The effect of training to target cognitive biases towards social rejection in eating disorders.

Journal: European eating disorders review : the journal of the Eating Disorders Association

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Affiliated Institutions:  Institute of Eating Disorders and Mental Health, Inje University, Seoul, Republic of Korea. Department of Psychology, Duksung Women's University, Seoul, Republic of Korea. Department of Psychology, The Catholic University of Korea, Bucheon, Republic of Korea. Department of Psychiatry, Busan Paik Hospital, Inje University, Busan, Republic of Korea. Centre for Research in Eating and Weight Disorders (CREW), Department of Psychological Medicine, Institute of Psychiatry, Psychology, and Neuroscience, King's College London, London, UK.

Abstract summary 

This study examined the effect of cognitive bias modification for interpretation (CBM-I) training in Korean women with eating disorders (EDs).Sixty-three women with EDs participated in the study. Participants were randomly assigned to the intervention group where they received six sessions of CBM-I training (n = 31) in addition to treatment-as-usual or were put on a waiting list (n = 32). Participants' interpretation and attention biases, emotion regulation, affect, and ED psychopathology were assessed at baseline, end-of-intervention (4 weeks), and follow-up (8 weeks).Participants who completed the CBM-I training displayed greater reductions in negative interpretation bias (Δη = 0.107) and emotion dysregulation (Δη  = 0.085) with medium to large effect sizes compared to the control group, which were maintained from baseline to follow-up. Disengagement from negative faces and a focus on positive faces was found in the intervention group with a moderate effect size at the end-of-intervention (Δη  = 0.090). Both intervention and control groups showed improvements in ED psychopathology. Baseline neuroticism was positively correlated with CBM-I effect.The results suggest that modifying interpretation bias towards ambiguous social stimuli might be an effective adjuvant treatment to reduce negative expectations of social situations and improve emotion regulation in women with bulimia nervosa and anorexia nervosa.

Authors & Co-authors:  An Kwag Kim Yang Moon Treasure Kim

Study Outcome 

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Statistics
Citations :  American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.).
Authors :  7
Identifiers
Doi : 10.1002/erv.3083
SSN : 1099-0968
Study Population
Women
Mesh Terms
Other Terms
cognitive bias modification for interpretation (CBM-I);eating disorder;emotion regulation;interpretation bias;rejection sensitivity
Study Design
Study Approach
Country of Study
Publication Country
England