Title:
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Developing an understanding of the relationship between eating
disorders and core beliefs
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Traditional cognitive-behavioural treatment of eating disorders has focused on
factors that maintain the disorders. These treatments have achieved some
success with individuals with bulimia nervosa (BN), but there is no evidence-
based treatment for anorexia nervosa (AN) and eating disorder not otherwise
specified (EDNOS). Researchers are starting to explore the role of core beliefs
in the development and maintenance of eating disorders, with the hope that
broader models can be developed that will enable us to treat them better.
The first paper presents a systematic review of the literature regarding the
relationship between core beliefs and eating disorders. It focuses on studies that
have used the Young Schema Questionnaire (YSQ) to measure core beliefs in
people with eating disorders. Twenty-two studies' findings are discussed and
critiqued. Few consistent patterns have emerged regarding the association
between core beliefs and eating disorders, and more work is needed in
increasing studies' methodological rigour and exploring the effectiveness of core
belief measures developed specifically for eating disorders.
The second paper investigates the relative usefulness of the YSQ and the
recently developed Eating Disorder Core Belief Questionnaire (ED-CBQ) in
predicting eating disorder symptoms in participants with AN, BN and EDNOS
(213 participants in total). It also explores whether the diagnostic groups differ in
their core beliefs. Results indicate that the ED-CBQ may be more useful than the
YSQ with this population at predicting eating disorder symptoms. In addition,
there appear to be some differences in anorexic-type (AN and EDNOS-AN) and
bulimic-type (BN and EDNOS-BN) participants in their core beliefs, and a few
differences in AN and BN participants as well. Further research is needed with
larger numbers to verify the results. However, the study confirms the importance
of core beliefs in eating disorders and a need to consider them during treatment.
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