Rituals and preoccupations associated with bulimia nervosa in adolescents: Does motivation to change matter?

Gorrell, Sasha; Kinasz, Kathryn; Hail, Lisa; Bruett, Lindsey; Forsberg, Sarah; Lock, James; Grange, Daniel Le

doi:10.1002/erv.2664

Cited by 7 publications

(5 citation statements)

References 25 publications

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“…[ 102 – 104 ]), bulimia nervosa (2 out of 3 study arms in Le Grange et al. [ 87 – 91 ]), and bulimia nervosa and an eating disorder not otherwise specified (Schmidt et al. [ 112 – 115 ]).…”

Section: Resultsmentioning

confidence: 99%

“…Results for hospitalisation were reported in 2 studies (Le Grange et al. [ 87 – 91 ] and Nyman-Carlsson et al. [ 102 – 104 ]).…”

Section: Resultsmentioning

confidence: 99%

“…Two studies (Le Grange et al. [ 87 – 91 ] and Schmidt et al. [ 112 – 115 ]) provided data on binge eating and compensatory behaviours, including 10 different operationalisations.…”

Section: Resultsmentioning

confidence: 99%

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Systemic therapy in children and adolescents with mental disorders: a systematic review and meta-analysis

Seidel,

Markes,

Grouven

et al. 2024

BMC Psychiatry

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Background Systemic therapy (ST) is a psychotherapeutic intervention in complex human systems (both psychological and interpersonal). Cognitive behavioural therapy (CBT) is an established treatment for children and adolescents with mental disorders. As methodologically rigorous systematic reviews on ST in this population are lacking, we conducted a systematic review and meta-analysis to compare the benefit and harm of ST (and ST as an add-on to CBT) with CBT in children and adolescents with mental disorders. Methods We searched MEDLINE, Embase, PsycINFO and other sources for randomised controlled trials in 14 mental disorder classes for the above comparisons in respect of effects on patient-relevant outcomes (search date: 7/2022). Where possible, meta-analyses were performed and results were graded into 3 different evidence categories: “proof”, “indication”, or “hint” (or none of these categories). PRISMA standards were followed. Results Fifteen studies in 5 mental disorder classes with usable data were identified. 2079 patients (mean age: 10 to 19 years) were analysed. 12/15 studies and 29/30 outcomes showed a high risk of bias. In 2 classes, statistically significant and clinically relevant effects in favour of ST were found, supporting the conclusion of a hint of greater benefit of ST for mental and behavioural disorders due to psychoactive substance use and of ST as an add-on to CBT for obsessive-compulsive disorders. In 2 other classes (eating disorders; hyperkinetic disorders), there was no evidence of greater benefit or harm of ST. For affective disorders, a statistically significant effect to the disadvantage of ST was found for 1 outcome, supporting the conclusion of a hint of lesser benefit of ST. Conclusions Our results show a hint of greater benefit of ST (or ST as an add-on to CBT) compared with CBT for 2 mental disorder classes in children and adolescents (mental and behavioural disorders due to psychoactive substance use, obsessive compulsive disorders). Given the importance of CBT as a control intervention, ST can therefore be considered a beneficial treatment option for children and adolescents with certain mental disorders. Limitations include an overall high risk of bias of studies and outcomes and a lack of data for several disorders.

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Section: Resultsmentioning

confidence: 99%

“…Results for hospitalisation were reported in 2 studies (Le Grange et al. [ 87 – 91 ] and Nyman-Carlsson et al. [ 102 – 104 ]).…”

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Systemic therapy in children and adolescents with mental disorders: a systematic review and meta-analysis

Seidel,

Markes,

Grouven

et al. 2024

BMC Psychiatry

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“…100% of CBT participants were abstinent from binge eating at 6mo FU. Participants in the CBT group reported high post-treatment satisfaction (Client Satisfaction Survey) Fair a Gorrell et al (2019) † [ 80 ] Secondary analysis of RCT data (Le Grange et al, 2015; [ 44 ]) BN, BN-type EDNOS (DSM-IV) 15.8 [12–18] FBT-BN (52) versus CBT-A (58) 10 Varied (FBT-BN, M = 13.6 wks; CBT-A, M = 14.7 wks) (both ≈ 3 mo) none Across both treatments, participants with a higher level of motivation to change in ED-related preoccupations and rituals (Motivation for Change subscale of YBC-EDS) at BL were more likely to have reduced ED psychopathology (EDE global score) at EOT. Motivation to change ED-related preoccupations and rituals at BL had no effect on abstinence from bingeing and purging at EOT in either treatment Good a Gowers and Smyth (2004) [ 81 ] Cohort study AN 16.1 [12–20] CBT + parental counseling + dietary therapy (42) 21.5 12 sessions CBT, 4 sessions parental counseling, 3 sessions dietary counseling 6 wk At 6wk FU, significant improvements in ED psychopathology (EDI-2) and weight gain.…”

Section: Methodsmentioning

confidence: 99%

A systematic review of cognitive behavior therapy and dialectical behavior therapy for adolescent eating disorders

2021

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Background Eating disorders have serious psychological and physical consequences. Current evidence-based treatments for adolescents with eating disorders have modest effects, underscoring the need to improve current treatment approaches. Cognitive behavior therapy (CBT) and dialectical behavior therapy (DBT) have been proposed as alternative treatment options, with burgeoning research in this area. This review aims to summarize and critically analyze the current literature on the feasibility, acceptability, effectiveness, and efficacy of CBT and DBT for adolescent eating disorders, and then proposes areas of future research. Methods PsycINFO and PubMed were searched using the Preferred Reporting Items for Systematic Review and Meta-Analyses guidelines to identify studies examining the feasibility, acceptability, effectiveness and/or efficacy of CBT or DBT for adolescent eating disorders. Results Eligible studies (N = 50; CBT: n = 40, DBT: n = 10) indicated that both treatments are reasonably feasible, acceptable, and possibly effective for adolescent eating disorders across diagnoses and levels of care, though efficacy trials are lacking. Conclusions CBT and DBT demonstrate promise as alternatives to family-based approaches for adolescent eating disorders. Adequately powered trials to establish the effectiveness and efficacy of CBT and DBT are needed, particularly ones that compare these treatments against other leading approaches. Plain English summary Despite high rates of relapse and likelihood for severe and enduring illness, there is a dearth of evidence-based treatment options for adolescents with eating disorders. Potentially viable but less well-studied treatments for adolescents with eating disorders include cognitive behavior therapy (CBT) and dialectical behavior therapy (DBT). This systematic review of CBT and DBT for adolescent eating disorders focuses on feasibility (i.e., how easy it was to implement the treatment), acceptability (i.e., how well the intervention was received by patients and therapists), effectiveness (i.e., how well the intervention performed under routine, real-world circumstances), and efficacy (i.e., how well the intervention performed in highly-controlled research settings). This review concludes that research supports the feasibility and acceptability of these approaches, as well as preliminary evidence of their effectiveness. However, the field is lacking studies that systematically compare CBT and DBT to other evidence-based approaches. Recommendations to advance research on CBT and DBT for adolescent eating disorders are provided, including a call for efficacy studies that clarify their performance compared to other leading approaches.

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“…Los pensamientos o preocupaciones de una persona con bulimia pueden incluir la alimentación, el peso, la forma, la apariencia y la vestimenta (Gorrell et al, 2019). A continuación, los criterios diagnósticos para la Bulimia Nerviosa:…”

Section: La Bulimia Nerviosaunclassified

PSICOPATOLOGIA DE LA IMAGEN CORPORAL. Definiciones, alteraciones, teorías y evaluación.

2022

Libros De Ciencias Sociales Y Educación

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La Imagen Corporal es un constructo multidimensional complejo que engloba las percepciones, pensamientos, actitudes y sentimientos del ser humano sobre su cuerpo, la manera en que estima su tamaño, evalúa su atractivo, las emociones asociadas con su forma y apariencia, así como las conductas dirigidas a su manejo. En este libro se describe la psicopatología de la imagen corporal, sus definiciones, alteraciones, teorías y evaluación, permitiendo al lector conocer sobre las preocupaciones exageradas sobre la percepción de la imagen del cuerpo, que pueden incluso llegar a desencadenar serias alteraciones de la imagen corporal. Además, en sus contenidos se describen indicadores y criterios clínicos de algunas psicoptologías, así como la preocupación por la apariencia. Se estudia diferentes instrumentos para la evaluación de la IC y su relación con aspectos de la salud mental. Se hace un repaso a diferentes teorías y se describen algunas perspectivas desde la psicología clínica. La investigación empírica, publicada en dos artículos científicos, cuyos resultados concluyen que la presión social ejerce significativamente en la mente de las personas, especialmente por la estética del cuerpo, fenómeno más frecuente en las mujeres que en los hombres y que presentan mayor insatisfacción al valorar su apariencia corporal.

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Rituals and preoccupations associated with bulimia nervosa in adolescents: Does motivation to change matter?

Cited by 7 publications

References 25 publications

Systemic therapy in children and adolescents with mental disorders: a systematic review and meta-analysis

Systemic therapy in children and adolescents with mental disorders: a systematic review and meta-analysis

A systematic review of cognitive behavior therapy and dialectical behavior therapy for adolescent eating disorders

PSICOPATOLOGIA DE LA IMAGEN CORPORAL. Definiciones, alteraciones, teorías y evaluación.

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