Effectiveness of schema therapy mode model on emotional eating and BMI of obese women binge eating disorder

Document Type : Research Paper

Authors

1 Master's degree, Department of Clinical Psychology, Faculty of Medical Sciences, Semnan Branch, Islamic Azad University, Semnan, Iran.

2 M.A of General Psychology, Department of Psychology, Central Tehran Branch, Islamic Azad University, Tehran. Iran. (Corresponding Author)

3 Ph.D of Health Psychology, Department of Psychology, Karaj Branch, Islamic Azad University, Karaj. Iran.

4 M.A of General Psychology, Department of Psychology, University of culture and art, Yazd. Iran.

5 Master's degree, Department of Clinical Psychology, Faculty of Medical Sciences, Qom Branch, Islamic Azad University, Qom, Iran.

Abstract

Introduction: Emotional problems and it’s following stress can be a starter for binge eating and binge eating is considerd as a a maladaptive emotion regulation mechanism in overweight or obese people. The present study was conducted with the aim of investigating the effectiveness of schema therapy mode model on emotional eating and BMI of obese women with binge eating disorder.
Methods: The research method was semi-experimental with a pre-test-post-test design with a control group. The statistical population of the study included all the obese women with binge eating who referred to counseling clinics in Tehran’s district 2 in 1402. Among these people, 30 people were selected by available sampling and according to the entry and exit criteria; And they were randomly placed in the experimental group and the control group (15 people in each group). The participants completed the Emotional Eating Scale (EES) and the Body Mass Index (BMI) in the pre-test and post-test stages. The experimental group received the Psychotherapy sessions based on Schema therapy mode model in 20 sessions of 60 minutes. Data analysis was done using SPSS-24 software and multivariate analysis of covariance test in compliance with statistical assumptions.
Results: The results of the multivariate covariance test showed that there is a significant difference between the schema therapy mode model group and the control group in a combination of variables of emotional eating and body mass index (F=41.22 and P<0.5). Also, the results of Bonferoni's post hoc test showed that the average of the group receiving the schema therapy mode model program is significantly less than the average of the control group in both the variable of emotional eating and the variable of body mass index (P<0/05).
Conclusion: According to the results of the research, it can be said that the Schema therapy mode model can be an effective treatment for overweightness and emotional eating of obese women with binge eating disorder.

Keywords

References

  1. Kyrou I, Randeva HS, Tsigos C, Kaltsas G, Weickert MO. Clinical problems caused by obesity. 2015.
  2. Pourjaberi B, DashtBozorgi Z. The effectiveness of schema therapy on eating disorder and rumination of obese adolescent girls. Community Health Journal. 2019;13(1):1-10.
  3. Ashrafi S, Bahreinian A, Hajializadeh K, Delavar A. The effect of of Acceptance Commitment Therapy On the Body Dysmorphic Disorder and Weight in Overweight Women. Women and Family Studies. 2022;15(55):69-83.
  4. Rubino F, Puhl RM, Cummings DE, Eckel RH, Ryan DH, Mechanick JI, et al. Joint international consensus statement for ending stigma of obesity. Nature medicine. 2020;26(4):485-97.
  5. Najafi F, Pasdar Y, Hamzeh B, Rezaei S, Nazar MM, Soofi M. Measuring and decomposing socioeconomic inequalities in adult obesity in Western Iran. Journal of Preventive Medicine and Public Health. 2018;51(6):289.
  6. Saloumi C, Plourde H. Differences in psychological correlates of excess weight between adolescents and young adults in Canada. Psychology, Health & Medicine. 2010;15(3):314-25.
  7. Pak Andish S, Kraskian A, Jamhari F. Determining the Effectiveness of Cognitive-Behavioral Therapy in Regulating Emotion and Mental Health of Obese Women. Iranian Journal of Nursing Research. 2021;16(2):59-68.
  8. American Psychiatric Association D, American Psychiatric Association D. Diagnostic and statistical manual of mental disorders: DSM-5: American psychiatric association Washington, DC; 2013.
  9. Rommel D, Nandrino J-L, Ducro C, Andrieux S, Delecourt F, Antoine P. Impact of emotional awareness and parental bonding on emotional eating in obese women. Appetite. 2012;59(1):21-6.
  10. Robinson A, Safer DL, Austin JL, Etkin A. Does implicit emotion regulation in binge eating disorder matter? Eating behaviors. 2015;18:186-91.
  11. Ling J, Zahry NR. Relationships among perceived stress, emotional eating, and dietary intake in college students: Eating self-regulation as a mediator. Appetite. 2021;163:105215.
  12. Van Strien T, Frijters JE, Bergers GP, Defares PB. The Dutch Eating Behavior Questionnaire (DEBQ) for assessment of restrained, emotional, and external eating behavior. International journal of eating disorders. 1986;5(2):295-315.
  13. Erdem E, Efe YS, Özbey H. A predictor of emotional eating in adolescents: Social anxiety. Archives of Psychiatric Nursing. 2023;43:71-5.
  14. Ganley RM. Emotion and eating in obesity: A review of the literature. International Journal of eating disorders. 1989;8(3):343-61.
  15. Upadhyay J, Farr O, Perakakis N, Ghaly W, Mantzoros C. Obesity as a disease. Medical Clinics. 2018;102(1):13-33.
  16. Deroost N, Cserjési R. Attentional avoidance of emotional information in emotional eating. Psychiatry research. 2018;269:172-7.
  17. Khasho D, Van Alphen S, Heijnen-Kohl S, Ouwens M, Arntz A, Videler A. The effectiveness of individual schema therapy in older adults with borderline personality disorder: Protocol of a multiple-baseline study. Contemporary clinical trials communications. 2019;14:100330.
  18. Pugh M. A narrative review of schemas and schema therapy outcomes in the eating disorders. Clinical psychology review. 2015;39:30-41.
  19. Basile B, Tenore K, Mancini F. Early maladaptive schemas in overweight and obesity: A schema mode model. Heliyon. 2019;5(9).
  20. Nenadić I, Lamberth S, Reiss Group schema therapy for personality disorders: a pilot study for implementation in acute psychiatric in-patient settings. Psychiatry research. 2017;253:9-12.
  21. Simpson SG, Morrow E, van Vreeswijk M, Reid C. Group schema therapy for eating disorders: a pilot study. Frontiers in psychology. 2010;1:182.
  22. Burton AL, Abbott MJ. Conceptualising binge eating: a review of the theoretical and empirical literature. Behaviour Change. 2017;34(3):168-98.
  23. Tahery Moghadam N, Taghizadeh ME, Kakojoibary AA, Alaghmand A. The Effect of Schema Therapy on the Reduction of Automatic Negative Thought‎ and the Increase of Self-esteem in Women with Depression. 2014.
  24. Joshua PR, Lewis V, Kelty SF, Boer DP. Is schema therapy effective for adults with eating disorders? A systematic review into the evidence. Cognitive Behaviour Therapy. 2023;52(3):213-31.
  25. Arntz A, Jacob G. Schema therapy in practice: An introductory guide to the schema mode approach: John Wiley & Sons; 2017.
  26. Imperatori C, Innamorati M, Lester D, Continisio M, Balsamo M, Saggino A, Fabbricatore M. The association between food addiction and early maladaptive schemas in overweight and obese women: A preliminary investigation. Nutrients. 2017;9(11):1259.
  27. Arnow B, Kenardy J, Agras WS. The Emotional Eating Scale: The development of a measure to assess coping with negative affect by eating. International journal of eating disorders. 1995;18(1):79-90.
  28. Alipour A. Effectiveness of decreasing emotional eating on weight management, emotional eating and happiness of women with obesity: MA thesis. University of Payamenoor (Central branch).(Persian); 2011.
  29. Kannan DM, Tharanitharan K, Sreeba A, Nandhini Y, Pavithrakumar T, Akila MT. Mechanised Body Mass Index (BMI) Calculator Using PIC 16F877A. International Journal for Research & Development in Technology (IJRDT). 2017;7(3):734-6.
  30. Najjar Kakhki I, Kalhornia Golkar M, Nezhad Mohamad Nameghi A, Valizadeh M. Comparison of effectiveness of acceptance and commitment-based group therapy and group schema therapy on emotion regulation difficulty and body mass index in obese people with emotional eating. Shenakht Journal of Psychology and Psychiatry. 2023;10(1):75-89.
  31. Rasouli Saravi S, Hassani F, Keshavarzi Arshadi F, Farzad V, Sepahmansour M. Effectiveness of group schema therapy on eating attitude and self-regulation in overweight adolescent females with binge eating disorder. Avicenna Journal of Neuro Psycho Physiology. 2020;7(1):20-8.
  32. Rodgers RF, Paxton SJ, Massey R, Campbell KJ, Wertheim EH, Skouteris H, Gibbons K. Maternal feeding practices predict weight gain and obesogenic eating behaviors in young children: a prospective study. International Journal of Behavioral Nutrition and Physical Activity. 2013;10:1-10.
  33. Puhl RM, Schwartz MB. If you are good you can have a cookie: How memories of childhood food rules link to adult eating behaviors. Eating behaviors. 2003;4(3):283-93.
  34. Rafaeli E, Maurer O, Thoma NC. Working with modes in schema therapy. Working with emotion in cognitive behavioral therapy: Techniques for clinical practice. 2014:263-87.
  35. Gülüm İV, Soygüt G. Limited reparenting as a corrective emotional experience in schema therapy: A preliminary task analysis. Psychotherapy Research. 2022;32(2):263-76.
  36. Kraskian A, Jamhari F. The Effectiveness of Schema Therapy in Emotional Regulation and Band on Body Mass Index of obese Women. Iranian Journal of Rehabilitation Research. 2023;9(3):10-9.
  37. Bahadori A, Golkar MK, Pashang S. The effectiveness of schema therapy intervention in weight, body image and self-esteem of obese people: a randomized controlled trial. Hormozgan Medical Journal. 2022;26(2):82-7.
  38. Moradhaseli M, Shams Esfandabad H, Kakavand A. A comparison of the effectiveness of schema therapy and cognitive behavioral therapy on the self-efficacy and lifestyle related to weight loss. Journal of Research in Psychological Health. 2016;9(4):74-89.

 

 

 

 

Medical Journal of Mashhad university of Medical Sciences
Volume 67, Issue 2
March and April 2024
Pages 718-728

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