Diet and Doubt: A Clinical Case Study of Inference-Based Therapy for Bulimia Nervosa.
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Abstract |
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There is a recognized overlap between eating disorders (EDs) and obsessive-compulsive disorder (OCD) in terms of diagnosis, phenomenology, epidemiology, and psychological characteristics related to the disorder. In light of these similarities, a cognitive inference-based therapy (IBT) program, shown to be effective in treating OCD, was adapted for EDs. This case study describes the application of IBT treatment for a 35-year-old woman diagnosed with bulimia nervosa who also demonstrated overvalued ideation related to her body weight and shape. Over a 20-week period, the client's ED pathology significantly decreased. Notably, the frequency of binge episodes was reduced by 90% from pre- to posttreatment and by 100% at 6-month follow-up. Significant reductions were also observed in dietary restriction and overvalued ideation. This case study has important implications for the treatment of individuals with both an ED and strong overvalued ideas. |
Year of Publication |
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0
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Journal |
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Journal of cognitive psychotherapy
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Volume |
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30
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Issue |
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4
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Number of Pages |
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263-276
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Date Published |
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2016
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ISSN Number |
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0889-8391
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DOI |
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10.1891/0889-8391.30.4.263
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Short Title |
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J Cogn Psychother
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