Aggression Regulation in Day Treatment of Eating Disorders: Two‐Centre RCT of a Brief Body and Movement‐Oriented Intervention

Boerhout, Cees; Swart, Marte; Voskamp, M; Troquete, Nadine; Busschbach, Jooske T. van; Hoek, Hans W.

doi:10.1002/erv.2491

Cited by 11 publications

(13 citation statements)

References 38 publications

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“…Second, result from the prospective Study 2 should still be taken cautiously as our sample is small; a greater sample size would have allowed for the identification of ER differences and to report results more consistently. Future studies should further explore these results and test if patients with EDs would benefit from specifically targeting ER skill development within the CBT treatment protocol (Boerhout et al, ; Fernandez‐Aranda et al, ; Schmidt et al, ; Schmidt & Martin, ; Tchanturia, Doris, & Fleming, ).…”

Section: Limitations and Future Researchmentioning

confidence: 99%

Emotion Regulation as a Transdiagnostic Feature Among Eating Disorders: Cross‐sectional and Longitudinal Approach

Mallorquí‐Bagué

Vintró-Alcáraz

Sánchez

et al. 2017

Euro Eating Disorders Rev

137

102

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Emotion regulation (ER) difficulties are observed in eating disorders (EDs). However, few studies have explored ER before and after treatment. The aims are as follows: to explore ER difficulties across ED types and a healthy control (HC) group (Study 1) and to assess pretreatment and post-treatment changes among ED types (Study 2). In Study 1, adult women with EDs (n = 438) and HC (n = 126) completed an assessment including Eating Disorders Inventory-2, Difficulties in Emotion Regulation Scale and Symptom Checklist-90-Revised. Patients in Study 2 (n = 69) were also reassessed after treatment. All ED types reported worse ER compared with HC (p < .001); also, ER differences were found between ED types. Prospective analyses show ER improvements after treatment (p < .001; |d| = 0.51), especially in patients with bulimia nervosa (p < .001; |d| = 1.03; Reliable Change Index = 9.79) with greater improvement in those with a better treatment outcome (p = .034). In conclusion, emotion dysregulation is a part of all forms of EDs. Furthermore, emotional dysregulation can be modified. ED treatments for anorexia nervosa and binge eating disorder might be enhanced by targeting ER skills.

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Section: Limitations and Future Researchmentioning

confidence: 99%

Emotion Regulation as a Transdiagnostic Feature Among Eating Disorders: Cross‐sectional and Longitudinal Approach

Mallorquí‐Bagué

Vintró-Alcáraz

Sánchez

et al. 2017

Euro Eating Disorders Rev

137

102

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“…In the light of treating anger regulation problems and aggressive behaviour, it is assumed that when a person is aware of one's anger-related bodily signals, this facilitates emotion regulation and as a result, it might prevent aggressive behaviour (Boerhout et al, 2013;Füstös et al, 2013;Gross, 2015;Price & Hooven, 2018;Zwets et al, 2016). Empirical studies support the importance of being aware of anger-related body signals and adequate coping with anger in the light of anger regulation and preventing aggressive behaviour (Boerhout et al, 2017;de Looff et al, 2019;Ter Harmsel et al, 2021). Especially in people with MID-BIF, aggressive behaviour caused by deficient anger regulation is a well-known problem.…”

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confidence: 99%

Psychomotor therapy for individuals with mild intellectual disabilities or borderline intellectual functioning presenting anger regulation problems and/or aggressive behaviour: A qualitative study on clients’ experiences

Bellemans

Peters-Scheffer

Didden

et al. 2021

Journal of Intellectual & Developmental Disability

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Background: Psychomotor therapy (PMT) is often applied in Dutch clinical practice to address aggressive behaviour in individuals with mild intellectual disabilities or borderline intellectual functioning. However, the literature on clients' experiences is lacking. Methods: An interpretative phenomenological analysis was used to analyse the semi-structured interviews of seven participants (19-60 years; four male, three female) who completed PMT targeting anger regulation problems. Results: According to the participants, becoming aware of increasing tension and/or learning to downregulate the tension were the main goals of PMT. They emphasised both the possibility to learn by doing and the therapeutic alliance as essential to create a safe context, where participants can experiment with alternative behaviour. After completing PMT, participants perceived fewer aggressive outbursts and an increased self-esteem. Conclusions: Participants in our sample experienced PMT as being helpful in targeting anger regulation problems and aggressive behaviour. The experiential nature of the program was perceived as a valuable aspect of PMT.

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“…In mental health care it can be recognized that many women still learn to silence their anger, deny it entirely, or vent it in another way. We found excessive anger internalization in women with eating disorders [ 20 , 21 ]. Although this may explain the gender differences also found in our present study, it does not account for the high incidence of anger internalization in our female student sample.…”

Section: Discussionmentioning

confidence: 99%

“…PMT for eating disorders targets on persistent anger issues by enabling patients to practice body expression including force production exercises such as used in the MSSS. Voice and movement exercises in PMT were found to be effective in the treatment of excessive anger inhibition in patients with eating disorders [ 20 , 21 ]. The MSSS is meant for diagnostic as well as therapeutic purposes.…”

Section: Introductionmentioning

confidence: 99%

Force production parameters as behavioural measures for anger expression and control: The Method of Stamp Strike Shout

et al. 2018

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This study presents first test results of a new performance-based, psychomotor method to measure anger expression and control, based on voice expression and physical force production in directional movement of arms and legs, called the Method of Stamp Strike Shout (MSSS). Recorded are the standardized impact of stamping on a force plate, hitting a punching bag, and the amplitude of shouting in a microphone at various force levels. The premise is, that these body behaviours stand for the ‘urge to act or shout’ that belongs to anger-related emotions. The MSSS is meant to be applied in addition to potentially biased self-report questionnaires and has been designed for diagnostic as well as therapeutic purposes in clinical practice. First, this paper focusses on the instrumentation, internal structure and reliability of the MSSS. An explorative study in a student sample (n = 104) shows correlation patterns between increasing and decreasing levels of force production within each subtest (Stamp, Strike and Shout) and between the three subtests. We found excellent internal consistency of the three subtests and high test-retest reliability. The parameters of increasing and decreasing force levels form the slopes of what we call a force pyramid. To adjust for the clustering within persons, aggregated outcomes were calculated: sum scores per subtest as an indication of total force produced, two linear contrast scores to indicate the rate of increase / decrease, and two quadratic contrast scores as measures of the curvature of the slopes. On all subtests, all aggregated scores showed differences between men and women, also when controlled for weight. To test the validity of the MSSS, the second part of the paper examines the relationship between force parameters and anger coping style, measured by the Self-Expression and Control Scale (SECS). The results suggest that the Shout subtest was the most sensitive indicator for anger coping style, showing negative correlations with Anger In, for women as well as men. For women, higher amplitude was also associated with higher Anger Out and lower amplitude with higher Anger Control. The Stamp subtest showed weak positive correlations with the Anger In subscales, whereas no correlations were found on the Strike subtest. Further, a more robust comparison was made between two groups of participants who reported to have an internalizing versus an externalizing anger coping style. Results indicated that internalizing women as well as men used less force than externalizing participants on all three subtests, especially on the Shout subtest. This was confirmed by lower mean sum scores on the Shout subtest for internalizing women compared with externalizing women. No differences in linear contrast scores were shown between internalizing and externalizing participants. The quadratic contrast scores suggested differences of the curvation of the slopes between women with more or less anger control when stamping, and men with more or less anger control when striking. As this is an explorative ...

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Aggression Regulation in Day Treatment of Eating Disorders: Two‐Centre RCT of a Brief Body and Movement‐Oriented Intervention

Abstract: A body and movement-oriented therapy seems a viable add-on for treating anger internalization in patients with an eating disorder. Copyright © 2016 John Wiley & Sons, Ltd and Eating Disorders Association.

Cited by 11 publications

References 38 publications

Emotion Regulation as a Transdiagnostic Feature Among Eating Disorders: Cross‐sectional and Longitudinal Approach

Emotion Regulation as a Transdiagnostic Feature Among Eating Disorders: Cross‐sectional and Longitudinal Approach

Psychomotor therapy for individuals with mild intellectual disabilities or borderline intellectual functioning presenting anger regulation problems and/or aggressive behaviour: A qualitative study on clients’ experiences

Force production parameters as behavioural measures for anger expression and control: The Method of Stamp Strike Shout

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