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KMID : 0981220210210040503
Congnitive Behavior Therapy in Korea
2021 Volume.21 No. 4 p.503 ~ p.536
Development and Effectiveness of Imagery Rescripting Cognitive Behavioral Therapy Program for Women with Binge Eating Tendencies, Who Have Had a Traumatic Experience in Interpersonal Relationships during their Childhood and Adolescence
Hong Chae-Young

Kim Jung-Min
Abstract
The purpose of this study is to develop and implement a imagery rescripting cognitive-behavioral therapy program for women with binge eating tendencies, who have had a traumatic experience in interpersonal relationships during their childhood/adolescence and to compare its effectiveness with that of the traditional cognitive-behavioral therapy program. As research subjects, firstly, women in their 20s and 30s were selected, who met the criteria of five points or higher in the checklist for traumatic experience in interpersonal relationships and 88 points or higher in the BULIT-R. Secondly, imagery interviews were conducted with them, and 21 women were finally selected, and seven women were assigned, respectively, to an experimental group that received imagery rescripting cognitive-behavioral therapy, a comparison group that received the traditional cognitive-behavioral therapy was conducted and an untreated control group. The effectiveness of the program was validated through pre-testing, post-testing, and a three-month follow-up. The main findings of this study are as follows: First, after the program was implemented, the food intake motive/behavior induced by negative emotion, a food intake variable, was lower in the experimental group than in the control group, and of the cognition variables, such as dysfunctional beliefs, negative automatic thoughts and self-esteem, dysfunctional beliefs were lower in the experimental group than in the comparison group and the control group. The experimental group and the comparison group had fewer negative automatic thoughts than the control group did. Self-esteem was higher in the experimental group than in the control group. Second, after the program was implemented, the depression one of emotional variables, such as difficulties in emotion regulation, depression, state-trait anxiety and state-trait anger were lower in the experimental group than in the comparison group and control group. And the difficulties in emotion regulation, state-trait anxiety and state-trait anger were lower in the experimental group than in the control group. Third, after the program was implemented, problem-focused coping of stress-coping style which is the behavioral variables and social support pursuit were higher in the experimental group than in the control group, while emotion-alleviation coping were lower in the experimental group than in the control group. Fourth, three months after the program was finished, food intake(food intake motive/behavior induced by negative emotions), cognition(dysfunctional beliefs, negative automatic thoughts), emotion(difficulties in emotion regulation, depression, state-trait anxiety and state-trait anger), and behavior(emotional palliative coping of stress-coping style) variable were lower in the experimental group than in the comparison group. On the other side, cognition(self-esteem) and behavior(problem-focused coping of stress-coping style, pursuing social support) variable were higher in the experimental group than in the comparison group.
KEYWORD
Traumatic experience in interpersonal relationships, Women with binge eating tendencies, Imagery rescripting cognitive-behavioral therapy
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