https://doi.org/10.4081/ripppo.2023.690
Metacognitive interpersonal therapy-eating disorders versus cognitive behavioral therapy for eating disorders for non-underweight adults with eating disorders: study protocol for a pilot pre-registered randomized controlled trial
Submitted: February 23, 2023
Accepted: August 9, 2023
Published: August 28, 2023
Accepted: August 9, 2023
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All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
Authors
Eating disorders (ED) are serious disorders characterized by an alteration of eating habits and excessive concern about weight and body shapes (Fairburn, 2002), accompanied by significant impairment inequality of life, high mortality rates and serious organic consequences (Jenkins et al., 2011; Treasure et al., 2015; 2020). Although evidence-based psychological therapies for nonunderweight ED presentations such as cognitive behavioral therapy for eating disorders (CBT-ED) are widely available, there is substantial scope for improvements, particularly in terms of efficacy and adherence. One option is to develop interventions to address elements of pathology not fully addressed by existing empirical supported treatments, such as incorporating techniques aimed at addressing interpersonal problems and personality disorder features into existing treatment delivery. We adapted Metacognitive Interpersonal Therapy, a psychological intervention supported by evidence for treating personality disorders and integrated it with existing CBT techniques for eating disorders (MIT-ED). MIT-ED targets aspects of ED that are not included in the transdiagnostic CBT-E model such as poor metacognition, or maladaptive interpersonal schemas. This is a pre-registered (Protocol number: 0000781) pilot randomized clinical trial aimed at assessing acceptability and feasibility of MIT-ED and establishing preliminary evidence of effectiveness for future larger studies. Twenty patients (10 in each arm) will be randomized to 20 sessions of individual psychotherapy, either MIT-ED or CBTE. Repeated follow-ups will be collected up to 24 months. Participants are recruited at a private outpatient clinic for ED treatment. Acceptability will be assessed via session attendance, completion rates and preliminary outcomes. The primary outcome is ED pathology assessed with the Eating Disorder Examination Questionnaire-6. Other ED outcomes assessed will be eating disorder attitudes, clinical impairment and binge eating pathology. Secondary treatment outcomes are anxiety, depression, and global symptomatology. We will also assess emotional awareness, emotion regulation and therapeutic alliance. Based on previous studies of MIT for personality disorders we hypothesize that MIT-ED will be acceptable to patients, evidenced by high treatment adherence and retention. We hypothesize that MIT-ED will be associated with reductions in eating disorder pathology, at least equivalent to CBT-E. Results will be used to inform the study design, sampling, likely effect sizes and choice of outcome measures for future larger trials of MIT-ED in ED samples.
Agras, W. S., Walsh, B. T., Fairburn, C. G., Wilson, G. T., & Kraemer, H. C. (2000). A multicenter comparison of cognitive-behavioral therapy and interpersonal psychotherapy for bulimia nervosa. Archives of General Psychiatry, 57(5), 459-466.
DOI: https://doi.org/10.1001/archpsyc.57.5.459
Allen, K. L., Fursland, A., Raykos, B., Steele, A., Watson, H., & Byrne, S. M. (2012). Motivation‐ focused treatment for eating disorders: A sequential trial of enhanced cognitive behaviour therapy with and without preceding motivation‐ focused therapy. European Eating Disorders Review, 20(3), 232-239.
DOI: https://doi.org/10.1002/erv.1131
Aloi, M., Rania, M., Caroleo, M., Carbone, E. A., Fazia, G., Calabrò, G., & Segura‐Garcia, C. (2020). How are early maladaptive schemas and DSM‐ 5 personality traits associated with the severity of binge eating?. Journal of Clinical Psychology, 76(3), 539-548.
DOI: https://doi.org/10.1002/jclp.22900
Aloi, M., Rania, M., Carbone, E. A., Caroleo, M., Calabrò, G., Zaffino, P., & Segura-Garcia, C. (2021). Metacognition and emotion regulation as treatment target binge eating disorder: a network analysis study. Journal of eating disorders, 9(1), 1-9.
DOI: https://doi.org/10.1186/s40337-021-00376-x
Anderson, D. A., & Maloney, K. C. (2001). The efficacy of cognitive–behavioral therapy on the core symptoms of bulimia nervosa. Clinical Psychology Review, 21(7), 971-988.
DOI: https://doi.org/10.1016/S0272-7358(00)00076-3
Anderson, L. K., Claudat, K., Cusack, A., Brown, T. A., Trim, J., Rockwell, R., Nakamura, T., Gomez, L., & Kaye, W. H. (2018). Differences in emotion regulation difficulties among adults and adolescents across eating disorder diagnoses. Journal of Clinical Psychology, 74(10), 1867–1873.
DOI: https://doi.org/10.1002/jclp.22638
Arcelus, J., Haslam, M., Farrow, C., & Meyer, C. (2013). The role of interpersonal functioning in the maintenance of eating psychopathology: A systematic review and testable model. Clinical Psychology Review, 33(1), 156–167.
DOI: https://doi.org/10.1016/j.cpr.2012.10.009
Atwood, M.E. & Friedman, A. (2020). A systematic review of enhanced cognitive behavioral therapy (CBT-E) for eating disorders. International Journal of Eating Disorders, 53(3), 311– 330.
DOI: https://doi.org/10.1002/eat.23206
Basile, B., Novello, C., Calugi, S., Dalle Grave, & R., Mancini, F. (2021). Childhood Memories in Eating Disorders: An Explorative Study Using Diagnostic Imagery. Frontiers in Psychology, 22(12).
DOI: https://doi.org/10.3389/fpsyg.2021.685194
Beck, A. T., Ward, C., Mendelson, M., Mock, J., & Erbaugh, J. J. A. G. P. (1961). Beck depression inventory (BDI). Arch Gen Psychiatry, 4(6), 561-571.
DOI: https://doi.org/10.1001/archpsyc.1961.01710120031004
Bohn, K., & Fairburn, C. G. (2008). The clinical impairment assessment questionnaire (CIA). Cognitive behavioral therapy for eating disorders, 315-317.
Boone, L., Braet, C., Vandereycken, W., & Claes, L. (2013). Are maladaptive schema domains and perfectionism related to body image concerns in eating disorder patients?. European Eating Disorders Review, 21(1), 45-51.
DOI: https://doi.org/10.1002/erv.2175
Bruch, H. (1973). Psychiatric aspects of obesity. Psychiatric Annals, 3(7), 6-9.
DOI: https://doi.org/10.3928/0048-5713-19730701-03
Brugnera, A., Lo Coco, G., Salerno, L., Sutton, R., Gullo, S., Compare, A., & Tasca, G. A. (2018). Patients with binge eating disorder and obesity have qualitatively different interpersonal characteristics: Results from an interpersonal circumplex study. Comprehensive Psychiatry, 85, 36–41.
DOI: https://doi.org/10.1016/j.comppsych.2018.06.008
Button, E. J., Sonuga‐ Barke, E. J. S., Davies, J., & Thompson, M. (1996). A prospective study of self‐ esteem in the prediction of eating problems in adolescent schoolgirls: Questionnaire findings. British Journal of Clinical Psychology, 35(2), 193-203.
DOI: https://doi.org/10.1111/j.2044-8260.1996.tb01176.x
Carlson, L., Steward, T., Agüera, Z., Mestre-Bach, G., Magana, P., Granero, R., Jiménez-Murcia, S., Claes, L., Gearhardt A.N., Menchòn, J.M., & Fernandéz-Arandt, F. (2018). Associations of food addiction and nonsuicidal self-injury among women with an eating disorder: A common strategy for regulating emotions? European Eating Disorders Review, 26(6), 629– 637.
DOI: https://doi.org/10.1002/erv.2646
Casper, R. C. (1983). On the emergence of bulimia nervosa as a syndrome a historical view. International Journal of Eating Disorders, 2(3), 3-16.
DOI: https://doi.org/10.1002/1098-108X(198321)2:3<3::AID-EAT2260020302>3.0.CO;2-D
Hróbjartsson, A., Howard, M., Dickersin, K., Berlin, J.A., Dorè, C.J., Parulekar, W.R., Summerskill, W.S.M., Groves, T., Schulz, K.F., Sox, H.C., Rockhold, F.W., Rennie, D., Moher, D. (2013). SPIRIT 2013 statement: defining standard protocol items for clinical trials. Annals of internal medicine, 158(3), 200-207.
DOI: https://doi.org/10.7326/0003-4819-158-3-201302050-00583
Cheli, S., Cavalletti, V., Flett, G. L., & Hewitt, P. L. (2022). Perfectionism unbound: An integrated individual and group intervention for those hiding imperfections. Journal of Clinical Psychology, 78(8),1624– 1636.
DOI: https://doi.org/10.1002/jclp.23365
Cheri C. C. & Levinson A., (2022). An integrated review of fear and avoidance learning in anxiety disorders and application to eating disorders. New Ideas in Psychology,100950(67).
DOI: https://doi.org/10.1016/j.newideapsych.2022.100964
Cooper, Z., & Fairburn, C. G. (2011). The evolution of “enhanced” cognitive behavior therapy for eating disorders: Learning from treatment nonresponse. Cognitive and behavioral practice, 18(3), 394-402.
DOI: https://doi.org/10.1016/j.cbpra.2010.07.007
Costa S., Hausenblas H. A., Oliva P., Cuzzocrea F., & Larcan R. (2016). Maladaptive perfectionism as mediator among psychological control, eating disorders, and exercise dependence symptoms in habitual exerciser. Journal of Behavioral Addictions, 5(1), 77–89.
DOI: https://doi.org/10.1556/2006.5.2016.004
Cruz-Sáez S., Pascual A., Wlodarczyk A., & Echeburúa E. (2020). The effect of body dissatisfaction on disordered eating: The mediating role of self-esteem and negative affect in male and female adolescents. Journal of Health Psychology,25(8), 1098-1108.
DOI: https://doi.org/10.1177/1359105317748734
Dahlenburg, S.C., Gleaves, D.H., & Hutchinson, A.D. (2019). Anorexia nervosa and perfectionism: A meta-analysis. International Journal of Eating Disorders, 52(3), 219– 229.
DOI: https://doi.org/10.1002/eat.23009
Dalle Grave, R., Calugi, S., Doll, H. A., & Fairburn, C. G. (2013). Enhanced cognitive behaviour therapy for adolescents with anorexia nervosa: an alternative to family therapy?. Behaviour research and therapy, 51(1), 9-12.
DOI: https://doi.org/10.1016/j.brat.2012.09.008
Dalle Grave, R., Calugi, S., Conti, M., Doll, H., & Fairburn, C. G. (2013). Inpatient cognitive behaviour therapy for anorexia nervosa: a randomized controlled trial. Psychotherapy and psychosomatics, 82(6), 390-398.
DOI: https://doi.org/10.1159/000350058
Dalle Grave, R., Calugi, S., El Ghoch, M., Conti, M., & Fairburn, C. G. (2014). Inpatient cognitive behavior therapy for adolescents with anorexia nervosa: immediate and longer-term effects. Frontiers in psychiatry, 5(14).
DOI: https://doi.org/10.3389/fpsyt.2014.00014
Derogatis, L. R., Lipman, R. S., & Covi, L. (1977). SCL-90. Administration, scoring and procedures manual-I for the R (revised) version and other instruments of the Psychopathology Rating Scales Series. Chicago: Johns Hopkins University School of Medicine.
Dimaggio, G., & Lysaker, P. H. (2010). Metacognition and severe adult mental disorders: From research to treatment. Routledge Eds.
DOI: https://doi.org/10.4324/9780203855782
Dimaggio, G., Montano, A., Popolo, R., & Salvatore, G. (2015). Metacognitive Interpersonal therapy for personality disorders: A treatment manual. Routledge Eds.
DOI: https://doi.org/10.4324/9781315744124
Dimaggio, G., Ottavi, P., Popolo, R., & Salvatore, G. (2020). Metacognitive interpersonal therapy: Body, imagery and change. Routledge Eds.
DOI: https://doi.org/10.4324/9780429350894
Dimaggio, G., Salvatore, G., MacBeth, A., Ottavi, P., Buonocore, L., & Popolo, R. (2017). Metacognitive interpersonal therapy for personality disorders: A case study series. Journal of Contemporary Psychotherapy, 47(1), 11-21.
DOI: https://doi.org/10.1007/s10879-016-9342-7
Dimaggio, G., Semerari, A., Carcione, A., Nicolò, G., & Procacci, M. (2007). Psychotherapy of personality disorders: Metacognition, states of mind and interpersonal cycles. Routledge Eds.
DOI: https://doi.org/10.4324/9780203939536
Eielsen, H. P., Vrabel, K., Hoffart, A., Rø, Ø., & Rosenvinge, J. H. (2022). Reciprocal relationships between personality disorders and eating disorders in a prospective 17-year follow-up study. International Journal of Eating Disorders, 55(12), 1753– 1764.
DOI: https://doi.org/10.1002/eat.23823
Fairburn, C. G. (2008). Cognitive behavior therapy and eating disorders. Guilford Press.
Fairburn, C. G., Bailey-Straebler, S., Basden, S., Doll, H. A., Jones, R., Murphy, R., & Cooper, Z. (2015). A transdiagnostic comparison of enhanced cognitive behaviour therapy (CBT-E) and interpersonal psychotherapy in the treatment of eating disorders. Behaviour research and therapy, 70, 64-71.
DOI: https://doi.org/10.1016/j.brat.2015.04.010
Fairburn, C. G., & Beglin, S. J. (1994). Assessment of eating disorders: Interview or self‐ report questionnaire?. International journal of eating disorders, 16(4), 363-370.
DOI: https://doi.org/10.1002/1098-108X(199412)16:4<363::AID-EAT2260160405>3.0.CO;2-#
Fairburn, C. G., & Beglin, S. J. (2008). Eating disorder examination questionnaire. Cognitive behavior therapy and eating disorders, 309, 313.
Fairburn, C. G., Cooper D Phil, Dip Psych, Z., Doll D Phil, H. A., O’Connor, M. E., Bohn D Phil, Dip Psych, K., Hawker, D. M., & Palmer, R. L. (2009). Transdiagnostic cognitive-behavioral therapy for patients with eating disorders: a two-site trial with 60-week follow-up. American Journal of Psychiatry, 166(3), 311-319.
DOI: https://doi.org/10.1176/appi.ajp.2008.08040608
Fairburn, C. G., Cooper, Z., Doll, H. A., O'Connor, M. E., Palmer, R. L., & Dalle Grave, R. (2013). Enhanced cognitive behaviour therapy for adults with anorexia nervosa: A UK–Italy study. Behaviour research and therapy, 51(1), 2-8.
DOI: https://doi.org/10.1016/j.brat.2012.09.010
Fairburn, C. G., Cooper, Z., Doll, H. A., & Welch, S. L. (1999). Risk factors for anorexia nervosa: three integrated case-control comparisons. Archives of general psychiatry, 56(5), 468-476.
DOI: https://doi.org/10.1001/archpsyc.56.5.468
Fairburn, C. G., Cooper, Z., & Shafran, R. (2003). Cognitive behaviour therapy for eating disorders: A “transdiagnostic” theory and treatment. Behaviour research and therapy, 41(5), 509-528.
DOI: https://doi.org/10.1016/S0005-7967(02)00088-8
Fairburn, C. G., Doll, H. A., Welch, S. L., Hay, P. J., Davies, B. A., & O'Connor, M. E. (1998). Risk factors for binge eating disorder: a community-based, case-control study. Archives of general psychiatry, 55(5), 425-432.
DOI: https://doi.org/10.1001/archpsyc.55.5.425
Fairburn, C. G., Norman, P. A., Welch, S. L., O'Connor, M. E., Doll, H. A., & Peveler, R. C. (1995). A prospective study of outcome in bulimia nervosa and the long-term effects of three psychological treatments. Archives of General psychiatry, 52(4), 304-312.
DOI: https://doi.org/10.1001/archpsyc.1995.03950160054010
Fairburn, C. G., & Patel, V. (2014). The global dissemination of psychological treatments: a road map for research and practice. American Journal of Psychiatry, 171(5), 495-498.
DOI: https://doi.org/10.1176/appi.ajp.2013.13111546
Fairburn, C. G., Peveler, R., Jones, R., Hope, R., & Doll, H. (1993). Predictors of 12- month outcome in bulimia nervosa and the influence of attitudes to shape and weight. Journal of Consulting and Clinical Psychology, 61(4), 696.
DOI: https://doi.org/10.1037/0022-006X.61.4.696
Fairburn, C. G., Shafran, R., & Cooper, Z. (1999). A cognitive behavioural theory of anorexia nervosa. Behaviour research and therapy, 37(1), 1-13.
DOI: https://doi.org/10.1016/S0005-7967(98)00102-8
Fairburn, C. G., Welch, S. L., Doll, H. A., Davies, B. A., & O'Connor, M. E. (1997). Risk factors for bulimia nervosa: A community-based case-control study. Archives of General psychiatry, 54(6), 509-517.
DOI: https://doi.org/10.1001/archpsyc.1997.01830180015003
First, M. B., Williams, J. B., Karg, R. S., & Spitzer, R. L. (2016). User's guide for the SCID-5-CV Structured Clinical Interview for DSM-5® disorders: Clinical version. American Psychiatric Publishing, Inc.
Frostad, S., Calugi, S., Engen, C. B., & Dalle Grave, R. (2021). Enhanced cognitive behaviour therapy (CBT-E) for severe and extreme anorexia nervosa in an outpatient eating disorder unit at a public hospital: a quality-assessment study. Journal of Eating Disorders, 9(1), 1-5.
DOI: https://doi.org/10.1186/s40337-021-00499-1
Frostad, S., Danielsen, Y. S., Rekkedal, G. Å., Jevne, C., Dalle Grave, R., Rø, Ø., & Kessler, U. (2018). Implementation of enhanced cognitive behaviour therapy (CBT-E) for adults with anorexia nervosa in an outpatient eating-disorder unit at a public hospital. Journal of Eating Disorders, 6(1), 1-8.
DOI: https://doi.org/10.1186/s40337-018-0198-y
Garner, D. M., & Garfinkel, P. A. (1979). Eating attitudes test (EAT-26): Scoring and interpretation. EAT-26 self-test. Psychological medicine, 9(2), 273-279.
DOI: https://doi.org/10.1017/S0033291700030762
Geller, J., Srikameswaran, S., Cockell, S. J., & Zaitsoff, S. L. (2000). Assessment of shape‐ and weight‐ based self‐ esteem in adolescents. International Journal of Eating Disorders, 28(3), 339-345.
DOI: https://doi.org/10.1002/1098-108X(200011)28:3<339::AID-EAT12>3.0.CO;2-R
Gilbert, P., & Leahy, R. L. (2009). La relazione terapeutica in terapia cognitivo comportamentale. Eclipsi Eds.
Gordon-King, K., Schweitzer, R. D., & Dimaggio, G. (2018). Metacognitive interpersonal therapy for personality disorders featuring emotional inhibition: A multiple baseline case series. The Journal of nervous and mental disease, 206(4), 263-269.
DOI: https://doi.org/10.1097/NMD.0000000000000789
Gormally, J. I. M., Black, S., Daston, S., & Rardin, D. (1982). The assessment of binge
eating severity among obese persons. Addictive behaviors, 7(1), 47-55.
Gratz, K. L., & Roemer, L. (2004). Multidimensional assessment of emotion regulation and dysregulation: Development, factor structure, and initial validation of the difficulties in emotion regulation scale. Journal of psychopathology and behavioral assessment, 26(1), 41-54.
DOI: https://doi.org/10.1023/B:JOBA.0000007455.08539.94
Grenon, R., Carlucci, S., Brugnera, A., Schwartze, D., Hammond, N., Ivanova, I., & Tasca, G. A. (2019). Psychotherapy for eating disorders: A meta-analysis of direct comparisons. Psychotherapy Research, 29(7), 833-845.
DOI: https://doi.org/10.1080/10503307.2018.1489162
Hamann D., Wonderlich-Tierney A. L., Vander Wal J. S. (2009). Interpersonal sensitivity predicts bulimic symptomatology cross-sectionally and longitudinally. Eating Behaviors, 10(2), 125-127.
DOI: https://doi.org/10.1016/j.eatbeh.2009.01.001
Hay P. (2019). Current approach to eating disorders: a clinical update. Internal Medicine Journal, 50(1), 24-29.
DOI: https://doi.org/10.1111/imj.14691
Harris, B. A., Scharff, A., Smith, M., Brooks, G., Thompson-Brenner, H., & Boswell, J. F. (2022). Trajectories of interpersonal problems in residential eating disorder treatment: Exploring the influence of primary diagnosis. Clinical Psychology & Psychotherapy.
DOI: https://doi.org/10.1002/cpp.2795
Hatcher, R. L., & Gillaspy, J. A. (2006). Development and validation of a revised short version of the Working Alliance Inventory. Psychotherapy research, 16(1), 12-25.
DOI: https://doi.org/10.1080/10503300500352500
Inchausti, F., García-Poveda, N. V., Ballesteros-Prados, A., Ortuño-Sierra, J., Sánchez-Reales, S., Prado-Abril, J., Aldaz-Armendáriz, J.A., Mole, J., Dimaggio, G., Ottavi, P., & Fonseca-Pedrero, E. (2018). The effects of metacognition-oriented social skills training on psychosocial outcome in schizophrenia spectrum disorders: a randomized controlled trial. Schizophrenia Bulletin, 44(6), 1235-1244.
DOI: https://doi.org/10.1093/schbul/sbx168
Inchausti, F., Moreno-Campos, L., Prado-Abril, J., Sánchez-Reales, S., Fonseca-Pedrero , A., Macbeth, A., Popolo, R., & Dimaggio, G. (2020). Metacognitive Interpersonal Therapy ingroup for personality disorders: Preliminary results from a pilot study in a public mental health setting. Journal of Contemporary Psychotherapy, 50(3), 197-203.
DOI: https://doi.org/10.1007/s10879-020-09453-9
Le Grange, D., Eckhardt, S., Dalle Grave, R., Crosby, R. D., Peterson, C. B., Keery, H., & Martell, C. (2020). Enhanced cognitive-behavior therapy and family-based treatment for adolescents with an eating disorder: a non-randomized effectiveness trial. Psychological medicine, 52(13), 1-11.
DOI: https://doi.org/10.1017/S0033291720004407
Lilenfeld, L. R., Kaye, W. H., Greeno, C. G., Merikangas, K. R., Plotnicov, K., Pollice, C., Radhika, R., Strober, M., Bulik, C.M., & Nagy, L. (1998). A controlled family study of anorexia nervosa and bulimia nervosa: psychiatric disorders in first-degree relatives and effects of proband comorbidity. Archives of general psychiatry, 55(7), 603-610.
DOI: https://doi.org/10.1001/archpsyc.55.7.603
Linardon, J., Hindle, A., & Brennan, L. (2018). Dropout from cognitive‐ behavioral therapy for eating disorders: A meta‐ analysis of randomized, controlled trials. International Journal of Eating Disorders, 51(5), 381-391.
DOI: https://doi.org/10.1002/eat.22850
Johnston, J., Shu, C.Y., Hoiles, K.J., et al., Clarke J.F., Watson H.J., Dunlop P.D., & Egan, S.J. (2018). Perfectionism is associated with higher eating disorder symptoms and lower remission in children and adolescents diagnosed with eating disorders. Eating Behaviors, 30, 55-60.
DOI: https://doi.org/10.1016/j.eatbeh.2018.05.008
Jones, A., Lindekilde, N., Lübeck, M., & Clausen, L. (2015). The association between interpersonal problems and treatment outcome in the eating disorders: A systematic review. Nordic Journal of Psychiatry, 69(8) 563–573.
DOI: https://doi.org/10.3109/08039488.2015.1019924
Maher, A., Cason, L., Huckstepp, T., Stallman, H., Kannis-Dymand, L., Millear, P., Mason, J., Wood, A., & Allen, A. (2022). Early maladaptive schemas in eating disorders: A systematic review. European Eating Disorders Review, 30(1), 3-22
DOI: https://doi.org/10.1002/erv.2866
Martinussen, M., Friborg, O., Schmierer, P., Kaiser, S., Øvergård, K. T., Neunhoeffer, A. L., Martinsen, E. W., & Rosenvinge, J. (2017). The comorbidity of personality disorders in eating disorders: A meta-analysis. Eating and Weight Disorders, 22(2), 201–209.
DOI: https://doi.org/10.1007/s40519-016-0345-x
McIntosh, V. V. W., Carter, F. A., Bulik, C. M., Frampton, C. M. A. & Joyce, P. R. (2010). Five-year outcome of cognitive behavioral therapy and exposure with response prevention for bulimia nervosa. Psychological Medicine, 41(5), 1061-1071.
DOI: https://doi.org/10.1017/S0033291710001583
Meneguzzo, P., Cazzola, C., Castegnaro, R., Buscaglia, F., Bucci, E., Pillan, A., Garolla, A., Bonello, E., & Todisco, P. (2021). Associations between trauma, early maladaptive schemas, personality traits, and clinical severity in eating disorder patients: a clinical presentation and mediation analysis. Frontiers in Psychology, 12, 661924.
DOI: https://doi.org/10.3389/fpsyg.2021.661924
Monteleone, A. M., Corsi, E., Cascino, G., Ruzzi, V., Ricca, V., Ashworth, R., Bird, G., & Cardi, V. (2020). The interaction between mentalizing, empathy and symptoms in people with eating disorders: A network analysis integrating experimentally induced and self-report measures. Cognitive Therapy and Research, 44(6), 1140-1149.
DOI: https://doi.org/10.1007/s10608-020-10126-z
Monteleone A. M., Pellegrino F., Croatto G., Carfagno, M., Hilbert, A., Treasure, J., Wade, T., Bulik, C.M., Zipfel, S., Hay, P., Schmidt, U., Castellini, G., Fernandez-Aranda, F., Shin, J., Vonderholzer, U., Ricca, V., Moretti, D., Busatta, D., Abbate-Daga, G., Ciullini, F., Cascino, G., Monaco, F., Correll, C.U., & Solmi, M. (2022). Treatment of eating disorders: A systematic meta-review of meta-analyses and network meta-analyses, Neuroscience & Biobehavioral Reviews, (142).
DOI: https://doi.org/10.1016/j.neubiorev.2022.104857
Murphy, R., Straebler, S., Cooper, Z., & Fairburn, C. G. (2010). Cognitive behavioral therapy for eating disorders. Psychiatric Clinics, 33(3), 611-627.
DOI: https://doi.org/10.1016/j.psc.2010.04.004
Neumark-Sztainer, D., & Hannan, P. J. (2000). Weight-related behaviors among adolescent girls and boys: results from a national survey. Archives of pediatrics & adolescent medicine, 154(6), 569-577.
DOI: https://doi.org/10.1001/archpedi.154.6.569
Pasetto, A., Misso, D., Velotti, P., & Dimaggio, G. (2021). Metacognitive interpersonal therapy for intimate partner violence: A single case study. Partner abuse, 12(1), 64-79.
DOI: https://doi.org/10.1891/PA-2020-0016
Popolo, R., MacBeth, A., Brunello, S., Canfora, F., Ozdemir, E., Rebecchi, D., Toselli, C., Venturelli, G., Salvatore, G., & Dimaggio, G. (2018). Metacognitive interpersonal therapy in group: a feasibility study. Research in Psychotherapy: Psychopathology, Process, and Outcome, 21(3).
DOI: https://doi.org/10.4081/ripppo.2018.338
Popolo, R., MacBeth, A., Canfora, F., Rebecchi, D., Toselli, C., Salvatore, G., Dimaggio, G. (2019). Metacognitive Interpersonal Therapy in group (MIT‐ G) for young adults with personality disorders: A pilot randomized controlled trial. Psychology and Psychotherapy: Theory, Research and Practice, 92(3), 342-358.
DOI: https://doi.org/10.1111/papt.12182
Popolo, R., MacBeth, A., Lazzerini, L., Brunello, S., Venturelli, G., Rebecchi, D., Morales, M.F., & Dimaggio, G. (2021). Metacognitive interpersonal therapy in group versus TAU+ waiting list for young adults with personality disorders: Randomized clinical trial. Personality Disorders: Theory, Research, and Treatment.
DOI: https://doi.org/10.1037/per0000497
Poulsen, S., Lunn, S., Daniel, S. I., Folke, S., Mathiesen, B. B., Katznelson, H., & Fairburn, C. G. (2014). A randomized controlled trial of psychoanalytic psychotherapy or cognitive-behavioral therapy for bulimia nervosa. American Journal of Psychiatry, 171(1), 109-116.
DOI: https://doi.org/10.1176/appi.ajp.2013.12121511
Rania, M., Monell, E., Sjölander, A., & Bulik, C.M. (2021). Emotion dysregulation and suicidality in eating disorders. International Journal of Eating Disorders, 54(3), 313– 325.
DOI: https://doi.org/10.1002/eat.23410
Ruggiero, G. M., Levi, D., Ciuna, A., & Sassaroli, S. (2003). Stress situation reveals an association between perfectionism and drive for thinness. International Journal of Eating Disorders, 34(2), 220-226.
DOI: https://doi.org/10.1002/eat.10191
Sassaroli S., & Ruggiero G. M., (2005). The role of stress in the association between low self-esteem, perfectionism, and worry, and eating disorders. International journal of eating disorders, 37(2), 135-141.
DOI: https://doi.org/10.1002/eat.20079
Semerari, A., Carcione, A., Dimaggio, G., Falcone, M., Nicolo, G., Procacci, M., Alleva, G. (2003). How to evaluate metacognitive functioning in psychotherapy? The metacognition assessment scale and its applications. Clinical Psychology & Psychotherapy, 10(4), 238-261.
DOI: https://doi.org/10.1002/cpp.362
Semerari, A., Colle, L., Pellecchia, G., Buccione, I., Carcione, A., Dimaggio, G., Nicolò, G., Procacci, M., & Pedone, R. (2014). Metacognitive dysfunctions in personality disorders: Correlations with disorder severity and personality styles. Journal of Personality Disorders, 28(6), 751.
DOI: https://doi.org/10.1521/pedi_2014_28_137
Simonsen, S., Popolo, R., Juul, S., Frandsen, F. W., Sørensen, P., & Dimaggio, G. (2022). Treating Avoidant Personality Disorder With Combined Individual Metacognitive Interpersonal Therapy and Group Mentalization-Based Treatment: A Pilot Study. The Journal of Nervous and Mental Disease, 210(3), 163-171.
DOI: https://doi.org/10.1097/NMD.0000000000001432
Simpson, S., Azam, F., Brown, S., Hronis, A., & Brockman, R. (2021). The impact of personality disorders and personality traits on psychotherapy treatment outcome of eating disorders: A systematic review. Personality and Mental Health, 16(3), 217–234.
DOI: https://doi.org/10.1002/pmh.1533
Södersten P. Bergh C., Leon M., Brodin U., & Zandian M., (2017). Cognitive behavior therapy for eating disorders versus normalization of eating behavior. Physiology & Behavior,1(174), 178-190.
DOI: https://doi.org/10.1016/j.physbeh.2017.03.016
Spielberger, C. D., Gorsuch, R. L., Lushene, R., Vagg, P. R., & Jacobs, G. A. (1983). Manual for the State-Trait Anxiety Inventory. Palo Alto, CA: Consulting Psychologists Press.
Steiger, H., Gauvin, L., Jabalpurwala, S., Séguin, J. R., Stotland, S. (1999). Hypersensitivity to social interactions in bulimic syndromes: relationship to binge eating. Journal of consulting and clinical psychology, 67(5), 765.
DOI: https://doi.org/10.1037/0022-006X.67.5.765
Steiger, H., Leung, F., Thibaudeau, J., Houle, L., & Ghadirian, A. M. (1993). Comorbid features in bulimics before and after therapy: are they explained by axis II diagnoses, secondary effects of bulimia, or both?. Comprehensive Psychiatry, 34(1), 45-53.
DOI: https://doi.org/10.1016/0010-440X(93)90035-3
Steinberg, S., Tobin, D., & Johnson, C. (1990). The role of bulimic behaviors in affect regulation: Different functions for different patient subgroups?. International Journal of Eating Disorders, 9(1), 51-55.
DOI: https://doi.org/10.1002/1098-108X(199001)9:1<51::AID-EAT2260090106>3.0.CO;2-0
Taylor, G. J., Bagby, M., & Parker, J. D. (1992). The Revised Toronto Alexithymia Scale: some reliability, validity, and normative data. Psychotherapy and psychosomatics, 57(1-2), 34-41.
DOI: https://doi.org/10.1159/000288571
Thompson‐ Brenner, H., Shingleton, R. M., Thompson, D. R., Satir, D. A., Richards, L. K., Pratt, E. M., & Barlow, D. H. (2016). Focused vs. Broad enhanced cognitive behavioral therapy for bulimia nervosa with comorbid borderline personality: A randomized controlled trial. International Journal of Eating Disorders, 49(1), 36-49.
DOI: https://doi.org/10.1002/eat.22468
Treasure, J., Sepulveda, A. R., MacDonald, P., Whitaker, W., Lopez C., Zabala, M., Kyriacou, O., & Todd, G. (2008). The assessment of the family of people with eating disorders. European eating disorder review, 16(4), 247-255.
DOI: https://doi.org/10.1002/erv.859
Trompeter, N., Bussey, K., Forbes, M.K. & Mitchison, D. (2021). Emotion Dysregulation within the CBT-E Model of Eating Disorders: A Narrative Review. Cognitive Therapy and Research, 45(6), 1021–1036.
DOI: https://doi.org/10.1007/s10608-021-10225-5
Vitousek, K. B., & Hollon, S. D. (1990). The investigation of schematic content and processing in eating disorders. Cognitive therapy and research, 14(2), 191-214.
DOI: https://doi.org/10.1007/BF01176209
Waller, G. (2002). The psychology of binge eating. Eating disorders and obesity: A comprehensive handbook, 2, 98-102.
Westwood, H., Kerr-Gaffney, J., Stahl, D., & Tchanturia, K. (2017). Alexithymia in eating disorders: Systematic review and meta-analyses of studies using the Toronto Alexithymia Scale. Journal of psychosomatic research, 99, 66-81.
DOI: https://doi.org/10.1016/j.jpsychores.2017.06.007
Wilson, G.T., Fairburn, C.C., Agras, W.S., Walsh, B.T. & Kraemer, H. (2002). Cognitive-behavioral therapy for bulimia nervosa: time course and mechanisms of change. Journal of Consulting and Clinical Psycholy,70(2), 267-274.
DOI: https://doi.org/10.1037/0022-006X.70.2.267
Wonderlich, S. A., Peterson, C. B., Crosby, R. D., Smith, T. L., Klein, M. H., Mitchell, J. E., & Crow, S. J. (2014). A randomized controlled comparison of integrative cognitive-affective therapy (ICAT) and enhanced cognitive-behavioral therapy (CBT-E) for bulimia nervosa. Psychological medicine, 44(3), 543-553.
DOI: https://doi.org/10.1017/S0033291713001098
Zipfel, S., Wild, B., Groß, G., Friederich, H. C., Teufel, M., Schellberg, D., & ANTOP Study Group. (2014). Focal psychodynamic therapy, cognitive behaviour therapy, and optimised treatment as usual in outpatients with anorexia nervosa (ANTOP study): randomised controlled trial. The Lancet, 383(9912), 127-137.
DOI: https://doi.org/10.1016/S0140-6736(13)61746-8
How to Cite
Fioravanti, G., Nicolis, M., MacBeth, A., Dimaggio, G., & Popolo, R. (2023). Metacognitive interpersonal therapy-eating disorders <i>versus</i> cognitive behavioral therapy for eating disorders for non-underweight adults with eating disorders: study protocol for a pilot pre-registered randomized controlled trial. Research in Psychotherapy: Psychopathology, Process and Outcome, 26(2). https://doi.org/10.4081/ripppo.2023.690
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