Personality traits seem to have an important role in the development, course, and treatment response in eating disorders. We investigated the effects of an inpatient cognitive behavioral treatment (CBT) on the measures of temperament and character (Temperament and Character Inventory - TCI) in 149 patients with eating disorders (ED). Baseline assessment included anthropometry, the Eating Disorder Examination (EDE), the Beck Depression Inventory (BDI), and the TCI. Treatment lasted 20 weeks (in-hospital, 13 weeks; residential day-hospital, 7) and was based on the transdiagnostic cognitive behavior theory and treatment of ED, adapted for inpatient setting. Treatment effects were tested by paired ANOVA, adjusted for covariates. No effects were found on Novelty Seeking, Reward Dependence, and Cooperativeness. Harm Avoidance (F =18.17, p <0.001), Persistence (F =7.71, p =0.006), Self-Directedness (F =27.55, p < 0.001) and Self Transcendence (F =16.38, p < 0.001) changed after treatment. Changes in TCI scores were wholly dependent on changes in BDI and EDE scores, independently of ED diagnosis and behavior and changes in BMI. We conclude that in ED, a few scales of both temperament and character are modified by CBT, in relation to changes in psychopathology and depression. The results are relevant for future studies based on TCI.
R. Dalle Grave, S. Calugi, F. Brambilla, G. Abbate-Daga, S. Fassino, G. Marchesini Reggiani (2007). The effect of inpatient cognitive-behavioural therapy for eating disorder on temperament and character. BEHAVIOUR RESEARCH AND THERAPY, 45, 1335-1344 [10.1016/j.brat.2006.09.016].
The effect of inpatient cognitive-behavioural therapy for eating disorder on temperament and character
CALUGI, SIMONA;MARCHESINI REGGIANI, GIULIO
2007
Abstract
Personality traits seem to have an important role in the development, course, and treatment response in eating disorders. We investigated the effects of an inpatient cognitive behavioral treatment (CBT) on the measures of temperament and character (Temperament and Character Inventory - TCI) in 149 patients with eating disorders (ED). Baseline assessment included anthropometry, the Eating Disorder Examination (EDE), the Beck Depression Inventory (BDI), and the TCI. Treatment lasted 20 weeks (in-hospital, 13 weeks; residential day-hospital, 7) and was based on the transdiagnostic cognitive behavior theory and treatment of ED, adapted for inpatient setting. Treatment effects were tested by paired ANOVA, adjusted for covariates. No effects were found on Novelty Seeking, Reward Dependence, and Cooperativeness. Harm Avoidance (F =18.17, p <0.001), Persistence (F =7.71, p =0.006), Self-Directedness (F =27.55, p < 0.001) and Self Transcendence (F =16.38, p < 0.001) changed after treatment. Changes in TCI scores were wholly dependent on changes in BDI and EDE scores, independently of ED diagnosis and behavior and changes in BMI. We conclude that in ED, a few scales of both temperament and character are modified by CBT, in relation to changes in psychopathology and depression. The results are relevant for future studies based on TCI.I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.
