A Randomized Clinical Trial of an Identity Intervention Programme for Women with Eating Disorders
dc.contributor.author | Stein, Karen Farchaus | en_US |
dc.contributor.author | Corte, Colleen | en_US |
dc.contributor.author | Chen, Ding‐geng (din) | en_US |
dc.contributor.author | Nuliyalu, Ushapoorna | en_US |
dc.contributor.author | Wing, Jeffrey | en_US |
dc.date.accessioned | 2013-02-12T19:01:21Z | |
dc.date.available | 2014-05-01T14:28:35Z | en_US |
dc.date.issued | 2013-03 | en_US |
dc.identifier.citation | Stein, Karen Farchaus; Corte, Colleen; Chen, Ding‐geng (din) ; Nuliyalu, Ushapoorna; Wing, Jeffrey (2013). "A Randomized Clinical Trial of an Identity Intervention Programme for Women with Eating Disorders ." European Eating Disorders Review 21(2): 130-142. <http://hdl.handle.net/2027.42/96416> | en_US |
dc.identifier.issn | 1072-4133 | en_US |
dc.identifier.issn | 1099-0968 | en_US |
dc.identifier.uri | https://hdl.handle.net/2027.42/96416 | |
dc.description.abstract | Objective Findings of a randomized trial of an identity intervention programme (IIP) designed to build new positive self‐schemas that are separate from other conceptions of the self in memory as the means to promote improved health in women diagnosed with eating disorders are reported. Method After baseline data collection, women with anorexia nervosa or bulimia nervosa were randomly assigned to IIP ( n = 34) or supportive psychotherapy (SPI) ( n = 35) and followed at 1, 6, and 12 months post‐intervention. Results The IIP and supportive psychotherapy were equally effective in reducing eating disorder symptoms at 1 month post‐intervention, and changes were stable through the 12‐month follow‐up period. The IIP tended to be more effective in fostering development of positive self‐schemas, and the increase was stable over time. Regardless of baseline level, an increase in the number of positive self‐schemas between pre‐intervention and 1‐month post‐intervention predicted a decrease in desire for thinness and an increase in psychological well‐being and functional health over the same period. Discussion A cognitive behavioural intervention that focuses on increasing the number of positive self‐schemas may be central to improving emotional health in women with anorexia nervosa and bulimia nervosa. Copyright © 2012 John Wiley & Sons, Ltd and Eating Disorders Association. | en_US |
dc.publisher | Wiley Periodicals, Inc. | en_US |
dc.publisher | Lawrence Erlbaum Associates | en_US |
dc.subject.other | Treatment | en_US |
dc.subject.other | Self‐Schema Theory | en_US |
dc.subject.other | Women's Health | en_US |
dc.subject.other | Psychotherapy | en_US |
dc.title | A Randomized Clinical Trial of an Identity Intervention Programme for Women with Eating Disorders | en_US |
dc.type | Article | en_US |
dc.rights.robots | IndexNoFollow | en_US |
dc.subject.hlbsecondlevel | Neurosciences | en_US |
dc.subject.hlbsecondlevel | Psychiatry | en_US |
dc.subject.hlbsecondlevel | Psychology | en_US |
dc.subject.hlbsecondlevel | Women's and Gender Studies | en_US |
dc.subject.hlbtoplevel | Social Sciences | en_US |
dc.subject.hlbtoplevel | Humanities | en_US |
dc.subject.hlbtoplevel | Health Sciences | en_US |
dc.description.peerreviewed | Peer Reviewed | en_US |
dc.identifier.pmid | 23015537 | en_US |
dc.description.bitstreamurl | http://deepblue.lib.umich.edu/bitstream/2027.42/96416/1/erv2195.pdf | |
dc.identifier.doi | 10.1002/erv.2195 | en_US |
dc.identifier.source | European Eating Disorders Review | en_US |
dc.identifier.citedreference | Strober, M. ( 1991 ). Disorders of the self in anorexia nervosa: An organismic‐developmental paradigm. In C. Johnson (Ed.), Psychodynamic treatment of anorexia nervosa and bulimia (pp. 354 – 373 ). New York: Guilford Press. | en_US |
dc.identifier.citedreference | Ryff, C.D. ( 2002 ). Means and standard deviations for the psychological well‐being scale from a variety of studies. [unpublished raw data]. | en_US |
dc.identifier.citedreference | Ryff, C.D., & Keyes, C. ( 1995 ). The structure of psychological well‐being revisited. Journal of Personality and Social Psychology, 69, 719 – 727. | en_US |
dc.identifier.citedreference | Ryff, C.D., & Singer, B. ( 1996 ). Psychological well‐being: Meaning, measurement, and implications for psychotherapy research. Psychotherapy and Psychosomatics, 65 ( 1 ), 14 – 23. | en_US |
dc.identifier.citedreference | Schmutte, P. S., & Ryff, D. C. ( 1997 ). Personality and well‐being: What is the connection? Journal of Personality and Social Psychology, 73, 549 – 559. | en_US |
dc.identifier.citedreference | Smyth, J., Wonderlich, S., Sliwinski, M., Crosby, R., Engel, S., Mitchell, J., et al. ( 2009 ). Ecological momentary assessment of affect, stress, and binge‐purge behaviors: Day of week and time of day effects in the natural environment. International Journal of Eating Disorders, 42, 429 – 436. | en_US |
dc.identifier.citedreference | Stein, K.F., & Corte, C. ( 2003 ). Ecologic momentary assessment of eating disordered behaviors. International Journal of Eating Disorders, 34, 349 – 360. | en_US |
dc.identifier.citedreference | Stein, K.F., & Corte, C. ( 2007a ). Identity impairment and the eating disorders: Content and organization of the self‐concept in women with anorexia nervosa and bulimia nervosa. European Eating Disorders Review, 15, 58 – 69. | en_US |
dc.identifier.citedreference | Stein, K.F., & Corte, C. ( 2007b ). Self‐cognitions in antisocial alcohol dependence and recovery. Western Journal of Nursing Research, 29, 80 – 99. | en_US |
dc.identifier.citedreference | Stein, K.F., & Corte, C. ( 2008 ). The identity impairment model: A longitudinal study of self‐schemas as predictors of disordered eating behaviors. Nursing Research, 57, 182 – 190. | en_US |
dc.identifier.citedreference | Stein, K.F., Corte, C., & Ronis, D. ( 2010 ). Personal identities and disordered eating behaviors in Mexican American women. Eating Behaviors, 11, 197 – 2000. | en_US |
dc.identifier.citedreference | Stein, K.F., Sargent, J., & Rafaels, N. ( 2007 ). Intervention research: Establishing fidelity of the independent variable in nursing clinical trials. Nursing Research, 56, 54 – 62. | en_US |
dc.identifier.citedreference | Stein, K.F., Wing, J., Lewis, A., & Raghunathan, T. ( 2011 ). An eating disorder randomized clinical trial and attrition: Profiles and determinants of dropout. International Journal of Eating Disorders, 44, 356 – 368. | en_US |
dc.identifier.citedreference | Strober, M., Freeman, R., Lampert, C., Diamond, J., & Kaye, W. ( 2000 ). A controlled family study of anorexia nervosa and bulimia nervosa: Evidence of shared liability and transmission of partial syndromes. The American Journal of Psychiatry, 157, 393 – 401. | en_US |
dc.identifier.citedreference | Tan, J., Hope, T., & Stewart, A. ( 2003 ). Anorexia nervosa and personal identity: The accounts of patients and their parents. International Journal of Law and Psychiatry, 26, 533 – 548. | en_US |
dc.identifier.citedreference | Tarquinio, C., Fischer, G., Gauchet, A., & Perarnaud, J. ( 2001 ). The self‐schema and addictive behaviors: Studies of alcohol patients. Swiss Journal of Psychology, 60, 73 – 81. | en_US |
dc.identifier.citedreference | Tasca, G., Illing, V., Balfour, L., Krysanski, V., Demidenko, N., Nawakowski, J., et al. ( 2009 ). Psychometric properties of self‐monitoring of eating disorder urges among treatment‐seeking women: Ecological momentary assessment using a daily diary method. Eating Behaviors, 10, 59 – 61. | en_US |
dc.identifier.citedreference | Taylor, M., & Innocenti, M. ( 1993 ). Why co‐variance: A rationale for using analysis of covariance procedures in randomized studies. Journal of Early Intervention, 17, 455 – 466. | en_US |
dc.identifier.citedreference | Vitousek, K.B., & Ewald, L.S. ( 1993 ) Self‐representation in the eating disorders: A cognitive perspective. In Z. Segal, & S. Blatt (Ed.), The self in emotional disorders: cognitive and psychodynamic perspective (pp. 221 – 257 ). New York: Guilford Press. | en_US |
dc.identifier.citedreference | Wade, T., Bergin, J., Martin, N., Gillespie, N., & Fairburn, C. ( 2006 ). A transdiagnostic approach to understanding eating disorders. The Journal of Nervous and Mental Disease, 194, 510 – 517. | en_US |
dc.identifier.citedreference | Walsh, B.T., & Wilson, G.T. ( 1997 ). Supportive psychotherapy manual. | en_US |
dc.identifier.citedreference | Ware Jr., J.E., & Sherbourne, C.D. ( 1992 ). The MOS 36‐item short form health survey (SF‐36). I. Conceptual framework and item selection. Medical Care, 30 ( 6 ), 473 – 483. | en_US |
dc.identifier.citedreference | Ware Jr., J.E., Snow, K.K., Kosinski, M., & Gandek, B. ( 1993 ). SF‐36 Health Survey: Manual and interpretation guide. Boston: New England Medical Center Health Institute. | en_US |
dc.identifier.citedreference | Wechselblatt, T., Gurnick, G., & Simon, R. ( 2000 ). Autonomy and relatedness in the development of anorexia nervosa: A clinical case series using grounded theory. Bulletin of the Menninger Clinic, 64, 91 – 123. | en_US |
dc.identifier.citedreference | Westerhof, G., & Keyes, C. ( 2010 ). Mental illness and mental health: The two continua model across the lifespan. Journal of Adult Development, 17, 110 – 119. | en_US |
dc.identifier.citedreference | Wonderlich, S., Engel, S., Peterson, C., Robinson, M., Crosby, R., Mitchell, J., et al. ( 2008 ). Examining the conceptual model of integrative cognitive‐affective therapy for BN: Two assessment studies. International Journal of Eating Disorders, 41, 748 – 754. | en_US |
dc.identifier.citedreference | Zajonc, R.B. ( 1960 ). The process of cognitive tuning in communication. Journal of Abnormal and Social Psychology, 61, 159 – 167. | en_US |
dc.identifier.citedreference | Zeeck, A., Weber, S., Sandholz, A. Wetzler‐Burmeister, E., Wirsching, M. & Hartmann, A. ( 2009 ). Inpatient versus day clinic treatment for bulimia nervosa: A randomized trial. Psychotherapy and Psychosomatics, 78, 152 – 160. | en_US |
dc.identifier.citedreference | Banting, L., Dimmock, J., & Lay, B. ( 2009 ). The role of implicit and explicit components of exerciser self‐schema in the prediction of exercise behavior. Psychology of Sport and Exercise, 10, 80 – 86. | en_US |
dc.identifier.citedreference | Baron, R. M., & Kenny, D. A. ( 1986 ). The moderator–mediator variable distinction in social psychological research: Conceptual, strategic and statistical considerations. Journal of Personality and Social Psychology, 51, 1173 – 1182. | en_US |
dc.identifier.citedreference | Bjorck, C., Clinton, D., Sohlberg, S., & Norring, C. ( 2007 ). Negative self‐image and outcome in eating disorders: Results at 3‐year follow‐up. Eating Behavior, 8, 398 – 406. | en_US |
dc.identifier.citedreference | Brown, C., & McConnell, A. ( 2009 ). Effort or escape: Self‐concept structure determines self‐regulatory behavior. Self and Identity, 8, 365 – 377. | en_US |
dc.identifier.citedreference | Bruch, H. ( 1982 ). Anorexia nervosa: Therapy and theory. The American Journal of Psychiatry, 139, 1531 – 1538. | en_US |
dc.identifier.citedreference | Burd, C., Mitchell, J., Crosby, R., Engel, S., Wonderlich, S., Lystad, C., et al. ( 2009 ). An assessment of daily food intake in participants with anorexia nervosa in the natural environment. International Journal of Eating Disorders, 42, 371 – 374. | en_US |
dc.identifier.citedreference | Chandra, S., & Shadel, W. ( 2007 ). Crossing disciplinary boundaries: Applying financial portfolio theory to model organization of the self‐concept. Journal of Research in Personality, 41, 346 – 373. | en_US |
dc.identifier.citedreference | Cohen, J. ( 1988 ). Statistical power analysis for the behavioral sciences ( 2nd edn.). Hillsdale, NJ: Lawrence Erlbaum Associates. | en_US |
dc.identifier.citedreference | Dozois, D., Bieling, P., Patelis‐Siotis, I., Hora, L. Chudzik, S., McCabe, K., et al. ( 2009 ). Changes in self‐schema structure in cognitive therapy for major depressive disorder: A randomized clinical trial. Journal of Consulting and Clinical Psychology, 77, 1078 – 1088. | en_US |
dc.identifier.citedreference | Evans, J., Heron, J., Lewis, G., Araya, R., & Wolke, D. ( 2005 ). Negative self‐schemas and the onset of depression in women: longitudinal study. The British Journal of Psychiatry, 186, 302 – 307. | en_US |
dc.identifier.citedreference | Fairburn, C.G., & Cooper, Z. ( 1993 ). The eating disorder examination. In C.G. Fairburn, & T.G. Wilson (Eds.), Binge eating: Nature, assessment & treatment ( 12th edn., pp. 317 – 360 ). New York: Guilford Press. | en_US |
dc.identifier.citedreference | Fairburn, C., Cooper, Z., & Shafran, R. ( 2003 ). Cognitive behavior therapy for eating disorders: A “transdiagnostic” theory and treatment. Behavior Research and Therapy, 41, 509 – 528. | en_US |
dc.identifier.citedreference | Feiring, C., Cleland, C., & Simon, V. ( 2010 ). Abuse‐specific self‐schemas and self‐functioning: A prospective study of sexually abused youth. Journal of Clinical Child and Adolescent Psychology, 39, 35 – 50. | en_US |
dc.identifier.citedreference | First, M.B., Spitzer, R.L., Gibbon, M., & Williams, J. ( 1997 ). User's guide for the Structured Clinical Interview for DSM‐IV axis I disorders. Washington, DC: American Psychiatric Press Inc. | en_US |
dc.identifier.citedreference | Garner, D. ( 1991 ). Eating Disorders Inventory‐2 professional manual. Odessa, FL: Psychological Assessment Resources. | en_US |
dc.identifier.citedreference | Herrera‐Guzman, I., Herrera‐Abarca, J., Gudayol‐Ferre, E., Herrera‐Guzman, D., Gomez‐Carbajal, L., Pena‐Olvira, M., et al. ( 2010 ). Effects of selective serotonin reuptake and dual serotonergic–noradrenergic reuptake treatment on attention and executive functions in patients with major depressive disorders. Psychiatry Research, 177, 323 – 329. | en_US |
dc.identifier.citedreference | Hilbert, A., & Tuschen‐Caffier, B. ( 2007 ). Maintenance of binge eating through negative mood: A naturalistic comparison of binge eating disorder and bulimia nervosa. International Journal of Eating Disorders, 40, 521 – 530. | en_US |
dc.identifier.citedreference | Hintze, J.L. ( 1996 ). PASS 6.0 user's guide. Kaysville, UT: Number Cruncher Statistical Systems. | en_US |
dc.identifier.citedreference | Holloway, R., Waldrip, A., & Ickes, W. ( 2009 ). Evidence that simpatico self‐schema accounts for differences in the self‐concepts and social behavior of Latinos versus Whites and Blacks. Journal of Personality and Social Psychology, 96, 1012 – 1028. | en_US |
dc.identifier.citedreference | Kendzierski, D. ( 1988 ). Self‐schemata and exercise. Basic and Applied Social Psychology, 9, 45 – 59. | en_US |
dc.identifier.citedreference | Kendzierski, D. ( 1990 ). Exercise self‐schemata: Cognitive and behavioral correlates. Health Psychology, 9, 69 – 82. | en_US |
dc.identifier.citedreference | Kendzierski, D., & Whitaker, D. ( 1997 ). The role of self‐schema in linking intentions with behavior. Personality & Social Psychology Bulletin, 23, 139 – 147. | en_US |
dc.identifier.citedreference | Keyes, C.L.M. ( 2005 ). Mental illness and/or mental health? Investigating axioms of the complete state model of health. Journal of Consulting and Clinical Psychology, 73, 539 – 548. | en_US |
dc.identifier.citedreference | King, M., MacDougall, A., Ferris, S., Levine, B., MacQueen, G., & McKinnon, M. ( 2012 ). A review of factors that moderate autobiographic memory performance. Journal of Clinical and Experimental Neuropsychology, 32, 1122 – 1144. | en_US |
dc.identifier.citedreference | Kling, K., Ryff, C., & Essex, M. ( 1997 ). Adaptive changes in the self‐concept during a life transition. Personality and Social Psychology Bulletin, 23, 981 – 990. | en_US |
dc.identifier.citedreference | Lamoureux M, & Bottorff, J.. ( 2005 ). ‘Becoming the real me’: Recovering from anorexia nervosa. Health Care for Women International, 26, 170 – 188. | en_US |
dc.identifier.citedreference | Ledoux, T., Winterowd, C., Richardson, T., & Clark, J. ( 2010 ). Relationship of negative self‐schemas and attachment styles with appearance schemas. Body Image, 7, 213 – 217. | en_US |
dc.identifier.citedreference | Levkovitz, Y., Caftori, R., Avital, A. & Richter‐Levin, G. ( 2002 ). The SSRIs drug Fluoxetine, but not the noradrenergic tricyclic drug despramine, improves memory performance during acute major depression. Brain Research Bulletin, 58, 345 – 350. | en_US |
dc.identifier.citedreference | Linville, P. ( 1985 ). Self‐complexity and affective extremity: Don't put all of your eggs in one cognitive basket. Social Cognition, 3, 94 – 120. | en_US |
dc.identifier.citedreference | Linville, P. ( 1987 ). Self‐complexity as a cognitive buffer against stress‐related illness and depression. Journal of Personality and Social Psychology, 52, 663 – 676. | en_US |
dc.identifier.citedreference | Lips, H. ( 1995 ). Through the lens of mathematical/scientific self‐schemas: Images of students' current and possible selves. Journal of Applied Social Psychology, 25, 1671 – 1699. | en_US |
dc.identifier.citedreference | Malson, H. ( 1999 ) Women under erasure: Anorexia bodies in postmodern context. Journal of Community & Applied Social Psychology, 9, 137 – 153. | en_US |
dc.identifier.citedreference | Markus, H. ( 1977 ). Self‐schemata and processing information about the self. Journal of Personality and Social Psychology, 35, 63 – 78. | en_US |
dc.identifier.citedreference | Markus, H., Hamill, R., & Sentis, K. ( 1987 ). Thinking fat: Self‐schemas for body weight and the processing of weight relevant information. Journal of Applied Social Psychology, 17, 50 – 71. | en_US |
dc.identifier.citedreference | Markus, H.R., Smith, J., & Moreland, R. ( 1985 ). Role of the self‐concept in the perception of others. Journal of Personality and Social Psychology, 49, 1494 – 1512. | en_US |
dc.identifier.citedreference | McConnell, A.R., Strain, L.M., Brown, C.M., & Rydell, R. ( 2009 ). The simple life: On the benefits of low‐self‐complexity. Personality and Social Psychology Bulletin, 35, 823 – 835. | en_US |
dc.identifier.citedreference | McHorney, C.A., Ware Jr., J.E., & Raczek, A.E. ( 1993 ). The MOS 36‐item short‐form health survey (SF‐36): II. Psychometric and clinical tests of validity in measuring physical and mental health constructs. Medical Care, 31 ( 3 ), 247 – 263. | en_US |
dc.identifier.citedreference | Neuropsychiatric Research Institute ( 1998 ). Healthy eating meal planning system. Fargo, ND: NRI Press. | en_US |
dc.identifier.citedreference | Polivy, J., & Herman, P. ( 2002 ). Causes of the eating disorders. Annual Review of Psychology, 53, 187 – 213. | en_US |
dc.identifier.citedreference | Pyszczynski, T., Holt, K., & Greenberg, J. ( 1987 ). Depression, self‐focused attention, and expectancies for positive and negative future life events for self and other. Journal of Personality and Social Psychology, 52, 994 – 1001. | en_US |
dc.identifier.citedreference | Ryff, C.D. ( 1989 ). Happiness is everything, or is it? Explorations on the meaning of psychological well‐being. Journal of Personality and Social Psychology, 57, 1069 – 1081. | en_US |
dc.owningcollname | Interdisciplinary and Peer-Reviewed |
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