A cross‐sectional analysis of the cognitive model of bulimia nervosa

Bergin, Jacqueline L.; Wade, Tracey D.

doi:10.1002/eat.22012

Cited by 9 publications

(9 citation statements)

References 42 publications

(42 reference statements)

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“…The present results together with earlier ones thus suggest that, while maladaptive self-beliefs are present in a wide range of psychopathological states (including bulimia nervosa [36] and psychosis [37]) and are thus transdiagnostic, the three categories of self-beliefs could be distinctly distorted in different psychopathological states. Finally, these exaggerated high standards are strongly associated with the social problems encountered in real-life situations.…”

Section: Discussionsupporting

confidence: 79%

Maladaptive Social Self-Beliefs in Alcohol-Dependence: A Specific Bias towards Excessive High Standards

et al. 2013

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BackgroundEmotional and interpersonal impairments associated with alcohol-dependence have been recently explored, but the distorted cognitive representations underlying these deficits remain poorly understood. The present study aims at exploring the presence of maladaptive social self-beliefs among alcohol-dependent individuals, as these biased self-beliefs have been recently shown to play a crucial role in the development and maintenance of other psychopathological states (social anxiety and depression).Methodology/Principal findingsTwenty-five recently detoxified alcohol-dependent participants and 25 matched controls filled in self-report questionnaires evaluating maladaptive social self-beliefs, interpersonal problems and several comorbid states (anxiety, social anxiety, depression). As compared to controls, alcohol-dependent individuals showed higher scores than controls for the three subcategories of maladaptive social self-beliefs (high standards, conditional beliefs and unconditional beliefs). Our key finding was that when comorbidities were controlled for, alcohol-dependence was associated with a specific bias towards exaggerated high standards in social contexts. Moreover, these high standards beliefs were strongly correlated with interpersonal problems.Conclusions/SignificanceThese results provide the first insights into the influence of cognitive biases on interpersonal problems in addictive states, and suggest that maladaptive self-beliefs could have a central influence on the development and maintenance of alcohol-dependence.

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Section: Discussionsupporting

confidence: 79%

Maladaptive Social Self-Beliefs in Alcohol-Dependence: A Specific Bias towards Excessive High Standards

et al. 2013

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“…Their results indicated that these three categories of eating disorder thoughts (negative, positive, and permissive), as well as two negative beliefs (self-loathing and demanding/needing help and support) significantly predicted variance in binge-eating pathology in a community sample. Bergin and Wade (2012) with the model, they found that negative self-beliefs were associated with negative affect, that negative affect was associated with both positive and negative thoughts about eating, that beliefs about eating were associated with eating behaviours, and that binge eating was associated with negative self-beliefs. They also found some inconsistencies with the model: they did not find an association between compensatory behaviour and negative self-beliefs, nor did they find any significant association of any behaviours with permissive thoughts.…”

Section: Figurementioning

confidence: 93%

Conceptualising Binge Eating: A Review of the Theoretical and Empirical Literature

Burton

Abbott

2017

Behav. change

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Binge eating is a distressing symptom common to bulimia nervosa (BN), anorexia nervosa binge/purge subtype (AN-BP) and binge-eating disorder (BED). Over the last 40 years, many attempts have been made to conceptualise this symptom in terms of its antecedents, function, triggers, consequences, and maintaining factors. Cognitive theories of binge eating have evolved as new evidence has emerged. This literature review summarises the main and most influential cognitive models of binge eating across different eating disorder presentations. Many theories have examined binge eating in the context of restriction or compensatory behaviours, as is often observed in cases of BN. Few theories have examined binge eating as it occurs in BED specifically. The long-term efficacy of cognitive behavioural therapy (CBT) treatment based on these models leaves much to be desired, and indicates that there may be maintaining factors of binge eating not addressed in the typical CBT treatment for eating disorders. More recent cognitive models of binge eating propose possible maintaining beliefs, but further study is required to validate these models. Suggestions for future research are presented.

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“…Cooper et al [23] hypothesised that these eating beliefs are triggered by the experience of negative affect and that the positive, negative, and permissive beliefs interact and ultimately lead to a binge eating episode. Bergin and Wade [32] used multiple regression analyses and structural equation modelling (SEM) to test the predictions of the cognitive model of BN. Results of these analyses identified an association between negative self-beliefs and negative affect, an association between negative affect and eating beliefs, and an association between both positive and permissive beliefs and binge eating.…”

Section: Introductionmentioning

confidence: 99%

Processes and pathways to binge eating: development of an integrated cognitive and behavioural model of binge eating

Burton

Abbott

2019

J Eat Disord

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Background There are a number of factors commonly believed to be important to the development and maintenance of binge eating that have been identified across multiple models and theories in the psychological literature. In the present study, we sought to develop and test a psychological model for binge eating that incorporated the main variables identified in the literature to drive binge eating behaviour; specifically, core low self-esteem, negative affect, difficulty with emotional regulation, restricted eating and beliefs about eating. Methods Questionnaire data was collected from 760 unselected participants. The proposed model of binge eating was developed, bivariate relationships between the included variables were assessed, and the goodness-of-fit of this new model was evaluated using structural equations modelling. Result The results identified significant bivariate relationships between all the included variables. While the originally proposed model did not provide a good fit to the data, the revised version of the model provided a good fit to the data. Conclusions Supporting, integrating and building upon the current existing psychological models of binge eating, this study presents a new integrated cognitive and behavioural model of binge eating. The dual-pathway to binge eating identified in the new model provides a different way to understand transdiagnostic binge eating.

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A cross‐sectional analysis of the cognitive model of bulimia nervosa

Abstract: While the results of this research provide some preliminary evidence for the validity of the cognitive model as an explanation of the persistence of bulimic symptoms, further work is required to develop the model.

Cited by 9 publications

References 42 publications

Maladaptive Social Self-Beliefs in Alcohol-Dependence: A Specific Bias towards Excessive High Standards

Maladaptive Social Self-Beliefs in Alcohol-Dependence: A Specific Bias towards Excessive High Standards

Conceptualising Binge Eating: A Review of the Theoretical and Empirical Literature

Processes and pathways to binge eating: development of an integrated cognitive and behavioural model of binge eating

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