The effectiveness of acceptance and commitment-based therapy on emotion regulation and psychological well-being in men with bulimia nervosa

Document Type : Research Paper

Authors

1 Ph.D. student, Department of Health Psychology, UAE Branch, Islamic Azad University, Dubai, United Arab Emirates.

2 Assistant Professor, Department of psychology, Payame Noor University, Tehran, Iran. )Corresponding author(

3 Assistant Professor, Department of Psychology, East Tehran Branch, Islamic Azad University, Tehran, Iran.

4 Assistant Professor, Department of Educational Psychology, Kharazmi University, Tehran, Iran.

Abstract

The aim of this study was to investigate the effectiveness of acceptance and commitment therapy on psychological well-being and emotion regulation in men with bulimia nervosa. The research method was semi-experimental. The statistical population in this study included all men with bulimia nervosa referred to the Iranian Turbo eating association who have been diagnosed with bulimia nervosa by a psychiatrist. The sample size was 15 for each sample group according to the test power (0.80), effect size (0.50) and confidence level (0.05). The experimental group was trained for 8 sessions per week for 1 session of 70 to 90 minutes. The research tool was Garnefski's Emotional Regulation Questionnaire and Reef Psychological Well-Being (2002). Data analysis was performed after examining statistical assumptions using multivariate covariance analysis using SPSS.22 software. The results of the analysis showed that acceptance and commitment intervention was effective on emotion regulation and psychological well-being (P<0.001). It can be concluded that acceptance and commitment therapy is effective on psychological well-being and emotion regulation in men with bulimia nervosa and this treatment can be used to improve psychological problems in patients with bulimia nervosa.

Keywords

References

  1. Basaknejad, Sudabah; Homan, Farzaneh and Ghaseminejad, Mohammad Ali (2012). The relationship between cognitive behavioral avoidance coping styles and eating disorders in university students. Journal of Principles of Mental Health, 14(2).
  2. Rahmanian, Mahdia. Nejad Ali, Rababe and Uraki, Mohammad (2017). Investigating the effectiveness of treatment based on acceptance and commitment on the cognitive regulation of emotion and worry about the body image of women with binge eating disorder. Health Promotion Management Quarterly; Volume 7, Number 4.
  3. Soleimani, Mahsa. Khodavardi, Taneh and Qasimzadeh, Azizreza (2014). Effectiveness of dialectical behavior therapy on reducing binge eating and depression in female patients suffering from binge eating disorder. Scientific Journal of Iran Medical System Organization. Volume 32, Number 1.
  4. Safarzadeh, Samia and Mahmoudi Khorandi, Zainab (2014). Investigation of eating disorders (anorexia nervosa and bulimia nervosa) in adolescents aged 13 to 18 years in Gonabad city. Journal of Rafsanjan University of Medical Sciences, 14, 393-404.
  5. Gholamhosseini et al. (2014). The effectiveness of acceptance and commitment therapy on depressive symptoms and unfavorable body image in women.
  6. Kaviani, Hossein; Javaheri, Farzoan; Baheira, Hadi. (1384). The effectiveness of mindfulness-based cognitive therapy (MBCT) in reducing negative future self-thoughts, ineffective attitude. Depression and anxiety: a 60-day follow-up. New Quarterly of Cognitive Sciences. seventh year the first number. 49-59.
  7. Mohammadi et al. (2014). Investigating the effectiveness of treatment based on acceptance and commitment on the cognitive regulation of men's emotions.
  8. Homan, Farzaneh and colleagues (2017). Investigating the effectiveness of cognitive-behavioral therapy group on bulimia nervosa in women referring to Ahvaz Binge Eating Society. Medical Scientific Quarterly, No. 4.
  9. Casier A, Goubert L, Gebhardt WA, Baets FD, Aken SV, Matthys D, Crombez G. (2013). Acceptance, well-being and goals in adolescents with chronic illness: a daily process analysis. Psychol Health; 28:1337-1351.
  10. Cizza, G. (2013). Evening Chronotype Is Associated with Changes in Eating Behavior, More Sleep Apnea, and Increased Stress Hormones in Short Sleeping Obese Individuals. PloS one, 8(4), e56519.
  11. Dalen, J., Smith, B.W., Shelley, B.M., Lee Sloan, A., Leahigh, L., & Begay, D. (2010). Pilot study: Mindful Eating and Living (MEAL): Weight, eating behavior,and psychological outcomes associated with a mindfulnessbased intervention for people with obesity. Complementary Therapies in Medicine, 18, 260–264.
  12. eating disorder: The conceptual foundation. Eating Disorders, 19, 49–61.
  13. Forman, E.M., & Herbert, D. (2009). New directions in cognitive behavior therapy: acceptance-based therapies, chapter to appear. In: O'Donohue WT, Fisher, JE, editors. Cognitive behavior therapy: applying empirically supported techniques in your practice. 2nd ed. Hoboken, NJ: John Wiley & Sons, 263-8.
  14. Forman, E.M., Butryn, M.L., Hoffman, K.L., & Herbert, J.D. (2009). An open trial of an acceptance-based behavioral intervention for weight loss. Cognitive and Behavioral Practice, 16(2), 223-235.
  15. Gianni LM, White MA, Mashed RM. (2015). Eating pathology, emotion regulation, and emotional overeating in obese adults with binge eating disorder. Eat Behave; 14:309-313.
  16. Goldin, P. R., Manber, T., Hakimi, S., Canli, T., & Gross, J. J. (2009). Neural bases of social anxiety disorder: emotional reactivity and cognitive regulation during social and physical threat. Arch Gen Psychiatry, 66(2), 170-18 .٠doi: 10.1001/archgenpsychiatry.2008.525
  17. Groesz, L., McCoy, S., Carl, J., Saslow, L., Stewart, J., Adler, N., et al. (2012). What is eating you? Stress and the drive to eat. Appetite, 58, 717–721.
  18. Hayes, S. C., Luoma, J. B., Bond, F. W., Masuda, A., & Lillis, J., (2006). Acceptance and commitment therapy: model, processes and outcomes. Behaviour Research and Therapy. 44: 1-25.
  19. Hayes, S.C., Luoma, J.B., Bond, F.W., Masuda, A., & Lillis, J. (2006). Acceptance and Commitment Therapy: Model, processes and outcomes. Behaviour Research and Therapy, 44, 1-25.
  20. Hidalgo, M. P. (2012). Night eating patterns and chronotypes: A correlation with binge eating behaviors. Psychiatry research, 200(2) , 489-493.
  21. Hilbert, A & Tuschen-Caffier, B. (2016). Maintenance of binge eating through negative mood: A naturalistic comparison of binge eating disorder and bulimia nervosa. International Journal of Eating Disorders, 40(8), 521-530.
  22. Kalantarkousheh, Seyed Mohammad, and Fatemeh Navarbafi. (2012). "Reliability and Exploratory Factor Analysis of Psychological Well-Being in a Persian Sample." Science Series Data Report 4, no. 1.
  23. Keyes CL, Magyar-Moe JL. (2017). The measurement and utility of adult subjective well-being. Positive psychological assessment: A handbook of models and measures 2003; 411-425.
  24. Kristeller, J.L., & Wolever, R.Q. (2011). Mindfulnessbased eating awareness training for treating binge
  25. Makino Y, Tagami F. (216). Subjective well-being and self-acceptance. Shinrigaku Kenkyu;69: 143-148.
  26. Pearson, A.N., Follette, V.M., & Hayes, S.C. (2012). A pilot study of acceptance and commitment therapy as a workshop intervention for body dissatisfaction and disordered eating attitudes. Cognitive and Behavioral Practice, 19(1), 181-197.
  27. Weineland, S., Arvidsson, D., Kakiulidis, T., & Dahl, J. (2012). Acceptance and commitment therapy for bariatric surgery patients, a pilot RCT. Obesity Research and Clinical Practice, 6, 21-30.
  28. Psychiatry Research: Neuroimaging. 290, 38–41.
  29. Oshio, A., Taku, K., Hirano, M., Saeed, G. (2018). Resilience and Big Five personality traits: A meta-analysis. Personality and Individual Differences, 127: 54-60.
  30. Rebekah, L. & Mark, L. (2014).Selfcontrol linked with restricted emotional extremes. The Journal of Personality and Individual Differences. 58 (4), 4853.
  31. Trafford, A. A., Wroe, A. L., Brown, G., & Luzon, O. (2018). What You See is What You Do: Imagery and the Moral Judgements of Individuals with OCD. Journal of Obsessive -Compulsive and Related Disorders, 16 (1), 50 -55.
  32. Wesner AC, Behenck A, Finkler D, Beria P, Guimarães LSP, Manfro GG, Blaya C, Heldt E . (2019). Resilience and coping strategies in cognitive behavioral group therapy for patients with panic disorder. Archives of psychiatric nursing, 33(4), 428‐433
  33. Zeidi IM, Divsalar S, Morshedi H, Alizadeh H.(2020). The effectiveness of group cognitive-behavioral therapy on general self-efficacy, self-control, and internet addiction prevalence among medical university students. Soc Health Behav .3:93-102
medical journal of mashhad university of medical sciences
Volume 65, Issue 1
May and June 2022
Pages 116-125

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