OBJECTIVE: To examine the role of attachment dimensions, including coherence of mind and reflective functioning, in developing and maintaining binge-eating disorder (BED) and in determining group psychotherapy outcomes for women with BED. We hypothesize that higher pre-treatment attachment dimension scores will predict better treatment outcomes for women with BED and will increase at follow-up. METHOD: Women with BED attended 16 sessions of group therapy and completed the Adult Attachment Interview (AAI) at pre-treatment. Participants completed outcome measures (i.e., binge-eating frequency and symptoms of depression) at pre-, post-, six months, and 12 months post-treatment. Treatment completers completed the AAI at six months post-treatment. RESULTS: Treatment outcomes improved significantly from pre- to 12 months post-treatment. Greater Reflective Functioning scores at pre-treatment were related to greater decreases in binge eating across the four time points, whereas Coherence of Mind scores were not. For treatment completers, there were significant increases in Reflective Functioning at six months post-treatment, and about a third of treatment completers experienced clinically significant increases in both attachment dimensions at six months post-treatment. CONCLUSIONS: Greater reflective functioning at the outset is important for improvements in binge eating in the longer term and group psychotherapy can facilitate change in reflective functioning.
OBJECTIVE: To examine the role of attachment dimensions, including coherence of mind and reflective functioning, in developing and maintaining binge-eating disorder (BED) and in determining group psychotherapy outcomes for women with BED. We hypothesize that higher pre-treatment attachment dimension scores will predict better treatment outcomes for women with BED and will increase at follow-up. METHOD:Women with BED attended 16 sessions of group therapy and completed the Adult Attachment Interview (AAI) at pre-treatment. Participants completed outcome measures (i.e., binge-eating frequency and symptoms of depression) at pre-, post-, six months, and 12 months post-treatment. Treatment completers completed the AAI at six months post-treatment. RESULTS: Treatment outcomes improved significantly from pre- to 12 months post-treatment. Greater Reflective Functioning scores at pre-treatment were related to greater decreases in binge eating across the four time points, whereas Coherence of Mind scores were not. For treatment completers, there were significant increases in Reflective Functioning at six months post-treatment, and about a third of treatment completers experienced clinically significant increases in both attachment dimensions at six months post-treatment. CONCLUSIONS: Greater reflective functioning at the outset is important for improvements in binge eating in the longer term and group psychotherapy can facilitate change in reflective functioning.
Entities:
Keywords:
Attachment; Eating Disorders; Group Psychotherapy
Authors: Greet S Kuipers; Sandra den Hollander; L Andries van der Ark; Marrie H J Bekker Journal: Eat Weight Disord Date: 2017-06-22 Impact factor: 4.652
Authors: Almut Zeeck; Svenja Taubner; Thorsten C Gablonski; Inga Lau; Stephan Zipfel; Wolfgang Herzog; Beate Wild; Hans-Christoph Friederich; Gaby Resmark; Katrin Giel; Martin Teufel; Markus Burgmer; Andreas Dinkel; Stephan Herpertz; Bernd Löwe; Sefik Tagay; Jörn von Wietersheim; Martina De Zwaan; Max Zettl; Alexander F Meier; Armin Hartmann Journal: Front Psychiatry Date: 2022-05-23 Impact factor: 5.435
Authors: Zbigniew Wajda; Agnieszka Kapinos-Gorczyca; Sebastian Lizińczyk; Katarzyna Sitnik-Warchulska; Bernadetta Izydorczyk Journal: Front Psychiatry Date: 2022-07-28 Impact factor: 5.435