{"title":"Meta-emotion therapy for complex trauma and binge eating: A case study.","authors":"Gemma Frost, Esben Strodl, Wole Akosile","doi":"10.1037/tra0001675","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>There is a lack of evidence guiding treatment guidelines for individuals with comorbid complex posttraumatic stress disorder (C-PTSD) and binge eating disorder (BED). The article aims to present preliminary evidence to support the proof of concept of novel therapy termed meta-emotion therapy (MET) that targeted maladaptive beliefs about emotions, for this specific comorbidity.</p><p><strong>Method: </strong>The single case study design involved a 35-year-old woman with a comorbid diagnosis of C-PTSD and BED, stemming from a history of childhood maltreatment, receiving 14 sessions of MET. Outcome measures related to PTSD symptoms, posttraumatic cognitions, BED cognitions and behavior, distress, and negative beliefs about emotions were assessed at initial assessment (baseline), pretreatment, posttreatment, and 1-month follow-up.</p><p><strong>Results: </strong>The participant had a reliable and significant decrease in PTSD symptoms, posttraumatic cognitions, disordered eating symptoms, distress, and negative beliefs about emotions at posttreatment. Participant feedback supported the positive perception of the treatment.</p><p><strong>Conclusion: </strong>The findings of this study provide promising evidence to support the potential effectiveness of MET as an intervention for adults with comorbid C-PTSD and BED. Further research in the form of larger intervention trials is warranted to investigate the efficacy and long-term outcomes of MET in this population. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":20982,"journal":{"name":"Psychological trauma : theory, research, practice and policy","volume":" ","pages":"904-911"},"PeriodicalIF":2.7000,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Psychological trauma : theory, research, practice and policy","FirstCategoryId":"102","ListUrlMain":"https://doi.org/10.1037/tra0001675","RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/3/18 0:00:00","PubModel":"Epub","JCR":"Q2","JCRName":"PSYCHIATRY","Score":null,"Total":0}
引用次数: 0
Abstract
Objective: There is a lack of evidence guiding treatment guidelines for individuals with comorbid complex posttraumatic stress disorder (C-PTSD) and binge eating disorder (BED). The article aims to present preliminary evidence to support the proof of concept of novel therapy termed meta-emotion therapy (MET) that targeted maladaptive beliefs about emotions, for this specific comorbidity.
Method: The single case study design involved a 35-year-old woman with a comorbid diagnosis of C-PTSD and BED, stemming from a history of childhood maltreatment, receiving 14 sessions of MET. Outcome measures related to PTSD symptoms, posttraumatic cognitions, BED cognitions and behavior, distress, and negative beliefs about emotions were assessed at initial assessment (baseline), pretreatment, posttreatment, and 1-month follow-up.
Results: The participant had a reliable and significant decrease in PTSD symptoms, posttraumatic cognitions, disordered eating symptoms, distress, and negative beliefs about emotions at posttreatment. Participant feedback supported the positive perception of the treatment.
Conclusion: The findings of this study provide promising evidence to support the potential effectiveness of MET as an intervention for adults with comorbid C-PTSD and BED. Further research in the form of larger intervention trials is warranted to investigate the efficacy and long-term outcomes of MET in this population. (PsycInfo Database Record (c) 2025 APA, all rights reserved).
目的:对于合并有复杂创伤后应激障碍(C-PTSD)和暴饮暴食障碍(BED)的患者,目前还缺乏指导治疗指南的证据。本文旨在提供初步证据,以支持针对这种特殊合并症的新型疗法--元情绪疗法(MET)--的概念验证:单一病例研究设计涉及一名 35 岁的女性,她因童年遭受虐待而被诊断为 C-PTSD 和 BED 合并症,并接受了 14 次 MET 治疗。在初始评估(基线)、治疗前、治疗后和 1 个月的随访中,对创伤后应激障碍症状、创伤后认知、BED 认知和行为、痛苦和对情绪的负面信念进行了结果评估:结果:在治疗后,受试者的创伤后应激障碍症状、创伤后认知、饮食紊乱症状、痛苦和对情绪的消极看法都有了可靠而显著的减少。参与者的反馈支持了对治疗的积极看法:本研究的结果为 MET 作为一种干预措施对合并有创伤后应激障碍和进食障碍的成年人的潜在有效性提供了有希望的证据。有必要进行更大规模的干预试验,以进一步研究 MET 在这一人群中的疗效和长期结果。(PsycInfo Database Record (c) 2024 APA,保留所有权利)。
期刊介绍:
Psychological Trauma: Theory, Research, Practice, and Policy publishes empirical research on the psychological effects of trauma. The journal is intended to be a forum for an interdisciplinary discussion on trauma, blending science, theory, practice, and policy.
The journal publishes empirical research on a wide range of trauma-related topics, including:
-Psychological treatments and effects
-Promotion of education about effects of and treatment for trauma
-Assessment and diagnosis of trauma
-Pathophysiology of trauma reactions
-Health services (delivery of services to trauma populations)
-Epidemiological studies and risk factor studies
-Neuroimaging studies
-Trauma and cultural competence