Group-analytic therapy for eating disorders: preliminary results in a single-group study

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Abstract

Objectives: There is a lack of empirical data on the effectivenessand process of group-analytic therapy in eating disorders. Thissingle-group study aimed to explore the effectiveness of suchtreatment for anorexic and bulimic individuals.Method: Eight patients (three anorexic and five bulimic women)entered group-analytic treatment, meeting weekly for 2 years.Eating behaviours, overall psychological distress and group processvariables were regularly assessed using quantitative andqualitative measures, with comparisons made at the beginningand end of the therapy.Results: Treatment was discontinued in two cases. When outcomewas classified on the basis of reliable change and clinical significancefor the remaining patients at the end of treatment, four wererecovered in terms of overall psychological distress, while one wasunchanged and one had deteriorated. In terms of eating disordersymptoms, three patients were recovered, two were unchanged andone had deteriorated. Patients experienced an overall positivegroup climate and a positive group alliance. Perception of beingunderstood by the therapist appeared to play an important role inthe therapeutic process.Conclusions: These preliminary results suggest that groupanalytictherapy may be effective in helping patients with eatingdisorders. However, more work is needed before firm conclusionscan be drawn. Implications for clinical practice and future researchare discussed.
Lingua originaleEnglish
pagine (da-a)302-310
Numero di pagine9
RivistaDefault journal
Volume16
Stato di pubblicazionePublished - 2008

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Group Psychotherapy
Psychology
Therapeutics
Feeding Behavior
Climate
Eating
Feeding and Eating Disorders

All Science Journal Classification (ASJC) codes

  • Clinical Psychology
  • Psychiatry and Mental health

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title = "Group-analytic therapy for eating disorders: preliminary results in a single-group study",
abstract = "Objectives: There is a lack of empirical data on the effectivenessand process of group-analytic therapy in eating disorders. Thissingle-group study aimed to explore the effectiveness of suchtreatment for anorexic and bulimic individuals.Method: Eight patients (three anorexic and five bulimic women)entered group-analytic treatment, meeting weekly for 2 years.Eating behaviours, overall psychological distress and group processvariables were regularly assessed using quantitative andqualitative measures, with comparisons made at the beginningand end of the therapy.Results: Treatment was discontinued in two cases. When outcomewas classified on the basis of reliable change and clinical significancefor the remaining patients at the end of treatment, four wererecovered in terms of overall psychological distress, while one wasunchanged and one had deteriorated. In terms of eating disordersymptoms, three patients were recovered, two were unchanged andone had deteriorated. Patients experienced an overall positivegroup climate and a positive group alliance. Perception of beingunderstood by the therapist appeared to play an important role inthe therapeutic process.Conclusions: These preliminary results suggest that groupanalytictherapy may be effective in helping patients with eatingdisorders. However, more work is needed before firm conclusionscan be drawn. Implications for clinical practice and future researchare discussed.",
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author = "{Lo Coco}, Gianluca and Salvatore Gullo and {Lo Verso}, Girolamo and Claudia Prestano",
year = "2008",
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TY - JOUR

T1 - Group-analytic therapy for eating disorders: preliminary results in a single-group study

AU - Lo Coco, Gianluca

AU - Gullo, Salvatore

AU - Lo Verso, Girolamo

AU - Prestano, Claudia

PY - 2008

Y1 - 2008

N2 - Objectives: There is a lack of empirical data on the effectivenessand process of group-analytic therapy in eating disorders. Thissingle-group study aimed to explore the effectiveness of suchtreatment for anorexic and bulimic individuals.Method: Eight patients (three anorexic and five bulimic women)entered group-analytic treatment, meeting weekly for 2 years.Eating behaviours, overall psychological distress and group processvariables were regularly assessed using quantitative andqualitative measures, with comparisons made at the beginningand end of the therapy.Results: Treatment was discontinued in two cases. When outcomewas classified on the basis of reliable change and clinical significancefor the remaining patients at the end of treatment, four wererecovered in terms of overall psychological distress, while one wasunchanged and one had deteriorated. In terms of eating disordersymptoms, three patients were recovered, two were unchanged andone had deteriorated. Patients experienced an overall positivegroup climate and a positive group alliance. Perception of beingunderstood by the therapist appeared to play an important role inthe therapeutic process.Conclusions: These preliminary results suggest that groupanalytictherapy may be effective in helping patients with eatingdisorders. However, more work is needed before firm conclusionscan be drawn. Implications for clinical practice and future researchare discussed.

AB - Objectives: There is a lack of empirical data on the effectivenessand process of group-analytic therapy in eating disorders. Thissingle-group study aimed to explore the effectiveness of suchtreatment for anorexic and bulimic individuals.Method: Eight patients (three anorexic and five bulimic women)entered group-analytic treatment, meeting weekly for 2 years.Eating behaviours, overall psychological distress and group processvariables were regularly assessed using quantitative andqualitative measures, with comparisons made at the beginningand end of the therapy.Results: Treatment was discontinued in two cases. When outcomewas classified on the basis of reliable change and clinical significancefor the remaining patients at the end of treatment, four wererecovered in terms of overall psychological distress, while one wasunchanged and one had deteriorated. In terms of eating disordersymptoms, three patients were recovered, two were unchanged andone had deteriorated. Patients experienced an overall positivegroup climate and a positive group alliance. Perception of beingunderstood by the therapist appeared to play an important role inthe therapeutic process.Conclusions: These preliminary results suggest that groupanalytictherapy may be effective in helping patients with eatingdisorders. However, more work is needed before firm conclusionscan be drawn. Implications for clinical practice and future researchare discussed.

KW - clinically significant change

KW - eating disorders

KW - group alliance

KW - group climate

KW - group-analytic therapy

UR - http://hdl.handle.net/10447/35365

M3 - Article

VL - 16

SP - 302

EP - 310

JO - Default journal

JF - Default journal

ER -