Emotion dysregulation and impulsivity as moderators of treatment response and acceptability in Bulimia Nervosa.

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  • Author(s): Zander, Mary E.. The University of North Dakota, Clinical Psychology, US
  • Source:
    Dissertation Abstracts International: Section B: The Sciences and Engineering, Vol 78(2-B)(E), 2017.
  • Publisher:
    US : ProQuest Information & Learning
  • Language:
    English
  • Document Type:
    Dissertation
  • Publication Type:
    Dissertation Abstract
  • Additional Information
    • Other Journal Titles:
      Dissertation Abstracts International
    • ISSN:
      0419-4217 (Print)
    • ISBN:
      978-1369182460
    • Keywords:
      emotion dysregulation, treatment outcomes, psychotherapy, Bulimia Nervosa
    • Abstract:
      There is great variability in personality among individuals with Bulimia Nervosa (BN; e.g., see Goldner, et al., 1999), such as on dimensions of impulsivity and emotion dysregulation. Individuals high on these traits appear to have different treatment needs compared to those who are low; however, little research has been conducted to evaluate the impact of these traits on treatment perception and success. There are several empirically supported treatments for BN, including Cognitive-Behavioral Therapy-Enhanced (CBT-E), Interpersonal Psychotherapy (IPT), and Integrative Cognitive-Affective Therapy (ICAT). Although each of these treatments may reduce eating disorder behaviors, they use different approaches to address or modify impulsivity and emotion dysregulation. In order to examine the impact of these traits on treatment perception and outcome, two studies were conducted. Study One used existing data from a randomized, controlled trial comparing CBT-E and ICAT (N = 80; Wonderlich et al., 2013). The purpose of this study was to evaluate emotion dysregulation as a moderator of treatment outcome. The hypothesis that individuals with difficulties regulating emotions would have better treatment outcome in ICAT than individuals with elevated emotion dysregulation in CBT-E was not supported. Emotion dysregulation was neither a significant predictor nor moderator of treatment outcome. The purpose of Study Two was to evaluate emotion dysregulation and impulsivity as moderators of treatment acceptability for empirically supported treatments for BN (i.e., CBT-E, ICAT, and IPT) among 287 female participants (138 with and 149 without a history of eating disorder treatment). Participants high on impulsivity, but not emotion dysregulation, rated ICAT as more acceptable than CBT-E and IPT. The results of Study Two suggest that clinicians should consider the implications of treatment acceptability when introducing psychotherapy to patients and that researchers should continue to examine the acceptability of treatments for BN. (PsycINFO Database Record (c) 2017 APA, all rights reserved)
    • Dissertation Details:
      UMI Order Number: AAI10163555
      OpenURL: http://gateway.proquest.com/openurl?url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:dissertation&res_dat=xri:pqm&rft_dat=xri:pqdiss:10163555
      Advisor(s): Kyle P. De Young
      Degree: Ph.D., 2016
      Institution: The University of North Dakota
      Department: Clinical Psychology
    • Subject Terms:
    • PsycINFO Classification:
      Health & Mental Health Treatment & Prevention (3300)
    • Population:
      Human
      Female
    • Methodology:
      Clinical Trial; Empirical Study; Quantitative Study
    • Physical Description:
      Electronic
    • Publication Date:
      20170629
    • Accession Number:
      2017-01061-184
  • Citations
    • ABNT:
      ZANDER, M. E. Emotion dysregulation and impulsivity as moderators of treatment response and acceptability in Bulimia Nervosa. 2017. ProQuest Information & Learning, [s. l.], 2017. Disponível em: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=psyh&AN=2017-01061-184. Acesso em: 22 jan. 2020.
    • AMA:
      Zander ME. Emotion dysregulation and impulsivity as moderators of treatment response and acceptability in Bulimia Nervosa. Dissertation Abstracts International: Section B: The Sciences and Engineering. 2017;78(2-B(E)). http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=psyh&AN=2017-01061-184. Accessed January 22, 2020.
    • APA:
      Zander, M. E. (2017). Emotion dysregulation and impulsivity as moderators of treatment response and acceptability in Bulimia Nervosa. Dissertation Abstracts International: Section B: The Sciences and Engineering. ProQuest Information & Learning. Retrieved from http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=psyh&AN=2017-01061-184
    • Chicago/Turabian: Author-Date:
      Zander, Mary E. 2017. “Emotion Dysregulation and Impulsivity as Moderators of Treatment Response and Acceptability in Bulimia Nervosa.” Dissertation Abstracts International: Section B: The Sciences and Engineering. ProQuest Information & Learning. http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=psyh&AN=2017-01061-184.
    • Harvard:
      Zander, M. E. (2017) Emotion dysregulation and impulsivity as moderators of treatment response and acceptability in Bulimia Nervosa, Dissertation Abstracts International: Section B: The Sciences and Engineering. ProQuest Information & Learning. Available at: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=psyh&AN=2017-01061-184 (Accessed: 22 January 2020).
    • Harvard: Australian:
      Zander, ME 2017, ‘Emotion dysregulation and impulsivity as moderators of treatment response and acceptability in Bulimia Nervosa’, ProQuest Information & Learning, Dissertation Abstracts International: Section B: The Sciences and Engineering, vol. 78, no. 2–B(E), viewed 22 January 2020, .
    • MLA:
      Zander, Mary E. “Emotion Dysregulation and Impulsivity as Moderators of Treatment Response and Acceptability in Bulimia Nervosa.” Dissertation Abstracts International: Section B: The Sciences and Engineering, vol. 78, no. 2–B(E), ProQuest Information & Learning, 2017. EBSCOhost, search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=psyh&AN=2017-01061-184.
    • Chicago/Turabian: Humanities:
      Zander, Mary E. “Emotion Dysregulation and Impulsivity as Moderators of Treatment Response and Acceptability in Bulimia Nervosa.” Dissertation Abstracts International: Section B: The Sciences and Engineering. ProQuest Information & Learning, 2017. http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=psyh&AN=2017-01061-184.
    • Vancouver/ICMJE:
      Zander ME. Emotion dysregulation and impulsivity as moderators of treatment response and acceptability in Bulimia Nervosa [Internet]. Vol. 78, Dissertation Abstracts International: Section B: The Sciences and Engineering. ProQuest Information & Learning; 2017 [cited 2020 Jan 22]. Available from: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=psyh&AN=2017-01061-184