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Effects of an Appearance-Focused Interpretation Training Intervention on Eating Disorder Symptoms

Published online by Cambridge University Press:  13 March 2018

Berta J. Summers Open the ORCID record for Berta J. Summers [Opens in a new window]  and
Jesse R. Cougle
Berta J. Summers
Affiliation:
Department of Psychology, Florida State University, Tallahassee, FL, USA
Jesse R. Cougle*
Affiliation:
Department of Psychology, Florida State University, Tallahassee, FL, USA
*
Correspondence to Jesse R. Cougle, Department of Psychology, Florida State University, 1107 W. Call Street, Tallahassee, FL 32306, USA. E-mail: [email protected]
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Abstract

Background: Previous research suggests that computerized interpretation bias modification (IBM) techniques may be useful for modifying thoughts and behaviours relevant to eating pathology; however, little is known about the utility of IBM for decreasing specific eating disorder (ED) symptoms (e.g. bulimia, drive for thinness). Aims: The current study sought to further examine the utility of IBM for ED symptoms via secondary analyses of an examination of IBM for individuals with elevated body dysmorphic disorder (BDD) symptoms (see Summers and Cougle, 2016), as these disorders are both characterized by threat interpretation biases of ambiguous appearance-related information. Method: We recruited 41 participants for a randomized trial comparing four sessions of IBM aimed at modifying problematic social and appearance-related threat interpretation biases with a placebo control training (PC). Results: At 1-week post-treatment, and relative to the PC, the IBM group reported greater reductions in negative/threat interpretations of ambiguous information in favour of positive/benign biases. Furthermore, among individuals with high pre-treatment bulimia symptoms, IBM yielded greater reductions in bulimia symptoms compared with PC at post-treatment. No treatment effects were observed on drive for thinness symptoms. Conclusions: The current study suggests that cognitive interventions for individuals with primary BDD symptoms may improve co-occurring ED symptoms such as bulimia.

Keywords

eating disordersbulimia nervosainterpretation biascognitive bias modificationtreatment
Type
Research Article
Information
Behavioural and Cognitive Psychotherapy , Volume 46 , Issue 6 , November 2018 , pp. 676 - 689
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 2018 

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