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Bogusch LM, O'Brien WH. The Effects of Mindfulness-Based Interventions on Diabetes-Related Distress, Quality of Life, and Metabolic Control Among Persons with Diabetes: A Meta-Analytic Review. Behav Med 2019; 45:19-29. [PMID: 29617221 DOI: 10.1080/08964289.2018.1432549] [Citation(s) in RCA: 20] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
Abstract
Mindfulness-based interventions (MBIs) have improved psychological outcomes for multiple chronic health conditions, including diabetes. A meta-analytic review of the literature was conducted on all located studies (n = 14) investigating MBIs that targeted diabetes-related distress (DRD) and diabetes-related outcomes among people with Type 1 and Type 2 diabetes. PsychInfo, PubMed, Medline, and Web of Science were searched for MBIs that were designed to improve DRD and other secondary outcomes, including quality of life and measures of metabolic control. A meta-analysis of these outcomes uncovered small-to-moderate effect sizes for intervention studies measuring pretreatment to posttreatment changes in DRD and metabolic control among treatment group participants. However, the pretreatment to follow-up comparisons for DRD and metabolic control were small and unreliable. For control groups, all pre-treatment to post-treatment and pre-treatment to follow-up comparisons were unreliable for all outcomes. A moderate effect size for treatment-control comparisons was found for intervention studies measuring quality of life outcomes at posttreatment, but not at follow-up comparisons. All other effect sizes for treatment-control comparisons were unreliable. Limitations and implications for MBIs among individuals with diabetes are discussed.
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Affiliation(s)
- Leah M Bogusch
- a Psychology Department , Bowling Green State University
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2
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Diedrich A, Schlegl S, Greetfeld M, Fumi M, Voderholzer U. Intensive inpatient treatment for bulimia nervosa: Statistical and clinical significance of symptom changes. Psychother Res 2016; 28:297-312. [DOI: 10.1080/10503307.2016.1210834] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/21/2022] Open
Affiliation(s)
- Alice Diedrich
- Department of Psychiatry and Psychotherapy, University of Munich (LMU), Munich, Germany
| | - Sandra Schlegl
- Department of Psychiatry and Psychotherapy, University of Munich (LMU), Munich, Germany
| | | | - Markus Fumi
- Schön Clinic Roseneck, Prien am Chiemsee, Germany
| | - Ulrich Voderholzer
- Schön Clinic Roseneck, Prien am Chiemsee, Germany
- Department of Psychiatry and Psychotherapy, University of Freiburg, Freiburg, Germany
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3
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Stein RI, Saelens BE, Dounchis JZ, Lewczyk CM, Swenson AK, Wilfley DE. Treatment of Eating Disorders in Women. COUNSELING PSYCHOLOGIST 2016. [DOI: 10.1177/0011000001295004] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
This article reviews the most recent treatment literature for anorexia nervosa, bulimia nervosa, and binge eating disorder and serves as a guide for recommended readings and therapist resources. The primary focus is on empirically tested treatment modalities; for each of these approaches reviewed, the theoretical background, nature of the intervention, and existing empirical support are summarized. The article also presents less researched, albeit promising, approaches to eating disorder treatment, describing the rationale and available research. A focus on multicultural issues, including the paucity of eating disorder treatment research among participants of color, and suggestions for building research and enhancing treatment effectiveness with ethnic minority clients, is incorporated throughout. Recommendations concerning pressing research needs are made, and a summary of clinical recommendations for each disorder is formulated.
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Affiliation(s)
- Richard I. Stein
- San Diego State University and University of California, San Diego,
| | | | - Jennifer Zoler Dounchis
- San Diego State University; University of California, San Diego; and Minneapolis Veterans Affairs Medical Center, Minnesota
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Dölemeyer R, Tietjen A, Kersting A, Wagner B. Internet-based interventions for eating disorders in adults: a systematic review. BMC Psychiatry 2013; 13:207. [PMID: 23919625 PMCID: PMC3750530 DOI: 10.1186/1471-244x-13-207] [Citation(s) in RCA: 67] [Impact Index Per Article: 6.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/16/2012] [Accepted: 07/17/2013] [Indexed: 12/20/2022] Open
Abstract
BACKGROUND This systematic review evaluates the efficacy of internet-based interventions for the treatment of different eating disorders in adults. METHOD A search for peer reviewed journal articles detailing Randomised Control Trials (RCT) and Controlled Trials (CT) addressing participants with eating disorders aged at least 16 was completed in the electronic databases Web of Science, PsycInfo and PubMed. The quality of the included articles was assessed, results were reviewed and effect sizes and corresponding confidence intervals were calculated. RESULTS Eight studies, including a total of N = 609 participants, fulfilled the selection criteria and were included. The majority of treatments applied in these studies were based on CBT principles. Six studies described guided self-help interventions that showed significant symptom reduction in terms of primary and secondary outcomes regarding eating behaviour and abstinence rates. These studies produced significant medium to high effect sizes both within and between the groups after utilisation of guided self-help programs or a self-help book backed up with supportive e-mails. The two remaining studies utilised a specific writing task or e-mail therapy that did not follow a structured treatment program. Here, no significant effects could be found. Treatment dropout rates ranged from 9% to 47.2%. Furthermore, reductions in other symptoms, for example depression and anxiety, and an increase in quality of life were found by four studies. CONCLUSIONS Overall, the results support the value of internet-based interventions that use guided self-help to tackle eating disorders, but further research is needed due to the heterogeneity of the studies.
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Affiliation(s)
- Ruth Dölemeyer
- Department of Psychosomatic Medicine and Psychotherapy, University of Leipzig, Semmelweisstr. 10, Leipzig 04103, Germany.
| | - Annemarie Tietjen
- Department of Psychosomatic Medicine and Psychotherapy, University of Leipzig, Semmelweisstr. 10, Leipzig 04103, Germany
| | - Anette Kersting
- Department of Psychosomatic Medicine and Psychotherapy, University of Leipzig, Semmelweisstr. 10, Leipzig 04103, Germany,Leipzig University Medical Center, IFB AdiposityDiseases, Leipzig, Germany
| | - Birgit Wagner
- Department of Psychosomatic Medicine and Psychotherapy, University of Leipzig, Semmelweisstr. 10, Leipzig 04103, Germany,Leipzig University Medical Center, IFB AdiposityDiseases, Leipzig, Germany
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Spielmans GI, Benish SG, Marin C, Bowman WM, Menster M, Wheeler AJ. Specificity of psychological treatments for bulimia nervosa and binge eating disorder? A meta-analysis of direct comparisons. Clin Psychol Rev 2013; 33:460-9. [DOI: 10.1016/j.cpr.2013.01.008] [Citation(s) in RCA: 36] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/25/2012] [Revised: 12/30/2012] [Accepted: 01/19/2013] [Indexed: 01/23/2023]
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Erford BT, Richards T, Peacock E, Voith K, McGair H, Muller B, Duncan K, Chang CY. Counseling and Guided Self-Help Outcomes for Clients With Bulimia Nervosa: A Meta-Analysis of Clinical Trials From 1980 to 2010. JOURNAL OF COUNSELING AND DEVELOPMENT 2013. [DOI: 10.1002/j.1556-6676.2013.00083.x] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022]
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Abstract
Recently, a major new category classification of disorders, the obsessive-compulsive related disorders (OCRDs), has been proposed (Hollander, Braun, & Simeon, 2008). The proposed disorders that would fall in this category are associated with efficacious treatments, but have not been widely disseminated. Recent developments in telehealth have made treatment available to a wider range of clients with putative OCRDs. This paper evaluates the efficacy of these treatments when delivered using telehealth methodologies. While the evidence is preliminary, the early results are encouraging for the delivery of cognitive-behavior therapy for a wide range of OCRDs. Additional research directions are suggested in light of these emerging technologies for treatment delivery.
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Affiliation(s)
- Joseph Brand
- Psychology, Fordham University, Bronx, NY 10458, USA
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Levine D, Mishna F. A self psychological and relational approach to group therapy for university students with bulimia. Int J Group Psychother 2007; 57:167-85. [PMID: 17419669 DOI: 10.1521/ijgp.2007.57.2.167] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
Bulimia is a complex disorder that can significantly interfere with psychosocial functioning. It is a particularly significant problem among adolescents and young women in college and university settings. The preponderance of literature on group therapeutic approaches for this disorder is from a cognitive-behavioral perspective. In this paper, we present a psychodynamic group therapy approach for female university students, informed specifically by self psychological and relational frameworks. Through clinical illustrations, we demonstrate how the group provides selfobject experiences, including mirroring, idealizing, twinship, and adversarial experiences, and how the group becomes the arena through which group members can experience, express, and understand emotions. The interpersonal context of the group uniquely provides opportunities for members to examine their bulimic symptoms in relation to interactions that take place outside of or within the group.
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9
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Falissard B. Eating disorders: interactions between human nutrition research and food behaviours. Trends Food Sci Technol 2007. [DOI: 10.1016/j.tifs.2007.01.003] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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Pook M, Tuschen-Caffier B. Sensitivity to change of scales assessing symptoms of bulimia nervosa. Psychiatry Res 2004; 128:71-8. [PMID: 15450916 DOI: 10.1016/j.psychres.2003.03.001] [Citation(s) in RCA: 16] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/19/2002] [Revised: 02/25/2003] [Accepted: 03/04/2003] [Indexed: 02/07/2023]
Abstract
Measures employed in a therapy study with a pre-post design must be sensitive to the detection of treatment-related changes. In the present study, the treatment sensitivity of 12 internationally established scales that assess bulimia-relevant aspects of eating and body concern is analyzed. The scales can be sorted along three dimensions (Disturbed Eating, Restrictive Eating Behaviors and Body Dissatisfaction). Measures of the same dimension were compared in a sample of 45 women with the diagnosis of bulimia nervosa. Patients completed the scales before and 6 weeks after the end of cognitive-behavioral therapy. Significant differences between scales with respect to treatment sensitivity occurred in all three dimensions. Post hoc analysis revealed that scales are particularly sensitive to change if they include disorder-relevant aspects beyond the main dimension of a scale. Implications of the findings for meta-analytical treatment research, for designing effectiveness studies, and for future research on the treatment sensitivity of outcome measures are discussed.
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Affiliation(s)
- Martin Pook
- Department of Psychology, University of Siegen, Germany.
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Lundgren JD, Danoff-Burg S, Anderson DA. Cognitive-behavioral therapy for bulimia nervosa: an empirical analysis of clinical significance. Int J Eat Disord 2004; 35:262-74. [PMID: 15048942 DOI: 10.1002/eat.10254] [Citation(s) in RCA: 18] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
OBJECTIVE The purpose of this review was to assess the clinical significance of cognitive-behavioral therapy for bulimia nervosa using the reliable change index and normative comparison analyses. METHOD Fifteen treatment outcome studies using either individual or group cognitive-behavioral therapy for bulimia nervosa were selected for inclusion. RESULTS Results suggest that cognitive-behavioral therapy for bulimia nervosa produces clinically significant change for many treatment outcome measures when using the reliable change index. However, posttreatment symptomatology is rarely within a normative range when examined with normative comparison analyses. DISCUSSION This review provides a first step in examining the clinical significance of treatment for bulimia nervosa. Future studies should further this work by comparing the clinical significance of different types of treatment for bulimia nervosa using additional assessment measures.
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Affiliation(s)
- Jennifer D Lundgren
- Department of Psychology, University at Albany, The State University of New York, Albany, New York 12222, USA.
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Thompson-Brenner H, Glass S, Westen D. A Multidimensional Meta-Analysis of Psychotherapy for Bulimia Nervosa. ACTA ACUST UNITED AC 2003. [DOI: 10.1093/clipsy.bpg024] [Citation(s) in RCA: 29] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
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13
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Abstract
The rate of obesity in adults and youth has doubled in the past 20 years; during this same period there has been an increase in the prevalence of "dysfunctional eating behaviors," including eating disorders and unhealthy weight loss practices. Despite the fact that obesity, eating disorders, and unhealthy weight loss practices are cultivated in the same cultural context-an increasingly "toxic" environment regarding food and weight-these problems are regarded as distinct, with different origins, courses, and approaches to prevention and treatment. In this article, we present conceptual and practical reasons for adopting an integrated approach to the prevention of the spectrum of problems related to eating and weight (i.e., eating disorders, obesity, and unhealthy weight loss practices), suggest personal, socioenvironmental, and behavioral factors to be included in an integrated approach to prevention, and provide some ideas for developing an integrated program using a media literacy/advocacy approach. We conclude with a discussion of challenges to the development of interventions aimed at the broad spectrum of weight-related problems and suggestions for addressing these challenges.
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Affiliation(s)
- Lori M Irving
- Washington State University, Pullman, Washington 99164, USA
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Taylor CB, Cameron RP, Newman MG, Junge J. Issues related to combining risk factor reduction and clinical treatment for eating disorders in defined populations. J Behav Health Serv Res 2002; 29:81-90. [PMID: 11840907 DOI: 10.1007/bf02287835] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Abstract
Population-based psychotherapy considers the provision of services to a population at risk for or already affected with a disease or disorder. Using existing data on prevalence, incidence, risk factors, and interventions (both preventive and clinical) for eating disorders (anorexia excluded), this article examines issues related to integrating and providing risk reduction and treatment to a population of female college students. Population-based psychotherapy models have important implications for the provision of services and for future directions in research on eating and other types of mental health disorders, but the assumptions need to be carefully examined. Studies that provide data combining population-based risk factor reduction and clinical treatment are needed to advance this field.
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Affiliation(s)
- C Barr Taylor
- Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, Stanford, CA 94305-5722, USA.
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Cororve MB, Gleaves DH. Body dysmorphic disorder: a review of conceptualizations, assessment, and treatment strategies. Clin Psychol Rev 2001; 21:949-70. [PMID: 11497214 DOI: 10.1016/s0272-7358(00)00075-1] [Citation(s) in RCA: 108] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Increased interest in body dysmorphic disorder (BDD) has generated a wealth of recent research. This paper reviews the current literature regarding conceptualizations of the disorder, the development of assessment tools, and treatment outcome. Although BDD has been viewed as a variant of an eating disorder, obsessive compulsive disorder, or a somatoform disorder, it appears best conceptualized as a body image disorder with social, psychological, and possibly biological influences. Assessment instruments with acceptable psychometric properies have been developed to specifically assess BDD (e.g., the Body Dysmorphic Disorder Examination and the Yale-Brown Obsessive Compulsive Scale modified for Body Dysmorphic Disorder). Examination and the initial results from uncontrolled and controlled treatment research suggest that cognitive behavioral treatments for BDD may be as effective as those for possibly related disorders such as obsessive compulsive disorder and bulimia nervosa.
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Affiliation(s)
- M B Cororve
- Department of Psychology, Texas A&M University, College Station 77843-4235, USA
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16
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Hay PJ, Bacaltchuk J. Extracts from "Clinical evidence": Bulimia nervosa. BMJ (CLINICAL RESEARCH ED.) 2001; 323:33-7. [PMID: 11440944 PMCID: PMC1120665 DOI: 10.1136/bmj.323.7303.33] [Citation(s) in RCA: 19] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Affiliation(s)
- P J Hay
- Department of Psychiatry, University of Adelaide, Adelaide, Australia.
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17
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Ghaderi A. Review of Risk Factors for Eating Disorders: Implications for Primary Prevention and Cognitive Behavioural Therapy. ACTA ACUST UNITED AC 2001. [DOI: 10.1080/02845710117890] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/16/2022]
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Walsh JM, Wheat ME, Freund K. Detection, evaluation, and treatment of eating disorders the role of the primary care physician. J Gen Intern Med 2000; 15:577-90. [PMID: 10940151 PMCID: PMC1495575 DOI: 10.1046/j.1525-1497.2000.02439.x] [Citation(s) in RCA: 124] [Impact Index Per Article: 5.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/13/2022]
Abstract
OBJECTIVE To describe how primary care clinicians can detect an eating disorder and identify and manage the associated medical complications. DESIGN A review of literature from 1994 to 1999 identified by a MEDLINE search on epidemiology, diagnosis, and therapy of eating disorders, including anorexia nervosa and bulimia nervosa. MEASUREMENTS AND MAIN RESULTS Detection requires awareness of risk factors for, and symptoms and signs of, anorexia nervosa (e.g., participation in activities valuing thinness, family history of an eating disorder, amenorrhea, lanugo hair) and bulimia nervosa (e.g., unsuccessful attempts at weight loss, history of childhood sexual abuse, family history of depression, erosion of tooth enamel from vomiting, partoid gland swelling, and gastroesophageal reflux). Providers must also remain alert for disordered eating in female athletes (the female athlete triad) and disordered eating in diabetics. Treatment requires a multidisciplinary team including a primary care practitioner, nutritionist, and mental health professional. The role of the primary care practitioner is to help determine the need for hospitalization and to manage medical complications (e.g., arrhythmias, refeeding syndrome, osteoporosis, and electrolyte abnormalities such as hypokalemia). CONCLUSION Primary care providers have an important role in detecting and managing eating disorders.
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Affiliation(s)
- J M Walsh
- Division of General Internal Medicine, Departments of Medicine and Epidemiology and Biostatistics, University of California, San Francisco, San Francisco, CA, USA.
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Ghaderi A, Andersson G. Meta-analysis of CBT for Bulimia Nervosa: Investigating the Effects Using DSM-III-R and DSM-IV Criteria. ACTA ACUST UNITED AC 1999. [DOI: 10.1080/028457199440034] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
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