Effectiveness of Interpersonal Therapy on Emotion Regulation and Depression in Women with Bulimia Nervosa

Document Type : Original Article

Authors

1 Department of Health Psychology, Kish International Branch, Islamic Azad University, Kish Island, Iran

2 Professor, Department of Psychology, Allameh Tabatabai University, Tehran, Iran

3 Department of Psychology, Quchan Branch, Islamic Azad University Quchan Branch, Quchan, Iran

4 Assistant professor, Department of Psychology, Karaj Branch, Islamic Azad University, Karaj, Iran

Abstract

Background: Binge eating disorder is considered the ingestion of an unusually large amount of food with the lack of control during the overeating episodes.
 
Objectives: This study aimed to determine the efficacy of interpersonal group therapy on depression and emotion regulation in women with bulimia nervosa.
 
Methods: This quasi-experimental study used a pretest-posttest design, a control group, and a two-month follow-up. A total of 30 research samples from the community of women with bulimia nervosa who were referred to the Iranian Overeating Association in Tehran between September and November 2019 were selected by convenience sampling method and randomly assigned to experimental and control groups. The required findings were collected using the depression inventory and emotional regulation in three rounds: pre-and post-tests, as well as follow-up, and analyzed using variance analysis with repeated measures.
 
Results: The results of repeated measures analysis of variance showed that interpersonal group therapy was effective in reducing depression and improving emotional regulation strategies in patients with bulimia nervosa. Bonferroni test showed that this effect was lasting over time.
 
Conclusion: Considering the efficacy of interpersonal group therapy on depression and emotional regulation, using interpersonal group therapy is recommended for women with bulimia nervosa.
 

Keywords

Open Access Policy: This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.To view a copy of this licence, visit https://creativecommons.org/licenses/by/4.0/

References

1. Asl Soleimani Z, Borjali A, Kiani Dehkordi M. Effectiveness of interpersonal psychotherapy on cognitive emotion regulation strategies and post event processing in girl students with social anxiety. Journal of Psychological Studies. 2017;13(2):7-24.
 
2. Brakemeier EL, Frase L. Interpersonal psychotherapy (IPT) in major depressive disorder. European archives of psychiatry and clinical neuroscience. 2012;262(2):117-21. https://doi.org/10.1007/s00406-012-0357-0
https://doi.org/10.1007/s00406-012-0357-0
PMid:22955493
 
3. Casagrande M, Boncompagni I, Forte G, Guarino A, Favieri F. Emotion and overeating behavior: Effects of alexithymia and emotional regulation on overweight and obesity. Eating and Weight Disorders-Studies on Anorexia, Bulimia and Obesity. 2020;25(5):1333-45. https://doi.org/10.1007/s40519-019-00767-9
https://doi.org/10.1007/s40519-019-00767-9
PMid:31473988
 
4. Crowe M, Luty S. Patterns of response and non-response in interpersonal psychotherapy: A qualitative study. Psychiatry: Interpersonal and Biological Processes. 2005;68(4):337-49. https://doi.org/10.1521/psyc.2005.68.4.337
https://doi.org/10.1521/psyc.2005.68.4.337
PMid:16599400
 
5. de Zwaan M. Binge eating disorder and obesity. Int J Obes Relat Metab Disord. 2001;1:S515. [PMID=11466589]. https://doi.org/10.1038/sj.ijo.0801699
https://doi.org/10.1038/sj.ijo.0801699
PMid:11466589
 
6. Dietz LJ, Weinberg RJ, Brent DA, Mufson L. Family-based interpersonal psychotherapy for depressed preadolescents: examining efficacy and potential treatment mechanisms. Journal of the American Academy of Child & Adolescent Psychiatry. 2015;54(3):191-9. https://doi.org/10.1016/j.jaac.2014.12.011
https://doi.org/10.1016/j.jaac.2014.12.011
PMid:25721184 PMCid:PMC4347931
 
7. Fraser JS, Solovey AD, Grove D, Lee MY, Greene GJ. Integrative families and systems treatment: A middle path toward integrating common and specific factors in evidence‐based family therapy. Journal of Marital and Family Therapy. 2012;38(3):515-28. https://doi.org/10.1111/j.1752-0606.2011.00228.x
https://doi.org/10.1111/j.1752-0606.2011.00228.x
PMid:22804469
 
8. Burton AL, Abbott MJ. Processes and pathways to binge eating: development of an integrated cognitive and behavioural model of binge eating. Journal of eating disorders. 2019;7(1):1-9. https://doi.org/10.1186/s40337-019-0248-0
https://doi.org/10.1186/s40337-019-0248-0
PMid:31183111 PMCid:PMC6554957
 
9. Gamble SA, Talbot NL, Cashman-Brown SM, He H, Poleshuck EL, Connors GJ, Conner KR. A pilot study of interpersonal psychotherapy for alcohol-dependent women with co-occurring major depression. Substance abuse. 2013;34(3):233-41. https://doi.org/10.1080/08897077.2012.746950
https://doi.org/10.1080/08897077.2012.746950
PMid:23844953 PMCid:PMC3711642
 
10. Garnefski N, Kraaij V, Spinhoven P. Negative life events, cognitive emotion regulation and emotional problems. Personality and Individual differences. 2001;30(8):1311-27. https://doi.org/10.1016/S0191-8869(00)00113-6
https://doi.org/10.1016/S0191-8869(00)00113-6
 
11. Glazier RH, Elgar FJ, Goel V, Holzapfel S. Stress, social support, and emotional distress in a community sample of pregnant women. Journal of Psychosomatic Obstetrics & Gynecology. 2004;25(3-4):247-55. https://doi.org/10.1080/01674820400024406
https://doi.org/10.1080/01674820400024406
PMid:15715023
 
12. Goodman SH, Tully EC. Recurrence of depression during pregnancy: Psychosocial and personal functioning correlates. Depression and anxiety. 2009;26(6):557-67. https://doi.org/10.1002/da.20421
https://doi.org/10.1002/da.20421
PMid:19031489
 
13. Gorin AA. A controlled trial of cognitive - behavioral therapy with and without spousal involvement for binge eating disorder. Dissertation for PhD in clinical psychology. State university of New York. NewYork (NY). 2000
 
14. Kachooei M, Hasani J, Amrollahi Nia M. Comparison of impulsivity and difficulties in emotion regulation among overweight women with and without binge eating disorder. Iranian Journal of Endocrinology and Metabolism. 2016;17(5):391-401.
 
15. Kaplan H, Saduk B. Summary of psychiatry, behavioral science and clinical psychiatry. Rafiee H, Sobhanian Kh.(Persian translators). 2th Edition. Tehran: Arjmand Pub, 2003.
 
16. Karbakhsh M, Sedaghat M. Depression in pregnancy: implications for prenatal screening. Payesh (Health Monitor). 2002;1(4):49-55.
 
17. Klatt IM. Treating the Obese---Binge Eating Disorder and Food Addiction: A Model Program. ProQuest; 2008.
 
18. Mealer M, Burnham EL, Goode CJ, Rothbaum B, Moss M. The prevalence and impact of post traumatic stress disorder and burnout syndrome in nurses. Depression and anxiety. 2009;26(12):1118-26. https://doi.org/10.1002/da.20631
https://doi.org/10.1002/da.20631
PMid:19918928 PMCid:PMC2919801
 
19. Mitchell JE, Devlin MJ, de Zwaan M, Crow SJ, Peterson CB. Binge-eating disorder: Clinical foundations and treatment. Guilford Press; 2007.
 
20. Mulcahy R, Reay RE, Wilkinson RB, Owen C. A randomised control trial for the effectiveness of group interpersonal psychotherapy for postnatal depression. Archives of women's mental health. 2010;13(2):125-39. https://doi.org/10.1007/s00737-009-0101-6
https://doi.org/10.1007/s00737-009-0101-6
PMid:19697094
 
21. Pazoki L, Kochak Entezar R, Ghanbary Panah A. Psychometric characteristics of the cognitive emotion regulation questionnaire. PSYCHOMETRY. 2015;4(14):1-1.
 
22. Kring AM, Johnson SL. Abnormal psychology: The science and treatment of psychological disorders. John Wiley & Sons; 2018.
 
23. Sfärlea A, Dehning S, Keller LK, Schulte-Körne G. Alexithymia predicts maladaptive but not adaptive emotion regulation strategies in adolescent girls with anorexia nervosa or depression. Journal of Eating Disorders.2019;7(1):1-9. https://doi.org/10.1186/s40337-019-0271-1
https://doi.org/10.1186/s40337-019-0271-1
PMid:31798880 PMCid:PMC6883686
 
24. Thoeni S, Loureiro M, O'Connor EC, Lüscher C. Depression of accumbal to lateral hypothalamic synapses gates overeating. Neuron. 2020;107(1):158-72. https://doi.org/10.1016/j.neuron.2020.03.029
https://doi.org/10.1016/j.neuron.2020.03.029
PMid:32333845 PMCid:PMC7616964
 
25. Treasure J, Corfield F, Cardi V. A three‐phase model of the social emotional functioning in eating disorders. European eating disorders review. 2012;20(6):431-8. https://doi.org/10.1002/erv.2181
https://doi.org/10.1002/erv.2181
PMid:22539368
 
26. Weissman MM, Markowitz JC, Klerman GL. The guide to interpersonal psychotherapy: updated and expanded edition. Oxford University Press; 2017. https://doi.org/10.1093/med-psych/9780190662592.003.0001
https://doi.org/10.1093/med-psych/9780190662592.003.0001
PMid:28025874

Files

Share

How to cite

Statistics