Gempeler J, Rodríguez M, Patiño C, Rogelis A, Erazo C, Pérez V

Language: Spanish
References: 21
Page: 64-70
PDF size: 292.91 Kb.

ABSTRACT

Objective: To analyze the impact of a therapeutic intervention using the body in a functional way with a coherent response pattern (cognitive, motoric and autonomic) independently of the body image satisfaction or distortion.
Method: Mixed (quantitative and qualitative). Twenty one women with AN, BN or EDNOS (DSMV), completed the BSQ and self evaluation of body image questionnaires before and after 14 sessions, built the photographic history of their body, organized their exposure hierarchy and perform sensory integration exercises. The narratives of these experiences were registered. Therapist evaluated the responses in a qualitative way.
Results: 90.47% were able to expose themselves to all items in their hierarchy, 95.23% behave in a coherent way, 76.19% continued responding in such a way, 95.23% had a coherent emotional response and 90.47% thought about experiencing pleasure when behaving in such a way. Significant differences were founded in BSQ pre and post (Chi² 16.4, P = .0001), but not in relation with ED type, age, chronicity, or BMI.
Conclusion: Exposure techniques that focus on the functional use of the body seem to help construct evidences that facilitate changes in autonomic, motoric and autonomic responses, independently of body satisfaction or distortion.

REFERENCES

1. American Psychiatric Association. (2013). Diagnostic and StatisticalManual of Mental Disorders (5th ed.). Washington, DC: AmericanPsychiatric Association.

2. Becker, C. B., Hill, K., Greif, R., Han, H. y Stewart, T. (2013).Reducing self-objectification: Are dissonance-based methods apossible approach? Journal of Eating Disorders, 1(10), 1---11.

3. Bhatnagar, K. A., Wisniewski, L., Solomon, M. y Heinberg, L. (2013).Effectiveness and feasibility of a cognitive-behavioral groupintervention for body image disturbance in women with eatingdisorders. Journal of Clinical Psychology, 69(1), 1---13.

4. Castrillón, D., Luna, I., Avenda˜no, G. y Pérez-Acosta, A. (2007). Vali-dación del Body Shape Questionnaire (Cuestionario de la FiguraCorporal) BSQ para la población colombiana. Acta Colombianade Psicología, 10(1), 15---23.

5. Delinsky, S. S. y Wilson, G. T. (2006). Mirror exposure for the treat-ment of body image disturbance. International Journal of EatingDisorder, 39(2), 108---116.

6. Eshkevari, E., Rieger, E., Longo, M. R., Haggard, P. y Treasure, J.(2014). Persistent body image disturbance following recoveryfrom eating disorders. International Journal of Eating Disorder,47(4), 400---409.

7. Gempeler J. (2003). A cognitive behavioural intervention using thebody photographic history in order to break the body image dis-tortion: A case series. Poster presentado en la conferencia anualde la Academia de Trastornos de Alimentation (AED), Denver,Colorado, Estados Unidos.

8. Gempeler J., Rodríguez M., Mayor N., Pati˜no C., Rogelis A. (2014).Usefulness of the emphasis on the ‘functional body’ in bodyimage intervention in eating disorders. Poster presentado en elCongreso de la Sociedad de Investigación en Trastornos de laAlimentación (EDRS), San Diego, California, Estados Unidos.

9. Gempeler, J. (2004). Historia fotográfica del cuerpo, exposición yprevención de respuesta e integración sensorial como herra-mientas terapéuticas integradas para la flexibilización de ladistorsión corporal en los trastornos de la conducta alimentaria.Revista Colombiana de Psiquiatría, 33(1), 9---20.

10. Hildebrandt, T., Loeb, K., Troupe, S. y Delinsky, S. (2012).Adjunctive mirror exposure for eating disorders: A randomizedcontrolled pilot study. Behaviour Research and Therapy, 50(12),797---804.

11. Hospital Universitario de la Universidad de Barcelona (1995). Cues-tionario de evaluación de la Auto-imagen del Hospital Sant Joande Déu, Barcelona.

12. Lock, M. y Farquhar, J. (2007). Beyond the Body Proper: Readingthe Anthropology of Material Life. Duke University Press.

13. Marco, J. H., Perpi˜ná, C. y Botella, C. (2013). Effectiveness ofcognitive behavioral therapy supported by virtual reality in thetreatment of body image in eating disorders: One year follow-up.Psychiatry Research, 209(3), 619---625.

14. Nye, S. y Cash, T. F. (2006). Outcomes of manualized cognitive-behavioral body image therapy with eating disordered womentreated in a private clinical practice. Eating Disorders: The Jour-nal of Treatment & Prevention, 14(1), 31---40.

15. Pandolfi, M. (2007). Memory within the body: Women’ narrative andidentity in southern Italian village, Apart 3 (p. 451) en Parte VII:‘Bodies at the margin, or attending to distress and difference’.En M. Lock y J. Farquar (Eds.), Beyond the Body Proper. DukeUniversity Press.

16. Rodríguez, M., Gempeler, J., Pérez, V., Solano, S., Meluk, A. y Lie-mann, E. (2007). Entre el sufrimiento interno y las palabrassilenciadas: Análisis de narrativas en mujeres con trauma, auto-mutilaciones y TCA. Revista Colombiana de Psiquiatria, 36(243),237---254.

17. Sala, L., Mirabel-Sarron, C., Pham-Scottez, A., Blanchet, A., Roui-llon, F. y Gorwood, P. (2012). Body dissatisfaction is improvedbut the ideal silhouette is unchanged during weight reco-very in anorexia nervosa female inpatients. Eating and WeightDisorders ---- Studies on Anorexia, Bulimia and Obesity, 17(2),109---115.

18. Shafran, R., Farrell, C., Lee, M. y Fairburn, C. G. (2009). Briefcognitive behavioural therapy for extreme shape concern:An evaluation. British Journal of Clinical Psychology, 48(1),79---92.

19. Shafran, R., Lee, M., Payne, E. y Fairburn, C. G. (2007). An expe-rimental analysis of body checking. Behaviour Research andTherapy, 45(1), 113---121.

20. Taylor, J. S. (2005). Surfacing the body interior. Annual Review ofAnthropology, 34(1), 741---756.

21. Tchanturia, K. (Ed.). (2015). Brief Group Psychotherapy for EatingDisorders: Inpatient protocols [paperback]. Nueva York: Rout-ledge Mental Health.