Mindfulness and Acceptance in the Treatment of Disordered Eating

  • Ruth A. BaerEmail author
  • Sarah Fischer
  • Debra B. Huss


Mindfulness and acceptance-based approaches to the treatment of clinical problems are accruing substantial empirical support. This article examines the application of these approaches to disordered eating. Theoretical bases for the importance of mindfulness and acceptance in the treatment of eating problems are reviewed, and interventions for eating problems that incorporate mindfulness and acceptance skills are briefly described. Empirical data are presented from a pilot study of mindfulness-based cognitive therapy adapted for treatment of binge eating.


mindfulness acceptance binge eating eating disorders meditation mindfulness-based cognitive therapy 


  1. 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 29:491–503CrossRefGoogle Scholar
  2. American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (4th ed., text revision) (DSM-IV-TR). Washington, DC: AuthorGoogle Scholar
  3. Apple R. A., Agras W. S., (1997). Overcoming eating disorders: A cognitive-behavioral treatment for bulimia nervosa and binge-eating disorder. New York: The Psychological CorporationGoogle Scholar
  4. Baer R. A., (2003). Mindfulness training as a clinical intervention: A conceptual and empirical review Clinical Psychology Science and Practice, 10:125–143CrossRefGoogle Scholar
  5. 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, 351–358Google Scholar
  6. Baer R. A., Smith G. T., Allen K. B., (2004). Assessment of mindfulness by self-report: The Kentucky Inventory of Mindfulness Skills Assessment 191–206Google Scholar
  7. Beck A. T., Steer R. A., Brown G. K., (1996). Beck Depression Inventory-II Manual. San Antonio, TX: The Psychological CorporationGoogle Scholar
  8. Blackledge T. J., Hayes S. C., (2001). Emotion regulation in acceptance and commitment therapy Journal of Clinical Psychology: In session: Psychotherapy in Practice 57:243–255Google Scholar
  9. Bolles R. C., (1972). Reinforcement, expectancy, and learning Psychological Review 79:394–409CrossRefGoogle Scholar
  10. Clark D. M., Ball S., Pape D., (1991). An experimental investigation of thought suppression Behaviour Research and Therapy, 29:253–257PubMedCrossRefGoogle Scholar
  11. Crowther J. H., Snaftner J., Bonifazi D. Z., Shepherd K. L., (2001). The role of daily hassles in binge eating International Journal of Eating Disorders 29:449–454PubMedCrossRefGoogle Scholar
  12. Fairburn, C. G. & Cooper, Z. (1993). The eating disorder examination (12th ed.). In C. G. Fairburn & G. T. Wilson (Eds.), Binge eating: Nature, assessment, and treatment (pp. 317–332)Google Scholar
  13. Fairburn C. G., Marcus M. D., Wilson G. T., (1993). Cognitive-behavioral therapy for binge eating and bulimia nervosa: A comprehensive treatment manual. In Fairburn C. G., Wilson G. T., (Eds.), Binge eating: Nature, assessment, and treatment. New York: Guilford PressGoogle Scholar
  14. Fischer S., Smith G. T., Anderson K. G., (2003). Clarifying the role of impulsivity in bulimia nervosa International Journal of Eating Disorders, 33: 406–411PubMedCrossRefGoogle Scholar
  15. Garner D. M., Rockert W., Davis R., Garner M., (1993). Comparison of cognitive-behavioral and supportive-expressive therapy for buolimia nervosa American Journal of Psychiatry, 150: 37–46PubMedGoogle Scholar
  16. Gormally J., Black S., Daston S., Rardin D., (1982). The assessment of binge eating severity among obese persons Addictive Behaviors 7: 47–55PubMedCrossRefGoogle Scholar
  17. Gross J. J., (2002). Emotion regulation: Affective, cognitive, and social consequences Psychophysiology 39: 281–291PubMedCrossRefGoogle Scholar
  18. Gross J. J., John O. P., (2003). Individual differences in two emotion regulation processes: Implications for affect, relationships, and well-being Journal of Personality and Social Psychology 85: 348–362PubMedCrossRefGoogle Scholar
  19. Halliwell E., Dittmar H., (2004). Does size matter? The impact of model’s body size on women’s body-focused anxiety and advertising effectiveness Journal of Social and Clinical Psychology 23: 104–122CrossRefGoogle Scholar
  20. Hayes S. C., Strosahl K. D., Wilson K. G., (1999). Acceptance and commitment therapy: An experiential approach to behavior change. NY: GuilfordGoogle Scholar
  21. Hayes S. C., Wilson K. G., Gifford E. V., Follette V. M., Strosahl K., (1996). Emotional avoidance and behavioral disorders: A functional dimensional approach to diagnosis and treatment Journal of Consulting and Clinical Psychology, 64: 1152–1168PubMedCrossRefGoogle Scholar
  22. Heatherton T. F., Baumeister R. F., (1991). Binge eating as escape from self-awareness Psychological Bulletin, 110: 86–108PubMedCrossRefGoogle Scholar
  23. 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: 232–236CrossRefGoogle Scholar
  24. Heffner M., Eifert G. H., (2004). The anorexia workbook: How to accept yourself, heal your suffering, and reclaim your life. Oakland, CA: New HarbingerGoogle Scholar
  25. Herzog D. B., Keller M. B., Lovari P. W., Sacks N. R., (1991). The course and outcome of bulimia nervosa Journal of Clinical Psychiatry, 52(Suppl. 10): 4–8PubMedGoogle Scholar
  26. Hohlstein L. A., Smith G. T., Atlas J. G., (1998). An application of expectancy theory to eating disorder: Development and validation of measures of eating and dieting expectancies Psychological Assessment, 10: 49–58CrossRefGoogle Scholar
  27. Jackson B., Cooper M. L., Mintz L., Albino A., (2003). Motivations to eat: Scale development and validation Journal of Research in Personality, 37: 297–318CrossRefGoogle Scholar
  28. Kabat-Zinn J., (1982). An outpatient program in behavioral medicine for chronic pain patients based on the practice of mindfulness meditation: Theoretical considerations and preliminary results General Hospital Psychiatry, 4: 33–47PubMedCrossRefGoogle Scholar
  29. Kabat-Zinn J. (1990). Full catastrophe living: Using the wisdom of your body and mind to face stress, pain, and illness. New York: DelacorteGoogle Scholar
  30. King M. B., (1991). The natural history of eating pathology in attenders to primary care International Journal of Eating Disorders, 10: 379–387CrossRefGoogle Scholar
  31. Klerman G. L, Weissman M. M., rounsaville B. J., Chevron E. S., (1984). Interpersonal psychotherapy of depression. New York: Basic BooksGoogle Scholar
  32. Kristeller J. L., Hallett C. B., (1999). An exploratory study of a meditation-based intervention for binge eating disorder Journal of Health Psychology, 4: 357–363CrossRefGoogle Scholar
  33. Linehan M. M., (1993a). Cognitive-behavioral treatment of borderline personality disorder. New York: Guilford PressGoogle Scholar
  34. Linehan M. M., (1993b). Skills training manual for treating borderline personality disorder. New York: Guilford PressGoogle Scholar
  35. Ma S. H., Teasdale J. D., (2004). Mindfulness-based cognitive therapy for depression: Replication and exploration of differential relapse prevention effects Journal of Consulting and Clinical Psychology 72: 31–40PubMedCrossRefGoogle Scholar
  36. MacCorquodale K., Meehl P. E., (1953). Preliminary suggestions as to the formulation of expectancy theory Psychological Review, 60: 55–63PubMedCrossRefGoogle Scholar
  37. Millar H. R., (1998). New eating disorder service Psychiatric Bulletin, 22: 751–754CrossRefGoogle Scholar
  38. Rotter J. B., (1954). Social learning and clinical psychology. Englewood Cliffs, NJ: Prentice HallGoogle Scholar
  39. 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: 101–106CrossRefGoogle Scholar
  40. Safer D. L., Telch C. F., Agras W. S., (2001b). Dialectical behavior therapy for bulimia nervosa American Journal of Psychiatry, 158: 632–634CrossRefGoogle Scholar
  41. 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: Guilford PressGoogle Scholar
  42. Smith, G. T., Simmons, J. R., Annus, A. M., & Hill, K. K. (2005). Thinness and eating expectancies predict subsequent binge eating and purging behavior among adolescent girls. Manuscript submitted for publicationGoogle Scholar
  43. Stice E., (2002). Risk and maintenance factors for eating pathology: A meta-analytic review Psychological Bulletin, 128: 825–848PubMedCrossRefGoogle Scholar
  44. Stice E., Shaw H. E., (2002). Role of body dissatisfaction in the onset and maintenance of eating pathology: A synthesis of research findings Journal of Psychosomatic Research, 53: 985–993PubMedCrossRefGoogle Scholar
  45. Striegel-Moore R. H., Dohm F. A., Solomon E. E., Fairburn C. G., Pike K. M., Wilfley D. E., (2000). Subthreshold binge eating disorder. International Journal of Eating Disorders, 27: 270–278PubMedCrossRefGoogle Scholar
  46. Stunkard A. J., (1993). A history of binge eating. In Fairburn C. G., Wilson G. T., (Eds.), Binge eating: Nature, assessment, and treatment. New York: Guilford PressGoogle Scholar
  47. Teasdale J. D., Williams J. M. G., Soulsby J. M., Segal Z. V., Ridgeway V. A., Lau M. A., (2000). Prevention of relapse/recurrence in major depression by mindfulness-based cognitive therapy Journal of Consulting and Clinical Psychology, 68 615–623PubMedCrossRefGoogle Scholar
  48. 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: 569–582CrossRefGoogle Scholar
  49. Telch C. F., Agras W. S., Linehan M. M., (2001). Dialectical behavior therapy for binge eating disorder Journal of Consulting and Clinical Psychology, 69: 1061–1065PubMedCrossRefGoogle Scholar
  50. Telch C. F., Pratt E. M., Niego S. H., (1998). Obese women with binge eating disorder define the term binge International Journal of Eating Disorders, 24: 313–317PubMedCrossRefGoogle Scholar
  51. Thompson J. K., van den Berg P., Roehrig M., Guarda A. S., Hienberg L. J., (2004). The Sociocultural Attitudes Towards Appearance Scale-3 (SATAQ-3): Development and validation International Journal of Eating Disorders, 35: 293–304PubMedCrossRefGoogle Scholar
  52. Wilfley D. E., Agras W. S., Telch C. F., Rossiter E. M., Schneider J. A., Cole A. G., Sifford L., Raeburn S. D., (1993). Group cognitive-behavioral therapy and group interpersonal psychotherapy for the nonpurging bulimic individual: A controlled comparison Journal of Consulting and Clinical Psychology, 61 296–305PubMedCrossRefGoogle Scholar
  53. Wilson G. T., (1996). Acceptance and change in the treatment of eating disorders and obesity Behavior Therapy, 27: 417–439CrossRefGoogle Scholar
  54. Wiser S., Telch C. F., (1999). Dialectical behavior therapy for binge eating disorder Journal of Clinical Psychology, 55: 755–768PubMedCrossRefGoogle Scholar

Copyright information

© Springer 2006

Authors and Affiliations

  1. 1.Dept of PsychologyUniversity of KentuckyLexingtonUSA

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