Effectiveness of Barlow`s Unified Transdiagnostic Treatment, Emotion- Focused Therapy and Mindfulness on Moderating the Eating Behavior of Adults with Obesity

Etefaghi, Mahnaz; Sabet, Mehrdad; Abolmaali Alhoseini, Khadijeh

doi:10.30473/ijohp.2020.53011.1080

Document Type : research

Authors

¹ Ph.D. student, Department of Psychology, Roudehen Branch, Islamic Azad University, Roudehen, Iran

² Assistant Professor, Department of Psychology, Roudehen Branch, Islamic Azad University, Roudehen, Iran.

³ Associate Professor, Department of Psychology, Roudehen Branch, Islamic Azad University, Roudehen, Iran

https://doi.org/10.30473/ijohp.2020.53011.1080

Abstract

Objective: The aim of this study was to compare the effectiveness of Barlow's transdiagnostic, emotion-focused and mindfulness therapy on moderating the eating behavior of adults with obesity.
Method: The present research project was a semi-experimental with pretest, post test, and follow up with a control group. The statistical population included all people with obesity in Tehran. Sixty people were randomly selected through available sampling method and were assigned to four groups: (1) Barlow's transdiagnostic therapy, (2) emotion- focused therapy, (3) mindfulness-based therapy, and (4) control group. Data were analyzed using the Dutch Eating Behavior Questionnaire (DEBQ) in three stages: pre test, post test, and follow up, and were analyzed by mixed-variance analysis.
Results: The research findings showed the within effects significant (P<0.05) regarding emotional, environmental, and restricted eating. Regarding between effects, a significant and constant effectiveness was found in the subscale of emotional and restricted eating in emotion- focused therapy group and in the subscale of environmental eating in mindfulness-based therapy group (P<0.05).
Conclusion: Emotion- focused therapy can help people to moderate emotional and restricted eating through emotional experience and making sense of emotions, and mindfulness therapy can help people to moderate environmental eating by helping them focus on the present moment and break repetitive patterns.

Keywords

Article Title [Persian]

مقایسه اثربخشی درمان فرا تشخیصی واحد بارلو و درمان متمرکز بر هیجان و ذهن آگاهی بر تعدیل رفتار غذایی بزرگسالان مبتلا به چاقی

Authors [Persian]

مهناز اتفاقی ¹
مهرداد ثابت ²
خدیجه ابوالمعالی الحسینی ³

¹ Ph.D. student, Department of Psychology, Roudehen Branch, Islamic Azad University, Roudehen, Iran

² Assistant Professor, Department of Psychology, Roudehen Branch, Islamic Azad University, Roudehen, Iran.

³ Associate Professor, Department of Psychology, Roudehen Branch, Islamic Azad University, Roudehen, Iran

Abstract [Persian]

مقدمه: هدف این مطالعه مقایسه اثربخشی درمان فراتشخیص بارلو، هیجان مدار و ذهن آگاهی، بر تعدیل رفتار خوردن افراد بزرگسال مبتلا به چاقی بود. روش: طرح پژوهش حاضر نیمه آزمایشی از نوع پیش آزمون- پس آزمون- پیگیری با گروه کنترل بود. جامعه آماری شامل کلیه افراد مبتلا به چاقی شهر تهران بود که با روش نمونه گیری دردسترس 60 نفر به صورت تصادفی انتخاب و در چهار گروه درمان فراتشخیص بارلو، درمان هیجان مدار، درمان مبتنی بر ذهن آگاهی و کنترل گمارده شدند. داده ها با استفاده از پرسشنامه رفتار خوردن داچ (DEBQ)، در سه مرحله پیش آزمون، پس آزمون و پیگیری اندازه گیری و با روش تحلیل واریانس آمیخته تجزیه و تحلیل شدند. یافته ها: یافته های پژوهش نشان داد اثرات درون گروهی درخصوص خوردن هیجانی، محیطی و بازداری شده معنادار بود (0.05 > P). در ارتباط با اثرات بین گروهی، گروه آزمایش هیجان مدار در زیرمقیاس خوردن هیجانی و بازداری شده و گروه درمان مبتنی بر ذهن آگاهی در زیر مقیاس خوردن محیطی دارای اثربخشی معنادار و پایدار بودند (0.05 > P). نتیجه گیری: براساس نتایج این مطالعه می توان گفت درمان هیجان مدار از طریق تجربه و معنا بخشی هیجانی، کمک به تعدیل خوردن هیجانی و بازداری شده و درمان ذهن آگاهی از طریق تمرکز در لحظه حال و شکست الگوهای تکراری منجر به تعدیل خوردن محیطی شود.

Keywords [Persian]

درمان فراتشخیص بارلو
درمان هیجان مدار
درمان مبتنی بر ذهن آگاهی
رفتار خوردن
چاقی

References

Abdolkarimi M.; Ghorban Shirudi S.; Khalatbari J.; Zarbakhsh M. (2018). The Effectiveness of Diagnostics Educational Package Based on Acceptance and Commitment Therapy, Compassion Focused Therapy and Dialectical Behavior Therapy on the Eating Behavior and the Weight- Efficacy of lifestyle in the Overweight and Obese Woman. Mejds, 8, 3-3 URL: http://jdisabilstud.org/article -1-963-fa.html

Barlow, D. H., Ellard, K. K., Fairholme, C.P., Farhione, T. J., Boisseau, C. L., Allen, L. B., & Ehrenreich-May. J. (2011). The unified protocol for transdiagnostic treatment of emotional disorders: Client workbook. New York: Oxford University Press.

Brennan, M. A., Emmerling, M. E. & whelton, W. J. (2015) Emotion focused group therapy: Addressing self-criticsm in the treatment of eating disorders. Counseling and Psychotherapy Research, 15(1), 67-75.

Cebolla A, Barrada JR, van Strien T, Oliver E, Banos R. (2014). Validation of the Dutch Eating Behavior Questionnaire (DEBQ) in a sample of Spanish women. Appetite, 73, 58-64.

Compare, Angelo, Calugi, Simona, Marchesinib, Giulio. Molinari, Enrico. Grave, Riccardo Dalle. (2013). Emotion-Focused Therapy and Dietary Counseling, for Obese Patients with Binge Eating Disorder: A Propensity Score-Adjusted Study. Psychother Psychosom, 82, 193–194

Davis, L., Anderson, D., & Pobocik, R. (2014). The relationships between mindful eating, weight, and quality of life in college students. Journal of Nutrition Education and Behavior, 46(4), 171-179.

Dolhanty, J, Greenberg, L. S. (2007). Emotion- Focused therapy in the treatment of eating disorder. Clinical Psychology and Psychotherapy, 16, 336-382.

Fairburn, C. G., Cooper. Z., & Shafran, R. (2003). Cognitive behaviour therapy for eating disorders: a "transdiagnostic" theory and treatment. Behaviour Research and Therapy, 41(5), 509-28.

Farchoione, T. J., Fairholme, C. P., Ellard, K. K. Boisseau, C. L., Thompson-Hollands, J., Barlow, D. H. (2012). Unified Protocol for Transdiagnostic Treatment of Emotional Disorders: A Randomized Controlled Trial. Behavior therapy, 43(3), 666-678.

Forman, EM., Butryn ML. (2015). A new look at the science of weight control: how acceptance and commitment strategies can address the challenge of self-regulation. Appetite. 84, 171-80.

Glisenti, K., Strodl, E., & King, R. (2018). Emotion‐focused therapy for binge‐eating disorder: A review of six cases, Clinical psychology, 25 (6), 35-42.

Greenberg, L. (2011). Emotion-focused therapy. Washington, DC: American Psychological Association.

Griffiths, S., Angus, D., Murray, S. B., & Touyz, S. (2014). Unique associations between young adult men's emotional functioning and their body dissatisfaction and disordered eating. Body Image, 11(2), 175-178.

Hanson, P., Shttlewood, E., Halder, L., Shah, N., Lam., F. T. Barber, T. M. (2019). Application of Mindfulness in a Tier 3 Obesity Service Improves Eating Behavior and Facilitates Successful Weight Loss. The Journal of Endocrinology & Metabolism, 104 (3), 793-800.

Lasikiewicz, N., Myrissa K., Hoyland A., Lawton CL. (2014). Psychological benefits of weight loss following behavioural and/or dietary weight loss interventions: A systematic research review. Appetite, 72, 123-37.

Lotfi Kangarshahi, A.; Dehghani Arani, F.; Rostami, R.; Ashraf Talesh, S. H.; Abolhasani. M. (2019). Comparing efficacy of cognitive behavioral therapy (CBT) and mindfulness- based cognitive therapy (MBCT) on activity increasing and weight decreasing in obese individuals with coronary artery stenosis. Biquarterly Iranian Journal of Health Psychology. vol. 8. No. 3, p. 53- 78.

Palmeira, L., Pinto-Gouveia J., Cunha M. (2017). Exploring the efficacy of an acceptance, mindfulness & compassionate-based group intervention for women struggling with their weight (Kg-Free): A randomized controlled trial. Appetite. 112, 107-16.

Rahmani,M.; Omidi, A.; Rahmani, F. (2018). The Effect of Unified Therapy on Quality of Life in Patients with Eating Disorder. International Journal of Body, Mind and Culture, 5(1), 39-45.

Rogby, A. (2018). Transdiagnostic Approach to Food Avoidance after Bariatric Surgery: A Case Study. Clinical Case Studies, 17(5), 280-295.

Ruffault, A., Czernichow, S., Hagger, MS., Ferrand, M., Erichot, N., Carette, C. (2017).The effects of mindfulness training on weight-loss and health-related behaviours in adults with overweight and obesity: A systematic review and meta-analysis. Obesity Research & Clinical Practice, 11(5), 90-111.

Sadock, Sadock and Ruiz. (2017). Kaplan and Sadock's Synopsis of Psychiatry: Behavioral Sciences/Clinical Psychiatry. Translation by Ganji, Mehdi. Tehran: Savalan.

Sala, M., Heard, A., & Black, E. A. (2016). Emotion-focused treatments for anorexia nervosa: a systematic review of the literature. Eating and Weight Disorders, 21, 147-164.

Smith, V. M., Seimon, R. V., Harris, R. A., Sainsbury, A., & Da Luz, F. Q. (2020). Less Binge Eating and Loss of Control over Eating Are Associated with Greater Levels of Mindfulness: Identifying Patterns in Postmenopausal Women with Obesity. Behavioral Sciences, 9(4), 36; https://doi.org/10.3390/bs9040036.

Suarez, L., Bennett, S., Goldstein, C., Barlow, DH. (2009). Understanding anxiety disorders from a triple vulnerability framework. In: Antony MM, Stein MB, Editors. Oxford Handbook of Anxiety and Related Disorders. Oxford, UK: Oxford University Press.

Van Strien, T. (2018). Causes of Emotional Eating and Matched Treatment of Obesity. Current Diabetes Reports, 18(35). https://doi.org/10.1007/s11892-018-1000-x

WHO.(2020)./https://www.who.int/nutritin/topics/obesity

Effectiveness of Barlow`s Unified Transdiagnostic Treatment, Emotion- Focused Therapy and Mindfulness on Moderating the Eating Behavior of Adults with Obesity

References

References

Volume 3, Issue 2 - Serial Number 6November 2020Pages 89-102

Volume 3, Issue 2 - Serial Number 6
November 2020
Pages 89-102