Comparison of Effectiveness of Schema Therapy and Behavioral Model-Based Diet Therapy on Emotional Adjustment and Body image in obese people with binge eating disorder

Subject Areas : women health

Seyyed Sajjad Irani ¹ , Bahman Akbari ² , abbas abolghasemi ³ , Abbas Bakhshipoor Roodsari ⁴

1 - Department of Psychology, Rasht branch, Islamic Azad University, Rasht, Iran, [e-mail]
2 - (Corresponding author) Professor of Psychology, Rasht branch, Islamic Azad University, Rasht, Iran, [e-mail], Tell: 09111361102
3 - Professor of Psychology, University of Guilan, Rasht, Iran, [e-mail]
4 - Professor of Psychology, University of Tabriz, Tabriz, Iran, [e-mail]

Received: 2023-06-27 Accepted : 2023-08-22 Published : 2025-03-30

Keywords: binge eating disorder, body image, diet therapy, Schema therapy,

Abstract :

Abstract Introduction: Only a small percentage of individuals with eating disorders have responded positively to standard cognitive-behavioral therapy. This study compares the effectiveness of schema therapy and behavior model-based dietary dietin regulating emotions and body image in obese individuals with binge eating disorder. Research Methods: This research employed a pre-post-test design with a control group. Thirty obese individuals with binge eating disorders attending nutrition clinics in Rasht were selected through convenience sampling and randomly assigned to two experimental groups and one control group. The experimental groups received schema therapy and behavior model-based dietary dietinterventions, respectively, while the control group received no treatment. Data collection tools included the Garnefsky and Craig Short Form Cognitive Emotion Regulation Questionnaire, Young Short Form Early Maladaptive Schema Questionnaire, Lilton, et al., Body Image Concern Questionnaire, and Body Mass Index. Data were collected before, after, and during the follow-up period. Descriptive statistics (mean, standard deviation, variance) and inferential statistics (covariance test) were used for data analysis using SPSS. Findings: Both schema therapy and behavior model-based dietary regimens effectively reduced eating disorder symptoms and improved body image. There were no significant differences in the subscales of self-blame and catastrophizing between the two treatment approaches, although the schema therapy showed a greater impact. No significant effects were observed in the acceptance, planning, positive reappraisal, and perspective focus subscales. Both interventions targeted the blame and appearance rumination subscales. The behavior model-based dietary dietonly positively affected the positive emotion regulation subscale. Conclusion: Both treatments effectively reduced body image concerns, but each approach had limited effectiveness in regulating emotions.

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