TY - JOUR
T1 - Pilot data from the Self-Blame and Perspective-Taking Intervention for eating disorders
AU - Hunt, Bethany J.
AU - Hagan, Whitney Smith
AU - Pelfrey, Sarah
AU - Mericle, Susan
AU - Harper, Jessica A.
AU - Palka, Jayme M.
AU - McAdams, Carrie J.
N1 - Funding Information:
Research support was received from the National Institute of Mental Health of under Award Number R01MH112927 . The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health. Data collection was supported by Academic Information Systems grant support, CTSA NIH Grant UL1-RR024982.
Publisher Copyright:
© 2020 Association Française de Therapie Comportementale et Cognitive
PY - 2021/3
Y1 - 2021/3
N2 - Eating disorders (EDs) are characterized by altered eating behaviors and valuation of self-image, as well as difficulty establishing supportive social relationships. This pilot study evaluated feasibility, acceptability, and clinical responses to a novel and brief group-therapy intervention for EDs, the Self-Blame and Perspective-Taking Intervention (SBPI). The SBPI consisted of four sessions of experiential art therapy activities in conjunction with psychoeducation targeting interpersonal attributions and mentalization. Twenty-four outpatient, treatment-seeking women with EDs participated in the SBPI, with 87.5% completing the intervention and 94% rating their participation positively. Eating disorder symptoms, depression, anxiety, self-attribution bias, and self-esteem were assessed before (T1) and after participation (n = 20 at T2; n = 18 at T3). Separate repeated measures MANOVAs were performed to assess these clinical and self-concept variables. Relative to baseline, participants demonstrated significant improvements in all self-concept measures: self-attribution bias, trait self-esteem and state self-esteem at T2. ED, depression, and anxiety symptoms were significantly decreased at both T2 (1-4 weeks post) and T3 (3-5 months post). The SBPI altered self-concept targets acutely with sustained clinical improvements. Future work is needed to evaluate how self-concept and social constructs are related to clinical symptom expression in EDs.
AB - Eating disorders (EDs) are characterized by altered eating behaviors and valuation of self-image, as well as difficulty establishing supportive social relationships. This pilot study evaluated feasibility, acceptability, and clinical responses to a novel and brief group-therapy intervention for EDs, the Self-Blame and Perspective-Taking Intervention (SBPI). The SBPI consisted of four sessions of experiential art therapy activities in conjunction with psychoeducation targeting interpersonal attributions and mentalization. Twenty-four outpatient, treatment-seeking women with EDs participated in the SBPI, with 87.5% completing the intervention and 94% rating their participation positively. Eating disorder symptoms, depression, anxiety, self-attribution bias, and self-esteem were assessed before (T1) and after participation (n = 20 at T2; n = 18 at T3). Separate repeated measures MANOVAs were performed to assess these clinical and self-concept variables. Relative to baseline, participants demonstrated significant improvements in all self-concept measures: self-attribution bias, trait self-esteem and state self-esteem at T2. ED, depression, and anxiety symptoms were significantly decreased at both T2 (1-4 weeks post) and T3 (3-5 months post). The SBPI altered self-concept targets acutely with sustained clinical improvements. Future work is needed to evaluate how self-concept and social constructs are related to clinical symptom expression in EDs.
KW - Anorexia nervosa
KW - Binge eating disorder
KW - Bulimia nervosa
KW - Interpersonal psychotherapy
KW - Self-evaluation
KW - Social cognition
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U2 - 10.1016/j.jbct.2020.11.002
DO - 10.1016/j.jbct.2020.11.002
M3 - Article
C2 - 34124699
AN - SCOPUS:85103711832
VL - 31
SP - 57
EP - 66
JO - Journal of Behavioral and Cognitive Therapy
JF - Journal of Behavioral and Cognitive Therapy
SN - 2666-3473
IS - 1
ER -