Comparative Efficacy of Spirituality, Cognitive, and Emotional Support Groups for Treating Eating Disorder Inpatients

P. Scott Richards · Michael E. Berrett · Randy K. Hardman · Dennis L. Eggett

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Eating Disorders and Behaviors Nutrition, Health and Food Behavior Religion, Spirituality, and Psychology

Abstract

Spiritual interventions are rarely used in contemporary treatment programs and little empirical evidence is available concerning their effectiveness. The purpose of the present study was to evaluate the effectiveness of a spiritual group intervention for eating disorder inpatients. We compared the effectiveness of a Spirituality group with Cognitive and Emotional Support groups using a randomized, control group design. Participants were 122 women receiving inpatient eating disorder treatment. Patients in the Spirituality group tended to score significantly lower on psychological disturbance and eating disorder symptoms at the conclusion of treatment compared to patients in the other groups, and higher on spiritual well-being. On weekly outcome measures, patients in the Spirituality group improved significantly more quickly during the first four weeks of treatment. This study provides preliminary evidence that attending to eating disorder patients' spiritual growth and well-being during inpatient treatment may help reduce depression and anxiety, relationship distress, social role conflict, and eating disorder symptoms.

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References

1979The Eating Attitudes Test: an index of the symptoms of anorexia nervosa 2003Bergin and Garfield's Handbook of Psychotherapy and Behavior Change 2004Handbook of Religion and Health 2001Handbook of Religion and Health 1988Handbook of Psychotherapy and Behavior Change 1987The development and validation of the body shape questionnaire 1997A spiritual strategy for counseling and psychotherapy.1996Religion and the clinical practice of psychology.

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2014Guideline Watch (August 2012): Practice Guideline for the Treatment of Patients With Eating Disorders, 3rd Edition 2015Religiosity, spirituality in relation to disordered eating and body image concerns: A systematic review 2022A systematic review of sociodemographic reporting and representation in eating disorder psychotherapy treatment trials in the United States 2014Social support networks and eating disorders: an integrative review of the literature 2020Outcomes of Randomized Clinical Trials of Interventions to Enhance Social, Emotional, and Spiritual Components of Wisdom

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