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Cognitive-behavioural treatment for women who binge eat.
PURPOSE: A dietitian-administered, shortened form of the Apple and Agras cognitive-behavioural therapy (CBT) method was evaluated in a group setting to determine its effect on improving obese women's self-esteem and reducing binge-eating behaviours, depression, and negative body image. METHODS: Participants were recruited through newspaper and radio advertisements. Respondents who met study selection criteria were randomly assigned to either a CBT group (n=13) or a delayed group (D-CBT) (n=9). The treatment was administered over six weekly sessions to the CBT group, and then twice weekly over three weeks to the D-CBT group. Two measures of bingeing behaviour (severity and frequency), three measures of mood (depression, body image, and self-esteem), and body weight were assessed. RESULTS: The intervention did not result in any changes in body weight. There were statistically significant and clinically important changes after treatment (p<0.05) for all five measures. Binge-eating severity and frequency decreased, depression decreased, body image improved, and self-esteem improved. All changes were greater in the six-week treatment group. CONCLUSIONS: The dietitian-administered, group setting CBT program is effective for reducing binge eating and improving emotional state in obese women.
Can J Diet Pract Res. 2007 Autumn;68(3):139-42. Shelley-Ummenhofer J, MacMillan PD. Integrated Health Centre, Penticton, BC.
Recently the topics of bullying in bullies have received considerable attention in the press. This is surprising as this phenomenon has been with us since the dawn of mankind and will continue to be with us until civilization evolves sufficiently. Despite its popularity as a topic for discussion, I am frustrated as the speakers and writers rarely adequately define it. However, for the adverse effects of bullying to be adequately treated, it is imperative that it be looked at in its basic form.
Bullying is a form of instinctual dominance play. It can be seen in any form of pack...
Let’s face it. More than likely you have the same brain and same physiology as the most prodigious genius and top Olympic athlete. Yes, an inventory of your brain sectors, organs, and muscle groups show a surprising similarity to the top performers. Yet, why haven’t you achieved such greatness? This is a question that I’ve asked for several decades. It surprised me what I discovered.
Our first obstacle is that each and every one of us is programmed to be mediocre. Think about this for a moment. Back when you were in school, two groups of people were often criticized. These were the...
Our ability to sense other people's feelings is the key to survival with any civilized society. It may also be directly related to our ability to learn languages and customs. The discovery of mirror neurons in the 1990s showed that are empathetic nature is very much a part of our neurophysiology. Additionally, other neuroscientists have frequently discussed the fact that properly nurtured and socialized infants and children have also developed specific parts of the brain, which are associated with the ability to show empathy. People without these abilities are often called sociopaths or...
