Effects of Safety Behavior Fading on Bulimic Symptoms and Drive for Thinness
Background Conceptualizations of body image-related disorders suggest that targeting safety behaviors (SB) may help reduce eating disorder (ED) symptoms. No consensus exists regarding the mechanism underlying the relationship between SBs and ED symptoms, though one hypothesized construct is overvalu...
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| Veröffentlicht in: | Cognitive therapy and research 2022-10, Vol.46 (5), p.1006-1015 |
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| creator | Stentz, Lauren A. Wilver, Natalie L. McDermott, Katherine A. Cougle, Jesse R. |
| description | Background
Conceptualizations of body image-related disorders suggest that targeting safety behaviors (SB) may help reduce eating disorder (ED) symptoms. No consensus exists regarding the mechanism underlying the relationship between SBs and ED symptoms, though one hypothesized construct is overvaluation of appearance.
Aims
The aim of the current study is to expand upon existing SB research and evaluate the effects of a technology-based SB fading manipulation on drive for thinness and bulimic symptoms. Further, we sought to test the mechanism of overvaluation of appearance in explaining the effects of SB fading on these outcomes.
Method
Women (
n
= 84) with elevated appearance concerns completed the present study. Participants were randomized to a SB fading condition or a no instructions control condition. The SB fading group received daily text message reminders to fade SBs for the two-week manipulation period. Questionnaires were completed at baseline, post-manipulation, and two-week follow-up.
Results
SB fading led to greater reductions in bulimic symptoms at post-assessment and drive for thinness at both post-assessment and two-week follow-up, relative to the control condition. Further, changes in appearance overvaluation accounted for the effects of SB fading on changes in bulimic symptoms and drive for thinness.
Conclusions
Results support the role of appearance-related SBs in ED outcomes and the mechanism of overvaluation of appearance in explaining these relationships. SB fading via text message reminders may be an effective transdiagnostic approach to treat eating pathology. |
| doi_str_mv | 10.1007/s10608-022-10311-2 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_journals_2716382236</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2716382236</sourcerecordid><originalsourceid>FETCH-LOGICAL-c270t-c2dac7ca4f53cf71717df5e836fcefa8ed17e3a528417b6c16894861c99850f43</originalsourceid><addsrcrecordid>eNp9kE1LAzEQhoMoWKt_wFPA82om2Xzs0dZWhYKH1nOI2aTd0s3WZFvovze6gjcZmLk87zvwIHQL5B4IkQ8JiCCqIJQWQBhAQc_QCLhkBVVQnaMRgVIWvAJxia5S2hJCBKd8hBYz753tE-48Xhrv-hOeuI05Nl3Ec1M3YY27gCeHXdM2Fi9P7b7v2oRNqPFTbI4O-wyuNk0ILqVrdOHNLrmb3ztG7_PZavpSLN6eX6ePi8JSSfq8a2OlNaXnzHoJeWrPnWLCW-eNcjVIxwynqgT5ISwIVZVKgK0qxYkv2RjdDb372H0eXOr1tjvEkF9qKkEwRSkTmaIDZWOXUnRe72PTmnjSQPS3NT1Y09ma_rGmaQ6xIZQyHNYu_lX_k_oCL21uqg</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2716382236</pqid></control><display><type>article</type><title>Effects of Safety Behavior Fading on Bulimic Symptoms and Drive for Thinness</title><source>SpringerNature Journals</source><creator>Stentz, Lauren A. ; Wilver, Natalie L. ; McDermott, Katherine A. ; Cougle, Jesse R.</creator><creatorcontrib>Stentz, Lauren A. ; Wilver, Natalie L. ; McDermott, Katherine A. ; Cougle, Jesse R.</creatorcontrib><description>Background
Conceptualizations of body image-related disorders suggest that targeting safety behaviors (SB) may help reduce eating disorder (ED) symptoms. No consensus exists regarding the mechanism underlying the relationship between SBs and ED symptoms, though one hypothesized construct is overvaluation of appearance.
Aims
The aim of the current study is to expand upon existing SB research and evaluate the effects of a technology-based SB fading manipulation on drive for thinness and bulimic symptoms. Further, we sought to test the mechanism of overvaluation of appearance in explaining the effects of SB fading on these outcomes.
Method
Women (
n
= 84) with elevated appearance concerns completed the present study. Participants were randomized to a SB fading condition or a no instructions control condition. The SB fading group received daily text message reminders to fade SBs for the two-week manipulation period. Questionnaires were completed at baseline, post-manipulation, and two-week follow-up.
Results
SB fading led to greater reductions in bulimic symptoms at post-assessment and drive for thinness at both post-assessment and two-week follow-up, relative to the control condition. Further, changes in appearance overvaluation accounted for the effects of SB fading on changes in bulimic symptoms and drive for thinness.
Conclusions
Results support the role of appearance-related SBs in ED outcomes and the mechanism of overvaluation of appearance in explaining these relationships. SB fading via text message reminders may be an effective transdiagnostic approach to treat eating pathology.</description><identifier>ISSN: 0147-5916</identifier><identifier>EISSN: 1573-2819</identifier><identifier>DOI: 10.1007/s10608-022-10311-2</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Behavior ; Body image ; Clinical Psychology ; Cognitive Psychology ; Cognitive therapy ; Eating disorders ; Medicine ; Medicine & Public Health ; Original Article ; Pathology ; Quality of Life Research ; Self image ; Social anxiety</subject><ispartof>Cognitive therapy and research, 2022-10, Vol.46 (5), p.1006-1015</ispartof><rights>The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature 2022</rights><rights>The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature 2022.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c270t-c2dac7ca4f53cf71717df5e836fcefa8ed17e3a528417b6c16894861c99850f43</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s10608-022-10311-2$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s10608-022-10311-2$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>315,782,786,27933,27934,41497,42566,51328</link.rule.ids></links><search><creatorcontrib>Stentz, Lauren A.</creatorcontrib><creatorcontrib>Wilver, Natalie L.</creatorcontrib><creatorcontrib>McDermott, Katherine A.</creatorcontrib><creatorcontrib>Cougle, Jesse R.</creatorcontrib><title>Effects of Safety Behavior Fading on Bulimic Symptoms and Drive for Thinness</title><title>Cognitive therapy and research</title><addtitle>Cogn Ther Res</addtitle><description>Background
Conceptualizations of body image-related disorders suggest that targeting safety behaviors (SB) may help reduce eating disorder (ED) symptoms. No consensus exists regarding the mechanism underlying the relationship between SBs and ED symptoms, though one hypothesized construct is overvaluation of appearance.
Aims
The aim of the current study is to expand upon existing SB research and evaluate the effects of a technology-based SB fading manipulation on drive for thinness and bulimic symptoms. Further, we sought to test the mechanism of overvaluation of appearance in explaining the effects of SB fading on these outcomes.
Method
Women (
n
= 84) with elevated appearance concerns completed the present study. Participants were randomized to a SB fading condition or a no instructions control condition. The SB fading group received daily text message reminders to fade SBs for the two-week manipulation period. Questionnaires were completed at baseline, post-manipulation, and two-week follow-up.
Results
SB fading led to greater reductions in bulimic symptoms at post-assessment and drive for thinness at both post-assessment and two-week follow-up, relative to the control condition. Further, changes in appearance overvaluation accounted for the effects of SB fading on changes in bulimic symptoms and drive for thinness.
Conclusions
Results support the role of appearance-related SBs in ED outcomes and the mechanism of overvaluation of appearance in explaining these relationships. SB fading via text message reminders may be an effective transdiagnostic approach to treat eating pathology.</description><subject>Behavior</subject><subject>Body image</subject><subject>Clinical Psychology</subject><subject>Cognitive Psychology</subject><subject>Cognitive therapy</subject><subject>Eating disorders</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Original Article</subject><subject>Pathology</subject><subject>Quality of Life Research</subject><subject>Self image</subject><subject>Social anxiety</subject><issn>0147-5916</issn><issn>1573-2819</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNp9kE1LAzEQhoMoWKt_wFPA82om2Xzs0dZWhYKH1nOI2aTd0s3WZFvovze6gjcZmLk87zvwIHQL5B4IkQ8JiCCqIJQWQBhAQc_QCLhkBVVQnaMRgVIWvAJxia5S2hJCBKd8hBYz753tE-48Xhrv-hOeuI05Nl3Ec1M3YY27gCeHXdM2Fi9P7b7v2oRNqPFTbI4O-wyuNk0ILqVrdOHNLrmb3ztG7_PZavpSLN6eX6ePi8JSSfq8a2OlNaXnzHoJeWrPnWLCW-eNcjVIxwynqgT5ISwIVZVKgK0qxYkv2RjdDb372H0eXOr1tjvEkF9qKkEwRSkTmaIDZWOXUnRe72PTmnjSQPS3NT1Y09ma_rGmaQ6xIZQyHNYu_lX_k_oCL21uqg</recordid><startdate>20221001</startdate><enddate>20221001</enddate><creator>Stentz, Lauren A.</creator><creator>Wilver, Natalie L.</creator><creator>McDermott, Katherine A.</creator><creator>Cougle, Jesse R.</creator><general>Springer US</general><general>Springer Nature B.V</general><scope>AAYXX</scope><scope>CITATION</scope><scope>0-V</scope><scope>3V.</scope><scope>7TK</scope><scope>7XB</scope><scope>88G</scope><scope>88J</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ALSLI</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>M2M</scope><scope>M2O</scope><scope>M2R</scope><scope>MBDVC</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope></search><sort><creationdate>20221001</creationdate><title>Effects of Safety Behavior Fading on Bulimic Symptoms and Drive for Thinness</title><author>Stentz, Lauren A. ; Wilver, Natalie L. ; McDermott, Katherine A. ; Cougle, Jesse R.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c270t-c2dac7ca4f53cf71717df5e836fcefa8ed17e3a528417b6c16894861c99850f43</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Behavior</topic><topic>Body image</topic><topic>Clinical Psychology</topic><topic>Cognitive Psychology</topic><topic>Cognitive therapy</topic><topic>Eating disorders</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Original Article</topic><topic>Pathology</topic><topic>Quality of Life Research</topic><topic>Self image</topic><topic>Social anxiety</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Stentz, Lauren A.</creatorcontrib><creatorcontrib>Wilver, Natalie L.</creatorcontrib><creatorcontrib>McDermott, Katherine A.</creatorcontrib><creatorcontrib>Cougle, Jesse R.</creatorcontrib><collection>CrossRef</collection><collection>ProQuest Social Sciences Premium Collection</collection><collection>ProQuest Central (Corporate)</collection><collection>Neurosciences Abstracts</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Psychology Database (Alumni)</collection><collection>Social Science Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Social Science Premium Collection</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>Psychology Database</collection><collection>Research Library</collection><collection>Social Science Database</collection><collection>Research Library (Corporate)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><jtitle>Cognitive therapy and research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Stentz, Lauren A.</au><au>Wilver, Natalie L.</au><au>McDermott, Katherine A.</au><au>Cougle, Jesse R.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Effects of Safety Behavior Fading on Bulimic Symptoms and Drive for Thinness</atitle><jtitle>Cognitive therapy and research</jtitle><stitle>Cogn Ther Res</stitle><date>2022-10-01</date><risdate>2022</risdate><volume>46</volume><issue>5</issue><spage>1006</spage><epage>1015</epage><pages>1006-1015</pages><issn>0147-5916</issn><eissn>1573-2819</eissn><abstract>Background
Conceptualizations of body image-related disorders suggest that targeting safety behaviors (SB) may help reduce eating disorder (ED) symptoms. No consensus exists regarding the mechanism underlying the relationship between SBs and ED symptoms, though one hypothesized construct is overvaluation of appearance.
Aims
The aim of the current study is to expand upon existing SB research and evaluate the effects of a technology-based SB fading manipulation on drive for thinness and bulimic symptoms. Further, we sought to test the mechanism of overvaluation of appearance in explaining the effects of SB fading on these outcomes.
Method
Women (
n
= 84) with elevated appearance concerns completed the present study. Participants were randomized to a SB fading condition or a no instructions control condition. The SB fading group received daily text message reminders to fade SBs for the two-week manipulation period. Questionnaires were completed at baseline, post-manipulation, and two-week follow-up.
Results
SB fading led to greater reductions in bulimic symptoms at post-assessment and drive for thinness at both post-assessment and two-week follow-up, relative to the control condition. Further, changes in appearance overvaluation accounted for the effects of SB fading on changes in bulimic symptoms and drive for thinness.
Conclusions
Results support the role of appearance-related SBs in ED outcomes and the mechanism of overvaluation of appearance in explaining these relationships. SB fading via text message reminders may be an effective transdiagnostic approach to treat eating pathology.</abstract><cop>New York</cop><pub>Springer US</pub><doi>10.1007/s10608-022-10311-2</doi><tpages>10</tpages></addata></record> |
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| subjects | Behavior Body image Clinical Psychology Cognitive Psychology Cognitive therapy Eating disorders Medicine Medicine & Public Health Original Article Pathology Quality of Life Research Self image Social anxiety |
| title | Effects of Safety Behavior Fading on Bulimic Symptoms and Drive for Thinness |
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