Document Type : original article
Author
Assistant Professor, Department of psychology, Boroujen Branch, Islamic Azad University, Boroujen, Iran
Abstract
Background: Body checking and disordered eating behaviors are common problems among adolescents and young people which can be precursors to eating disorders. The research aimed to examine the effectiveness of group narrative therapy in decreasing body checking and disordered eating behaviors.
Method: This experimental, intervention-control, study was conducted on 920 female 11-16-year-old students selected by multistage random method. They responded to two scales of body checking behaviors and disordered eating behaviors. Among 188 female students who gained one standard deviation above the mean score of the group in both scales, 40 students were randomly divided into the experimental and control groups. Then, the members of the experimental group participated in narrative therapy intervention. After the intervention, both scales were distributed among the experimental and control groups. Data were analyzed by the use of descriptive statistics and multivariate covariance method.
Results: The results revealed that compared with the control group, narrative therapy significantly reduced body checking and disordered eating behaviors in the experimental group (P<0.01).
Conclusion: According to the findings of the present study, the investigation of effectiveness of narrative therapy on these behaviors can provide valuable implications about the mental health of individuals.
Keywords
- Agras WS. The oxford handbook of eating disorders. Oxford: Oxford University Press; 2012.
- Garner DM, Myerholtz LE. Eating disorders. In: Bellack, A.S., Hersen, M. (Eds.), Comprehensive Clinical Psychology. Elsevier Science; 2000.
- Nasser M, Katzman N. Sociocultural theories of eating disorders. In J. Treasure, U. Schmidt, & E. van Furth (Eds.), Handbook of eating disorders (2nd ed., pp. 139-150). Chichester, UK: Wiley; 2003.
- Taylor GJ, Bagby RM, Parker JDA. Disorders of Affect Regulation: Alexithymia in Medical and Psychiatric Illness. Cambridge University Press, Cambridge; 1997.
- Latzer Y, Tzischinsky O. Eating attitudes in a diverse sample of Israeli adolescent females: a comparison study, J Adolesc. 2005; 28(3): 317-23
- Hoek HW. Incidence, prevalence and mortality of anorexia nervosa and other eating disorders. Current Opinion in Psychiatry. 2006; 19: 389–394.
- Ortega-Luyando M, Álvarez-Rayón G, Garner DM, Amaya-Hernández A, Bautista-Díaz ML, Mancilla-Díaz JM. Systematic review of disordered eating behaviors: Methodological considerations for epidemiological research. Revista mexicana de trastornos alimentarios. 2015; 6(1): 51-63.
- Thompson JK, Coovert MD, Richards KJ, Johnson S, Cattarin J. Development of body image, eating disturbance, and general psychological functioning in female adolescents: covariance structure modeling and longitudinal investigations. International Journal of Eating Disorders. 1995; 18: 221-236.
- Grilo CM, Reas DL, Brody ML, Burke-Martindale C CH, Rothschild BS, Masheb RM. Body checking and avoidance and the core features of eating disorders among obese men and women seeking bariatric surgery. Behaviour Research and Therapy. 2005; 43: 629–637.
- Muth JL, Cash TF. Body-image attitudes: What difference does gender make? Journal of Applied Social Psychology. 1997; 27: 1438-1452.
- Furnham A, Badmin N, Sneade I. Body image dissatisfaction: gender differences in eating attitudes, self-esteem, and reasons for exercise. Journal of Psychology. 2002; 136: 581-596.
- Mountford V, Haase AM, Waller G. Body checking in the eating disorders: Associations between cognitions and behaviors. International Journal of Eating Disorders. 2006; 39: 708-715.
- Fairburn CG, Shafran R, Cooper Z. A cognitive behavioral theory of anorexia nervosa. Behavior Research and Therapy. 1999; 37: 1−13.
- Williamson DA, White MA, York-Crowe E, Stewart TM. Cognitive–behavioral theories of eating disorders. Behavior Modification. 2004; 28: 711−738.
- Shafran R, Lee M, Payne E, Fairburn CG. An experimental analysis of body checking. Behaviour Research and Therapy. 2007; 45: 113–121.
- Chen E, Basten C, Beumont JV, Butow P, Fairburn CG, Gertler R, Griffiths R, Russell J, Schotte DE, Touyz SW. Comparison of group and individual cognitive-behavioral therapy for patients with bulimia nervosa, International Journal of Eating Disorder. 2003; 33: 241-254.
- Wilson GT, Fairburn C.G. Treatments for eating disorders. In P. E. Nathan & J. M. Gorman (Eds.), A guide to treatments that work (3rd ed., pp. 579-609). New York, NY: Oxford University Press; 2007.
- Maisel R, Epston D, Borden A. Biting the Hand That Starves You: Inspiring Resistance to Anorexia/Bulimia, Norton & Company, New York; 2005.
- Gremillion H. Feeding Anorexia: Gender and Power at a Treatment Centre, Duke University Press, London; 2003.
- Amundson, JK. Why narrative therapy need not fear science and “other” things. Journal of Family Therapy. 2001; 23(2):175-188.
- White C. Where did it all begin? Reflecting on the collaborative work of Michael White and David Epston. Context. 2009; 105: 59-60.
- Madigan S. Narrative therapy. American Psychological Association; 2011.
- Lopes RT, Gonçalves MM, Machado PPP, Sinai D, Bento T, Salgado J. (2014). Narrative therapy vs. cognitive-behavioral therapy for moderate depression: empirical evidence from a controlled clinical trial. Psychotherapy Research, (ahead-of-print); 2014: 1-13.
- Wood G, Roche S. Situations and representations: Feminist practice with survivors of male violence. Families in Society. 2001; 82(6): 583-590.
- Augusta-Scott T, Dankwort J. Partner abuse group intervention: Lessons from education and narrative therapy approaches. Journal of Interpersonal Violence. 2002; 17(7): 783- 805.
- McKenzie A. Narrative-oriented therapy with children who have experienced sexual abuse. Envision: The Manitoba Journal of Child Welfare. 2005; 4: 17–29.
- Kozlowska K, Khan R. A developmental body-oriented intervention for children and adolescents with medically unexplained chronic pain. Clinical Child Psychology and Psychiatry. 2011; 16: 575–598.
- Guterman JT, Rudes J. A narrative approach to strategic eclecticism. Journal of Mental Health Counseling. 2005; 27: 1-12.
- Keeling ML, Bermudez M. Externalizing problems through art of writing: Experiences of process and helpfulness. Journal of Marital and Family Therapy. 2006; 32(4): 405-415.
- Garner DM, Olmsted MP, Bohr Y, Garfinkel PE. The eating attitudes test: psychometric features and clinical correlates. Psychological medicine. 1982; 12(04): 871-879.
- Reas DL, Whisenhunt BL, Netemeyer R, Williamson DA. Development of the body checking questionnaire: A self-report measure of body checking behaviors. International Journal of Eating Disorders. 2002; 31: 324–333.
- Lock A, Epston D, Maisel R, Faria ND. Resisting anorexia/bulimia: Foucauldian perspectives in narrative therapy. British Journal of Guidance & Counselling. 2005; 33(3): 315-32.
- Weber M, Davis K, McPhie L. Narrative therapy, eating disorders and groups: Enhancing outcomes in rural NSW. Australian Social Work. 2006; 59(4): 391-405.
- Heilman T, Bright D. The Relationship between Sexual Abuse and Disordered Eating: Applications of Narrative Therapy. Journal of Counselor Preparation and Supervision. 2022; 15(3): 8.
- Scott N, Hanstock TL, Patterson-Kane L. Using narrative therapy to treat eating disorders not otherwise specified. Clinical Case Studies. 2013; 12(4): 307-21.
- Basak Nejad S, Mehrabizadeh, M, Hosni M, Nargasi F. The effectiveness of narrative therapy on body deformity anxiety in female students. Payam Noor Journal of Health Psychology. 2012; 1(2): 5-11. (In Persian)
- Makian SS, Eskandari, H, Barjali A, Qudsi, C. (2010). Comparing the effect of narrative therapy and diet therapy on the body image index of overweight and obese women. Researcher. 2010; 77(5): 225-232.
- McKian SS, Rabiei S, Bemana H, Ramezani M. Experimental design and statistical evaluation on the effect of narrative therapy on body image and body mass index in Iranian overweight and obese women. Obesity Medicine. 2019; 14: 100097.
- Bird J. Talk That Sings: Therapy in a New Linguistic Key, Edge Press, Auckland; 2004.
- White M. Reflections on Narrative Practice: Essays and Interviews, Dulwich CentrePublications, Adelaide; 2000.
- Fiese BH, Grotevant HD. Introduction to special issues on narratives in and about relationships. Journal of Social and Personal Relationships. 2001; 18: 579-581.
- Blanton Vandergriff-Avery PWM. Marital therapy and Marital: Constructing Narratives of Sharing relational and positional power. Journal of Contemporary Family Therapy. 2001; 23(3): 295-308.
- Brimhall AS, Gardner BC, Henline BH. Enhancing narrative couple therapy process with an enactment Scaffolding. Journal of Contemporary Family Therapy. 2003; 25(4): 391-414.
- Morgan A. What is narrative therapy? An easy-to-read introduction. Adelaide, South Australia: Dulwich Centre; 2000.
- Nylund D. Poetic means to anti-anorexic ends. Journal of Systemic Therapies. 2002; 21(2): 18-34.
- Weber M, Davis K, McPhie L. Narrative therapy, eating disorders, and groups: Enhancing outcomes in rural New South Wales. Australian Social Work. 2006; 59: 391-405.