Eating and Control Styles Axis in Mentalisation-Based Psychotherapy in Eating Disorders: A Randomised Clinical Trial.
eating disorders
eating style
mentalisation
self-agency
self-control
self-regulation
tool
Journal
Frontiers in psychiatry
ISSN: 1664-0640
Titre abrégé: Front Psychiatry
Pays: Switzerland
ID NLM: 101545006
Informations de publication
Date de publication:
2022
2022
Historique:
received:
11
09
2021
accepted:
25
04
2022
entrez:
31
5
2022
pubmed:
1
6
2022
medline:
1
6
2022
Statut:
epublish
Résumé
Clinicians need an instrument that helps their patients with eating disorders (ED) to explore their agent's inner intentions and confront negative behaviour and control styles. To assess the feasibility and impact of an eating and control styles axis (ECOSA) during the first 8 months of mentalisation-based psychotherapy with a community-based sample of ED patients. Six experienced therapists and their consecutively admitted patients were randomly allocated to the intervention and control groups. A total of 94 women, The use of ECOSA, although less than advised, was reported as feasible. The effect size of the improvement in reflective functioning was larger than that of the control group and correlated significantly only in the intervention group with EDE-Q score ( Although the study limitations: selective population, relatively small sample size and the lack of controlled confounder, the combined quantitative and qualitative results lend preliminary evidence for the validity and contribution of ECOSA as a possible instrument that may upgrade the clinician's toolbox in the treatment of ED. A more rigorous study design is needed to explore the potential usage of ECOSA as a clinical tool to enhance mentalisation among people with ED.
Sections du résumé
Background
UNASSIGNED
Clinicians need an instrument that helps their patients with eating disorders (ED) to explore their agent's inner intentions and confront negative behaviour and control styles.
Objectives
UNASSIGNED
To assess the feasibility and impact of an eating and control styles axis (ECOSA) during the first 8 months of mentalisation-based psychotherapy with a community-based sample of ED patients.
Methods
UNASSIGNED
Six experienced therapists and their consecutively admitted patients were randomly allocated to the intervention and control groups. A total of 94 women,
Results
UNASSIGNED
The use of ECOSA, although less than advised, was reported as feasible. The effect size of the improvement in reflective functioning was larger than that of the control group and correlated significantly only in the intervention group with EDE-Q score (
Conclusion
UNASSIGNED
Although the study limitations: selective population, relatively small sample size and the lack of controlled confounder, the combined quantitative and qualitative results lend preliminary evidence for the validity and contribution of ECOSA as a possible instrument that may upgrade the clinician's toolbox in the treatment of ED. A more rigorous study design is needed to explore the potential usage of ECOSA as a clinical tool to enhance mentalisation among people with ED.
Identifiants
pubmed: 35633810
doi: 10.3389/fpsyt.2022.774382
pmc: PMC9135976
doi:
Types de publication
Journal Article
Langues
eng
Pagination
774382Informations de copyright
Copyright © 2022 Golan.
Déclaration de conflit d'intérêts
The author declares that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. The handling editor declared a shared affiliation, though no other collaboration with the author at the time of the review.
Références
Behav Cogn Psychother. 2018 Jan;46(1):21-34
pubmed: 28625196
BMC Med Res Methodol. 2019 Nov 27;19(1):218
pubmed: 31775644
J Eat Disord. 2021 Feb 17;9(1):24
pubmed: 33597045
Child Adolesc Psychiatr Clin N Am. 2019 Oct;28(4):629-640
pubmed: 31443880
Prev Sci. 2022 Jul;23(5):774-786
pubmed: 34357509
Child Abuse Negl. 2021 Oct;120:105225
pubmed: 34352683
J Psychiatr Res. 2021 Dec;144:87-95
pubmed: 34601380
Eat Weight Disord. 2022 Jun;27(5):1919-1928
pubmed: 34661882
PLoS One. 2016 Jul 08;11(7):e0158678
pubmed: 27392018
Front Psychol. 2019 Mar 04;10:219
pubmed: 30886593
Isr J Psychiatry. 2017;54(3):15-20
pubmed: 29735808
Annu Rev Psychol. 2011;62:363-90
pubmed: 21126181
Int J Eat Disord. 2017 Mar;50(3):170-189
pubmed: 28102908
Clin Psychol Rev. 2009 Jul;29(5):421-30
pubmed: 19403216
Eat Weight Disord. 2022 Jun;27(5):1593-1602
pubmed: 34546555
Int J Eat Disord. 2008 Apr;41(3):273-6
pubmed: 18213686
Eur Eat Disord Rev. 2018 Jan;26(1):62-68
pubmed: 29152825
Eat Disord. 2021 Sep-Oct;29(5):480-484
pubmed: 31619144
J Eat Disord. 2021 Apr 16;9(1):47
pubmed: 33863394
Eat Behav. 2021 Dec;43:101561
pubmed: 34517279
Int J Eat Disord. 2021 Dec;54(12):2206-2212
pubmed: 34542185
J Eat Disord. 2013 Jun 06;1:19
pubmed: 24999400
Eur Eat Disord Rev. 2018 Jan;26(1):53-61
pubmed: 29168283
Annu Rev Clin Psychol. 2012;8:381-404
pubmed: 22136228
Neurosci Biobehav Rev. 2018 Sep;92:195-208
pubmed: 29860103
JAMA Psychiatry. 2021 Oct 1;78(10):1123-1133
pubmed: 34190963
J Neurosci. 2021 May 19;41(20):4487-4499
pubmed: 33846229
J Clin Psychol. 2019 Aug;75(8):1415-1428
pubmed: 30980392
J Clin Psychol. 2018 Jun;74(6):1017-1033
pubmed: 29244206