Cargando…

Mindfulness-based cognitive therapy added to usual care improves eating behaviors in patients with bulimia nervosa and binge eating disorder by decreasing the cognitive load of words related to body shape, weight, and food

BACKGROUND: This study aimed to investigate the effectiveness of mindfulness-based cognitive therapy (MBCT) as a complementary approach in patients with bulimia nervosa (BN) or binge eating disorder (BED), and to assess how the reduction of the cognitive load of words related to eating disorders (ED...

Descripción completa

Detalles Bibliográficos
Autores principales: Sala, L., Gorwood, P., Vindreau, C., Duriez, P.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cambridge University Press 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8668447/
https://www.ncbi.nlm.nih.gov/pubmed/34706785
http://dx.doi.org/10.1192/j.eurpsy.2021.2242
_version_ 1784614574832484352
author Sala, L.
Gorwood, P.
Vindreau, C.
Duriez, P.
author_facet Sala, L.
Gorwood, P.
Vindreau, C.
Duriez, P.
author_sort Sala, L.
collection PubMed
description BACKGROUND: This study aimed to investigate the effectiveness of mindfulness-based cognitive therapy (MBCT) as a complementary approach in patients with bulimia nervosa (BN) or binge eating disorder (BED), and to assess how the reduction of the cognitive load of words related to eating disorders (ED) could constitute an intermediate factor explaining its global efficacy. METHODS: Eighty-eight women and men participated in clinical assessments upon inscription, prior to and following 8-week group MBCT. Mindfulness skills were assessed using the five facet mindfulness questionnaire; eating behaviors were assessed using the Three Factor Eating Questionnaire (TFEQ); comorbid pathologies were assessed using the beck depression index and the state-trait anxiety inventory. The cognitive load of words associated with ED was assessed through a modified version of the Stroop color naming task. RESULTS: Mindfulness skills improved significantly (p < .05) after group MBCT. The improvement of TFEQ scores was accompanied by reduced levels of depressive mood and trait anxiety. The positive impact of MBCT on TFEQ score was directly related to an improvement of the performance in the Stroop task. CONCLUSIONS: MBCT represents an interesting complementary therapy for patients with either BN or BED, at least when cognitive and behavioral domains are concerned. Such efficacy seems to be mediated by the reduction of the cognitive load associated with ED stimuli, which offers a possible explanation of how MBCT could reduce binge-eating behaviors. Other studies are needed, in independent centers, to focus more directly on core symptoms and long-term outcome.
format Online
Article
Text
id pubmed-8668447
institution National Center for Biotechnology Information
language English
publishDate 2021
publisher Cambridge University Press
record_format MEDLINE/PubMed
spelling pubmed-86684472021-12-16 Mindfulness-based cognitive therapy added to usual care improves eating behaviors in patients with bulimia nervosa and binge eating disorder by decreasing the cognitive load of words related to body shape, weight, and food Sala, L. Gorwood, P. Vindreau, C. Duriez, P. Eur Psychiatry Research Article BACKGROUND: This study aimed to investigate the effectiveness of mindfulness-based cognitive therapy (MBCT) as a complementary approach in patients with bulimia nervosa (BN) or binge eating disorder (BED), and to assess how the reduction of the cognitive load of words related to eating disorders (ED) could constitute an intermediate factor explaining its global efficacy. METHODS: Eighty-eight women and men participated in clinical assessments upon inscription, prior to and following 8-week group MBCT. Mindfulness skills were assessed using the five facet mindfulness questionnaire; eating behaviors were assessed using the Three Factor Eating Questionnaire (TFEQ); comorbid pathologies were assessed using the beck depression index and the state-trait anxiety inventory. The cognitive load of words associated with ED was assessed through a modified version of the Stroop color naming task. RESULTS: Mindfulness skills improved significantly (p < .05) after group MBCT. The improvement of TFEQ scores was accompanied by reduced levels of depressive mood and trait anxiety. The positive impact of MBCT on TFEQ score was directly related to an improvement of the performance in the Stroop task. CONCLUSIONS: MBCT represents an interesting complementary therapy for patients with either BN or BED, at least when cognitive and behavioral domains are concerned. Such efficacy seems to be mediated by the reduction of the cognitive load associated with ED stimuli, which offers a possible explanation of how MBCT could reduce binge-eating behaviors. Other studies are needed, in independent centers, to focus more directly on core symptoms and long-term outcome. Cambridge University Press 2021-10-28 /pmc/articles/PMC8668447/ /pubmed/34706785 http://dx.doi.org/10.1192/j.eurpsy.2021.2242 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited.
spellingShingle Research Article
Sala, L.
Gorwood, P.
Vindreau, C.
Duriez, P.
Mindfulness-based cognitive therapy added to usual care improves eating behaviors in patients with bulimia nervosa and binge eating disorder by decreasing the cognitive load of words related to body shape, weight, and food
title Mindfulness-based cognitive therapy added to usual care improves eating behaviors in patients with bulimia nervosa and binge eating disorder by decreasing the cognitive load of words related to body shape, weight, and food
title_full Mindfulness-based cognitive therapy added to usual care improves eating behaviors in patients with bulimia nervosa and binge eating disorder by decreasing the cognitive load of words related to body shape, weight, and food
title_fullStr Mindfulness-based cognitive therapy added to usual care improves eating behaviors in patients with bulimia nervosa and binge eating disorder by decreasing the cognitive load of words related to body shape, weight, and food
title_full_unstemmed Mindfulness-based cognitive therapy added to usual care improves eating behaviors in patients with bulimia nervosa and binge eating disorder by decreasing the cognitive load of words related to body shape, weight, and food
title_short Mindfulness-based cognitive therapy added to usual care improves eating behaviors in patients with bulimia nervosa and binge eating disorder by decreasing the cognitive load of words related to body shape, weight, and food
title_sort mindfulness-based cognitive therapy added to usual care improves eating behaviors in patients with bulimia nervosa and binge eating disorder by decreasing the cognitive load of words related to body shape, weight, and food
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8668447/
https://www.ncbi.nlm.nih.gov/pubmed/34706785
http://dx.doi.org/10.1192/j.eurpsy.2021.2242
work_keys_str_mv AT salal mindfulnessbasedcognitivetherapyaddedtousualcareimproveseatingbehaviorsinpatientswithbulimianervosaandbingeeatingdisorderbydecreasingthecognitiveloadofwordsrelatedtobodyshapeweightandfood
AT gorwoodp mindfulnessbasedcognitivetherapyaddedtousualcareimproveseatingbehaviorsinpatientswithbulimianervosaandbingeeatingdisorderbydecreasingthecognitiveloadofwordsrelatedtobodyshapeweightandfood
AT vindreauc mindfulnessbasedcognitivetherapyaddedtousualcareimproveseatingbehaviorsinpatientswithbulimianervosaandbingeeatingdisorderbydecreasingthecognitiveloadofwordsrelatedtobodyshapeweightandfood
AT duriezp mindfulnessbasedcognitivetherapyaddedtousualcareimproveseatingbehaviorsinpatientswithbulimianervosaandbingeeatingdisorderbydecreasingthecognitiveloadofwordsrelatedtobodyshapeweightandfood