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 - 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
SN - 2666-3473
VL - 31
SP - 57
EP - 66
JO - Journal of Behavioral and Cognitive Therapy
JF - Journal of Behavioral and Cognitive Therapy
IS - 1
ER -