Hostname: page-component-586b7cd67f-dlnhk Total loading time: 0 Render date: 2024-11-26T19:03:57.040Z Has data issue: false hasContentIssue false
  • English
  • Français

Experiences of Enhanced Cognitive Behaviour Therapy for Bulimia Nervosa

Published online by Cambridge University Press:  13 February 2015

Louise Onslow ,
Debbie Woodward ,
Toni Hoefkens  and
Louise Waddington
Louise Onslow*
Affiliation:
Cardiff and Vale Eating Disorders Service (EDS), Cardiff, Wales
Debbie Woodward
Affiliation:
Cardiff and Vale Eating Disorders Service (EDS), Cardiff, Wales
Toni Hoefkens
Affiliation:
Cardiff and Vale Eating Disorders Service (EDS), Cardiff, Wales
Louise Waddington
Affiliation:
Cardiff University, Wales
*
Reprint requests to Louise Onslow, Winston's Wish, 3rd Floor Cheltenham House, Clarence Street, Cheltenham GL50 3JR, UK. E-mail: [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

Background: Recent quantitative studies provide support for an “enhanced” transdiagnostic approach of Cognitive Behaviour Therapy (CBT-E) for eating disorders; however it is not yet known how recipients of CBT-E experience therapy. Aims: The current study used a qualitative approach to explore service users’ experiences of CBT-E. Method: Individuals with a diagnosis of bulimia nervosa and who had completed CBT-E from one service in Wales were invited to participate. Semi-structured interviews were completed with eight individuals and analysed using Interpretative Phenomenological Analysis (IPA). Results: Participants valued both specific and non-specific elements of CBT-E. Therapist specialism in eating disorders was considered to enhance therapist empathy. The most helpful aspects specific to CBT-E were gaining insight into maintenance cycles and experiential learning. The most challenging aspects of CBT-E were changing behaviours and cognitions “in the moment” and in the longer-term. Conclusions: The implication of therapist specialism and empathy is further discussed, as well as the difficulty for CBT-E in changing service users’ long-standing core beliefs.

Keywords

Bulimia NervosaCBT-Ecognitive behaviour therapyIPA
Type
Research Article
Information
Behavioural and Cognitive Psychotherapy , Volume 44 , Issue 2 , March 2016 , pp. 168 - 178
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 2015 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Berg, C., Raminani, S., Greer, J., Harwood, M. and Safren, S. (2008). Participants’ perspectives on cognitive-behavioural therapy for adherence and depression in HIV. Psychotherapy Research, 18, 271–280.Google Scholar
Byrne, S. M., Fursland, A., Allen, K. L. and Watson, H. (2011). The effectiveness of enhanced cognitive behavioural therapy for eating disorders: an open trial. Behaviour Research and Therapy, 49, 219–226.CrossRefGoogle ScholarPubMed
Carter, O., Pannekoek, L., Fursland, A., Allen, K., Lampard, A. and Byrne, S. (2012). Increased wait-list time predicts dropout from outpatient enhanced cognitive behaviour therapy (CBT-E) for eating disorders. Behaviour Research and Therapy, 50 (7–8), 487–492.Google Scholar
Chen, E., Touyz, S. W., Beaumont, P. J., Fairburn, C. G., Griffiths, R., Butow, P., et al. (2003). Comparison of group and individual cognitive behavioral therapy for patients with bulimia nervosa. Internal Journal of Eating Disorders, 33, 241–254.CrossRefGoogle ScholarPubMed
Clarke, H., Rees, A. and Hardy, G. E. (2004). The big idea: clients’ perspectives of change processes in cognitive therapy. Psychology and Psychotherapy: Theory, Research and Practice, 77, 67–89.Google Scholar
Elliott, R., Fischer, C. T. and Rennie, D. L. (1999). Evolving guidelines for publication of qualitative research studies in psychology and related fields. British Journal of Clinical Psychology, 38, 215–219.Google Scholar
Fairburn, C. G. (2008). Cognitive Behavior Therapy and Eating Disorders. London: Guilford Press.Google Scholar
Fairburn, C. G. and Beglin, S. J. (1994). The assessment of eating disorders: interview or self-report questionnaire? International Journal of Eating Disorders, 16, 363–370.Google Scholar
Fairburn, C. G., Cooper, Z., Doll, H. A., Bohn, K., Hawker, D. M., Wales, J. A., et al. (2009). Transdiagnostic cognitive-behavioural therapy for patients with eating disorders: a two-site trial with 60-week follow-up. American Journal of Psychiatry, 166, 311–319.Google Scholar
Fairburn, C. G., Cooper, Z. and Shafran, R. (2003). Cognitive behaviour therapy for eating disorders: a “transdiagnostic” theory and treatment. Behavior Research Therapy, 41, 509–528.Google Scholar
Fairchild, H. and Cooper, M. (2010). A multidimensional measure of core beliefs relevant to eating disorders: preliminary development and validation. Eating Behaviors, 11, 239–246.Google Scholar
Hodgetts, A. and Wright, J. (2007). Researching clients’ experiences: a review of qualitative studies. Clinical Psychology and Psychotherapy, 14, 157–163.Google Scholar
Kabat Zinn, J. (1990). Full Catastrophe Living: using the wisdom of your body and mind to face stress, pain and illness. New York: Delta.Google Scholar
Keski-Rahkonen, A., Hoeka, H. W., Linna, M. S., Raevuori, A., Sihvola, E., Bulik, C. M., et al. (2009). Incidence and outcomes of bulimia nervosa: a nationwide population-based study. Psychological Medicine, 39, 823–831.Google Scholar
McManus, F., Peerbhoy, D., Larkin, M. and Clark, D. M. (2010). Learning to change a way of being: an interpretative phenomenological perspective on cognitive therapy for social phobia. Journal of Anxiety Disorders, 24, 581–589.CrossRefGoogle Scholar
Mond, J. M., Hay, P. J., Rodgers, B. and Owen, C. (2006). Eating Disorder Examination Questionnaire (EDE-Q): norms for young adult women. Behavior Research and Therapy, 44, 53–62.Google Scholar
NICE (2004). Eating Disorders: core interventions in the treatment and management of anorexia nervosa, bulimia nervosa and related eating disorders. NICE Clinical Guideline 9. Available at www.nice.org.uk/CG9 [NICE guideline]Google Scholar
Smith, J. A., Flowers, P. and Larkin, M. (2009). Interpretative Phenomenological Analysis: theory, method and research. London: Sage.Google Scholar
Thwaites, R. and Bennett-Levy, J. (2007). Conceptualizing empathy in cognitive behaviour. Behavioural and Cognitive Psychotherapy, 35, 591–612.CrossRefGoogle Scholar
Vanderlinden, J. (2008). Many roads lead to Rome: why does cognitive behavioural therapy remain unsuccessful for many eating disorder patients? European Eating Disorders Review, 16, 329–333.CrossRefGoogle ScholarPubMed
Vanderlinden, J., Buis, H., Pieters, G.. and Probst, M. (2007). Which elements in the treatment of eating disorders are necessary “ingredients” in the recovery process? A comparison between the patient's and the therapist's view. European Eating Disorders Review, 15, 357–365.Google Scholar
Watson, H. J., Allen, K., Fusland, A., Byrne, S. M. and Nathan, P. R. (2012). Does enhanced cognitive behaviour therapy for eating disorders improve quality of life? European Eating Disorders Review, 20, 393–399.CrossRefGoogle ScholarPubMed
Young, J. E., Klosko, J. S. and Weishaar, M. E. (2003). Schema Therapy: a practitioner's guide. New York: Guilford Press.Google Scholar
Submit a response

Comments

No Comments have been published for this article.