Implementation of a positive psychology group program in an inpatient eating disorders service: a pilot study.
Affect
Anorexia nervosa
Eating disorders
Optimistic thinking
Positive psychology
Journal
Eating and weight disorders : EWD
ISSN: 1590-1262
Titre abrégé: Eat Weight Disord
Pays: Germany
ID NLM: 9707113
Informations de publication
Date de publication:
Mar 2021
Mar 2021
Historique:
received:
10
01
2018
accepted:
15
04
2020
pubmed:
1
5
2020
medline:
24
6
2021
entrez:
1
5
2020
Statut:
ppublish
Résumé
Eating disorders (ED) are very difficult conditions to treat. Therefore, interventions in this field are shifting their main target towards the disorder's impact in quality of life, rather than ED symptomatology in itself. In this sense, a focus in the promotion of positive emotions and well-being is emerging to ameliorate the harmful effects caused by ED. However, evidence of the potential benefits of this type of interventions is still scarce. This study introduces a 4-week positive psychology group program specifically designed for ED patients' needs and to present data about feasibility and acceptability. Seven female inpatients of an eating disorder service aged from 13 to 38 years old attended the group. Measures of affect and optimistic thinking were taken before the program and after each session. The program was very well rated by participants, and there was no attrition. Furthermore, possible benefits were found in terms of optimistic thinking at the end of the group program, and these benefits were noticeable, but non-significant, in the case of affect. This study opens the door to conduct larger and controlled studies for testing interventions aimed at promoting positive emotions and well-being in ED populations. Thus, these interventions could support the efficacy of current treatments in order to improve patients' quality of life. Level IV, multiple time series analysis, with the intervention.
Identifiants
pubmed: 32350775
doi: 10.1007/s40519-020-00908-5
pii: 10.1007/s40519-020-00908-5
doi:
Types de publication
Clinical Study
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
679-688Subventions
Organisme : Consejo Superior de Investigaciones Científicas
ID : PSI2014-56303-REDT
Organisme : Universitat Jaume I
ID : PREDOC/2012/51
Références
Arcelus J, Mitchell AJ, Wales J, Nielsen S (2011) Mortality rates in patients with anorexia nervosa and other eating disorders. Arch Gen Psychiatry 68:724–731. https://doi.org/10.1001/archgenpsychiatry.2011.74
doi: 10.1001/archgenpsychiatry.2011.74
pubmed: 21727255
Watson HJ, Bulik CM (2013) Update on the treatment of anorexia nervosa: review of clinical trials, practice guidelines and emerging interventions. Psychol Med 43:2477–2500. https://doi.org/10.1017/S0033291712002620
doi: 10.1017/S0033291712002620
pubmed: 23217606
Fairburn CG (2005) Evidence-based treatment of anorexia nervosa. Int J Eat Disord 37:S26–S30. https://doi.org/10.1002/eat.20112
doi: 10.1002/eat.20112
pubmed: 15852315
Wonderlich S, Mitchell JE, Crosby RD et al (2012) Minimizing and treating chronicity in the eating disorders: a clinical overview. Int J Eat Disord 45:467–475. https://doi.org/10.1002/eat.20978
doi: 10.1002/eat.20978
pubmed: 22271525
Jenkins PE, Hoste RR, Meyer C, Blissett JM (2011) Eating disorders and quality of life: a review of the literature. Clin Psychol Rev 31:113–121. https://doi.org/10.1016/j.cpr.2010.08.003
doi: 10.1016/j.cpr.2010.08.003
pubmed: 20817335
Brannan ME, Petrie TA (2011) Psychological well-being and the body dissatisfaction-bulimic symptomatology relationship: an examination of moderators. Eat Behav 12:233–241. https://doi.org/10.1016/j.eatbeh.2011.06.002
doi: 10.1016/j.eatbeh.2011.06.002
pubmed: 22051353
Kitsantas A, Gilligan TD, Kamata A (2003) College women with eating disorders: self-regulation, life satisfaction, and positive/negative affect. J Psychol 137:381–395. https://doi.org/10.1080/00223980309600622
doi: 10.1080/00223980309600622
pubmed: 12943188
Tozzi F, Sullivan PF, Fear JL et al (2003) Causes and recovery in anorexia nervosa: the patient’s perspective. Int J Eat Disord 33:143–154. https://doi.org/10.1002/eat.10120
doi: 10.1002/eat.10120
pubmed: 12616580
Tchanturia K, Dapelo MAM, Harrison A, Hambrook D (2015) Why study positive emotions in the context of eating disorders? Curr Psychiatry Rep. https://doi.org/10.1007/s11920-014-0537-x
doi: 10.1007/s11920-014-0537-x
pubmed: 25413641
Harrison A, Al-Khairulla H, Kikoler M (2015) The feasibility, acceptability and possible benefit of a positive psychology intervention group in an adolescent inpatient eating disorder service. J Posit Psychol. https://doi.org/10.1080/17439760.2015.1117125
doi: 10.1080/17439760.2015.1117125
Lyubomirsky S, Layous K (2013) How do simple positive activities increase well-being? Curr Dir Psychol Sci 22:57–62. https://doi.org/10.1177/0963721412469809
doi: 10.1177/0963721412469809
Malson H, Lin B, Clarke S et al (2011) Un/imaginable future selves: a discourse analysis of in-patients’ talk about recovery from an “eating disorder”. Eur Eat Disord Rev 19:25–36. https://doi.org/10.1002/erv.1011
doi: 10.1002/erv.1011
pubmed: 21182163
Turton P, Demetriou A, Boland W et al (2011) One size fits all: or horses for courses? Recovery-based care in specialist mental health services. Soc Psychiatry Psychiatr Epidemiol 46:127–136. https://doi.org/10.1007/s00127-009-0174-6
doi: 10.1007/s00127-009-0174-6
pubmed: 21391337
Malouff JM, Schutte NS (2016) Can psychological interventions increase optimism?. J Posit Psychol, A meta-analysis. https://doi.org/10.1080/17439760.2016.1221122
doi: 10.1080/17439760.2016.1221122
King L (2001) The health benefits of writing about life goals. Pers Soc Psychol Bull 27:798–807. https://doi.org/10.1177/0146167201277003
doi: 10.1177/0146167201277003
Leon AC, Davis LL, Kraemer HC (2012) Role and interpretation of pilot studies in clinical research. J Psychiatr Res 45:626–629. https://doi.org/10.1016/j.jpsychires.2010.10.008.The
doi: 10.1016/j.jpsychires.2010.10.008.The
APA (2000) DSM-IV-TR: Diagnostic and statistical manual of mental disorders, text revision. American Psychiatric Association, Washington
Baños RM, Etchemendy E, Farfallini L et al (2014) EARTH of Well-Being System: a pilot study of an information and communication technology-based positive psychology intervention. J Posit Psychol 9:482–488. https://doi.org/10.1080/17439760.2014.927906
doi: 10.1080/17439760.2014.927906
Botella C, Baños RM, Etchemendy E et al (2016) Psychological countermeasures in manned space missions:“EARTH” system for the Mars-500 project. Comput Human Behav 55:898–908. https://doi.org/10.1016/j.chb.2015.10.010
doi: 10.1016/j.chb.2015.10.010
MacLeod AK (1996) Affect, emotional disorder, and future-directed thinking. Cogn Emot 10:69–86. https://doi.org/10.1080/026999396380394
doi: 10.1080/026999396380394
Meevissen YMC, Peters ML, Alberts HJEM (2011) Become more optimistic by imagining a best possible self: effects of a two week intervention. J Behav Ther Exp Psychiatry 42:371–378. https://doi.org/10.1016/j.jbtep.2011.02.012
doi: 10.1016/j.jbtep.2011.02.012
pubmed: 21450262
Enrique A, Bretón-López J, Molinari G et al (2018) Implementation of a positive technology application in patients with eating disorders: a pilot randomized control trial. Front Psychol 9:1–13. https://doi.org/10.3389/fpsyg.2018.00934
doi: 10.3389/fpsyg.2018.00934
Watson D, Clark LA, Tellegen A (1988) Development and validation of brief measures of positive and negative affect: the PANAS scales. J Pers Soc Psychol 54:1063
doi: 10.1037/0022-3514.54.6.1063
Sandín B, Chorot P, Lostao L et al (1999) Escalas PANAS de afecto positivo y negativo: validación factorial y convergencia transcultural. Psicothema 11:37–51
Borkovec TD, Nau SD (1972) Credibility of analogue therapy rationales. J Behav Ther Exp Psychiatry 3:257–260. https://doi.org/10.1016/0005-7916(72)90045-6
doi: 10.1016/0005-7916(72)90045-6
Garner DM, Olmsted MP, Bohr Y, Garfinkel PE (1982) The eating attitudes test: psychometric features and clinical correlates. Psychol Med 12:871–878. https://doi.org/10.1017/S0033291700049163
doi: 10.1017/S0033291700049163
pubmed: 6961471
pmcid: 6961471
Toro J, Castro J, Garcia M et al (1989) Eating attitudes, sociodemographic factors and body shape evaluation in adolescence. Br J Med Psychol 62:61–70. https://doi.org/10.1111/j.2044-8341.1989.tb02811.x
doi: 10.1111/j.2044-8341.1989.tb02811.x
pubmed: 2706199
Rivas T, Bersabé R, Jiménez M, Berrocal C (2010) The Eating Attitudes Test (EAT-26): reliability and validity in Spanish female samples. Span J Psychol 13:1044–1056. https://doi.org/10.1017/S1138741600002687
doi: 10.1017/S1138741600002687
pubmed: 20977051
Solano N, Cano A (2010) IMAGEN Evaluación de la Insatisfacción de la Imagen Corporal. TEA Ediciones, Madrid
Snyder CR (2000) Handbook of hope : theory, measures & applications. Academic Press, Kansas
Jacobson NS, Truax P (1991) Clinical Significance: a Statistical approach to defining meaningful change in psychotherapy research. J Consult Clin Psychol 59:12–19. https://doi.org/10.1037/0022-006X.59.1.12
doi: 10.1037/0022-006X.59.1.12
pubmed: 2002127
Dragomir-Davis A (2014) Future-directed thinking in general and clinical samples: validation of the Spanish version of the subjective probability task. Dissertation, Universitat Jaume I
DeJong H, Oldershaw A, Sternheim L et al (2013) Quality of life in anorexia nervosa, bulimia nervosa and eating disorder not-otherwise-specified. J Eat Disord 1:1–8. https://doi.org/10.1186/2050-2974-1-43
doi: 10.1186/2050-2974-1-43
de Graaf LE, Huibers MJH, Riper H et al (2009) Use and acceptability of unsupported online computerized cognitive behavioral therapy for depression and associations with clinical outcome. J Affect Disord 116:227–231. https://doi.org/10.1016/j.jad.2008.12.009
doi: 10.1016/j.jad.2008.12.009
pubmed: 19167094
Park J, Chen RK (2007) Positive psychology and hope as means to recovery from mental illness. J Appl Rehabil Couns 47:34–43. https://doi.org/10.1891/0047-2220.47.2.34
doi: 10.1891/0047-2220.47.2.34
Hayes SC, Hayes SC, Luoma JB et al (2006) Acceptance and commitment therapy: model, processes and outcomes. Behav Res Ther 44:1–25. https://doi.org/10.1016/j.brat.2005.06.006
doi: 10.1016/j.brat.2005.06.006
pubmed: 16300724
King LA, Raspin C (2004) Lost and found possible selves, subjective well-being, and ego development in divorced women. J Pers 72:603–632. https://doi.org/10.1111/j.0022-3506.2004.00274.x
doi: 10.1111/j.0022-3506.2004.00274.x
pubmed: 15102040
Botella C, Riva G, Gaggioli A et al (2012) The present and future of positive technologies. Cyberpsychol Behav Soc Netw 15:78–84. https://doi.org/10.1089/cyber.2011.0140
doi: 10.1089/cyber.2011.0140
pubmed: 22149078
Tomba E, Tecuta L, Schumann R, Ballardini D (2017) Does psychological well-being change following treatment? An exploratory study on outpatients with eating disorders. Compr Psychiatry 74:61–69. https://doi.org/10.1016/j.comppsych.2017.01.001
doi: 10.1016/j.comppsych.2017.01.001
pubmed: 28107643
Bos EH, Snippe E, de Jonge P, Jeronimus BF (2016) Preserving subjective wellbeing in the face of psychopathology: buffering effects of personal strengths and resources. PLoS ONE 11:e0150867. https://doi.org/10.1371/journal.pone.0150867
doi: 10.1371/journal.pone.0150867
pubmed: 26963923
pmcid: 4786317