Examining the conceptual model of integrative cognitive-affective therapy for BN: Two assessment studies

Authors

  • Stephen A. Wonderlich PhD,

    Corresponding author
    1. Department of Clinical Neuroscience, University of North Dakota School of Medicine and Health Sciences, Fargo, North Dakota
    2. Division of Clinical Research, Neuropsychiatric Research Institute, Fargo, North Dakota
    • Department of Clinical Neuroscience, University of North Dakota School of Medicine and Health Sciences, 120 8th Street South, PO Box 1415, Fargo, ND 58107-1415
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  • Scott G. Engel PhD,

    1. Department of Clinical Neuroscience, University of North Dakota School of Medicine and Health Sciences, Fargo, North Dakota
    2. Division of Clinical Research, Neuropsychiatric Research Institute, Fargo, North Dakota
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  • Carol B. Peterson PhD,

    1. Department of Psychiatry, University of Minnesota, Minneapolis, Minnesota
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  • Michael D. Robinson PhD,

    1. Department of Psychology, North Dakota State University, Fargo, North Dakota
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  • Ross D. Crosby PhD,

    1. Department of Clinical Neuroscience, University of North Dakota School of Medicine and Health Sciences, Fargo, North Dakota
    2. Division of Clinical Research, Neuropsychiatric Research Institute, Fargo, North Dakota
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  • James E. Mitchell MD,

    1. Department of Clinical Neuroscience, University of North Dakota School of Medicine and Health Sciences, Fargo, North Dakota
    2. Division of Clinical Research, Neuropsychiatric Research Institute, Fargo, North Dakota
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  • Tracey L. Smith PhD,

    1. Department of Psychiatry, University of Wisconsin, Madison, Wisconsin
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  • Marjorie H. Klein PhD,

    1. Department of Psychiatry, University of Wisconsin, Madison, Wisconsin
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  • Christianne M. Lysne PhD,

    1. Division of Clinical Research, Neuropsychiatric Research Institute, Fargo, North Dakota
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  • Scott J. Crow MD,

    1. Department of Psychiatry, University of Minnesota, Minneapolis, Minnesota
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  • Timothy J. Strauman PhD,

    1. Department of Psychology, Duke University, Durham, North Carolina
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  • Heather K. Simonich MS

    1. Division of Clinical Research, Neuropsychiatric Research Institute, Fargo, North Dakota
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Abstract

Objective:

Two studies sought to examine predictions of the Integrative Cognitive-Affective Therapy (ICAT) model, which views bulimic symptoms in terms of inter-relations between self-concept discrepancies, negative affect, and self-directed coping styles. The present results examine assessment-related predictions of this model.

Method:

Individuals with bulimic symptoms were compared to noneating disorder control participants in two studies involving central constructs of the ICAT model.

Results:

In both studies, bulimic individuals displayed higher levels of self-discrepancy and negative self-directed styles, supporting predictions of the model. Also predicted by the model, negative mood states mediated relations between bulimic status and negative self-directed coping styles in Study 2.

Conclusion:

Assessment-related predictions of the ICAT model of bulimic symptoms were supported in two studies. These initial results support further tests of the model in longitudinal designs, contrasts of different clinical populations, and treatment-evaluation studies. © 2008 by Wiley Periodicals, Inc. Int J Eat Disord 2008

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