Early Improvement in Eating Attitudes during Cognitive Behavioural Therapy for Eating Disorders: The Impact of Personality Disorder Cognitions

Article


Park, Emma C., Waller, Glenn and Gannon, K. 2013. Early Improvement in Eating Attitudes during Cognitive Behavioural Therapy for Eating Disorders: The Impact of Personality Disorder Cognitions. Behavioural and Cognitive Psychotherapy. 42 (02), pp. 224-237.
AuthorsPark, Emma C., Waller, Glenn and Gannon, K.
Abstract

Background: The personality disorders are commonly comorbid with the eating disorders. Personality disorder pathology is often suggested to impair the treatment of axis 1 disorders, including the eating disorders. Aims: This study examined whether personality disorder cognitions reduce the impact of cognitive behavioural therapy (CBT) for eating disorders, in terms of treatment dropout and change in eating disorder attitudes in the early stages of treatment. Method: Participants were individuals with a diagnosed eating disorder, presenting for individual outpatient CBT. They completed measures of personality disorder cognitions and eating disorder attitudes at sessions one and six of CBT. Drop-out rates prior to session six were recorded. Results: CBT had a relatively rapid onset of action, with a significant reduction in eating disorder attitudes over the first six sessions. Eating disorder attitudes were most strongly associated with cognitions related to anxiety-based personality disorders (avoidant, obsessive-compulsive and dependent). Individuals who dropped out of treatment prematurely had significantly higher levels of dependent personality disorder cognitions than those who remained in treatment. For those who remained in treatment, higher levels of avoidant, histrionic and borderline personality disorder cognitions were associated with a greater change in global eating disorder attitudes. Conclusions: CBT's action and retention of patients might be improved by consideration of such personality disorder cognitions when formulating and treating the eating disorders.

JournalBehavioural and Cognitive Psychotherapy
Journal citation42 (02), pp. 224-237
ISSN1352-4658
Year2013
PublisherCambridge University Press for British Association for Behavioural and Cognitive Psychotherapies
Accepted author manuscript
Digital Object Identifier (DOI)doi:10.1017/S1352465812001117
Web address (URL)https://doi.org/10.1017/S1352465812001117
Publication dates
Online01 Feb 2013
Publication process dates
Deposited22 Jan 2018
Copyright informationThis article has been published in a revised form in Behavioural and Cognitive Psychotherapy, https://doi.org/10.1017/S1352465812001117. This version is free to view and download for private research and study only. Not for re-distribution, re-sale or use in derivative works. © British Association for Behavioural and Cognitive Psychotherapies 2013
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