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Participants were randomized and subjected to 21 50‐min sessions of ICAT or CBT‐E (focused) over 17 weeks with sessions being held twice weekly for the first phase and then weekly for the remainder of the experiment.

The first month emphasized motivation as well as the importance of emotions.

The second phase focused on meal planning for nutritional rehabilitation, adaptive coping for managing urges, and identifying eating‐related emotions.

The third phase emphasized emotion regulation such as changing bulimic behaviors in the context of momentary negative emotions and reducing precipitants of negative emotions including self‐discrepancy, interpersonal patterns, and self‐directed behaviors.

The final phase of treatment focused on healthy lifestyle planning and relapse prevention. Similarly, CBT‐E (Fairburn, [10]) included four stages.

Two sets of indirect effect analyses were conducted; for the first set, the treatment outcome score at the end of treatment was used as a dependent variable. The second set was varied, with treatment outcome at the 4‐month follow‐up as the dependent variable.

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This is important to me because I have dealt with trying to lose weight, gain muscle, and be better with my nutrition, but I developed an eating disorder during my process. I have been doing my best to recover from it. I have learned from Tik Toks of other people who have eating disorders different methods to help recover from it. I think this article will help me and others learn to recover from eating disorders such as bulimia nervosa.

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Christian Arroyo
Truckee Meadows Community College
Psychology 101
April 24 2022

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Bulimia is an emotional disorder involving distortion of body image and an obsessive desire to lose weight. Bouts of extreme overeating are followed by depression and self-induced vomiting, purging, or fasting.

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A study of eighty adults with bulimia nervosa (BN) was conducted where participants were subjected to 21 50‐min sessions of Integrative Cognitive‐Affective Therapy (ICAT‐BN) and Cognitive‐Behavioral Therapy‐Enhanced (focused) over 17 weeks. Sessions were held twice a week for the first month and then weekly for the remainder of the treatment.

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Treatment for Bulimia Nervosa involves a strict, balanced diet with food in moderation. In the study,  it was hypothesized that introducing maintenance mechanisms like emotion regulation, self‐discrepancy, and self‐directed behavior, and focusing on meal planning for nutritional rehabilitation, adaptive coping for managing urges, and identifying eating‐related emotions would help with binge eating.

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This article was written to investigate different methods of bulimia nervosa treatment and their effects on people with the disorder. It is used to determine if these therapies are effective for treating bulimia nervosa. The purpose of this investigation was to examine the effects of Integrative Cognitive‐Affective Therapy (ICAT‐BN) and Cognitive‐Behavioral Therapy‐Enhanced (CBT‐E) on bulimia nervosa (BN) treatment outcomes through three hypothesized maintenance variables: emotion regulation, self‐directed behavior, and self‐discrepancy.

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None of the indirect effects that were tested were found to be significant. Examination of the individual paths within the indirect effects models revealed comparable treatment effects. Across treatments, improvements in emotion regulation and self‐directed behavior between baseline and mid‐treatment predicted improvements in global eating disorder scores but not binge eating and purging frequency at the end of treatment.

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More research is needed to find a suitable treatment for bulimia nervosa. This study was a good stepping-stone toward an appropriate treatment, but maybe the treatment needs to be more physical rather than mental. Drugs could be another option for treatment and should be studied.

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Peterson, C. B., Berg, K. C., Crosby, R. D., Lavender, J. M., Accurso, E. C., Ciao, A. C., Smith, T. L., Klein, M., Mitchell, J. E., Crow, S. J., & Wonderlich, S. A. (2017). The effects of psychotherapy treatment on outcome in bulimia nervosa: Examining indirect effects through emotion regulation, self-directed behavior, and self-discrepancy within the mediation model. International Journal of Eating Disorders, 50(6), 636–647. https://doi-org.ezproxy.tmcc.edu/10.1002/eat.22669