Therapie der Essstörung durch Emotionsregulation

Kernaussagen

• Emotionsregulation bezeichnet alle Fertigkeiten und Strategien, die dazu eingesetzt werden, Emotionen gezielt zu beeinflussen oder den Einfluss von Emotionen auf Verhalten zu modifizieren.

• Die Therapie der Essstörung durch Emotionsregulation geht davon aus, dass fehlende Fertigkeiten in der Emotionsregulation ein wesentlicher aufrechterhaltender Mechanismus der Essstörung ist.

• Im Mittelpunkt der Therapie stehen die Vermittlung und das Einüben von Selbstmanagement-Tools, Aufbau eines angemessenen Essverhaltens, Emotionsmanagement, Training interpersoneller Fertigkeiten, Achtsamkeit und Akzeptanz sowie Stresstoleranz.

Publikationsverlauf

Publikationsdatum:
17. Juni 2014 (online)

• Literatur

• 1 Whiteford HA, Degenhardt L, Rehm J. et al. Global burden of disease attributable to mental and substance use disorders: findings from the Global Burden of Disease Study 2010. Lancet 2013; 382: 1575-1586
• 2 Milos G, Spindler A, Schnyder U. et al. Instability of eating disorder diagnoses: prospective study. Br J Psychiatry 2005; 187: 573-578
• 3 Smink FR, van Hoeken D, Hoek HW. Epidemiology, course, and outcome of eating disorders. Curr Opin Psychiatry 2013; 26: 543-548
• 4 Stice E, Marti CN, Rohde P. Prevalence, incidence, impairment, and course of the proposed DSM-5 eating disorder diagnoses in an 8-year prospective community study of young women. J Abnorm Psychol 2013; 122: 445-457
• 5 Suokas JT, Suvisaari JM, Gissler M. et al. Mortality in eating disorders: a follow-up study of adult eating disorder patients treated in tertiary care, 1995–2010. Psychiatry Res 2013; 210: 1101-1106
• 6 Ajetunmobi O, Taylor M, Stockton D. et al. Early death in those previously hospitalised for mental healthcare in Scotland: a nationwide cohort study, 1986–2010. Br Med J Open 2013; 3
• 7 Selby EA, Smith AR, Bulik CM. et al. Habitual starvation and provocative behaviors: two potential routes to extreme suicidal behavior in anorexia nervosa. Behav Res Ther 2010; 48: 634-645
• 8 Fichter MM, Quadflieg N, Hedlund S. Twelve-year course and outcome predictors of anorexia nervosa. International Journal of Eating Disorders 2006; 39: 87-100
• 9 Herpertz S, Hagenah U, Vocks S. et al. The diagnosis and treatment of eating disorders. Dtsch Arztebl Int 2011; 108: 678-685
• 10 Kupfer DJ, Regier DA. Diagnostic and statistical manual of mental disorders. DSM-5. Washington, DC: American Psychiatric Association; 2013
• 11 Gross JJ. Emotion regulation: conceptual and empirical foundations. In: Gross JJ. ed. Handbook of emotion regulation. New York: Guilford; 2014
• 12 Oldershaw A, Hambrook D, Stahl D. et al. The socio-emotional processing stream in Anorexia Nervosa. Neurosci Biobehav Rev 2011; 35: 970-988
• 13 Brockmeyer T, Holtforth MG, Bents H. et al. Starvation and emotion regulation in anorexia nervosa. Compr Psychiatry 2012; 53: 496-501
• 14 Lillis J, Hayes SC, Levin ME. Binge eating and weight control: the role of experiential avoidance. Behav Modif 2011; 35: 252-264
• 15 Iverson KM, Follette VM, Pistorello J. et al. An investigation of experiential avoidance, emotion dysregulation, and distress tolerance in young adult outpatients with borderline personality disorder symptoms. Personal Disord 2012; 3: 415-422
• 16 Peter M, Schuurmans H, Vingerhoets AJ. et al. Borderline personality disorder and emotional intelligence. J Nerv Ment Dis 2013; 201: 99-104
• 17 Brockmeyer T, Skunde M, Wu M. et al. Difficulties in emotion regulation across the spectrum of eating disorders. Compr Psychiatry 2014; 55: 565-571
• 18 Svaldi J, Griepenstroh J, Tuschen-Caffier B. et al. Emotion regulation deficits in eating disorders: a marker of eating pathology or general psychopathology?. Psychiatry Research 2012; 197: 103-111
• 19 Linehan MM. Cognitive-behavioral treatment of borderline personality disorder. New York: Guilford; 1993
• 20 Safer DL, Telch CF, Chen EY. Dialectical behavior therapy for binge eating and bulimia. New York: Guilford; 2009
• 21 Sipos V, Schweiger U. Therapie der Essstörung durch Emotionsregulation. Stuttgart: Kohlhammer; 2012
• 22 Telch CF, Agras WS, Linehan MM. Dialectical behavior therapy for binge eating disorder. J Consult Clin Psychol 2001; 69: 1061-1065
• 23 Safer DL, Telch CF, Agras WS. Dialectical behavior therapy for bulimia nervosa. American Journal of Psychiatry 2001; 158: 632-634
• 24 Kroger C, Schweiger U, Sipos V. et al. Dialectical behaviour therapy and an added cognitive behavioural treatment module for eating disorders in women with borderline personality disorder and anorexia nervosa or bulimia nervosa who failed to respond to previous treatments. An open trial with a 15-month follow-up. J Behav Ther Exp Psychiatry 2010; 41: 381-388