Training in emotion regulation as a treatment for binge eating: A preliminary study

Training in emotion regulation as a treatment for binge eating: A preliminary study
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DOI:
10.1375/bech.21.4.269.66105
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发表时间:
2004-01-01
期刊:
影响因子:
1.1
通讯作者:
Blampied, NM
Blampied, NM
中科院分区:
心理学4区
文献类型:
--
作者:
Clyne, C;Blampied, NM

文献摘要

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暴饮暴食症(BED)中的暴饮暴食可能代表着对强烈的不安情绪的无效管理和不适当的逃避,但治疗在纳入情绪调节焦点方面进展缓慢。11名符合BED标准的女性参加了一个心理教育小组项目的11次培训(每周2小时),该项目提供情绪识别和管理、解决问题、断言训练、放松和压力管理方面的培训。结果评估采用多基线设计,跨组重复。每天自我监测暴饮暴食,自我报告问卷评估治疗前、治疗后和随访期间的健康和情绪调节。通过模拟情境下的清晰思维评估治疗前后的认知变化。该项目在减少暴饮暴食、述情障碍、压力和抑郁方面很有效,并改善了应对能力和积极认知。随访时没有参与者符合BED标准。研究结果为在BED治疗中纳入情绪识别和调节训练以及暴饮暴食的情绪调节模型提供了支持。
Binge eating within Binge Eating Disorder (BED) may represent ineffective management of, and inappropriate escape from, strong, dysphoric emotions, but treatments have been slow to incorporate an emotion regulation focus. Eleven women meeting criteria for BED participated in 11 sessions (2 hours per week) of a psychoeducational group program providing training in emotion recognition and management, problem-solving, assertion training, relaxation and stress management. Outcome was evaluated using a multiple-baseline design replicated across groups. Binges were self-monitored daily, and self-report questionnaires assessed wellbeing and emotion regulation at pretreatment, posttreatment and follow-up. Cognitive changes from pre to posttreatment were evaluated by Articulated Thoughts in Simulated Situations. The program was effective in reducing binge eating, alexithymia, stress and depression, and it improved coping and positive cognitions. No participant met criteria for BED at follow-up. The findings provide support for the inclusion of training in emotion recognition and regulation in treatments for BED and for affect regulation models of binge eating.