Acceptance and Commitment Therapy as a Novel Treatment for Eating Disorders: An Initial Test of Efficacy and Mediation

Behavior Modification

Volumn 37, Issue 4, 2013, Pages 459-489

  Juarascio, Adrienne ^a   Shaw, Jena ^a   Forman, Evan ^a   Timko, C Alix ^b   Herbert, James ^a   Butryn, Meghan ^a   Bunnell, Douglas ^c   Matteucci, Alyssa ^a   Lowe, Michael ^a  

^a DREXEL UNIVERSITY COLLEGE OF MEDICINE   (United States)

^b UNIVERSITY OF THE SCIENCES   (United States)

^c Renfrew Center   (United States)

Author keywords

acceptance and commitment therapy; eating disorders; treatment outcome

Indexed keywords

ACCEPTANCE AND COMMITMENT THERAPY; ADOLESCENT; ADULT; ARTICLE; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; EATING DISORDER; FEMALE; GROUP THERAPY; HOSPITALIZATION; HUMAN; MIDDLE AGED; PATIENT SATISFACTION; PILOT STUDY; RESIDENTIAL CARE; TREATMENT OUTCOME;

ACCEPTANCE AND COMMITMENT THERAPY; EATING DISORDERS; TREATMENT OUTCOME;

ACCEPTANCE AND COMMITMENT THERAPY; ADOLESCENT; ADULT; EATING DISORDERS; FEMALE; HOSPITALIZATION; HUMANS; MIDDLE AGED; PATIENT SATISFACTION; PILOT PROJECTS; PSYCHOTHERAPY, GROUP; RESIDENTIAL TREATMENT; TREATMENT OUTCOME;

EID: 84878856800     PISSN: 01454455     EISSN: 15524167     Source Type: Journal    
DOI: 10.1177/0145445513478633     Document Type: Article

References (70)

1. Agras W.,Brandt H. A.,Bulik C. M.,Dolan-Sewell R.,Fairburn C. G.,Halmi K. A., Wilfley D. E.Report of the National Institutes of Health workshop on overcoming barriers to treatment research in anorexia nervosa. International Journal of Eating Disorders; 2004; 2004. 509.
2. Diagnostic and statistical manual of mental disorders. 1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: Author.Washington, DC: Author; 1994:.
3. Anderson D.,Simmons A.A pilot study of a functional contextual treatment for bulimia.Cognitive and Behavioral Practice. 2008;15:172-178.
4. Bach P.,Hayes S. C.The use of acceptance and commitment therapy to prevent the rehospitalization of psychotic patients: A randomized controlled trial.Journal of Consulting and Clinical Psychology. 2002;70:1129-1139.
5. Berman M.,Boutelle K.,Crow S.A case series investigating acceptance and commitment therapy as a treatment for previously treated, unremitted patients with anorexia nervosa.European Eating Disorders Review. 2009;17:426-434.
6. Bond F. W.,Hayes S. C.,Baer R. A.,Carpenter K. M.,Orcutt H. K.,Waltz T., Zettle R. D.Preliminary psychometric properties of the Acceptance and Action Questionnaire-II: A revised measure of psychological flexibility and acceptance.Behavior Therapy. 2011;42:676-688.
7. Principles of inpatient psychiatry: Inpatient treatment of eating disorders. Bowers W. A.Andersen E. A.Evans K.Osview F.Munich R. L., ed. Philadelphia, PA: Lippincott Williams & Wilkins; 2008:.
8. Cockell S. J.,Geller J.,Linden W.The development of a decisional balance scale for anorexia nervosa.European Eating Disorders Review. 2002;10:359-375.
9. Cook T. D.,Campbell D. T.Quasi-experimentation: Design and analysis issues for field settings. Chicago, IL: Rand McNally; 1979:.
10. Dalrymple K. L.,Herbert J. D.Acceptance and commitment therapy for generalized social anxiety disorder: A pilot study.Behavior Modification. 2007;31:543-568.
11. Fairburn C. G.Cognitive behavior therapy and eating disorders. New York, NY: Guilford; 2008:.
12. Fairburn C. G.,Beglin S. J.Assessment of eating disorders: Interview or self-report questionnaire?.International Journal of Eating Disorders. 1994;16:363-370.
13. Fairburn C. G.,Walsh B. T.Eating disorders and obesity: A comprehensive handbook. Fairburn C. G.Brownell K. D., ed. New York, NY: Guilford; 2002:171-177.
14. First M.,Spitzer R.,Gibbon M.,Williams J.Structured Clinical Interview for DSM-IV-TR Axis I Disorders, Research Version, Patient Edition (SCID-I/P). New York: Biometrics Research, New York State Psychiatric Institute; 2002:.
15. Forman E. M.,Chapman J. E.,Herbert J. D.,Goetter E.,Yuen E. K.,Moitra E.Using session-by-session measurement to compare mechanisms of action for acceptance and commitment therapy and cognitive therapy.Behavior Therapy. 2012;43:341-354.
16. Forman E. M.,Herbert J. D.General principles and empirically supported techniques of cognitive behavior therapy. O'Donohue W. T.Fisher J. E., ed. Hoboken, NJ: Wiley; 2009:77-101.
17. Forman E. M.,Herbert J. D.,Juarascio A. S.,Yeomans P. D.,Zebell J. A.,Goetter E. M.,Moitra E.The Drexel Defusion Scale: A new measure of experiential distancing.Journal of Contextual Behavioral Science. 2012;1:55-65.
18. Gifford E. V.,Kohlenberg B. S.,Hayes S. C.,Antonuccio D. O.,Piasecki M. M.,Rasmussen-Hall M. L.,Palm K. M.Acceptance-based treatment for smoking cessation.Behavior Therapy. 2004;35:689-705.
19. Gilboa-Schechtman E.,Avnon L.,Zubery E.,Jeczmien P.Emotional processing in eating disorders: Specific impairment or general distress related deficiency?.Depression and Anxiety. 2006;23:331-339.
20. Gratz K. L.,Roemer L.Multidimensional assessment of emotion regulation and dysregulation: Development, factor structure, and initial validation of the difficulties in emotion regulation scale.Journal of Psychopathology and Behavioral Assessment. 2004;26:41-54.
21. Gregg J. A.A randomized controlled effectiveness trial comparing patient education with and without acceptance and commitment therapy for type 2 diabetes self-management. Reno: University of Nevada, Reno; 2004:.
22. Harrison A.,Sullivan S.,Tchanturia K.,Treasure J.Emotion recognition and regulation in anorexia nervosa.Clinical Psychology & Psychotherapy. 2009;16:348-356.
23. Hayes S. C.,Luoma J. B.,Bond F. W.,Masuda A.,Lillis J.Acceptance and commitment therapy: Model, processes and outcomes. Behaviour Research and Therapy. 2006;44:1-25.
24. Hayes S. C.,Masuda A.,Bissett R.,Luoma J.,Guerrero L.DBT, FAR and ACT: How empirically oriented are the new behavior therapy technologies?.Behavior Therapy. 2004;35:35-54.
25. Hayes S. C.,Pankey J.Experiential avoidance, cognitive fusion, and an ACT approach to anorexia nervosa.Cognitive and Behavioral Practice. 2002;9:243-247.
26. Hayes S. C.,Smith S.Get out of your mind & into your life: The new acceptance and commitment therapy. 2005). Get out of your mind & into your life: The new acceptance and commitment therapy (1st ed.). Oakland, CA: New Harbinger.Oakland, CA: New Harbinger; 2005:.
27. Hayes S. C.,Strosahl K.,Wilson K. G.Acceptance and commitment therapy: An experiential approach to behavior change. New York, NY: Guilford; 1999:.
28. Heffner M.,Sperry J.,Eifert G. H.,Detweiler M.Acceptance and commitment therapy in the treatment of an adolescent female with anorexia nervosa: A case example.Cognitive and Behavioral Practice. 2002;9:232-236.
29. Juarascio A.,Forman E. M.,Herbert J. D.Acceptance and commitment therapy versus cognitive therapy for the treatment of co-morbid eating pathology.Behavior Modification. 2010;34:175-190.
30. Kaplan A. S.Psychological treatments for anorexia nervosa: A review of published studies and promising new directions.La Revue canadienne de psychiatrie. 2002;47:235-242.
31. Kazdin A. E.Psychotherapy for children and adolescents.Annual Review of Psychology. 2003;54:253-276.
32. Keyser J.,Pastelak N.,Sharma P.,Choi J.,Bender R.,Alloy L. Specificity of emotion awareness to disordered eating in undergraduate females. Paper presented at the Association for Behavioral and Cognitive Therapies Meeting; New York, NY.
33. Keyser J.,Sharma P.,Pastelak N.,Wirth-Granlund L.,Testa C.,Alloy L. Paper presented at the Association for Behavioral and Cognitive Therapies Meeting; New York, NY.
34. Kristeller J. L.,Baer R. A.,Quillian-Wolever R.Mindfulness-based treatment approaches: Clinician's guide to evidence base and applications. Baer R. A., ed. San Diego, CA: Elsevier Academic; 2006:75-91.
35. Lowe M.,Davis W.,Annunziato R.,Lucks D.Inpatient treatment for eating disorders: Outcome at discharge and 3-month follow-up.Eating Behaviors. 2003;4:385-397.
36. Luce K. H.,Crowther J. H.The reliability of the Eating Disorder Examination-Self-Report Questionnaire Version (EDE-Q).International Journal of Eating Disorders. 1999;25:349-351.
37. McCracken L. M.,Eccleston C.A comparison of the relative utility of coping and acceptance-based measures in a sample of chronic pain sufferers.European Journal of Pain. 2006;10:23-29.
38. McIntosh V.,Jordan J.,Carter F.,Luty S.,McKenzie J.,Bulik C., Joyce P. R.Three psychotherapies for anorexia nervosa: A randomized, controlled trial.American Journal of Psychiatry. 2005;162:741-747.
39. Merwin R.,Timko C. A.,Moskovich A. A.,Konrad K.,Zucker N. L.,Bulik C.Psychological inflexibility and symptom expression in anorexia nervosa.Eating Disorders: Journal of Treatment & Prevention. 2011;19:62-82.
40. Merwin R.,Wilson K.Acceptance and commitment therapy: Contemporary theory research and practice. Blackledge J. T.Ciarrochi J.Deane F. P., ed. Bowen Hills: Australian Academic Press; 2009:87-117.
41. Merwin R.,Zucker N.,Lacy J.,Elliot C.Interoceptive awareness in eating disorders: Distinguishing lack of clarity from non-acceptance of internal experience.Cognition & Emotion. 2010;24:892-902.
42. Mizes J.,Arbitell M. R.Bulimics' perceptions of emotional responding during binge-purge episodes.Psychological Reports. 1991;69:527-532.
43. Murphy R.,Straebler S.,Cooper Z.,Fairburn C. G.Cognitive-behavioral therapy for eating disorders.American Journal of Psychiatry. 2010;33:611-627.
44. Nordbo R. H.,Espeset E. M.,Gulliksen K. S.,Skarderud F.,Holte A.The meaning of self-starvation: Qualitative study of patients' perception of anorexia nervosa.International Journal of Eating Disorders. 2006;39:556-564.
45. Ogles B. M.,Lunnen K. M.,Bonesteel K.Clinical significance:History, application, and current practice.Clinical Psychology Review. 2001;21:421-446.
46. Orsillo S. M.,Batten S. V.ACT as treatment of a disorder of excessive control: Anorexia.Cognitive and Behavioral Practice. 2002;9:253-259.
47. Paxton S. J.,Diggens J.Avoidance coping, binge eating, and depression: An examination of the escape theory of binge eating.International Journal of Eating Disorders. 1997;22:83-87.
48. Pells J. J.The role of negative affect and emotional avoidance in the maintenance of binge eating disorder. Orono: University of Maine; 2006:.
49. Powers M. B.,Zum Vorde Sive Vording M. B.,Emmelkamp P. M.Acceptance and commitment therapy: A meta-analytic review.Psychotherapy and Psychosomatics. 2009;78:73-80.
50. Preacher K. J.,Hayes A. F.Asymptotic and resampling strategies for assessing and comparing indirect effects in multiple mediator models.Behavior Research Methods. 2008;40:879-891.
51. Reichardt C. S.Encyclopedia of Statistics in Behavioral Science. Everitt B.Howell D., ed. New York, NY: Wiley; 2005:1410-1411.
52. Safer D.,Telch C.,Chen E.Dialectical behavior therapy for binge eating and bulimia. New York, NY: Guilford; 2009:.
53. Schmidt U.,Treasure J.Anorexia nervosa: Valued and visible. A cognitive-interpersonal maintenance model and its implications for research and practice.British Journal of Clinical Psychology. 2006;45:343-366.
54. Serpell L.,Treasure J.,Teasdale J.,Sullivan V.Anorexia nervosa: Friend or foe?.International Journal of Eating Disorders. 1999;25:177-186.
55. ShawJ.JuarascioA.S.FormanE.F.HerbertJ.ButrynM.LoweM. (2013). Creation and validation of a food challenge task. Unpublished manuscript.
56. Sim L.,Zeman J.Emotion awareness and identification skills in adolescent girls with bulimia nervosa.Journal of Clinical Child & Adolescent Psychology. 2004;33:760-771.
57. Timko C. A.,Zucker N.,Merwin R. Acceptance-based separated family treatment (ASFT) for adolescents with anorexia nervosa: Preliminaryoutcomes. Poster session presented at the International Conference on Eating Disorders; 2012Austin, TX; 2012.
58. Treasure J.,Schmidt U.,Troop N.,Tiller J.,Todd G.,Keilen M.,Dodge E.First step in managing bulimia nervosa: Controlled trial of therapeutic manual.British Medical Journal. 1994;16:329-333.
59. Twohig M. P.,Hayes S. C.,Masuda A.Increasing willingness to experience obsessions: Acceptance and commitment therapy as a treatment for obsessive-compulsive disorder.Behavior Therapy. 2006;37:3-13.
60. Vanderlinden J.Many roads lead to Rome: Why does cognitive behavioural therapy remain unsuccessful for many eating disorder patients?.European Eating Disorders Review. 2008;16:329-333.
61. Wade T. D.,Bergin J. L.,Martin N. G.,Gillespie N. A.,Fairburn C. G.A transdiagnostic approach to understanding eating disorders.Journal of Nervous and Mental Disease. 2006;194:510-517.
62. Waller D.,Fairburn C.,McPherson A.,Kay R.,Lee A.,Nowell T.Treating bulimia in primary care: A pilot study.International Journal of Eating Disorders. 1996;19:99-103.
63. Walsh B. T.,Garner D. M.Handbook of treatment for eating disorders. Garner D. M.Garfinkel P. E., ed. New York, NY: Guilford; 1997:25-33.
64. Wilson G. T.Psychological treatment of eating disorders.Annual Review of Clinical Psychology. 2005;1:439-465.
65. Wilson G. T.,Grilo C.,Vitousek K.Psychological treatment of eating disorders.American Psychologist. 2007;62:199-216.
66. Wilson G. T.,Shafran R.Eating disorders guidelines from NICE.Lancet. 2005;365 (9453): 79-81.
67. Wiseman C. V.,Sunday S. R.,Klapper F.,Harris W. A.,Halmi K. A.Changing patterns of hospitalization in eating disorder patients.International Journal of Eating Disorders. 2000;30:71-74.
68. Woods D. W.,Wetterneck C. T.,Flessner C. A.A controlled evaluation of acceptance and commitment therapy plus habit reversal for trichotillomania.Behaviour Research and Therapy. 2006;44:639-656.
69. Zanarini M. C.,Skodol A. E.,Bender D.,Dolan R.,Sanislow C.,Schaefer E., Gunderson J. G.The Collaborative Longitudinal Personality Disorders Study: Reliability of Axis I and II diagnoses.Journal of Personality Disorders. 2000;14:291-299.
70. Zonnevylle-Bender M. J.,van Goozen S. H.,Cohen-Kettenis P. T.,van Elburg A.,de Wildt M.,Stevelmans E.,van Engeland H.Emotional functioning in anorexia nervosa patients: Adolescents compared to adults.Depression and Anxiety. 2004;19:35-42.