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Acceptance and Commitment Therapy as a Novel Treatment for Eating Disorders: An Initial Test of Efficacy and Mediation

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Title: Acceptance and Commitment Therapy as a Novel Treatment for Eating Disorders: An Initial Test of Efficacy and Mediation
Language: English
Authors: Juarascio, Adrienne, Shaw, Jena, Forman, Evan, Timko, C. Alix, Herbert, James, Butryn, Meghan, Bunnell, Douglas, Matteucci, Alyssa, Lowe, Michael
Source: Behavior Modification. Jul 2013 37(4):459-489.
Availability: SAGE Publications. 2455 Teller Road, Thousand Oaks, CA 91320. Tel: 800-818-7243; Tel: 805-499-9774; Fax: 800-583-2665; e-mail: journals@sagepub.com; Web site: http://sagepub.com
Peer Reviewed: Y
Page Count: 31
Publication Date: 2013
Document Type: Reports - Research
Journal Articles
Descriptors: Eating Disorders, Behavior Modification, Counseling Techniques, Counseling Effectiveness, Cognitive Restructuring, Residential Programs, Adults, Females, Questionnaires, Self Concept, Intervention, Food, Psychological Patterns, Emotional Response, Symptoms (Individual Disorders), Body Composition, Eating Habits
DOI: 10.1177/0145445513478633
ISSN: 0145-4455
Abstract: Eating disorders are among the most challenging disorders to treat, with even state-of-the-art cognitive-behavioral treatments achieving only modest success. One possible reason for the high rate of treatment failure for eating disorders is that existing treatments do not attend sufficiently to critical aspects of the disorder such as high experiential avoidance, poor experiential awareness, and lack of motivation. These variables are explicit targets of Acceptance and Commitment Therapy (ACT). The current study examined the efficacy of an ACT-based group treatment for eating disorders by examining whether the addition of ACT groups to treatment-as-usual (TAU) at a residential treatment facility for eating disorders would improve treatment outcomes. TAU patients received an intensive residential treatment, while ACT patients received these services but additionally attended, depending on diagnosis, either ACT for anorexia nervosa groups or ACT for bulimia nervosa groups. Although individuals in both treatment conditions demonstrated large decreases in eating pathology, there were trends toward larger decreases among those receiving ACT. ACT patients also showed lower rates of rehospitalization during the 6 months after discharge. Overall, results suggest that ACT is a viable treatment option for individuals with eating pathology and further outcome research is warranted. (Contains 4 notes, 3 figures, and 2 tables.)
Abstractor: As Provided
Number of References: 70
Entry Date: 2014
Accession Number: EJ1015138
Database: ERIC
FullText Text:
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  Data: Acceptance and Commitment Therapy as a Novel Treatment for Eating Disorders: An Initial Test of Efficacy and Mediation
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  Data: <searchLink fieldCode="AR" term="%22Juarascio%2C+Adrienne%22">Juarascio, Adrienne</searchLink><br /><searchLink fieldCode="AR" term="%22Shaw%2C+Jena%22">Shaw, Jena</searchLink><br /><searchLink fieldCode="AR" term="%22Forman%2C+Evan%22">Forman, Evan</searchLink><br /><searchLink fieldCode="AR" term="%22Timko%2C+C%2E+Alix%22">Timko, C. Alix</searchLink><br /><searchLink fieldCode="AR" term="%22Herbert%2C+James%22">Herbert, James</searchLink><br /><searchLink fieldCode="AR" term="%22Butryn%2C+Meghan%22">Butryn, Meghan</searchLink><br /><searchLink fieldCode="AR" term="%22Bunnell%2C+Douglas%22">Bunnell, Douglas</searchLink><br /><searchLink fieldCode="AR" term="%22Matteucci%2C+Alyssa%22">Matteucci, Alyssa</searchLink><br /><searchLink fieldCode="AR" term="%22Lowe%2C+Michael%22">Lowe, Michael</searchLink>
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  Data: <searchLink fieldCode="SO" term="%22Behavior+Modification%22"><i>Behavior Modification</i></searchLink>. Jul 2013 37(4):459-489.
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  Data: SAGE Publications. 2455 Teller Road, Thousand Oaks, CA 91320. Tel: 800-818-7243; Tel: 805-499-9774; Fax: 800-583-2665; e-mail: journals@sagepub.com; Web site: http://sagepub.com
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  Data: Reports - Research<br />Journal Articles
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  Data: <searchLink fieldCode="DE" term="%22Eating+Disorders%22">Eating Disorders</searchLink><br /><searchLink fieldCode="DE" term="%22Behavior+Modification%22">Behavior Modification</searchLink><br /><searchLink fieldCode="DE" term="%22Counseling+Techniques%22">Counseling Techniques</searchLink><br /><searchLink fieldCode="DE" term="%22Counseling+Effectiveness%22">Counseling Effectiveness</searchLink><br /><searchLink fieldCode="DE" term="%22Cognitive+Restructuring%22">Cognitive Restructuring</searchLink><br /><searchLink fieldCode="DE" term="%22Residential+Programs%22">Residential Programs</searchLink><br /><searchLink fieldCode="DE" term="%22Adults%22">Adults</searchLink><br /><searchLink fieldCode="DE" term="%22Females%22">Females</searchLink><br /><searchLink fieldCode="DE" term="%22Questionnaires%22">Questionnaires</searchLink><br /><searchLink fieldCode="DE" term="%22Self+Concept%22">Self Concept</searchLink><br /><searchLink fieldCode="DE" term="%22Intervention%22">Intervention</searchLink><br /><searchLink fieldCode="DE" term="%22Food%22">Food</searchLink><br /><searchLink fieldCode="DE" term="%22Psychological+Patterns%22">Psychological Patterns</searchLink><br /><searchLink fieldCode="DE" term="%22Emotional+Response%22">Emotional Response</searchLink><br /><searchLink fieldCode="DE" term="%22Symptoms+%28Individual+Disorders%29%22">Symptoms (Individual Disorders)</searchLink><br /><searchLink fieldCode="DE" term="%22Body+Composition%22">Body Composition</searchLink><br /><searchLink fieldCode="DE" term="%22Eating+Habits%22">Eating Habits</searchLink>
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  Data: 10.1177/0145445513478633
– Name: ISSN
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  Group: ISSN
  Data: 0145-4455
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Eating disorders are among the most challenging disorders to treat, with even state-of-the-art cognitive-behavioral treatments achieving only modest success. One possible reason for the high rate of treatment failure for eating disorders is that existing treatments do not attend sufficiently to critical aspects of the disorder such as high experiential avoidance, poor experiential awareness, and lack of motivation. These variables are explicit targets of Acceptance and Commitment Therapy (ACT). The current study examined the efficacy of an ACT-based group treatment for eating disorders by examining whether the addition of ACT groups to treatment-as-usual (TAU) at a residential treatment facility for eating disorders would improve treatment outcomes. TAU patients received an intensive residential treatment, while ACT patients received these services but additionally attended, depending on diagnosis, either ACT for anorexia nervosa groups or ACT for bulimia nervosa groups. Although individuals in both treatment conditions demonstrated large decreases in eating pathology, there were trends toward larger decreases among those receiving ACT. ACT patients also showed lower rates of rehospitalization during the 6 months after discharge. Overall, results suggest that ACT is a viable treatment option for individuals with eating pathology and further outcome research is warranted. (Contains 4 notes, 3 figures, and 2 tables.)
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