EMDR in anorexia nervosa: From a theoretical framework to the treatment guidelines

Studies on the risks and on the positive factors implied in the onset of anorexia nervosa (AN) have reported the role of an insecure or disorganized state of mind (SoM) with respect to attachment. We compare the effects of eyes movement desensitization and reprocessing (EMDR) approach with cognitive behavioral therapy (CBT) in the treatment of AN in terms of SoMs, reflective function (RF), and narrative coherence (Coh). Our results are part of a broader observational clinical comparative study of the two approaches, and it is based on the Adult Attachment Interview (AAI) outcomes. Differences in terms of belongingness to a secure group and an unsecure group before and after the treatments in EMDR and CBT group have been reported through McNemar's test. The generalized linear model (GLM) repeated‐measures multivariate ANOVA (RM‐MANOVA) has been selected. Our results suggest that EMDR allows an active reprocessing of traumatic memories related to family dynamics and to eating behaviors, which could enable a positive resolution of eating disorder (ED) symptoms. The emotional reprocessing of unresolved attachment issues can allow a better modulation of the control‐related rigidity that is a commonality between AN patients.

Book Section

English

Maria Zaccagnino
Cristina Civilotti
Martina Cussino
Chiara Callerame
Isabel Fernandez

Zaccagnino, M., Civilotti, C., Cussino, M., Callerame, C., & Fernandez, I. (2017, February).   EMDR in anorexia nervosa: From a theoretical framework to the treatment guidelines. In Ignacio Jauregui-Lobera (Ed.), Eating Disorders - A Paradigm of the Biopsychosocial Model of Illness (pp. 195-213). Rijeka, Croatia: InTech