Ernährungsmanagement versus Body-Image-Therapie bei Anorexia nervosa

Abstract

Body image disturbances are highly predictive of the course of eating disorders, and addressing these problems effectively, has been an ongoing challenge to clinicians. This study examines whether a specific group therapy program geared to body image reduces different components of the body image disturbance more effectively than an unspecific nutritional management program. Patients and Methods: All 57 carefully diagnosed female inpatients who took part in the study were diagnosed with anorexia nervosa according to DSM-IV criteria. Results: Patients of either group (similar in age, BMI, duration of illness, comorbidity) showed significant and clinically relevant improvements over time in all scales. After an intervention of 4.5 weeks the Body Image Group was superior with regard to several tests assessing body image. However, this effect did not persist over time. Two body image variables (global estimation of attractiveness and figure size rating) constituted the most important predictors for course of treatment (change in body mass index) in the full sample. Conclusion: Effect sizes in both groups were medium to high, a finding that warrants paying more attention to this rather promising new treatment module for anorexia nervosa. The results of body image outcome studies will be summarized.

Approach and avoidance bias for thin‐ideal and normal‐weight body shapes in anorexia nervosa

“…For instance, these processes could be directly addressed in body-image oriented group psychotherapy programs. However, empirical research on such group programs is scarce (Bhatnagar, Wisniewski, Solomon, & Heinberg, 2013;Böse, 2007;Konzag, Klose, Bandemer-Greulich, Fikentscher, & Bahrke, 2006;Stice, Rohde, Butryn, Menke, & Marti, 2015;Vocks et al, 2011). Another potential avenue could be the use of computerised cognitive bias modification trainings, capitalizing on approach bias paradigms such as the AAT, as add-on treatment modules that target automatic/implicit preferences in patients with AN, for example, by systematically training approach behaviour towards the own body depicted as normal-weight or avoidance behaviour towards the own body depicted as underweight.…”

Körperexposition bei Essstörungen: Durchführung und Bedeutung für den Therapieerfolg

“…Videoaufnahmen bieten zusätzlich die Möglichkeit, auch das dynamische Körperbild[ 25 ] zu erfassen und die Patientinnen mit ihrem eigenen Bewegungsmuster zu konfrontieren. Hinweise zur Erstellung eines "Drehbuchs" für die statische und dynamische Körperexposition fi nden sich auch bei Böse et al[ 85 ] .…”