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Effectiveness of Rhythmic Movement Therapy for Disordered Eating Behaviors and Obesity

Published online by Cambridge University Press:  10 January 2013

Irina G. Malkina-Pykh
Irina G. Malkina-Pykh*
Affiliation:
Russian Academy of Sciences (Russia)
*
Correspondence concerning this article should be addressed to Irina G. Malkina-Pykh. Research Center for Interdisciplinary Environmental Cooperation, Russian Academy of Sciences (INENCO RAS). St-Petersburg, 191187, nab. Kutuzova, 14 (Russia). E-mail: [email protected]
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Abstract

The aims of the present study were: a) to examine associations between pre-treatment BMI, body dissatisfaction, perfectionism, alexithymia, and restraint, emotional and external eating behaviour in obese patients; b) to analyze the impact of the pre-treatment measures in psychological variables on the outcome of cognitive-behavioral therapy (CBT) program; c) to test the effectiveness of rhythmic movement therapy (RMT) in the treatment of disordered eating behaviors and obesity with the CBT non-responders. At the first stage of treatment a total of 104 patients (32 males and 72 females, mean age was 37.6±6.7 years) self-referred or referred by professionals to CBT weight management program were selected at random. At the second stage 58 obese CBT-non-responders were randomly divided among the continuing CBT individual treatment group and RMT group. Control group was included. Results revealed that: a) significant associations existed between pre-treatment BMI, external eating and two dimensions of perfectionism, as well as between emotional and external eating and all dimensions of perfectionism, alexithymia and body image dissatisfaction; b) pre-treatment means of psychological variables significantly impacted the CBT program outcome; c). the efficacy of RMT approach for weight reduction as well as for the improvement of psychological status for CBT-non-responders was confirmed.

El estudio plantea: a) examinar relaciones entre IMC pretratamiento e insatisfacción corporal, perfeccionismo, alexitimia, y restricciones; así como patrones de conducta alimentaria emocional y externa en pacientes obesos; b) analizar la influencia de las medidas pretratamiento sobre estas variables psicológicas después de una terapia cognitivo-conductual (TCC); c) probar la eficacia de la terapia de movimientos rítmicos (TMR) en el tratamiento de los desórdenes de conducta alimentaria y obesidad con los participantes que no respondían a la TCC. En la primera fase del tratamiento, participaron 104 pacientes escogidas al azar (32 hombres y 72 mujeres, con una media de edad de 37, 6 ± 6.7 años) autodiagnosticadas o derivadas por profesionales a TCC en un programa de manejo del peso. En la segunda fase, 58 participantes obsesos que no habían respondido a TCC, fueron divididos en dos grupos, unos siguieron TCC individual y otros TMR. Los resultados indicaron: a) relaciones significativas entre el IMC pretratamiento, alimentación externa y dos dimensiones de perfeccionismo, así como entre la conducta alimentaria externa e interna y todas las dimensiones de perfeccionismo, alexitimia e insatisfacción con la imagen corporal; b) modificación significativa de las consecuencias de la TCC en función de las variables psicológicas pretratamiento; c) confirmación de la eficacia de la TMR tanto en la reducción de peso como en la mejora del estado psicológico de los participantes que no respondían a TCC.

Keywords

disordered eating behaviorsobesitypersonality traitsweight reduction programrhythmic movement therapytrastornos de alimentaciónobesidadrasgos de personalidadprograma de reducción de pesoterapia de movimiento rítmico
Type
Research Article
Information
The Spanish Journal of Psychology , Volume 15 , Issue 3 , November 2012 , pp. 1371 - 1387
Copyright
Copyright © Cambridge University Press 2012

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