Self-monitoring in the assessment of eating disorders.

Abstract

Self-monitoring is a key feature of cognitive behavioral therapy (CBT) for eating disorders. It provides a detailed measure of eating problems and the circumstances under which they occur, but it does not yield precise estimates of amount of caloric intake. It indexes the progress of treatment and helps guide the focus of each therapy session. Adherence to self-monitoring is good provided that therapists implement it skillfully within a collaborative therapeutic alliance. Anorexia nervosa patients may pose a particular challenge in this respect. Self-monitoring may play an important role in the rapid effects of CBT for bulimia nervosa. Preliminary data indicate that self-monitoring of binge eating and purging may provide a valid measure of treatment outcome.

Maintenance of binge eating through negative mood: A naturalistic comparison of binge eating disorder and bulimia nervosa

“…46 When evaluating energy intake, it is yet noted that self-monitoring is subject to under-and overreporting biases, limiting reliability of findings. 47 Concerning self-definition of binge eating, eating disorder participants, especially those with BED, included subjective episodes of binge eating (i.e., consumption of a subjectively large amount of food in a discrete period of time, accompanied by a sense of loss of control over eating; see Table 3) 40 when classifying eating episodes as binge eating, a finding that is consistent with the literature. 48,49 As opposed to EMA studies that documented binge eating episodes in overweight women without diagnosis of BED, 10-13 our non-clinical participants did not report any episodes of binge eating, likely because individuals with current or lifetime eating disorders and symptoms of disordered eating were excluded.…”

“…The standard clinical tool for functional analysis of binge eating is self-monitoring. 47 Based on the results of the current study and on previous literature, it is recommended to explicitly assess the specific antecedent, concomitant, and consequent emotions and cognitions in relation to food intake in order to examine the conditions that maintain a patient's dysfunctional eating patterns. Such an assessment is wellsuited to prepare for stimulus-control measures, interventions to normalize eating patterns, cognitive restructuring, or awareness-based interventions, all of which are established in the treatment of binge eating.…”

Reliability of the Eating Disorder Examination in patients with binge eating disorder

“…These retrospective reports may be biased or influenced in a number of complex ways (Shiffman et al, 1997). Continued psychometric research and studies of the relative merits, as well as convergences, of different assessment methods are needed (Grilo et al, 2001a(Grilo et al, , 2001bWilson & Vitousek, 1999).…”

Síndrome do intestino irritável: um exercício em análise funcional do comportamento

“…Essa técnica é uma das alternativas mais flexíveis, baratas, e que requer poucos recursos para a coleta de dados. O AM é usado como forma de avaliação durante todo o processo terapêutico para clarificação do diagnóstico, condução de análises funcionais, delimitação dos objetivos da intervenção, planejamento de cada sessão e da intervenção como um todo, e avaliação do progresso da terapia e do seu resultado final (Korotitsch & Nelson-Gray, 1999;Thiele, Laireiter & Baumann, 2002;Wilson & Vitousek, 1999). Na análise do comportamento e em áreas afins, o AM tem sido utilizado para objetivos de avaliação e de terapia em uma ampla variedade de comportamentos-problema (Bohm & Gimenes, 2008).…”