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Çakmakçı E, Mozafarizadeh M, Tayebi S M. Cognitive Behavior Therapy Improved the Symptoms of Bulimia Nervosa in the Athletes. aassjournal. 2020; 8 (1)
1- Coaching Education, Faculty of Sport Science, Selcuk University, Konya, Turkey
2- Department of Sport Psychology, Allameh Tabataba’i University, Tehran, Iran
3- Department of Exercise Physiology, Faculty of Sport Science, Allameh Tabataba’i University, Tehran, Iran ,
Abstract:   (363 Views)
Background. Different studies indicate a high prevalence of eating disorders in athletes. These disorders represent a serious defect in many areas of life. Eating disorders can lead to changes in consumer or intake of food and significant damage to physical health and psychosocial sports performance.
Objectives. The aim of the present study was examining the effects of Cognitive Behavior Therapy (CBT) on the symptoms of Bulimia Nervosa (BN) of the Athletes.
Methods. The research method was semi-experimental with pre-test, post-test, and three-month follow-up test. Three hundred athletes of endurance, aesthetics and weight-based pre-match sports assessed using the Eating Disorder Diagnostic Scale (EDDS) via Structured Clinical Interview (SCID) and found sixteen athletes with BN. Then they assigned randomly to control and experimental groups. The experimental groups treated by CBT using Fairburn et al. (2008) protocol (4 steps, 21 sessions during 16 weeks). Twelve weeks after the final session of CBT, all two groups assessed again by EDDS via SCID for follow up the persistence of CBT.
Results. The symptoms of BN is decreased significantly during CBT, but it didn’t change in the control group (Ƞ2=0.69, f2,28=30.77, p<0.001). On the other hand, the weight of athletes with BN symptoms increased significantly during CBT, but it decreased in the control group (Ƞ2=0.5, f1.27,17.78=14.27, p=0.001).
Conclusion. The results of the present study confirm the effectiveness of CBT on the improvement of BN symptoms and weight management, as well as its persistence in athletes.
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  • The results of the present study confirm the effectiveness of Cognitive-Behavioral Therapy on the improvement of symptoms of athletes with Bulimia Nervosa; So:
  • It is recommended that this protocol can be used for athletes with eating disorders, especially Bulimia Nervosa, because of the effectiveness and stability of Cognitive-Behavioral Therapy.
  • The Eating Disorder Diagnostic Scale (EDDS), along with a Semi-Structured Clinical Interview For DSM-IV Axis I Disorders (SCID-I) can be used in athletes to diagnose Bulimia Nervosa.

Type of Study: Original Article | Subject: Sport Psychology and its Related Branches
Received: 2019/08/19 | Accepted: 2019/10/15

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