Matching women with binge eating disorder to group treatment based on attachment anxiety: Outcomes and moderating effects

Tasca, Giorgio A.; Ritchie, Kerri; Demidenko, Natasha; Balfour, Louise; Krysanski, Valerie; Weekes, Kirsti; Barber, Ann; Keating, Leah; Bissada, Hany

doi:10.1080/10503307.2012.717309

Cited by 52 publications

(86 citation statements)

References 38 publications

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“…As noted in a previous report, participants in the current sample reported significant improvement on all outcome measures (Tasca et al, 2013). Table 2 presents the pre-and posttreatment means and standard deviations for the outcome measures by study condition.…”

Section: Resultsmentioning

confidence: 78%

“…The EDE was administered at pre-and posttreatment to assess changes in binge frequency following GPIP. There was a high degree of interrater reliability in the current sample for the assessment of days hinged in the past 28 days, p = .98, as measured by the intraclass correlation (Tasca et al, 2013).…”

Section: Structured Clinical Interview For Dsm-iv (Scid; First Spitzmentioning

confidence: 92%

“…A trained psychometrist administered the SCID interview as a screening tool to determine potential participants' eligibility for the study. For this study sample, interrater rehability was very good for the presence of current mood disorders, k = .82, when independent ratings were compared (Tasca et al, 2013).…”

Section: Participantsmentioning

confidence: 99%

“…In a follow-up study. Tasca et al (2013) assigned participants with BED to treatment conditions of homogeneously composed GPIP groups according to levels of attachment anxiety. That is high attachment anxiety and low attachment anxiety groups were formed.…”

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confidence: 99%

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Attachment anxiety moderates the relationship between growth in group cohesion and treatment outcomes in Group Psychodynamic Interpersonal Psychotherapy for women with binge eating disorder.

Gallagher

Tasca

Ritchie

et al. 2014

Group Dynamics: Theory, Research, and Practice

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Previous research suggests an association between increased group cohesion and: (a) improved group process, and (b) improved treatment outcomes for those with binge eating disorder (BED) and depression (Castonguay, Pincus, Agras, & Hines, 1998;Crowe & Grenyer, 2008). Other research indicated that attachment anxiety may be associated with treatment outcomes for women with BED . Our goals for this study were to examine the relationship between group cohesion, attachment anxiety, and change in clinical outcomes at posttreatment. Participants, 102 women with BED, were assigned to homogeneously composed psychotherapy groups based on their pretreatment level of attachment anxiety (i.e., high vs. low attachment anxiety). The group treatment was 16 weeks of Group Psychodynamic Interpersonal Psychotherapy (GPIP; Tasca, Mikail, & Hewitt, 2005). Outcomes were measured preand posttherapy, and cohesion was measured weekly. We found a significant increase in group cohesion over the course of treatment in both high and low attachment anxiety conditions. We also found that attachment anxiety at study baseline moderated the relationship between growth in group cohesion and change in binge eating. Increase in group cohesion was associated with improved binge eating, but only for those high in attachment anxiety. Our findings are consistent with an interpersonal model of BED, and suggest that group therapists should emphasize the growth of cohesion in therapy groups, especially for those with high attachment anxiety, so as to maximize interventions aimed at reducing binge eating and associated presenting problems.

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Section: Resultsmentioning

confidence: 78%

Section: Structured Clinical Interview For Dsm-iv (Scid; First Spitzmentioning

confidence: 92%

Section: Participantsmentioning

confidence: 99%

mentioning

confidence: 99%

See 2 more Smart Citations

Attachment anxiety moderates the relationship between growth in group cohesion and treatment outcomes in Group Psychodynamic Interpersonal Psychotherapy for women with binge eating disorder.

Gallagher

Tasca

Ritchie

et al. 2014

Group Dynamics: Theory, Research, and Practice

Self Cite

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“…Attachment interventions in ED treatment should support four key areas (Amianto et al, 2016;Faber & Dubé , 2015;Keating et al, 2013;Kuipers et al, 2016;Maxwell et al, 2014;Tasca et al, 2009aTasca et al, , b, 2011Tasca et al, , 2013…”

Section: Conclusion and Treatment Implicationsmentioning

confidence: 99%

Parental and Adult Attachment and Eating Symptomology in Eating Disorder Patients and Sine Morbo Individuals

Szalai¹,

Czeglédi²

2017

IJSSS

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Attachment can contribute to eating disorder symptomology through various paths, including emotion regulation. However, the relationship between parental and adult attachment and emotional eating and other eating disorder symptoms have been barely investigated on comparative samples. This cross-sectional, questionnaire-based online survey aimed to assess the relationship between parental and adult attachment qualities with the eating behavior severity, emotional eating, and the level of depression in 67 female anorexia nervosa, bulimia nervosa, and binge eating disorder patients, compared to 67 female sine morbo individuals. Eating disorder patients less frequently had secure attachment, and were more often fearful or preoccupied than sine morbo individuals. In sine morbo individuals lower adult attachment security, but in patients, lower parental care was related to eating disorder symptoms. In sine morbo individuals, higher preoccupation, but in patients, higher fearfulness and lower care was related to emotional eating. Lower attachment security (OR = 0.54), younger age (OR = 0.93) and higher depression (OR = 1.04) explained 36.6% of the variance of diagnosed eating disorders. A complex interplay could be highlighted between dysfunctional attachment dimensions and eating symptomology in both groups-but with different patterns. Perceived parental care may be influential for eating disorder patients, whilst the degree of adult attachment security can be influential for sine morbo individuals. Lower attachment security was a predictor of eating disorders, which suggests the protective value of enhancing attachment security. However, further attachment-based interventions are required.

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Change in attachment states of mind of women with binge‐eating disorder

Maxwell

Tasca

Grenon

et al. 2017

Clin Psychology and Psychoth

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Insecure and unresolved/disorganized attachment states of mind may impact affect regulation and interpersonal functioning that contribute to binge eating in women with binge-eating disorder (BED). Group psychological treatment may facilitate changes from insecure to secure and from unresolved-disorganized to non-unresolved/disorganized attachment states of mind. This study used attachment theory to understand better the psychopathology of BED and co-morbid overweight status and to understand better the treatment response of patients with BED who receive group psychotherapy. Women with BED attended group psychodynamic interpersonal psychotherapy and completed the Adult Attachment Interview pretreatment and 6 months posttreatment. Matched samples of overweight women without BED and normal-weight women without BED completed the Adult Attachment Interview at 1 time point. Women with BED had significantly higher rates of preoccupied and unresolved/disorganized attachment states of mind compared to normal-weight women without BED and had similar rates of insecure and unresolved/disorganized attachment states of mind compared to overweight women without BED. Of the women with BED who had an insecure and/or unresolved/disorganized attachment states of mind at pretreatment, about 60% demonstrated clinically relevant changes to secure and to non-unresolved/disorganized states of mind at 6 months post group psychodynamic interpersonal psychotherapy. Results indicated that some women with BED may benefit from interventions that help them regulate hyperactivated affect and create coherent narratives. Both women with BED and overweight women without BED may benefit from treatments that help them develop more adaptive affect regulation strategies related to unresolved/disorganized attachment states of mind.

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Matching women with binge eating disorder to group treatment based on attachment anxiety: Outcomes and moderating effects

Cited by 52 publications

References 38 publications

Attachment anxiety moderates the relationship between growth in group cohesion and treatment outcomes in Group Psychodynamic Interpersonal Psychotherapy for women with binge eating disorder.

Attachment anxiety moderates the relationship between growth in group cohesion and treatment outcomes in Group Psychodynamic Interpersonal Psychotherapy for women with binge eating disorder.

Parental and Adult Attachment and Eating Symptomology in Eating Disorder Patients and Sine Morbo Individuals

Change in attachment states of mind of women with binge‐eating disorder

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