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Ann Appl Sport Sci 2020, 8(1): 0-0 |
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Çakmakçı E, Mozafarizadeh M, Tayebi S M. Cognitive Behavior Therapy Improved the Symptoms of Bulimia Nervosa in the Athletes. Ann Appl Sport Sci 2020; 8 (1)
URL: http://aassjournal.com/article-1-816-en.html
URL: http://aassjournal.com/article-1-816-en.html
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 , tayebism@gmail.com
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 , tayebism@gmail.com
Abstract: (4821 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.
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.
Keywords: Cognitive Behavior Therapy, Eating Disorders, Bulimia Nervosa, Sports, Athletes, Weight Management
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APPLICABLE REMARKS
APPLICABLE REMARKS
- 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
Received: 2019/08/19 | Accepted: 2019/10/15
References
1. Turner H, Marshall E, Wood F, Stopa L, Waller G. CBT for eating disorders: The impact of early changes in eating pathology on later changes in personality pathology, anxiety and depression. Behav Res Ther. 2016;77:1-6. [DOI:10.1016/j.brat.2015.11.011] [PMID]
2. Brown A, Mountford V, Waller G. Therapeutic alliance and weight gain during cognitive behavioural therapy for anorexia nervosa. Behav Res Ther. 2013;51(4-5):216-20. [DOI:10.1016/j.brat.2013.01.008] [PMID]
3. Dalle Grave R, Calugi S, Sartirana M, Fairburn CG. Transdiagnostic cognitive behaviour therapy for adolescents with an eating disorder who are not underweight. Behav Res Ther. 2015;73:79-82. [DOI:10.1016/j.brat.2015.07.014] [PMID] [PMCID]
4. APA. Diagnostic And Statistical Manual Of Mental Disorders. Fourth and Fifth ed. Washington, USA: American Psychiatric Association; 2013.
5. Mathisen TF, Rosenvinge JH, Pettersen G, Friborg O, Vrabel K, Bratland-Sanda S, et al. The PED-t trial protocol: The effect of physical exercise -and dietary therapy compared with cognitive behavior therapy in treatment of bulimia nervosa and binge eating disorder. BMC Psychiatry. 2017;17(1):180. [DOI:10.1186/s12888-017-1312-4] [PMID] [PMCID]
6. Mansrour S, Toozandehjani H. The Effectiveness of Dialectical Behavioral Therapy on Anxiety Sensitivity and Body Image in Female Bulimia Nervosa Patients. J Clin Psychol. 2019;11(1):37-48.
7. Brewer BW, Petrie TA. Psychopathology in sport and exercise. Washington, DC, US: American Psychological Association; 2002. 307-23 p. [DOI:10.1037/10465-015]
8. Brownell KD, Rodin J, Wilmore JH. Eating, body weight, and performance in athletes: Lea & Febiger; 1992. [DOI:10.1249/00005768-199302000-00026]
9. Cogan K. Eating disorders: when rations become irrational. In: Murphy S, editor. The Sport Psychology Handbook: Human Kinetics; 2005. p. 237-54.
10. Dosil J, Díaz O. Valoración de la conducta alimentaria y de control del peso en practicantes de aeróbic. Rev Psicol Deporte. 2007;11(2).
11. Hulley AJ, Hill AJ. Eating disorders and health in elite women distance runners. Int J Eat Disord. 2001;30(3):312-7. [DOI:10.1002/eat.1090] [PMID]
12. Pruitt J, Kappius R, Imm P. Sports, Exercise, and Eating Disorders. In: Diamant L, editor. Psychology of Sports, Exercise, and Fitness: Social and Personal Issues. Washington: Hemisphere Publishing Corporation; 1991. p. 277.
13. Thompson RA, Trattner Sherman R. Athletes, Athletic Performance, and Eating Disorders: Healthier Alternatives. J Soc Issues. 2002;55(2):317-37. [DOI:10.1111/0022-4537.00118]
14. Warren BJ, Stanton AL, Blessing DL. Disordered eating patterns in competitive female athletes. Int J Eat Disord. 1990;9(5):565-9.
https://doi.org/10.1002/1098-108X(199009)9:5<565::AID-EAT2260090512>3.0.CO;2-N [DOI:10.1002/1098-108X(199009)9:53.0.CO;2-N]
15. Weinberg R, Gould D. Foundations of Sport and Exercise Psychology. 6th ed: Human Kinetics; 2014.
16. Kerr G, Berman E, Souza MJD. Disordered Eating in Women's Gymnastics: Perspectives of Athletes, Coaches, Parents, and Judges. J Appl Sport Psychol. 2006;18(1):28-43. [DOI:10.1080/10413200500471301]
17. Kirchner EM, Lewis RD, O'Connor PJ. Bone mineral density and dietary intake of female college gymnasts. Med Sci Sports Exerc. 1995;27(4):543-9. [DOI:10.1249/00005768-199504000-00012] [PMID]
18. Beck J, Beck A. Cognitive Behavior Therapy, Second Edition: Basics and Beyond: Guilford Publications; 2011.
19. Sadock B, Sadock V, Ruiz P. Kaplan and Sadock's Synopsis of Psychiatry: Wolters Kluwer; 2014.
20. Field TA, Beeson ET, Jones LK. The New ABCs: A Practitioner's Guide to Neuroscience-Informed Cognitive-Behavior Therapy. J Ment Health Counsel. 2015;37(3):206-20. [DOI:10.17744/1040-2861-37.3.206]
21. Saekow J, Jones M, Gibbs E, Jacobi C, Fitzsimmons-Craft EE, Wilfley D, et al. StudentBodies-eating disorders: A randomized controlled trial of a coached online intervention for subclinical eating disorders. Internet Interv. 2015;2(4):419-28. [DOI:10.1016/j.invent.2015.10.004]
22. Lutz W, Hofmann SG, Rubel J, Boswell JF, Shear MK, Gorman JM, et al. Patterns of early change and their relationship to outcome and early treatment termination in patients with panic disorder. J Consult Clin Psychol. 2014;82(2):287-97. [DOI:10.1037/a0035535] [PMID] [PMCID]
23. Turner MJ. Rational Emotive Behavior Therapy (REBT), Irrational and Rational Beliefs, and the Mental Health of Athletes. Front Psychol. 2016;7:1423. [DOI:10.3389/fpsyg.2016.01423] [PMID] [PMCID]
24. de Jong M, Korrelboom K, van der Meer I, Deen M, Hoek HW, Spinhoven P. Effectiveness of enhanced cognitive behavioral therapy (CBT-E) for eating disorders: study protocol for a randomized controlled trial. Trials. 2016;17(1):573. [DOI:10.1186/s13063-016-1716-3] [PMID] [PMCID]
25. Dalle Grave R, Calugi S, Brambilla F, Abbate-Daga G, Fassino S, Marchesini G. The effect of inpatient cognitive-behavioral therapy for eating disorders on temperament and character. Behav Res Ther. 2007;45(6):1335-44. [DOI:10.1016/j.brat.2006.09.016] [PMID]
26. Dosil J. Eating Disorders in Athletes. England: John Wiley & Sons Ltd; 2008. [DOI:10.1002/9780470725047]
27. First MB, Gibbon M. The structured clinical interview for dsm-iv axis i disorders (scid-i) and the structured clinical interview for dsm-iv axis ii disorders (scid-ii). Comprehensive handbook of psychological assessment, Vol 2: Personality assessment. Hoboken, NJ, US2004. p. 134-43.
28. Amini H, Sharifi V, Asadi S, Mohammadi MR, Kaviani H, Semnani Y, et al. Validity of the Iranian version of the structured clinical interview for DSM-IV (SCID-I) in the diagnosis of psychiatric disorders. J Health Monitor. 2008;7(1):49-57.
29. Stice E, Bearman SK. Body-image and eating disturbances prospectively predict increases in depressive symptoms in adolescent girls: a growth curve analysis. Dev Psychol. 2001;37(5):597-607. [DOI:10.1037/0012-1649.37.5.597] [PMID]
30. Fairburn C. Cognitive Behavior Therapy and Eating Disorders. New York: The Guilford Press; 2008. 324 p.
31. Pernick Y, Nichols JF, Rauh MJ, Kern M, Ji M, Lawson MJ, et al. Disordered eating among a multi-racial/ethnic sample of female high-school athletes. J Adolesc Health. 2006;38(6):689-95. [DOI:10.1016/j.jadohealth.2005.07.003] [PMID]
32. Petrie TA, Greenleaf C, Reel J, Carter J. Prevalence of eating disorders and disordered eating behaviors among male collegiate athletes. Psychol Men Mascul. 2008;9(4):267-77. [DOI:10.1037/a0013178]
33. Rosen LW, Hough DO. Pathogenic Weight-Control Behaviors of Female College Gymnasts. Phys Sportsmed. 1988;16(9):140-4. [DOI:10.1080/00913847.1988.11709603] [PMID]
34. Valizade A, Ariapooran S. Prevalence of Eating Disorders and Their Role in Psychological Signs among Women with Sport Activities. J Guilan Univ Med Sci. 2011;20(79):15-23.
35. Zeifodini A. Examining the Eating disorders among female athletes. Scientific Conference of Nutrition Students; Tehran, Iran: Iranian Food Support and Nutrition Association & Islamic Azad University-Science and Research Branch; 2016.
36. Nobakht M, Dezhkam M. An epidemiological study of eating disorders in Iran. Int J Eat Disord. 2000;28(3):265-71.
https://doi.org/10.1002/1098-108X(200011)28:3<265::AID-EAT3>3.0.CO;2-L [DOI:10.1002/1098-108X(200011)28:33.0.CO;2-L]
37. Mozaffari Khosravi H, Hosseinzadeh Shamsi Anar M, Shariati Bafghi S, Mozaffari Khosravi V. Prevalence of Eating Disorders and Obesity in High School Girl Students in Yazd, 2010-2011. J Toloo-e-Behdasht. 2011;10(1):38-49.
38. Seyedi F, Sanaeizadeh F. Prevalence of eating disorders among female high school students in Kerman. Kerman: Kerman University of Medical Sciences; 2002.
39. Wilfley DE, Welch RR, Stein RI, Spurrell EB, Cohen LR, Saelens BE, et al. A randomized comparison of group cognitive-behavioral therapy and group interpersonal psychotherapy for the treatment of overweight individuals with binge-eating disorder. Arch Gen Psychiatry. 2002;59(8):713-21. [DOI:10.1001/archpsyc.59.8.713] [PMID]
40. Mahmoudiyandastnaee T, Amiri S, Neshatdoost H, Manshaei G. Comparing the effectiveness of schema therapy and CBT On modifying maladaptive schemas in patients16 to 23 years Bulimia nervosa considering the parental bonding. J Psychol Psychiatry. 2019;6(2):1-15.
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