Emotion regulation strategies in bulimia nervosa: an experimental investigation of mindfulness, self-compassion, and cognitive restructuring
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 r...
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| Format: | Article |
| Language: | English |
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BMC
2020-07-01
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| Series: | Borderline Personality Disorder and Emotion Dysregulation |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s40479-020-00129-3 |
| _version_ | 1818548685518143488 |
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| author | Johannes Baltasar Hessler-Kaufmann Julia Heese Matthias Berking Ulrich Voderholzer Alice Diedrich |
| author_facet | Johannes Baltasar Hessler-Kaufmann Julia Heese Matthias Berking Ulrich Voderholzer Alice Diedrich |
| author_sort | Johannes Baltasar Hessler-Kaufmann |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-12-12T08:23:30Z |
| format | Article |
| id | doaj.art-d5c8de8f5c0942f48f70e6f1bb536554 |
| institution | Directory Open Access Journal |
| issn | 2051-6673 |
| language | English |
| last_indexed | 2024-12-12T08:23:30Z |
| publishDate | 2020-07-01 |
| publisher | BMC |
| record_format | Article |
| series | Borderline Personality Disorder and Emotion Dysregulation |
| spelling | doaj.art-d5c8de8f5c0942f48f70e6f1bb5365542022-12-22T00:31:21ZengBMCBorderline Personality Disorder and Emotion Dysregulation2051-66732020-07-01711910.1186/s40479-020-00129-3Emotion regulation strategies in bulimia nervosa: an experimental investigation of mindfulness, self-compassion, and cognitive restructuringJohannes Baltasar Hessler-Kaufmann0Julia Heese1Matthias Berking2Ulrich Voderholzer3Alice Diedrich4Schoen Clinic RoseneckSchoen Clinic RoseneckDepartment of Psychology and Sport Sciences, University of Erlangen-NurembergSchoen Clinic RoseneckDepartment of Psychiatry and Psychotherapy, University Hospital, LMU MunichAbstract 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.http://link.springer.com/article/10.1186/s40479-020-00129-3Bulimia nervosaERSelf-compassionMindfulnessCognitive restructuringInpatient |
| spellingShingle | Johannes Baltasar Hessler-Kaufmann Julia Heese Matthias Berking Ulrich Voderholzer Alice Diedrich Emotion regulation strategies in bulimia nervosa: an experimental investigation of mindfulness, self-compassion, and cognitive restructuring Borderline Personality Disorder and Emotion Dysregulation Bulimia nervosa ER Self-compassion Mindfulness Cognitive restructuring Inpatient |
| title | Emotion regulation strategies in bulimia nervosa: an experimental investigation of mindfulness, self-compassion, and cognitive restructuring |
| title_full | Emotion regulation strategies in bulimia nervosa: an experimental investigation of mindfulness, self-compassion, and cognitive restructuring |
| title_fullStr | Emotion regulation strategies in bulimia nervosa: an experimental investigation of mindfulness, self-compassion, and cognitive restructuring |
| title_full_unstemmed | Emotion regulation strategies in bulimia nervosa: an experimental investigation of mindfulness, self-compassion, and cognitive restructuring |
| title_short | Emotion regulation strategies in bulimia nervosa: an experimental investigation of mindfulness, self-compassion, and cognitive restructuring |
| title_sort | emotion regulation strategies in bulimia nervosa an experimental investigation of mindfulness self compassion and cognitive restructuring |
| topic | Bulimia nervosa ER Self-compassion Mindfulness Cognitive restructuring Inpatient |
| url | http://link.springer.com/article/10.1186/s40479-020-00129-3 |
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