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Control and perceived criticism in eating disorders: their psychopathological role and significance for treatment  Sandra Sassaroli+, Giovanni M. Ruggiero°   + Studi Cognitivi, Post-graduate cognitive psychotherapy school, Foro Buonaparte 57, 20121 Milano;  ° Psicoterapia Cognitiva e Ricerca, Post-graduate cognitive psychotherapy school, Foro Buonaparte 57, 20121 Milano;
Clinical background ,[object Object],[object Object]
Clinical underground ,[object Object],[object Object],[object Object]
Control in eating disorders ,[object Object],[object Object]
Control in eating disorders ,[object Object],[object Object],[object Object]
Control in eating disorders ,[object Object]
Control in eating disorders ,[object Object]
Criticism in eating disorders ,[object Object],[object Object],[object Object],[object Object]
Criticism in eating disorders ,[object Object],[object Object]
Criticism in eating disorders ,[object Object],[object Object],[object Object]
Control and criticism ,[object Object],[object Object]
Our studies: interaction between control, criticism and perfectionism ,[object Object],[object Object],[object Object]
More frequently used instruments in our studies ,[object Object],[object Object],[object Object],[object Object]
Results ,[object Object],[object Object]
Visual summary of results of our correlational studies  (Sassaroli et al., 2003, 2005, 2008; Ruggiero 2005)
Control: discussion ,[object Object]
Treating control ,[object Object],[object Object]
Treating control ,[object Object],[object Object],[object Object]
Criticism: discussion ,[object Object],[object Object]
Treating criticism ,[object Object]
Sandra Sassaroli, M.D. 1 , Roberta Fiscaletti, Psy.D. 1 , Francesca Fiore, Ph.D. 1 , Sara Bertelli, M.D. 3 , Silvio Scarone, M.D.  3 , Giovanni Maria Ruggiero, M.D. 2   1 Studi Cognitivi, Cognitive Psychotherapy School, Milano,  2 Psicoterapia Cognitiva e Ricerca, Cognitive Psychotherapy School, Milano, Italy 3  Eating Disorders Unit, Ospedale San Paolo Milano The control focused treatment of eating disorders (CFT-ED): a randomized trial
Introduction ,[object Object],[object Object],[object Object]
CFT-ED ,[object Object],[object Object],[object Object],[object Object]
Method:  Instruments ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Method:  Participants ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Method:  Therapy and therapists ,[object Object],[object Object],[object Object]
Baseline ,[object Object],[object Object]
Results: CFT-ED group from T0 (beginning) to T1 (12 sessions) Clinical variables improved: bulimia, body dissatisfaction, interoceptive awareness, asceticism,  Cognitive variables improved: concern over mistakes (pathological perfectionism),  Worsened : self-esteem
Results: Fairburn’s CBT-ED group from T0 (beginning) to T1 (12 sessions) Clinical variables improved: bulimia
Comparison between CFT-ED and Fairburn’ s CBT-ED at T1 (12 sessions) Concern over mistakes lower (= better) in Fairburn CBT group;  Control higher (= better) in CFT group
Comparison between CFT-ED and Fairburn ’s E-CBT-ED at T2 (6 months follow-up) No difference regarding  Concern over mistakes; Control, life satisfaction and self-esteem higher (= better) in CFT group
Summing up  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Discussion ,[object Object],[object Object]
Discussion ,[object Object],[object Object]
Clinical implications ,[object Object],[object Object],[object Object]
Limitations ,[object Object],[object Object]
[object Object],[object Object]

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Control and perceived criticism in eating disorders

  • 1. Control and perceived criticism in eating disorders: their psychopathological role and significance for treatment Sandra Sassaroli+, Giovanni M. Ruggiero°   + Studi Cognitivi, Post-graduate cognitive psychotherapy school, Foro Buonaparte 57, 20121 Milano; ° Psicoterapia Cognitiva e Ricerca, Post-graduate cognitive psychotherapy school, Foro Buonaparte 57, 20121 Milano;
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  • 15. Visual summary of results of our correlational studies (Sassaroli et al., 2003, 2005, 2008; Ruggiero 2005)
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  • 21. Sandra Sassaroli, M.D. 1 , Roberta Fiscaletti, Psy.D. 1 , Francesca Fiore, Ph.D. 1 , Sara Bertelli, M.D. 3 , Silvio Scarone, M.D. 3 , Giovanni Maria Ruggiero, M.D. 2 1 Studi Cognitivi, Cognitive Psychotherapy School, Milano, 2 Psicoterapia Cognitiva e Ricerca, Cognitive Psychotherapy School, Milano, Italy 3 Eating Disorders Unit, Ospedale San Paolo Milano The control focused treatment of eating disorders (CFT-ED): a randomized trial
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  • 28. Results: CFT-ED group from T0 (beginning) to T1 (12 sessions) Clinical variables improved: bulimia, body dissatisfaction, interoceptive awareness, asceticism, Cognitive variables improved: concern over mistakes (pathological perfectionism), Worsened : self-esteem
  • 29. Results: Fairburn’s CBT-ED group from T0 (beginning) to T1 (12 sessions) Clinical variables improved: bulimia
  • 30. Comparison between CFT-ED and Fairburn’ s CBT-ED at T1 (12 sessions) Concern over mistakes lower (= better) in Fairburn CBT group; Control higher (= better) in CFT group
  • 31. Comparison between CFT-ED and Fairburn ’s E-CBT-ED at T2 (6 months follow-up) No difference regarding Concern over mistakes; Control, life satisfaction and self-esteem higher (= better) in CFT group
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Editor's Notes

  1. Presentiamo il frutto di molti anni di un gruppo ricerca, con dati psicopatologici e i dati preliminari di un trial randomizzato
  2. La resistenza al cambiamento
  3. The need to control eating and weight having the sensation of controlling life shows a perception general linsufficient control
  4. Associazione tra criticismo e perfezionismo
  5. Tuttavia, si sa poco sulla esatta natura di questa associazione: come interagiscono?
  6. Cauta inferenza sul criticismo come fattore iniziale dell ’anoressia restrittiva
  7. Implicazioni cliniche
  8. Il trial
  9. At baselina tha two groups did not show differences
  10. Results in our protocol group
  11. Domanda perché c’è una autostima più bassa all’inizio nel nostro gruppo e alla fine è migliore del gruppo di fairburn?
  12. Ma nel nostro gruppo c’è anche l’intervento sul perfezionismo dato che diamo fairburn, perché se aggiungi controllo, perfezionismo diminiuisce nel nostro gruppo