title: Body image interventions in cognitive-behavioural therapy of binge-eating disorder: a component analysis.
abstract: The present study sought to investigate effects of body exposure in the treatment of binge-eating disorder (BED). Cognitive-behavioural therapy with a body exposure component (CBT-E) was compared with CBT with a cognitive restructuring component focused on body image (CBT-C). Twenty-eight patients diagnosed with BED were randomly assigned to CBT-E or CBT-C, both delivered in a group format. Negative automatic thoughts about one's body, dysfunctional assumptions about shape and weight, and body dissatisfaction were assessed using experimental thought-sampling techniques, a clinical interview (Eating Disorder Examination), and self-report questionnaires. At posttreatment and at 4-month follow-up, CBT-E and CBT-C were equally effective in improving body image disturbance on all indicators assessed. Both CBT-E and CBT-C produced substantial and stable improvements in the specific and general eating disorder psychopathology. Results suggest that both treatment components are equally effective in the treatment of BED.
authors.affiliation: Washington University in St. Louis, Department of Psychiatry, 660 South Euclid, Campus Box 8134, St. Louis, MO 63110, USA. hilberta@psychiatry.wustl.edu
authors.forename: Anja
authors.initials: A
authors.lastname: Hilbert
authors.forename: Brunna
authors.initials: B
authors.lastname: Tuschen-Caffier
mesh_terms: D000328:Adult; D001828:Body Image; D002032:Bulimia / Q000523:psychology / Q000628:therapy*; D015928:Cognitive Behavioral Therapy / Q000379:methods*; D005260:Female; D006801:Humans; D008875:Middle Aged; D015999:Multivariate Analysis; D016896:Treatment Outcome