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Originalia

Identifikation von erfolgsrelevanten Veränderungen im Prozess einer Körperbildtherapie

Tragen Klärungs- und Bewältigungsverfahren zu symptomspezifischen Intrasession-Veränderungen bei?

Published Online:January 21, 2009https://doi.org/10.1026/1616-3443.38.1.34

Abstract

Zusammenfassung.Theoretischer Hintergrund: Mehrere Studien belegen gute Ergebnisse für Interventionen zur Verbesserung des Körperbildes bei Patientinnen mit Essstörungen; jedoch fehlen Prozessanalysen der relevanten Wirkfaktoren. Fragestellung: Erfolgsrelevante Veränderungen von Klärungs- und Bewältigungserfahrungen sowie symptomspezifische Intrasession-Veränderungen werden im Verlauf einer standardisierten Körperbildtherapie untersucht. Methode: 54 Patientinnen mit Essstörungen füllten vor und nach jeder Gruppensitzung die Body Image States Scale zur Erfassung der State-Körperunzufriedenheit und am Sitzungsende den Stundenbeurteilungsbogen mit den Wirkfaktoren „Einsicht/Klärung” und „Problembewältigung” aus. Ergebnisse: Bei gleichen Eingangswerten zeigten sich erfolgsabhängige Verläufe für die Körperunzufriedenheit nach Sitzungsende und die erlebte Problembewältigung. Sowohl Klärungs- als auch Problembewältigungsprozesse sind mit der Intrasession-Verbesserung der Körperunzufriedenheit assoziiert. Schlussfolgerungen: Während beide Erfolgsgruppen profitieren, bedarf der differenziell günstigere Verlauf der erfolgreicheren Patienten weiterer und erweiterter Forschung.


Identification of changes relevant for success of body image theory. Do insight and coping processes contribute to symptom-specific intrasession changes?

Abstract.Background: Although various studies on interventions focusing on body image disturbance in eating disorders have revealed promising results, the therapeutic process itself has not yet been examined. Objective: During a manualized group treatment for body image disturbance, outcome-related changes regarding ”problem insight” and ”coping skills” as well as symptom-specific intrasession changes were investigated. Methods: In order to estimate therapy outcome, N = 54 female patients diagnosed with eating disorders completed the Body Image State Scales before and after each session to assess their state body dissatisfaction and completed the Session Evaluation Scale with its subscales ”Insight” and ”Coping” at the end of each session. Results: Although scores were comparable at the beginning of the treatment, analyses revealed different courses of progress in successful and less successful patients for body dissatisfaction and coping experiences assessed at the end of each session. Processes regarding insight as well as coping are related to the intrasession change of body satisfaction. Conclusions: While both successful as well as less successful patients showed benefits during the process of body image therapy, the differentially favorable progress for successful patients requires further and broader investigation.

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