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Emotion regulation strategies in bulimia nervosa: an experimental investigation of mindfulness, self-compassion, and cognitive restructuring
- Source :
- Borderline Personality Disorder and Emotion Dysregulation, Borderline Personality Disorder and Emotion Dysregulation, Vol 7, Iss 1, Pp 1-9 (2020)
- Publication Year :
- 2020
-
Abstract
- Background While improving emotion regulation (ER) is a central goal in the therapy of bulimia nervosa (BN), there is no experimental evidence on the efficacy of different ER strategies. (1) We hypothesized that mindfulness as well as self-compassion as contextual strategies and cognitive restructuring as classical cognitive behavioral strategy would outperform waiting in improving emotional and eating disorder related outcomes after an unpleasant mood induction. Further, we explored (2) whether contextual strategies outperformed cognitive restructuring and (3) whether comorbid mental disorders and previous treatment for BN influenced the efficacy of contextual ER strategies compared to cognitive restructuring. Methods Within their first 2 weeks of treatment, inpatients with BN were instructed to utilize mindfulness, self-compassion, and cognitive restructuring or to wait after a pre-induced sadness in a permuted repeated measures design. Patients further rated different emotional and cognitive outcomes on a visual analogue scale at baseline, and before and after each ER strategy. Multiple linear regression analyses were employed to compare (1) the active conditions to waiting, (2) the contextual strategies with cognitive restructuring, and (3) the latter analysis again, but separated according to comorbidity and previous treatment. Results Forty-eight female inpatients with BN (mean age = 26.44 years, SD = 6.64) completed the study. (1) Contextual ER strategies were more efficacious than waiting for eating disorder symptoms. Cognitive restructuring did not differ from waiting for any outcome. (2) Contextual strategies were more efficacious than cognitive restructuring for emotional outcomes. (3) Self-compassion was more efficacious than cognitive restructuring in patients with comorbid mental disorders and previous treatment in increasing control over the present feeling. Conclusions Contextual strategies, especially self-compassion, seem more efficacious than waiting and cognitive restructuring in improving short-term ER in patients with BN in an experimental setting.
- Subjects :
- 050103 clinical psychology
Mindfulness
lcsh:RC435-571
media_common.quotation_subject
050109 social psychology
Philosophische Fakultät und Fachbereich Theologie
ddc:150
lcsh:Psychiatry
medicine
0501 psychology and cognitive sciences
Cognitive restructuring
Self-compassion
Biological Psychiatry
media_common
Bulimia nervosa
05 social sciences
Cognition
medicine.disease
Comorbidity
Sadness
Psychiatry and Mental health
Clinical Psychology
Feeling
ER
Inpatient
Psychology
Clinical psychology
Research Article
Subjects
Details
- Language :
- English
- Database :
- OpenAIRE
- Journal :
- Borderline Personality Disorder and Emotion Dysregulation, Borderline Personality Disorder and Emotion Dysregulation, Vol 7, Iss 1, Pp 1-9 (2020)
- Accession number :
- edsair.doi.dedup.....71b3268872e508daf3e0058565719f5e