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Abstract
BackgroundThere is a need for qualitative research to help develop case conceptualisations to guide the development of Metacognitive Therapy interventions for Eating Disorders.MethodA qualitative study informed by grounded theory methodology was conducted involving open-ended interviews with 27 women aged 18–55 years, who were seeking or receiving treatment for a diagnosed ED.ResultsThe categories identified in this study appeared to be consistent with a metacognitive model including constructs of a Cognitive Attentional Syndrome and metacognitive beliefs. These categories appear to be transdiagnostic, and the interaction between the categories is proposed to explain the maintenance of EDs.ConclusionsThe transdiagnostic model proposed may be useful to guide the development of future metacognitive therapy interventions for EDs with the hope that this will lead to improved outcomes for individuals with EDs.
Highlights
There is a need for qualitative research to help develop case conceptualisations to guide the development of Metacognitive Therapy interventions for Eating Disorders
The length of time since initial diagnosis ranged from four months to years, and of the participants had been diagnosed with an eating disorders (EDs) for over a year
Overall model summary The results are presented within the structure of the model that emerged from the ongoing data analysis
Summary
Results: The categories identified in this study appeared to be consistent with a metacognitive model including constructs of a Cognitive Attentional Syndrome and metacognitive beliefs These categories appear to be transdiagnostic, and the interaction between the categories is proposed to explain the maintenance of EDs. Conclusions: The transdiagnostic model proposed may be useful to guide the development of future metacognitive therapy interventions for EDs with the hope that this will lead to improved outcomes for individuals with EDs. Given that eating disorders (EDs) are prevalent among women in western countries [1,2], there is an obvious need to develop effective interventions for eating disorders. In a sample of 154 patients with an EDs other than Anorexia Nervosa (AN), after receiving 20 weeks of CBT-E only approximately 50% of the sample had a level of eating disorder features less than one standard deviation above the community mean [7]
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