ABSTRACT
Given the rising prevalence and complexity of eating disorders, a comprehensive multidisciplinary holistic approach is necessary. This work aimed to assess the effectiveness of body and movement awareness therapies in patients with eating disorders. Search strategy was undertaken using several scientific health databases. Articles were eligible if they were randomized controlled trials analyzing the effects of movement and body awareness therapies in eating disorders. The Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) statement for systematic reviews was followed and the risk of bias was assessed using the "Cochrane Collaboration Tool to assess the risk of bias." 11 articles met the inclusion criteria, including 437 patients. No high-quality randomized controlled trials were found. Forest plot analysis of the Eating Disorder Examination scale showed a difference favors to body awareness therapies but not significantly neither homogeneous. The interventions analyzed included yoga, body awareness therapy, dance, and psychomotor therapy. Body awareness therapies provide some additional benefits for eating disorder symptoms, such as emotion regulation, self-criticism, self-confidence, self-compassion, anxiety, body attitude, eating disorder symptoms, and quality of life.
Subject(s)
Awareness , Feeding and Eating Disorders , Humans , Feeding and Eating Disorders/therapy , Feeding and Eating Disorders/psychologyABSTRACT
OBJECTIVE: The aim of this study was to validate a Spanish version of the Caregiver Skills scale (CASK) in a sample of eating disorder (ED) caregivers. A further aim was to examine the concordance/discrepancy between them (namely, between the mothers and fathers of ED patients). METHOD: Two hundred sixty-five ED caregivers were recruited from ED centers in Catalonia, Spain. Confirmatory factor analyses was used to test the factorial structure of the CASK scale. Cronbach's α was used to measure internal consistency of the CASK scales. A comparison of the CASK measures between respondents (mothers and fathers) was conducted using generalized estimating equations. RESULTS: Confirmatory factor analysis of the Spanish version of the CASK corroborated the strong factorial validity of the 6 factors of the original CASK questionnaire. Mothers and fathers did not differ significantly on CASK overall and subscale scores. There was however less concordance between parents on the bigger picture (ICC = 0.28) and biting your tongue (ICC = 0.08) subscales. CONCLUSIONS: The CASK is a valid tool to assess ED-related attitudes in Spanish-speaking caregivers. Furthermore, caregivers and patients alike could stand to benefit from interventions focused on improving areas such as ED beliefs, effective communication, quality of life, and emotional distancing.