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An eating disorder-specific model of interpersonal psychotherapy (IPT-ED): Causal pathways and treatment implications
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Several studies support the efficacy of interpersonal psychotherapy (IPT) in the treatment of eating disorders. Treatment outcomes are likely to be augmented through a greater understanding, and hence treatment targeting, of the mechanisms whereby IPT induces therapeutic gains. To this end, the present paper seeks to develop a theoretical model of IPT in the context of eating disorders (IPT-ED). After providing a brief description of IPT, the IPT-ED model is presented and research supporting its theorized mechanisms is summarized. This model proposes that negative social evaluation plays a pivotal role as both a cause (via its detrimental impact on self evaluation and associated affect) and consequence of eating disorder symptoms. In the final section, key eating disorder constructs (namely, the developmental period of adolescence, clinical perfectionism, cognitive dysfunction, and affect regulation) are re-interpreted from the standpoint of negative social evaluation thereby further explicating IPT's efficacy as an intervention for individuals with an eating disorder.
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“interpersonal difficulties are thought to be so key to AN that these difficulties are targeted in recent treatment protocols (Maudsley Anorexia Nervosa Treatment for Adults; MANTRA, (Schmidt, Wade, & Treasure, 2014, Interpersonal Therapy for Eating Disorders; IPT‐ED; Rieger et al., 2010).”
From Do anxiety, depression, and intolerance of uncertainty contribute to social problem solving in adult women with anorexia nervosa? (2020) · cites this paper as Rieger et al., 2010
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McCuen‐Wurst, C., Ruggieri, M., & Allison, K. C. (2017) · Annals of the New York Academy of Sciences · doi:10.1111/nyas.13467 · Cited by 343
“39 In a randomized control trial (n = 90) comparing the long term efficacy of CBT compared to IPT, the two treatments showed similar efficacy with a total of 64.4% of participants achieving full recovery at the 4 year follow-up.”
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“IPT (Klerman et al., 1984) is a focused, time-limited therapy that targets specific interpersonal problems associated with the onset and=or maintenance of eating disorder symptoms (Rieger et al., 2010).”
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“One potential strategy to enhance treatment efficacy is to target mechanisms that are thought to cause and maintain psychopathology symptoms (Rieger et al. 2010).”
Background
Metadata
- Authors
- Rieger, E., Van Buren, D. J., Bishop, M., Tanofsky-Kraff, M., Welch, R., & Wilfley, D. E.
- Affiliations
- Australian National University (AU)
- Washington University in St. Louis (US)
- Corresponding author
- Rieger, Elizabeth
- Venue
- Clinical Psychology Review
- Publisher
- Elsevier BV
- Published
- 2010-06
- Volume
- 30
- Issue
- 4
- Pages
- 400-410
- ISSN
- 0272-7358 (ISSN-L)
- OpenAlex
- W2073773509
- Cited by
- 279
- References
- 154
- Citations by year
- 2026: 14 · 2025: 15 · 2024: 22 · 2023: 19 · 2022: 21 · 2021: 24 · 2020: 16 · 2019: 21 · 2018: 16 · 2017: 19 · 2016: 18 · 2015: 18 · 2014: 15 · 2013: 14 · 2012: 16
- FWCI
- 1.90
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Clinical Psychology Review (publishedVersion, public-domain)
- PubMed (publishedVersion)
- ANU Open Research (Australian National University) (submittedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
- Keywords
- interpersonal psychotherapy, eating disorders, self-assessment, emotion regulation, clinical perfectionism, cognitive impairment, adolescent development, therapeutic mechanisms, causal pathways
- MeSH terms
- Affect, Feeding and Eating Disorders, Humans, Interpersonal Relations, Models, Psychological, Psychotherapy, Self Concept, Social Perception
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