be maintained. The guided version was not superior to the unguided version. CLINICALTRIAL Trial Registration: Current Controlled Trial DRKS00017191 Date of registration: 14 May 2019 INTERNATIONAL REGISTERED REPORT RR2-https://doi.org/10.1186/s13063-021-05218-4

scholarly journals Targeting maladaptive overcontrol with radically open dialectical behaviour therapy in a day programme for adolescents with restrictive eating disorders: an uncontrolled case series

2020 ◽  
Vol 8 (1) ◽  
Author(s):  
Julian Baudinet ◽  
Mima Simic ◽  
Helena Griffiths ◽  
Cecily Donnelly ◽  
Catherine Stewart ◽  
...  
Keyword(s):  
Eating Disorders ◽  
Eating Disorder ◽  
Social Connectedness ◽  
Case Series ◽  
Self Report ◽  
Behaviour Therapy ◽  
Treatment Needs ◽  
Dialectical Behaviour Therapy ◽  
Restrictive Eating ◽  
Eating Disorder Symptoms

Abstract Background Radically Open Dialectical Behaviour Therapy (RO-DBT) was developed to target maladaptive overcontrol, a proposed core difficulty of restrictive eating disorders. RO-DBT is now the main group treatment model at the Intensive day Treatment Programme (ITP), Maudsley Hospital. This ITP case series aimed to investigate whether overcontrol is associated with restrictive eating disorder symptoms in adolescents and to evaluate ITP outcomes since RO-DBT skills classes were introduced. Method Self-report measures of eating disorder symptoms and temperament, personality and social characteristics linked to overcontrol were collected at assessment and discharge from ITP for all consecutive adolescents who attended between February 2015 and January 2019 (N = 131). Weight change, global outcomes and treatment needs post-ITP were also recorded. Results Eating disorder symptoms at assessment were significantly correlated with overcontrol factors, including social connectedness (r = −.67), reward responsivity (r = −.54), and cognitive inflexibility (r = .52). Adolescents stayed in ITP on average 13.40 weeks. 70.8% had a Good-Intermediate outcome on Morgan-Russell scale. 4.6% did not respond and were referred to inpatient treatment from ITP. Significant improvements in drive for thinness (d = .33), depressive mood (d = .41), social connectedness (d = .48), and emotional expressiveness (d = .97) were reported at discharge. No changes were observed in perfectionism or negative temperament. Conclusions This study offers preliminary evidence that eating disorder symptoms are associated with overcontrol factors in adolescence and that they can improve with RO-DBT informed day programme treatment. RO-DBT is a promising treatment that offers a new way of conceptualising treatment targets and recovery for adolescent restrictive eating disorders.

An innovative approach for the assessment of mood disturbances in patients with eating disorders

CNS Spectrums ◽  
2019 ◽  
Vol 25 (1) ◽  
pp. 71-78 ◽  
Author(s):  
Lucia Tecuta ◽  
Giovanni Andrea Fava ◽  
Elena Tomba
Keyword(s):  
Eating Disorders ◽  
Depressive Symptoms ◽  
Diagnostic Criteria ◽  
Depressive Disorders ◽  
Depressive Symptomatology ◽  
Well Being ◽  
Clinical Interview ◽  
Self Report ◽  
Psychological Well Being ◽  
Dsm 5

Objective.Assessment of mood in eating disorders (EDs) has important clinical implications, but the current standard psychiatric classification (DSM-5) has limitations. The aim of the current study is to broaden the evaluation of depressive symptomatology by providing a comprehensive and innovative assessment approach in EDs through instruments that capture clinical phenomena of demoralization, subclinical distress, and psychological well-being.Methods.Seventy-nine patients who met diagnostic criteria for EDs of the Diagnostic and Statistical Manual of Mental Disorders – Fifth edition (DSM-5) were evaluated for depressive symptoms through Paykel’s Clinical Interview for Depression, the Structured Clinical Interview for DSM-5 for major depressive episode and persistent depressive disorder, and the Diagnostic Criteria for Psychosomatic Research (DCPR) interview for demoralization. Further, self-report inventories encompassing psychological well-being and distress were used.Results.Guilt, abnormal reactivity to social environment, and depressed mood were the most common depressive symptoms in the sample. DSM-defined depressive disorders were found in 55.7% of patients. The DCPR-demoralization criteria identified an additional 20.3% of the sample that would have been undetected with DSM criteria. Both DSM and DCPR diagnostic categories were associated with compromised psychological well-being and distress. Demoralization, unlike depression, was not associated with the severity of ED symptomatology.Conclusion.The findings indicate that a standard psychiatric approach, DSM-5-based, captures only a narrow part of the spectrum of mood disturbances affecting patients with EDs. A broadened clinimetric assessment unravels the presence of demoralization and yields clinical distinctions that may entail prognostic and therapeutic differences among patients who would be otherwise simply labeled as depressed.

Effectiveness of day treatment for eating disorders: are improvements maintained at 12-month follow-up?

2020 ◽  
Vol 25 (3) ◽  
pp. 255-268
Author(s):  
Zoë Meropi Hepburn ◽  
Emily Rose Rothwell
Keyword(s):  
Eating Disorders ◽  
Eating Disorder ◽  
Repeated Measures ◽  
Day Treatment ◽  
Content Type ◽  
Psychosocial Impairment ◽  
Eating Disordered ◽  
Eating Disorder Symptoms ◽  
Repeated Measures Analysis

Purpose This study aimed to investigate the effectiveness of a specialist UK day treatment programme (DTP), in terms of whether improvements in eating disorder symptomology and psychosocial impairment achieved at discharge were maintained at 6-month and 12-month follow-ups. Design/methodology/approach A total of 69 patients (aged 16+) with eating disorders who had received treatment in the DTP were reviewed at 6-month and 12-month follow-ups, using demographic, physiological and psychological measures. Quantitative outcomes were analysed using one-way repeated measures analysis of variance. Findings Data analysis revealed that significant improvements in eating disordered attitudes, body mass index (among underweight participants), binge frequency (among participants with those symptoms) and psychosocial impairment achieved at discharge, were also maintained at 6-month and 12-month follow-ups, and with large effect sizes. All hypotheses were supported, with the exception that frequency of vomiting symptoms had deteriorated at the 12-month follow-up and was no longer significantly different from vomiting frequency on admission. Originality/value Results provide support for the sustained effectiveness of DTPs in improving eating disorder symptoms and psychosocial impairment associated with eating disorders. This is the first study to evaluate the effectiveness of a UK DTP for adults at maintaining improvements to eating disorder symptoms and attitudes at follow-up.

scholarly journals Assessing Negative Core Beliefs in Eating Disorders: Revision of the Eating Disorder Core Beliefs Questionnaire

2021 ◽  
Author(s):  
Amaani H. Hatoum ◽  
Amy L Burton ◽  
Maree J Abbott
Keyword(s):  
Eating Disorders ◽  
Eating Disorder ◽  
Construct Validity ◽  
Psychometric Properties ◽  
Self Report ◽  
Core Beliefs ◽  
Confirmatory Factor Analyses ◽  
Five Dimensions ◽  
Eating Disorder Examination ◽  
High Standards

Abstract Background: Increased theoretical and empirical attention has been given to examining the role of core beliefs in both the development and maintenance of eating disorders (EDs). The Eating Disorder Core Beliefs Questionnaire (ED-CBQ) is self-report measure designed to assess five dimensions of core beliefs relating to eating disorders; self-loathing, unassertive/inhibited, demanding/needing help and support, abandoned/deprived, and high standards for the self. The present study aimed to evaluate the psychometric properties of the ED-CBQ and to develop a revised and improved version of the original measure, as necessary, after evaluating its factor structure and related properties.Methods: A sample of undergraduate university students (N = 763) completed an online test battery of questionnaires. Putative ED (n = 384) and non-ED (n = 379) subgroups were created from self-reported responses from the Eating Disorder Examination Questionnaire (EDEQ). Confirmatory factor analyses (CFAs) were performed, and internal consistency, construct validity, group differences and clinical utility was examined. Results: An initial CFA did not support the original five-factor 40-item ED-CBQ. Two revised versions were developed that both possessed equal or superior psychometric properties to the original 40-item measure. The ED-CBQ-SF and ED-CBQ-R both demonstrated superior model fit, similar levels of reliability and construct validity, and the ability to discriminate between putative ED diagnostic groups.Conclusions: Our results suggest that the ED-CBQ-SF and ED-CBQ-R are both valid, reliable, but more importantly efficient and accessible measures with the potential to be utilised both clinically and in research settings.

scholarly journals Presence of different forms of compensatory behaviours among eating disordered patients

2010 ◽  
Vol 138 (5-6) ◽  
pp. 328-332
Author(s):  
Olga Kontic ◽  
Nadja Vasiljevic ◽  
Jagoda Jorga ◽  
Miroslava Jasovic-Gasic ◽  
Aneta Lakic ◽  
...  
Keyword(s):  
Eating Disorders ◽  
Body Weight ◽  
Eating Disorder ◽  
Control Group ◽  
Excessive Exercise ◽  
Eating Disordered ◽  
Significant Difference ◽  
24 Hour Recall ◽  
And Control ◽  
Experimental Group

Introduction Eating disorders indicate unhealthy habits in nutrition and/or behaviour in the feeding and maintaining of body weight. The main characteristic of these diseases is changed behaviour in nutrition, either as an intentional restriction of food, namely extreme dieting or overeating, i.e. binge eating. Extreme dieting, skipping meals, self-induced vomiting, excessive exercise, and misuse of laxatives and diuretics for the purpose of maintaining or reducing body weight are the forms of compensatory behaviour. Objective The purpose of the present research was to determine the presence of different inappropriate compensatory behaviours among eating disordered patients. Methods The experimental group included 35 female eating disordered patients of 23.02?}3.46 years on average, with anorexia or bulimia nervosa. The control group consisted of 70 girls aged 23.1?}3.0 years on average. Each participant completed a '24-hour Recall Questionnaire' and the 'Eating Disorder Diagnostic Scale'. Results A high statistically significant difference existed in the presence of all compensatory behaviours in the experimental and control group, regarding vomiting (?2=40.6; p<0.001), misuse of laxatives and diuretics (?2=33.7; p<0.001), extreme dieting (?2=23.4; p<0.001) and excessive exercising (?2=27.1; p<0.001). Conclusion Eating disordered patients showed a significantly higher incidence of all evaluated forms of compensatory behaviour in comparison with the control group. This report confirms the presence of specific symptomatology of anorexia and bulimia patients. .

Eating-Related Intrusive Thoughts Inventory: Exploring the Dimensionality of Eating Disorder Symptoms

2011 ◽  
Vol 109 (1) ◽  
pp. 108-126 ◽  
Author(s):  
Conxa Perpiñtá ◽  
María Roncero ◽  
Amparo Belloch ◽  
Sergio Sánchez-Reales
Keyword(s):  
Eating Disorders ◽  
Eating Disorder ◽  
Intrusive Thoughts ◽  
The Other ◽  
Self Report ◽  
Restrained Eating ◽  
Personal Meaning ◽  
Obsessive Compulsive ◽  
Eating Disorder Symptoms ◽  
Thought Action Fusion

The aims of this study were, first, to examine the structure and validity of the Eating-related Intrusive Thoughts Inventory (INPIAS), a self-report questionnaire designed to assess eating disorders related to intrusive thoughts (EDITs), and second, to explore the existence of a continuum ranging from normal to abnormal thought intrusions related to eating, weight, and shape. Participants were 574 (408 women) nonclinical community individuals. Analyses revealed that EDITs can be clustered into three sets: appearance-dieting, need to exercise, and thoughts-impulses related to eating disorders. EDITs' consequences showed a two-factor structure: emotional consequences/personal meaning and thought-action fusion responsibility; and four factors of strategies: “anxiety,” suppression, obsessive-compulsive rituals, and distraction. The sample was then divided according to reported restrained eating. The High dietary restraint group reported a higher frequency of EDITs, whereas differences in the other factors were mediated by depression, anxiety, and obsessionality. The results suggest that eating disorder-related cognitions are experienced by nonclinical individuals, and distributed on a continuum.

The Relationship Between Core Beliefs and a History of Eating Disorders: An Examination of the Life Stories of University Students

2003 ◽  
Vol 17 (4) ◽  
pp. 359-374 ◽  
Author(s):  
Sabina Sarin ◽  
John R. Z. Abela
Keyword(s):  
Eating Disorders ◽  
Depressive Symptoms ◽  
Bulimia Nervosa ◽  
University Students ◽  
Life Stories ◽  
Self Report ◽  
Core Beliefs ◽  
Semistructured Interview ◽  
History Of ◽  
The Relationship

The goal of the current study was to examine the relationship between core beliefs and a history of eating disorders using a retrospective design. Sixty-three university students completed self-report measures assessing current depressive symptoms. They also completed a semistructured interview assessing current and past histories of eating disorders. The presence of core beliefs was identified through an examination of participants’ life stories. Core beliefs were associated with past histories of both anorexia and bulimia nervosa, even after controlling for current depressive symptoms and eating disorders. Further analyses revealed that core beliefs centering around themes of disconnection and rejection, other-directedness, and overvigilance and inhibition were associated with past histories of anorexia nervosa, whereas core beliefs centering around themes of disconnection and rejection, impaired limits, and overvigilance and inhibition were associated with past histories of bulimia nervosa. These findings provide preliminary support for recent theoretical models highlighting the potential importance of core beliefs in the etiology of eating disorders.

Adolescents newly diagnosed with eating disorders have structural differences in brain regions linked with eating disorder symptoms

2016 ◽  
Vol 71 (3) ◽  
pp. 188-196 ◽  
Author(s):  
Linda Solstrand Dahlberg ◽  
Lyle Wiemerslage ◽  
Ingemar Swenne ◽  
Anna Larsen ◽  
Julia Stark ◽  
...  
Keyword(s):  
Eating Disorders ◽  
Eating Disorder ◽  
Brain Regions ◽  
Newly Diagnosed ◽  
Eating Disorder Symptoms ◽  
Structural Differences
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