Qualitative patient experiences from the Self-Blame and Perspective-Taking Intervention for eating disorders
Autor: | Bethany J. Hunt, Jessica A. Harper, Carrie J. McAdams, Jayme M. Palka, Susan Mericle, Whitney Smith Hagan, Sarah Pelfrey |
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Rok vydání: | 2021 |
Předmět: |
Psychiatry
Perspective-taking Nutrition and Dietetics medicine.medical_treatment RC435-571 Anorexia nervosa medicine.disease Group psychotherapy Behavioral Neuroscience Psychiatry and Mental health Social support Eating disorders Social cognition Bulimia nervosa Binge eating disorder Recovery Intervention (counseling) Attributions medicine Psychoeducation Thematic analysis Psychology Psychosocial Clinical psychology Research Article |
Zdroj: | Journal of Eating Disorders Journal of Eating Disorders, Vol 9, Iss 1, Pp 1-11 (2021) |
ISSN: | 2050-2974 |
Popis: | Background Problems in social cognition and social support contribute to eating disorders (ED). Group therapy provides an ideal format to create an experiential learning environment focused on understanding social interactions. This pilot study examined the qualitative content of the participants’ experiences in the Self-Blame and Perspective-Taking Intervention (SBPI) for ED. Methods The SBPI was a 4-week group therapy intervention involving art therapy and psychoeducation that focused on social behaviors in ED patients. Participants received surveys immediately after the intervention and at 1 to 4 weeks after the post-intervention. Thematic analyses of qualitative feedback were performed using Braun and Clarke’s thematic analysis framework. Results Inductive analyses revealed three main themes: (1) Developing self-acceptance through emotional reflection, (2) Changing expectations with neurosocial knowledge, and (3) Bonding and vulnerability in social interactions; all concepts intentionally targeted by the SBPI. Participants varied in their support of a guideline to exclude personal discussion of ED-related cognitions and behaviors in the group. Conclusions As a whole, patients valued the combination of psychosocial education with group experientials focused on social behavior. Positive feedback from the SBPI suggests that adjunctive treatments that target mental-wellness constructs indirectly related to ED pathology may be helpful by allowing patients to see themselves as separable from the illness. Trial registration ClinicalTrials.gov, NCT0487758. Registered 7 May 2021—Retrospectively registered. https://clinicaltrials.gov/ct2/show/NCT04877158. Plain English summary Adult patients with eating disorders frequently report challenges in developing and maintaining supportive social relationships. A group therapy intervention utilizing structured art tasks in conjunction with psychoeducation about interpersonal relationships was piloted in twenty-four women with eating disorders. Participants provided written feedback about their experiences in the intervention. These responses were coded by three raters to identify consistent themes related to those experiences. Participants reported benefits related to self-acceptance and emotional regulation, valued learning about their brain and behaviors, and appreciated peer interactions in this setting. In sum, this adjunctive and structured outpatient group targeting social interactions was acceptable to outpatients with eating disorders. |
Databáze: | OpenAIRE |
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