Comparing the Effectiveness of Cognitive Behavioral Therapy and Schema Therapy on Emotional Eating and the Perception of Maternal Rejection in Women with Binge Eating Disorder

Borhani Naeini, ParisaSadat; Khaleghipour , Shahnaz; Oreyzi Samani , Hamidreza

Volume 14 - Articles-1403 MEJDS (2024) 14: 66 | Back to browse issues page

Ethics code: IR.IAU.KHUISF.REC.1400.338

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Borhani Naeini P, Khaleghipour S, Oreyzi Samani H. Comparing the Effectiveness of Cognitive Behavioral Therapy and Schema Therapy on Emotional Eating and the Perception of Maternal Rejection in Women with Binge Eating Disorder. MEJDS 2024; 14 :66-66
URL: http://jdisabilstud.org/article-1-3355-en.html

Comparing the Effectiveness of Cognitive Behavioral Therapy and Schema Therapy on Emotional Eating and the Perception of Maternal Rejection in Women with Binge Eating Disorder

ParisaSadat Borhani Naeini¹

, Shahnaz Khaleghipour ^*

², Hamidreza Oreyzi Samani³

1- PhD Student in Psychology, Department of Psychology, Naein Branch, Islamic Azad University, Naein, Iran
2- Associate Professor, Department of Psychology, Naein Branch, Islamic Azad University, Naein, Iran
3- Professor, Department of Psychology, Isfahan University, Isfahan, Iran

Abstract: (430 Views)

Abstract
Background & Objectives: Binge eating disorder (BED) is the most prevalent eating disorder not linked to physical hunger. Psychosomatic theory suggests that some individuals fail to recognize hunger and instead eat in response to emotional states, resulting in an emotional eating pattern. Maladaptive thought patterns and negative automatic thoughts regarding body shape result in eating disorders, emotional issues, and problematic behaviors by altering maladaptive cognitions. Research indicates a connection between maladaptive schemas and eating disorder symptoms. Individuals with BED feel intense cravings for food during periods of stress and emotional dysregulation, as well as higher levels of neuroticism and negative mood. Early experiences and emotional abuse create templates for processing subsequent experiences, activating schemas and cravings, and present a significant challenge for effective treatment. Consequently, this study aims to compare the effectiveness of cognitive–behavioral therapy and schema therapy in addressing emotional eating and perceived maternal rejection in women with binge eating disorders.
Methods: The current research method was quasi–experimental, with a pretest–posttest and follow–up design using a control group. The research population consisted of women suffering from BED referred to the Nutrition and Diet Therapy centers of Naein City, Iran, in 2021. Of whom 27 eligible people were included in the study through a targeted sampling method. The data collection tools included the Binge Eating Scale (Gormally et al., 1982), the Adult Parental Acceptance–Rejection Questionnaire (PARQ–Adult) (Rohner et al., 2005) and Dutch Eating Behavior Questionnaire (Van Strien et al. 1986). In this study, 27 participants were selected according to inclusion and exclusion criteria after visiting nutrition and diet therapy centers in Naein. They were assigned to either an experimental group or a control group. The experimental group underwent cognitive–behavioral and schema therapy, each lasting 90 minutes, across ten weekly sessions. The control group did not receive any treatment. SPSS version 22 software was used to analyze the data. At the descriptive level, mean and standard deviation and inferential level, variance analysis with repeated measurements, and Bonferroni post hoc test were used at a significance level of 0.05.
Results: The results showed a significant difference between the schema therapy group and the cognitive–behavioral therapy group in the posttest and follow–up in variables of emotional eating and perception of the mother's rejection (p<0.001). In the posttest and follow–up, a significant difference was observed between the schema therapy group and the control group in the variables of emotional eating and perception of the mother's rejection (p<0.001). In the comparison of the cognitive behavioral therapy group and the control group, there was a significant difference in the variable of emotional eating (p<0.001). However, this difference was not significant when comparing the cognitive behavioral therapy group and the control group for the variable of perception of the mother's rejection (p>0.05). In the follow–up phase, the effect of schema therapy was more stable compared to cognitive–behavioral therapy.
Conclusion: Based on the findings, schema therapy is suggested as a more effective treatment for reducing emotional eating and the perception of maternal rejection in people with binge eating disorder.

Keywords: Binge eating disorder, Perception of parental rejection, Emotional eating, Cognitive behavioral therapy, Schema therapy

Full-Text [PDF 347 kb] (275 Downloads)

Type of Study: Original Research Article | Subject: Psychology

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