Abstract
Eating disorders (EDs) are serious illnesses whose treatment, particularly with children and adolescents, requires sophisticated integration of skills and techniques from the armamentarium of evidence-based treatments targeting EDs and associated symptoms. Especially difficult to treat are cognitive impairments, because they are both disease specific (e.g., cognitive distortions related to the body itself) and more general (e.g., difficulties with uncertainty). This paper discusses cognitive impairments in EDs that involve difficulty coping with uncertainty and the associated implications on emotional and behavioral functioning. A set of skills to assess and increase adaptive coping with uncertainty is discussed in depth. Clinicians are strongly encouraged to target cognitive difficulties such as intolerance of uncertainty in ED treatment, as they can otherwise significantly interfere with one of the strongest predictors of successful outcomes - behavior change.
Keywords: Eating disorders, anorexia nervosa, intolerance of uncertainty, psychotherapy, cognitive therapy, behavioral therapy, acceptance and commitment therapy, mindfulness, meditation, breathwork
Adolescent Psychiatry
Title: Difficulty with Uncertainty: How It Presents in Eating Disorders and What We Can Do About it
Volume: 1 Issue: 4
Author(s): Maria-Christina Stewart
Affiliation:
Keywords: Eating disorders, anorexia nervosa, intolerance of uncertainty, psychotherapy, cognitive therapy, behavioral therapy, acceptance and commitment therapy, mindfulness, meditation, breathwork
Abstract: Eating disorders (EDs) are serious illnesses whose treatment, particularly with children and adolescents, requires sophisticated integration of skills and techniques from the armamentarium of evidence-based treatments targeting EDs and associated symptoms. Especially difficult to treat are cognitive impairments, because they are both disease specific (e.g., cognitive distortions related to the body itself) and more general (e.g., difficulties with uncertainty). This paper discusses cognitive impairments in EDs that involve difficulty coping with uncertainty and the associated implications on emotional and behavioral functioning. A set of skills to assess and increase adaptive coping with uncertainty is discussed in depth. Clinicians are strongly encouraged to target cognitive difficulties such as intolerance of uncertainty in ED treatment, as they can otherwise significantly interfere with one of the strongest predictors of successful outcomes - behavior change.
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Cite this article as:
Stewart Maria-Christina, Difficulty with Uncertainty: How It Presents in Eating Disorders and What We Can Do About it, Adolescent Psychiatry 2011; 1 (4) . https://dx.doi.org/10.2174/2210676611101040296
DOI https://dx.doi.org/10.2174/2210676611101040296 |
Print ISSN 2210-6766 |
Publisher Name Bentham Science Publisher |
Online ISSN 2210-6774 |
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