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Mindfulness in the Treatment of Eating Disorders: Theoretical Rationale and Hypothesized Mechanisms of Action

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Abstract

Objectives

Eating disorders are associated with significant physical, psychological, and social impairment, but existing treatments are effective only half of the time and relapse rates are high. Mindfulness-based programs (MBPs) are growing in empirical support and present a promising area of research to fill a crucial treatment gap for eating disorders. Several studies on MBPs for eating disorders show promising results, but overall the research on the use of mindfulness in eating disorder treatment is still lacking.

Methods

The goal of this theoretical paper is to present a rationale for why and how mindfulness may be helpful in the treatment of eating disorders.

Results

Several potential mechanisms by which MBPs may produce change in the eating disorder symptoms are presented: reduction in repetitive negative thinking and improvements in self-compassion, decentering, psychological flexibility, emotion regulation, and interoceptive awareness of hunger and fullness cues.

Conclusions

Research gaps and future directions for the study of mechanisms involved in MBPs for eating disorders are discussed.

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Authors

Contributions

IAV developed the study concept and drafted the manuscript. CAL provided critical revisions. All authors approved the final version of the paper for submission.

Corresponding author

Correspondence to Cheri A. Levinson.

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Conflict of Interest

The authors declare that they have no conflict of interest.

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Vanzhula, I.A., Levinson, C.A. Mindfulness in the Treatment of Eating Disorders: Theoretical Rationale and Hypothesized Mechanisms of Action. Mindfulness 11, 1090–1104 (2020). https://doi.org/10.1007/s12671-020-01343-4

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  • DOI: https://doi.org/10.1007/s12671-020-01343-4

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