The role of mindfulness based interventions in the treatment of obesity and eating disorders: An integrative review
Introduction
The 2011–2015 strategic plan released by the National Center of Complementary and Alternative Medicine (NCCAM) includes strategies for increasing the number of empirical studies that describe the impact of Complementary and Alternative Medicine (CAM) when used to supplement healthy behaviors or facilitate behavior change. The NCCAM report notes that “mindfulness practices may be associated with greater psychological well-being, less disordered eating, greater weight loss and improved metabolic function”.1
There is mounting evidence to support the effectiveness of mindfulness based therapies in the psychological treatment of anxiety and depressive disorders.2, 3 Eating disorders are treatable medical conditions that frequently co-exist with depression and anxiety disorders.4 However, to date, little research has been devoted to exploring the effect of mindfulness, when used alone, or in combination with other traditional forms of weight management protocols to address the psychological component of obesity and other eating disorders.5
Section snippets
Research question
This paper describes what is currently known about the role of mindfulness based interventions when used alone or in combination with other traditional approaches in the treatment of obesity and eating disorders. An integrative review was conducted to examine the following question:
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What is the role of mindfulness-based interventions in the treatment of obesity and eating disorders?
Eating disorders
Eating disorders are most commonly characterized as dietary disturbances that result in excessive intake or strict avoidance of food.4 Anorexia nervosa, bulimia, and binge-eating make up some of the most common types of eating disorders.4 Bulimia and anorexia nervosa occur more commonly among women, who make up approximately 85–90% of individuals with these diseases. Census data reveals a mortality rate for individuals with anorexia nervosa to be 12 times the death rate for all causes of death
Design of literature search
Electronic searches were conducted of journal articles written in the English language. Due to the relatively low number of articles available on the chosen topic, the period of publications searched included a period of 9 years (2003–2012), with preference given to research studies occurring during the last five years. Reference pages of journal articles relative to the topic under study were also reviewed and some were accessed and used. Articles were included if they demonstrated how
Results
Results of this literature review produced mindfulness based interventions that most commonly centered on yoga, meditation, cognitive therapy, and eating awareness training. An abundance of the research on mindfulness based practices naturally fell to one of the oldest practices combining the mind–body experience — yoga. Studies have repeatedly confirmed the positive effects of yoga on balance, flexibility, leg and arm strength, heart rate and blood pressure.18 Decreased symptoms of eating
Discussion
Mindfulness is relevant to cognition and learning and is an essential component of holistic obesity treatment.25, 26 Mindfulness encourages individuals to “understand the experience and expression of emotions, so they can identify and challenge their beliefs and attend and respond to their emotions adaptively”.16 Recent studies indicate that mindfulness approaches can improve or extend long term health outcomes in persons with eating disorders and is also associated with a reduction in overall
Conflict of interest statement
None declared.
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PhD in Nursing Student, University of Hawaii.