Examining the conceptual model of integrative cognitive-affective therapy for BN: Two assessment studies.
OBJECTIVE
Two studies sought to examine predictions of the Integrative Cognitive-Affective Therapy (ICAT) model, which views bulimic symptoms in terms of inter-relations between self-concept discrepancies, negative affect, and self-directed coping styles. The present results examine assessment-related predictions of this model.


METHODS
Individuals with bulimic symptoms were compared to noneating disorder control participants in two studies involving central constructs of the ICAT model.


RESULTS
In both studies, bulimic individuals displayed higher levels of self-discrepancy and negative self-directed styles, supporting predictions of the model. Also predicted by the model, negative mood states mediated relations between bulimic status and negative self-directed coping styles in Study 2.


CONCLUSIONS
Assessment-related predictions of the ICAT model of bulimic symptoms were supported in two studies. These initial results support further tests of the model in longitudinal designs, contrasts of different clinical populations, and treatment-evaluation studies.
Wonderlich
Stephen A
SA
Department of Clinical Neuroscience, University of North Dakota School of Medicine and Health Sciences, Fargo, North Dakota 58107-1415, USA. stephenw@medicine.nodak.edu
Engel
Scott G
SG
Peterson
Carol B
CB
Robinson
Michael D
MD
Crosby
Ross D
RD
Mitchell
James E
JE
Smith
Tracey L
TL
Klein
Marjorie H
MH
Lysne
Christianne M
CM
Crow
Scott J
SJ
Strauman
Timothy J
TJ
Simonich
Heather K
HK
D000223:Adaptation, Psychological; D000293:Adolescent; D000328:Adult; D000339:Affect; D052018:Bulimia Nervosa / Q000523:psychology* / Q000628:therapy*; D015928:Cognitive Behavioral Therapy / Q000379:methods*; D005260:Female; D006801:Humans; D055048:Integrative Medicine / Q000379:methods*; D012649:Self Concept; D011795:Surveys and Questionnaires; D055815:Young Adult