Skip to main content

Mindfulness-Based Approaches to Eating Disorders

  • Chapter
Clinical Handbook of Mindfulness

Eating disorders (ED) are complex multidimensional behavioral syndromes characterized by pervasive core deficits in the self-regulation of food intake, affect, and cognition (Dalle Grave, Di Pauli, Sartirana, Calugi, & Shafran, 2007; Deaver, Miltenberger, Smyth, Meidinger & Crosby, 2003; Shafran, Teachman, Kerry, & Rachman, 1999; Spoor, Bekker, Van Heck, Croon, & Van Strien, 2005). Disturbance in self-regulation of food intake is linked to difficulty in recognizing physiological signals of hunger and satiety as well as in discerning these signals from somatic signals of emotion. Disturbance in emotion regulation reflects deficits in identifying, managing and adaptively utilizing emotion. Disturbance in cognition reflects extreme rigidity seen in cognitive restraint around eating behaviors, perfectionism and distorted thinking about weight and shape.

Worries go down better with soup

~ Jewish Proverb

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 189.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 249.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 249.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Reference

  • Agras, W. S. & Telch, C. F. (1998). The effects of caloric deprivation and negative affect on binge eating in obese binge-eating disordered women. Behavior Therapy, 29, 491–503.

    Article  Google Scholar 

  • Allen, H. N. & Craighead, L. W. (1999). Appetite monitoring in the treatment of binge eating disorder. Behavior Therapy, 30, 253–272.

    Article  Google Scholar 

  • American Psychiatric Association. (1994). Diagnostic and Statistical Manual of Mental Disorders (DSM-IV, 4th ed.). Washington, D.C.: American Psychiatric Press.

    Google Scholar 

  • American Psychiatric Association. (2000). Diagnostic and Statistical Manual of Mental Disorders (DSM-IV, 4th ed. Text revision). Washington, D.C.: American Psychiatric Press.

    Google Scholar 

  • American Psychiatric Association Work Group on Eating Disorders. (2000). Practice guideline for the treatment of patients with eating disorders (revision). American Journal of Psychiatry, 157(1), 1–39.

    Google Scholar 

  • Apple, R. F. & Agras, W. S. (1997). Overcoming Eating Disorders: A Cognitive-Behavioral Treatment for Bulimia Nervosa and Binge-Eating Disorder. Graywind Publications, Inc.

    Google Scholar 

  • Baer, R. A., Fischer, S., & Huss, D. B. (2005). Mindfulness-based cognitive therapy applied to binge eating: A case study. Cognitive and Behavioral Practice, 12, 351–358.

    Article  Google Scholar 

  • Baer, R. A., Fischer, S., & Huss, D. B. (2006). Mindfulness and acceptance in the treatment of disordered eating. Journal of Rational-Emotive & Cognitive-Behavior Therapy, 23, 281–300.

    Article  Google Scholar 

  • Bardone-Cone, A. M., Wonderlich, S. A., Frost, R. O., Bulik, C. M., Mitchell, J. E., Uppala, S., & Simonich, H., et al. (2007). Perfectionism and eating disorders: Current status and future directions. Clinical Psychology Review, 27, 384–405.

    Article  PubMed  Google Scholar 

  • Becker, A. E., Keel, P., Anderson-Fye, E. P., & Thomas, J. J. (2004). Genes and/or jeans?: Genetic and socio-cultural contributions to risk for eating disorders. Journal of Addictive Diseases, 23, 81–103.

    Article  PubMed  Google Scholar 

  • Berkman, N. D., Lohr, K. N., & Bulik, C. M. (2007). Outcomes of eating disorders: A systematic review of the literature. International Journal of Eating Disorders, 40, 293–309.

    Article  PubMed  Google Scholar 

  • Berthoz, S., Perdereau, F., Godart, N., Corcos, M., & Haviland, M. G. (2007). Observer- and self-rated alexithymia in eating disorder patients: Levels and correspondence among three measures. Journal of Psychosomatic Research, 62, 341–347.

    Article  PubMed  Google Scholar 

  • Bowers, W. A. (2002). Cognitive therapy for anorexia nervosa. Cognitive and Behavioral Practice, 9, 247–253.

    Article  Google Scholar 

  • Brandsma, L. (2007). Eating disorders across the lifespan. Journal of Women and Aging, 19, 155–172.

    Article  PubMed  Google Scholar 

  • Brownley, K. A., Berkman, N. D., Sedway, J. A., Lohr, K. N., & Bulik, C. M. (2007). Binge eating disorder treatment: A systematic review of randomized controlled trials. International Journal of Eating Disorders, 40, 337–348.

    Article  PubMed  Google Scholar 

  • Bruce, B. & Agras, W. S. (1992). Binge eating in females: A population-based investigation. International Journal of Eating Disorders, 12, 365–373.

    Article  Google Scholar 

  • Bulik, C. M., Berkman, N. D., Brownley, K. A., Sedway, J. A., & Lohr, K. N. (2007). Anorexia nervosa treatment: A systematic review of randomized controlled trials. International Journal of Eating Disorders, 40, 310–320.

    Article  PubMed  Google Scholar 

  • Bydlowski, S., Corcos, M., Jeammet, P., Paterniti, S., Berthoz, S., Laurier, C., Chambry, S., & Consoli, S.M. (2005). Emotion-processing deficits in eating disorders. International Journal of Eating Disorders, 37, 321–329.

    Article  PubMed  Google Scholar 

  • Cachelin, F.M., Striegel-Moore, R. H., Elder, K. A., Pike, K. M., Wilfley, D. E., & Fairburn, C. G. (1999). Natural course of a community sample of women with binge eating disorder. International Journal of Eating Disorders, 25, 45–54.

    Article  PubMed  Google Scholar 

  • Carano, A., De Berardis, D., Gambi, F., Di Paolo, C., Campanella, D., & Pelusi, L. (2006). Alexithymia and body image in adult outpatients with binge eating disorder. International Journal of Eating Disorders, 39, 332–340.

    Article  PubMed  Google Scholar 

  • Cash, T. F. & Deagle, E. A. (1997). The nature and extent of body image disturbances in anorexia nervosa and bulimia nervosa: A meta-analysis. International Journal of Eating Disorders, 22, 107–125.

    Article  PubMed  Google Scholar 

  • Claes, L., Vandereycken, W., & Vertommen, H. (2005). Impulsivity-related traits in eating disorder patients. Personality and Individual Differences, 39[s](4), 739–749

    Article  Google Scholar 

  • Corstorphine, E. (2006). Cognitive-emotional-behavioral therapy for the eating disorders: Working with beliefs about emotions. European Eating Disorders Review, 14, 448–461.

    Article  Google Scholar 

  • Corstorphine, E., Mountford, V., Tomlinson, S., Waller, G., & Meyer, C. (2007). Distress tolerance in the eating disorders. Eating Behaviors, 8, 91–97.

    Article  PubMed  Google Scholar 

  • Corstorphine, E., Waller, G., Ohanian, V., & Baker, M. (2006). Changes in internal states across the binge-vomit cycle in bulimia nervosa. Journal of Nervous and Mental Disease, 194, 446–449.

    Article  PubMed  Google Scholar 

  • Craighead, L. W. & Allen, H. N. (1995). Appetite awareness training: A cognitive behavioral intervention for binge eating. Cognitive and Behavioral Practice, 2, 249–270.

    Article  Google Scholar 

  • Dalle Grave, R., Di Pauli, D., Sartirana, M., Calugi, S., & Shafran, R. (2007). The interpretation of symptoms of starvation/severe dietary restraint in eating disorder patients. Eating and Weight Disorders, 12, 108–113.

    PubMed  Google Scholar 

  • Davis, R. & Jamieson, J. (2005). Assessing the functional nature of binge eating in the eating disorders. Eating Behaviors, 6, 345–354.

    Article  PubMed  Google Scholar 

  • Deaver, C. M., Miltenberger, R. G., Smyth, J., Meidinger, A., & Crosby, R. (2003). An evaluation of affect in binge eating. Behavior Modification, 27, 578–599.

    Article  PubMed  Google Scholar 

  • Dingemans, A. E., Spinhoven, Ph., & van Furth, E. F. (2006). Maladaptive core beliefs and eating disorder symptoms. Eating Behaviors, 7, 258–265.

    Article  PubMed  Google Scholar 

  • Dobson, K. S. & Dozois, D. J. A. (2004). Attentional biases in eating disorders: A meta-analytic review of Stroop performance. Clinical Psychology Review, 23, 1001–1022.

    Article  PubMed  Google Scholar 

  • Dunkley, D. M. & Grilo, C. M. (2007). Self-criticism, low self-esteem, depressive symptoms, and over-evaluation of shape and weight in binge eating disorder patients. Behaviour Research and Therapy, 45, 139–149.

    Article  PubMed  Google Scholar 

  • Eldredge, K. L. & Agras, W. S. (1996). Weight and shape overconcern and emotional eating in binge eating disorder. International Journal of Eating Disorders, 19, 73–82.

    Article  PubMed  Google Scholar 

  • Fairburn, C. G. (1995). Overcoming binge eating. New York: Guildford Press.

    Google Scholar 

  • Fairburn, C. G., Cooper, Z., Doll, H. A., Norman, P., & O’Connor, M. (2000). The natural course of bulimia nervosa and binge eating disorder in young women. Archives of General Psychiatry, 57, 659–665.

    Article  PubMed  Google Scholar 

  • Farchaus Stein, K. (1996). The self-schema model: A theoretical approach to the self-concept in eating disorders. Archives of Psychiatric Nursing, 10, 96–109.

    Google Scholar 

  • Faris, P. L., Eckert, E. D., Kim, S. W., Meller, W. H., Pardo, J. V., Goodale, R. L., & Hartman, B. K. (2006). Evidence for a vagal pathophysiology for bulimia nervosa and the accompanying depressive symptoms. Journal of Affective Disorders, 92, 79–90.

    Article  PubMed  Google Scholar 

  • Fassino, S., Piero, A., Gramaglia, C., & Abbate-Daga, G. (2004). Clinical, psychopathological and personality correlates of interoceptive awareness in anorexia nervosa, bulimia nervosa and obesity. Psychopathology, 37, 168–174.

    Article  PubMed  Google Scholar 

  • Faunce, G. J. (2002). Eating disorders and attentional bias: A review. Eating Disorders, 10, 125–139.

    Article  PubMed  Google Scholar 

  • Felker, K. R. & Stivers, C. (1994). The relationship of gender and family environment to eating disorder risk in adolescence. Adolescence, 29, 821–834.

    PubMed  Google Scholar 

  • Fernandez-Aranda, F., Pinheiro, A. P., Thornton, L. M., Berrettini, W. H., Crow, S., Fichter, M. M., Halmi, K. A., Kaplan, A. S., Keel, D., Mitchell, J., Rotondo, A., Woodside, D. B., Kaye, W. H. & Bulik, C. M. (2008). Impulse control disorders in women with eating disorders. Psychiatry Research, 157, 147–157.

    Article  PubMed  Google Scholar 

  • Fichter, M. M., Quadflieg, N., & Gnutzmann, A. (1998). Binge eating disorder: Treatment outcome over a 6-year course. Journal of Psychosomatic Research, 44, 385–405.

    Article  PubMed  Google Scholar 

  • Franco-Paredes, K., Mancilla-Diaz, J. M., Vazquez-Arevalo, R., Lopez-Aguilar, X., & Alvarez-Rayon, G. (2005). Perfectionism and eating disorders: A review of the literature. European Eating Disorders Review, 13, 61–70.

    Article  Google Scholar 

  • Gilboa-Schectman, E., Avnon, L., Zubery, E., & Jeczmien, P. (2006). Emotional processing in eating disorders: Specific impairment or general distress related deficiency? Depression and Anxiety, 23, 331–339.

    Article  Google Scholar 

  • Gluck, M. E., Geliebter, A., Hung, J., & Yahav, E. (2004). Cortisol, hunger, and desire to binge eat following a cold stress test in obese women with binge eating disorder. Psychosomatic Medicine, 66, 876–881.

    Article  PubMed  Google Scholar 

  • Gratz, K. L. & Gunderson, J. G. (2006). Preliminary data on an acceptance-based emotion regulation group intervention for deliberate self-harm among women with borderline personality disorder. Behavior Therapy, 37, 25–35.

    Article  PubMed  Google Scholar 

  • Gross, J. J. (1998). The emerging field of emotion regulation: An integrative review. Review of General Psychology, 2, 271–299.

    Article  Google Scholar 

  • Halmi, K. A., Eckert, E., Marchi, P., Sampugnaro, V., Apple, R., & Cohen, J. (1991). Comorbidity of psychiatric diagnoses in anorexia nervosa. Archives of General Psychiatry, 48, 712–718.

    Article  PubMed  Google Scholar 

  • Harris, M. & Cumella, E. J. (2006). Eating disorders across the life span. Journal of Psychosocial Nursing, 44, 20–26.

    Google Scholar 

  • Hayes, S. C., Luoma, J. B., Bond, F. W., Masuda, A., & Lillis, J. (2006). Acceptance and commitment therapy: Model, processes and outcomes. Behaviour Research and Therapy, 44, 1–25.

    Article  PubMed  Google Scholar 

  • Hayes, S. C. & Pankey, J. (2002). Experiential avoidance, cognitive fusion, and an ACT approach to anorexia nervosa. Cognitive and Behavioral Practice, 9, 243–247.

    Article  Google Scholar 

  • Hayes, S. C., Strosahl, K. D., & Wilson, K. G. (1999). Acceptance and commitment therapy: An experiential approach to behavior change. New York: Guilford Press.

    Google Scholar 

  • Heatherton, T. F. & Baumeister, R. F. (1991). Binge eating as escape from self- awareness. Psychological Bulletin, 110, 86–108.

    Article  PubMed  Google Scholar 

  • Heffner, M., Sperry, J., Eifert, G.H., & Detweiler, M. (2002). Acceptance and commitment therapy in the treatment of an adolescent female with anorexia nervosa: A case example. Cognitive and Behavioral Practice, 9, 232–236.

    Article  Google Scholar 

  • Herman, C. & Polivy, J. (1980). Restrained eating. In A. Stunkard (Ed.), Obesity. Philadelphia: Saunders.

    Google Scholar 

  • Herpertz-Dahlmann, B., Muller, B., Herpertz, S., & Heussen, N. (2001). Prospective 10-year follow-up in adolescent anorexia nervosa–-course, outcome, psychiatric comorbidity, and psychosocial adaptation. Journal of Child Psychology & Psychiatry, 42, 603–612.

    Article  Google Scholar 

  • Hetherington, M. & Rolls, B. (1988). Sensory specific satiety and food intake in eating disorders. In B. Walsh (Ed.), Eating behaviors in eating disorders. Washington, D.C.: American Psychiatric Press.

    Google Scholar 

  • Hoek, H. & van Hoeken, D. (2003). Review of the prevalence and incidence of eating disorders. International Journal of Eating Disorders, 34, 383–396.

    Article  PubMed  Google Scholar 

  • Hrabosky, J. I., Masheb, R. M., White, M. A., & Grilo, C. M. (2007). Overvaluation of shape and weight in binge eating disorder. Journal of Consulting and Clinical Psychology, 75, 175–180.

    Article  PubMed  Google Scholar 

  • Hudson, J. I., Hiripi, E., Pope, H. G., & Kessler, R. C. (2007). The prevalence and correlates of eating disorders in the National Comorbidity Survey Replication. Biological Psychiatry, 61, 348–358.

    Article  PubMed  Google Scholar 

  • Hughes, M. L., Hamill, M., van Gerko, K., Lockwood, R., & Waller, G. (2006). The relationship between different levels of cognition and behavioural symptoms in the eating disorders. Eating Behaviors, 7, 125–133.

    Article  PubMed  Google Scholar 

  • Hutchinson, D. M. & Rapee, R. M. (2007). Do friends share similar body image and eating problems? The role of social networks and peer influences in early adolescence. Behaviour Research and Therapy, 45, 1557–1577.

    Article  PubMed  Google Scholar 

  • Jacobi, C., Paul, T., de Zwaan, M., Nutzinger, D. O., & Dahme, B. (2004). Specificity of self-concept disturbances in eating disorders. International Journal of Eating Disorders, 35, 204–210.

    Article  PubMed  Google Scholar 

  • Jansen, A., Nederkoorn, C., & Mulkens, S. (2005). Selective visual attention for ugly and beautiful body parts in eating disorders. Behaviour Research and Therapy, 43, 183–196.

    Article  PubMed  Google Scholar 

  • Jha A. P., Krompinger J., & Baime M. J. (2007). Mindfulness Training Modifies Subsystems of Attention. Cognitive, Affective & Behavioral Neuroscience, 7[s](2):109–119.

    Article  Google Scholar 

  • Kabat-Zinn, J. (1990). Full catastrophe living: Using the wisdom of your body and mind to face stress, pain, and illness, New York: Delacorte.

    Google Scholar 

  • Kabat-Zinn, J. (1994). Wherever you go, there you are: Mindfulness meditation in everyday life. New York: Hyperion.

    Google Scholar 

  • Keel, P. K. & Mitchell, J. E. (1997). Outcome in bulimia nervosa. American Journal of Psychiatry, 154, 313–321.

    PubMed  Google Scholar 

  • Kollai, M., Bonyhay, I., Jokkel, G., & Szonyi, L. (1994). Cardiac vagal hyperactivity in adolescent anorexia nervosa. European Heart Journal, 15, 1113–1118.

    PubMed  Google Scholar 

  • Kristeller, J. L., Baer, R. A., & Quillian-Wolever, R. (2006). Mindfulness-based approaches to eating disorders. In R. A. Baer (Ed.), Mindfulness-based treatment approaches. Oxford, U. K.: Academic Press (Elsevier).

    Google Scholar 

  • Kristeller, J. L. & Hallett, C. B. (1999). An exploratory study of a meditation-based intervention for binge eating disorder. Journal of Health Psychology, 4, 357–363.

    Article  PubMed  Google Scholar 

  • Kristeller, J. L., Wolever, R., & Sheets, V. (2008). Mindfulness-based eating awareness therapy (MB-EAT): A randomized clinical trial for binge eating disorder. Manuscript submitted for publication.

    Google Scholar 

  • Lau, M. A., Bishop, S. R., Segal, Z. V., Buis, T., Anderson, N., Carlson, L., Shapiro, S., Carmody, J., Abbey, S., & Devins, J. (2006). The Toronto Mindfulness Scale: Development and validation. Journal of Clinical Psychology, 62, 1445–1467.

    Article  PubMed  Google Scholar 

  • Lawson, R., Waller, G., & Lockwood, R. (2007). Cognitive content and process in eating-disordered patients with obsessive-compulsive features. Eating Behaviors, 8 (3), 305–310.

    Article  PubMed  Google Scholar 

  • Lazarus, S. & Galassi, J. P. (1994). Affect and cognitions in obese binge eaters and nonbinge eaters: The association between depression, anxiety, and bulimic cognitions. Eating Disorders: The Journal of Treatment and Prevention, 2, 141–157.

    Article  Google Scholar 

  • Leahy, R. L. (2002). A model of emotional schemas. Cognitive and Behavioral Practice, 9, 177–190.

    Article  Google Scholar 

  • Leung, N. & Price, E. (2007). Core beliefs in dieters and eating disordered women. Eating Behaviors, 8, 65–72.

    Article  PubMed  Google Scholar 

  • Lilenfeld, L. R., Stein, D., Bulik, S. M., Strober, M., Plotnicov, K., Pollice, C., Rao, R., Merikangas, K. R., Nagy, L., & Aye, H. K. (2000). Personality traits among currently eating disordered, recovered and never ill first-degree female relatives of bulimic and control women. Psychological Medicine, 30, 1399–1410.

    Article  PubMed  Google Scholar 

  • Lindeman, M. & Stark, K. (2001). Emotional eating and eating disorder psychopathology. Eating Disorders, 9, 251–259.

    Article  PubMed  Google Scholar 

  • Linehan, M. M. (1993a). Cognitive-behavioral treatment of borderline personality disorder. New York, NY: Guilford Press.

    Google Scholar 

  • Linehan, M. M. (1993b). Skills training manual for treating borderline personality disorder. New York: The Guilford Press.

    Google Scholar 

  • Linehan, M. M., Armstrong, H. E., Suarez, A., Allmond, D., & Heard, H. L. (1991). Cognitive-behavioral treatment of chronically parasuicidal borderline patients. Archives of General Psychiatry, 48, 1060–1064.

    Article  PubMed  Google Scholar 

  • Lingswiler, V. M., Crowther, J. H., & Stephens, M. A. P. (1989). Affective and cognitive antecedents to eating episodes in bulimia and binge eating. International Journal of Eating Disorders, 8, 533–539.

    Article  Google Scholar 

  • Lynch, W. C., Everingham, A., Dubitzky, J., Hartman, M., & Kasser, T. J. (2000). Does binge eating play a role in the self-regulation of moods? Integrative Physiological and Behavioral Science, 35, 298–313.

    Article  PubMed  Google Scholar 

  • Marcus, M. D., Wing, R. R., & Hopkins, J. (1988). Obese binge eaters: Affect, cognitions, and response to behavioral weight control. Journal of Consulting and Clinical Psychology, 56, 433–439.

    Article  PubMed  Google Scholar 

  • Martin, L. L., Tesser, A., & McIntosh, W. D. (1993). Wanting but not having: The effects of unattained goals on thoughts and feelings. In D. W. Wegner & J. W. Pennebaker (Eds.), Handbook of mental control (pp. 552–572). Englewood Cliffs, NJ: Prentice Hall.

    Google Scholar 

  • McCabe, E. B. & Marcus, M. D. (2002). Is dialectical behavior therapy useful in the management of anorexia nervosa? Eating Disorders, 10, 335–337.

    Article  PubMed  Google Scholar 

  • Meyer, C., & Waller, G. (1999). The impact of emotion upon eating behavior: The role of subliminal visual processing of threat cues. International Journal of Eating Disorders, 25, 319–326.

    Article  PubMed  Google Scholar 

  • Meyer, C., Waller, G., & Watson, P. (2000). Cognitive avoidance and bulimic psychopathology: The relevance of temporal factors in a nonclinical population. International Journal of Eating Disorders, 27, 405–410.

    Article  PubMed  Google Scholar 

  • Nakai, Y. & Koh, T. (2001). Perception of hunger to insulin-induced hypoglycemia in anorexia nervosa. International Journal of Eating Disorders, 29, 354–357.

    Article  PubMed  Google Scholar 

  • National Institute of Mental Health. (2001). Eating disorders: Facts about eating disorders and the search for solutions. NIH Publication NO. 01-4901. Bethesda, MD: National Institute of Mental health, National Institutes of Health, U.S. Department of Health and Human Services.

    Google Scholar 

  • Nauta, H., Hospers, H., Kok, G., & Jansen, A. (2000). A comparison between a cognitive and a behavioral treatment for obese binge eaters and obese non-binge eaters. Behavior Therapy, 31, 441–461.

    Article  Google Scholar 

  • Nolen-Hoeksema, S. (2000). The role of rumination in depressive disorders and mixed anxiety/depressive symptoms. Journal of Abnormal Psychology, 109, 504–511.

    Article  PubMed  Google Scholar 

  • Office on Women’s Health. (February 2000). Eating disorders. Washington, D.C.: National Women’s Health Information Center, U.S. Department of Health and Human Services.

    Google Scholar 

  • Orsillo, S. M. & Batten, S. V. (2002). ACT as treatment of a disorder of excessive control: Anorexia. Cognitive and Behavioral Practice, 9, 253–259.

    Article  Google Scholar 

  • Overton, A., Selway, S., Strongman, K., & Houston, M. (2005). Eating disorders–-The regulation of positive as well as negative emotion experience. Journal of Clinical Psychology in Medical Settings, 12, 39–56.

    Article  Google Scholar 

  • Petretta, M., Bonaduce, D., Scalfi, L., de Filippo, E., Marciano, F. Migaux, M. L., Themistoclakis, S., Ianniciello, A., & Contaldo, F. (1997). Heart rate variability as a measure of autonomic nervous system function in anorexia nervosa. Clinical Cardiology, 20, 219–224.

    Article  PubMed  Google Scholar 

  • Phelan, P. (1987). Cognitive correlates of bulimia: The Bulimic Thoughts Questionnaire. International Journal of Eating Disorders, 6, 593–607.

    Article  Google Scholar 

  • Placanica, J. L., Faunce, G. J., & Soames Job, R. F. (2002). The effect of fasting on attentional biases for food and body shape/weight words in high and low Eating Disorder Inventory scorers. International Journal of Eating Disorders, 32, 79–90.

    Google Scholar 

  • Polivy, J. & Herman, C. P. (1985). Dieting and bingeing. American Psychologist, 40, 193–201.

    Article  PubMed  Google Scholar 

  • Powell, A. L. & Thelen, M. H. (1996). Emotions and cognitions associated with bingeing and weight control behavior in bulimia. Journal of Psychosomatic Research, 40, 317–328.

    Article  PubMed  Google Scholar 

  • Quadflieg, N. & Fichter, M. M. (2003). The course and outcome of bulimia nervosa. European Child & Adolescent Psychiatry, 12(1), 99–109.

    Google Scholar 

  • Reichborn-Kjennerud, T., Bulik, C. M., Sullivan, P., Tambs, K., & Harris, J. R. (2004). Psychiatric and medical symptoms in binge eating in the absence of compensatory behaviors. Obesity Research, 12, 1445–1454.

    Article  PubMed  Google Scholar 

  • Ricciardelli, L. A., Williams, R. J., & Finemore, J. (2001). Restraint as misregulation in drinking and eating. Addictive Behaviors, 26, 665–675.

    Article  PubMed  Google Scholar 

  • Robinson, T. N., Chang, J. Y., Haydel, K. F., & Killen, J. D. (2001). Overweight concerns and body dissatisfaction among third-grade children: The impacts of ethnicity and socioeconomic status. Journal of Pediatrics, 138, 181–187.

    Article  PubMed  Google Scholar 

  • Roth, G. (1984). Breaking free from emotional eating. New York, N. Y.: Plume.

    Google Scholar 

  • Safer, D. L, Lively, T. J., Telch, C. F., & Agras, W. S. (2002). Predictors of relapse following successful dialectical behavior therapy for binge eating disorder. International Journal of Eating Disorders, 32, 155–163.

    Article  PubMed  Google Scholar 

  • Safer, D. L., Telch, C. F., & Agras, W. S. (2001a). Dialectical behavior therapy adapted for bulimia: A case report. International Journal of Eating Disorders, 30, 101–106.

    Article  PubMed  Google Scholar 

  • Safer, D. L., Telch, C. F., & Agras, W. S. (2001b). Dialectical behavior therapy for bulimia nervosa. American Journal of Psychiatry, 158, 632–634.

    Article  PubMed  Google Scholar 

  • Salbach, H., Klinowski, N., Pfeiffer, E., Lehkuhl, U., & Korte, A. (2007). Dialectical behavior therapy for adolescents with anorexia and bulimia nervosa (DBT-AN/BN)–-a pilot study. Praxis der Kinderpsychologie und Kinderpsychiatrie, 56, 91–108.

    PubMed  Google Scholar 

  • Santel, S., Baving, L., Krauel, K., Munte, T. F., & Rotte, M. (2006). Hunger and satiety in anorexia nervosa: fMRI during cognitive processing of food pictures. Brain Research, 1114, 138–148.

    Article  PubMed  Google Scholar 

  • Segal, Z. V., Williams, J. M. G., & Teasdale, J. D. (2002). Mindfulness-based cognitive therapy for depression: A new approach to preventing relapse. New York: The Guilford Press.

    Google Scholar 

  • Shafran, R., Lee, M., Cooper, Z., Palmer, R. L., & Fairburn (2007). Attentional bias in eating disorders. International Journal of Eating Disorders, 40, 369–380.

    Google Scholar 

  • Shafran, R., Teachman, B. A., Kerry, S., & Rachman, S. (1999). A cognitive distortion associated with eating disorders: Thought-shape fusion. British Journal of Clinical Psychology, 38, 167–179.

    Article  PubMed  Google Scholar 

  • Shafran, R. & Robinson, P. (2004). Thought-shape fusion in eating disorders. British Journal of Clinical Psychology, 43, 399–408.

    Article  PubMed  Google Scholar 

  • Shapiro, J. R., Berkman, N. D., Brownley, K. A., Sedway, J. A., Lohr, K. N. & Bulik, C. M. (2007). Bulimia nervosa treatment: A systematic review of randomized controlled trials. International Journal of Eating Disorders, 40, 321–336.

    Article  PubMed  Google Scholar 

  • Sifneos, P. E. (1996). Alexithymia: Past and present. American Journal of Psychiatry, 153, 137–142.

    PubMed  Google Scholar 

  • Smith, B. W., Shelley, B. M., Leahigh, L., & Vanleit, B. (2006). A preliminary study of the effects of a modified mindfulness intervention on binge eating. Complementary Health Practice Review, 11, 133–143.

    Google Scholar 

  • Spangler, D. L. (2002). Testing the cognitive model of eating disorders: The role of dysfunctional beliefs about appearance. Behavior Therapy, 33, 87–105.

    Article  Google Scholar 

  • Spitzer, R., Devlin, M., Walsh, B., Hasin, D., Wing., D., Marcus, M., Stunkard, A., Yanovski, S., Agras, S., Mitchell, J., & Nonas, C. (1992). Binge eating disorder: A multisite field of the diagnostic criteria. International Journal of Eating Disorders, 11, 191–203.

    Article  Google Scholar 

  • Spitzer, R. L., Yanovski, S., Wadden, T., Wing, R., Marcus, M. D, & Stunkard, A., Devlin, M., et al. (1993). Binge eating disorder: Its further validation in a multisite study. International Journal of Eating Disorders, 13, 137–153.

    Article  PubMed  Google Scholar 

  • Spoor, S. T. P., Bekker, M. H. J., Van Heck, G. L., Croon, M. A., & Van Strien, T. (2005). Inner body and outward appearance: The relationships between appearance orientation, eating disorder symptoms and internal body awareness. Eating Disorders: Journal of Treatment and Prevention, 13, 479–490.

    Article  Google Scholar 

  • Spoor, S. T. P., Bekker, M. H. J., Van Strien, T., & van Heck, G. L. (2007). Relations between negative affect, coping and emotional eating. Appetite, 48, 368–376.

    Article  PubMed  Google Scholar 

  • Spranger, S. C., Waller, G., & Bryant-Waugh, R. (2001). Schema avoidance in bulimic and non-eating-disordered women. International Journal of Eating Disorders, 29, 302–306.

    Article  PubMed  Google Scholar 

  • Steele, A., Corsini, N., & Wade, T. D. (2007). The interaction of perfectionism, perceived weight status, and self-esteem to predict bulimic symptoms: The role of ‘benign’ perfectionism. Behaviour Research and Therapy, 45, 1647–1655.

    Article  PubMed  Google Scholar 

  • Stein, R. I., Kenardy, J., Wiseman, C. V., Zoler Dounchis, J., Arnow, B. A., & Wilfley, D. E. (2007). What’s driving the binge in binge eating disorder?: A prospective examination of precursors and consequences. International Journal of Eating Disorders, 40, 195–203.

    Google Scholar 

  • Steinhausen, H. C. (1999). Eating disorders. In H. C. Steinhausen & F. Verhulst (Eds.), Risk and outcome in developmental psychopathology (pp. 210–230). Oxford, U.K.: Oxford University Press.

    Google Scholar 

  • Striegel-Moore, R. H., Dohm, F. A., Kraemer, H. C., Taylor, C. B., Daniels, S., Crawford, P. B., & Schreiber, G. B. (2003). Eating disorders in white and black women. American Journal of Psychiatry, 160, 1326–1331.

    Article  PubMed  Google Scholar 

  • Striegel-Moore, R. H., Wilfley, D. E., Pike, K. M., Dohm, F. A., & Fairburn, C. G. (2000). Recurrent binge eating in black American women. Archives of Family Medicine, 9, 83–87.

    Article  PubMed  Google Scholar 

  • Sullivan, P. F. (1995). Mortality in anorexia nervosa. American Journal of Psychiatry, 152, 1073–1074.

    PubMed  Google Scholar 

  • Swan, S., & Andrews, B. (2003). The relationship between shame, eating disorders and disclosure in treatment. British Journal of Clinical Psychology, 42, 367–378.

    Article  PubMed  Google Scholar 

  • Telch, C. F. (1997). Skills training treatment for adaptive affect regulation in a woman with binge-eating disorder. International Journal of Eating Disorders, 22, 77–81.

    Article  PubMed  Google Scholar 

  • Telch, C. F., Agras, W. S., & Linehan, M. M. (2000). Group dialectical behavior therapy for binge-eating disorder: A preliminary, uncontrolled trial. Behavior Therapy, 31, 569–582.

    Article  Google Scholar 

  • Telch, C. F., Agras, W. S., & Linehan, M. M. (2001). Dialectical behavior therapy for binge eating disorder. Journal of Consulting and Clinical Psychology, 69, 1061–1065.

    Article  PubMed  Google Scholar 

  • Thomsen, S. R., McCoy, J. K., & Williams, M. (2001). Internalizing the impossible: Anorexic outpatients’ experiences with women’s beauty and fashion magazines. Eating Disorders, 9, 49–64.

    Google Scholar 

  • Waller, G. & Mijatovich, S. (1998). Preconscious processing of threat cues: Impact on eating among women with unhealthy eating attitudes. International Journal of Eating Disorders, 24, 83–89.

    Article  PubMed  Google Scholar 

  • Wegner, D. (1994). Ironic processes of mental control. Psychological Review, 101, 34–52.

    Article  PubMed  Google Scholar 

  • Wheeler, K., Greiner, P., & Boulton, M. (2005). Exploring alexithymia, depression, and binge eating in self-reported eating disorders in women. Perspectives in Psychiatric Care, 41, 114–123.

    Article  PubMed  Google Scholar 

  • Whiteside, U., Chen, E., Neighbors, C., Hunter, D., Lo, T., & Larimer, M. (2007). Difficulties regulating emotions: Do binge eaters have fewer strategies to modulate and tolerate negative affect? Eating Behaviors, 8, 162–169.

    Article  PubMed  Google Scholar 

  • Wilson, G. T. (1984). Toward the understanding and treatment of binge eating. In R. C. Hawkins, W. J. Fremouw, & P. F. Clement (Eds.). The binge purge syndrome (pp. 264–289). New York, N. Y.: Springer.

    Google Scholar 

  • Wilson, G. T. (1996). Acceptance and change in the treatment of eating disorders and obesity. Behavior Therapy, 27, 417–439.

    Article  Google Scholar 

  • Wilson, K. G. & Roberts, M. (2002). Core principles in acceptance and commitment therapy: An application to anorexia. Cognitive and Behavioral Practice, 9, 237–243.

    Article  Google Scholar 

  • Wiser, S. & Telch, C. F. (1999). Dialectical behavior therapy for binge eating disorder. Journal of Clinical Psychology in Session: Psychotherapy in Practice, 55, 755–768.

    Article  Google Scholar 

  • Wolever, R. Q., Best, J. L., Sheets, V. L., Davis, J., Psujek, J., Liebowitz, R., & Kristeller, J. L. (2006). Bio-behavioral outcomes of a mindfulness-based intervention for binge eating disorder. Paper presented at the North American Research Conference on Complementary and Integrative Medicine, Edmonton, Canada.

    Google Scholar 

  • Wolever, R., Best, J. L., Sheets, V. L., & Kristeller, J. L. (2008). Mindfulness-based intervention for binge eating disorder (BED) enhances post-prandial glucose metabolism independent of weight change. Manuscript in preparation.

    Google Scholar 

  • Wolever, R. Q., Ladden, L., Davis, J., Best, J., Greeson, J., & Baime, M. (2007). EMPOWER: Mindful Maintenance Therapist Manual. Unpublished treatment manual for NIH funded grants (5U01 AT004159 and 5 U01 AT004158). Duke University and University of Pennsylvania (respectively).

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2009 Springer Science+Business Media, LLC

About this chapter

Cite this chapter

Wolever, R.Q., Best, J.L. (2009). Mindfulness-Based Approaches to Eating Disorders. In: Didonna, F. (eds) Clinical Handbook of Mindfulness. Springer, New York, NY. https://doi.org/10.1007/978-0-387-09593-6_15

Download citation

Publish with us

Policies and ethics