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Psychiatry Res. 2016 Oct 30;244:294-9. doi: 10.1016/j.psychres.2016.07.056. Epub 2016 Aug 1.

Examining the role of self-discrepancy and self-directed style in bulimia nervosa.

Author information

1
Department of Clinical Research, Neuropsychiatric Research Institute, Fargo, ND, USA. Electronic address: tmason@nrifargo.com.
2
University of Minnesota Medical School, Minneapolis, MN, USA.
3
Department of Clinical Research, Neuropsychiatric Research Institute, Fargo, ND, USA; Department of Psychiatry and Behavioral Science, University of North Dakota School of Medicine and Health Sciences, Fargo, ND, USA.
4
Department of Clinical Research, Neuropsychiatric Research Institute, Fargo, ND, USA.
5
University of Minnesota Medical School, Minneapolis, MN, USA; The Emily Program, St. Paul, MN, USA.
6
VA South Central Mental Illness Research, Education & Clinical Center; VA HSR&D Center for Innovations in Quality, Effectiveness & Safety (IQuEST); Department of Psychiatry and Behavioral Science, Baylor University College of Medicine, Houston, TX, USA.
7
Department of Psychiatry, University of Wisconsin-Madison, Madison, WI, USA.

Abstract

Two of the primary components within Integrative Cognitive Affective Therapy (ICAT) are self-discrepancy and self-directed style. Self-discrepancy includes both actual:ideal (discrepancy between oneself and who one wishes they were) and actual:ought (discrepancy between oneself and who one believes they ought to be). Self-directed style in ICAT refers to a variety of behaviors emitted by a person toward the self including self-blaming and self-affirming. This study explored main effects and interactions between self-discrepancy and self-directed style in relation to global eating disorder (ED) psychopathology, depressive symptoms, and anxiety. Eighty treatment-seeking adults from the Midwest with BN or subthreshold BN completed interviews and self-report measures. Self-affirm and self-blame were associated with ED psychopathology, depressive symptoms, and anxiety. Actual:ideal discrepancy was related to anxiety and actual:ought discrepancy was related to anxiety and depressive symptoms. Interactions were found between self-affirm and actual:ought discrepancy as well as self-blame and actual:ought discrepancy for depressive symptoms. High actual:ought was related to increased depressive symptoms regardless of levels of self-affirm or self-blame. Effect sizes for models were medium-to-large with anxiety models demonstrating the largest effects. This study provides further evidence supporting the ICAT model and treatment, which targets self-discrepancies, self-directed styles, and related emotional states.

KEYWORDS:

Bulimia nervosa; Integrative cognitive affective therapy; Self-directed style; Self-discrepancy

PMID:
27512918
PMCID:
PMC5293165
DOI:
10.1016/j.psychres.2016.07.056
[Indexed for MEDLINE]
Free PMC Article

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