Duygu Odaklı Psikoterapi Ekolünün Bulimia Nervoza Olgularında Etkililiğine Dair Sistematik Bir Gözden Geçirme

Öz

Özet Bulimia nervoza, tıkınırcasına yeme atakları ve telafi edici davranışlarla karakterize bir yeme bozukluğudur. Bulimia olgularında duygusal düzenleme güçlükleri önemli bir rol oynar. Bulimia nervoza tanılı bireylerin duygu düzenleme zorluğu yaşadığı, özellikle olumsuz duygulanım durumlarında kontrol kaybı yaşayarak tıkınırcasına yeme ve telafi edici davranışlar sergilediği bilinmektedir. Bu bağlamda Duygu Odaklı Psikoterapi, bulimia tedavisinde duygusal düzenlemeyi hedef alarak etkili bir yaklaşım sunmaktadır. Bu derleme, bulimia tedavisinde Duygu Odaklı müdahalelerin etkililiğini inceleyen çalışmaların bulgularını gözden geçirerek meyi amaçlamıştır. İlgili amaç doğrultusunda potansiyel olarak 928 makale tespit edilmiş, uygunluk kriterlerini karşılayan 4 çalışma bu gözden geçirmeye dahil edilmiştir. Çalışmalar bulimia nervoza bozukluğuna sahip katılımcılarda yapılan, randomize kontrollü çalışmalar, vaka çalışmaları ve zaman serisi desenleri gibi farklı araştırma metodolojilerine dayanarak seçilmiştir. Duygu Odaklı Müdahalelerin bulimia nervoza tanılı bireylerde duygu düzenleme becerilerini geliştirdiği ve bu sayede tıkanırcasına yeme davranışlarını ve bulimia belirtilerini azalttığı görülmektedir. Bununla birlikte takip çalışmaları semptom nüksü konusunda tutarsız bulgular elde etmiştir. Duygu Odaklı Terapilerin bulimia nervoza tedavisinde etkili olduğu görülmekle birlikte mevcut alanın genişletilmesine ve daha fazla araştırmaya ihtiyaç duyulmaktadır.

Anahtar Kelimeler

• Blumia nervoza
• Duygu Odaklı Terapi
• duygu düzenleme

A Systematic Review of the Effectiveness of the Emotion Focused Psychotherapy School in Bulimia Nervosa Cases

Öz

Abstract Bulimia nervosa is an eating disorder characterized by binge eating episodes and compensatory behaviors. Emotional regulation difficulties play a significant role in cases of bulimia nervosa. Individuals diagnosed with bulimia nervosa are known to experience challenges in regulating their emotions, particularly during negative emotional states, leading to loss of control, binge eating, and compensatory behaviors. In this context, Emotion-Focused Therapy (EFT) offers an effective approach by targeting emotional regulation in the treatment of bulimia. This review aims to examine the findings of studies investigating the effectiveness of Emotion-Focused interventions in the treatment of bulimia nervosa. For this purpose, 928 potential articles were identified, with four studies meeting the eligibility criteria included in this review. The selected studies involved participants with bulimia nervosa and were based on various research methodologies, such as randomized controlled trials, case studies, and time series designs. Emotion-Focused interventions have been found to improve emotional regulation skills in individuals diagnosed with bulimia nervosa, thereby reducing binge eating behaviors and bulimia symptoms. However, follow-up studies have yielded inconsistent findings regarding symptom relapse. While Emotion-Focused Therapies appear to be effective in the treatment of bulimia nervosa, there is a need for further research to expand the current knowledge in this area.

Anahtar Kelimeler

• Bulimia nervosa
• Emotion Focused Therapy
• emotion regulation

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