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Relationships among dysfunctional cognitions, depressive symptoms, and bulimic tendencies

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Abstract

This study assessed the relationships among dysfunctional cognitions, depression, and bulimia tendencies. Female undergraduates (N = 160) completed the Bulimia Test, Beck Depression Inventory, Center for Epidemiologic Studies—Depression Scale, Dysfunctional Attitude Scale, General Attitude and Belief Scale, Irrational Beliefs Scale, and Cognitive Error Questionnaire. Both bulimia and depression scores were significantly correlated with the cognitive scales. When depression was entered first into a regression equation, significant variance in bulimia scores was still accounted for by the cognitive measures. Results are consistent with a model of dysfunctional cognitions having a relationship with bulimic symptomatology which is at least partially independent of depression.

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References

  • American Psychiatric Association (1980).Diagnostic and statistical manual of mental disorders (3rd ed.) (DSM-III). Washington DC: Author.

    Google Scholar 

  • American Psychiatric Association (1987).Diagnostic and statistical manual of mental disorders (3rd ed., rev.) (DSM-IIIR). Washington DC: Author.

    Google Scholar 

  • Bauer, B. G., & Anderson, W. P. (1989). Bulimic beliefs: Food for thought.Journal of Counselling and Development, 67 416–419.

    Google Scholar 

  • Beck, A. T. (1967).Depression: Clinical, experimental and theoretical aspects. New York: Harper & Row.

    Google Scholar 

  • Beck, A. T. (1976).Cognitive therapy and the emotional disorders. New York: International Universities Press.

    Google Scholar 

  • Beck, A. T., and Beck, R. W. (1972). Screening depressed patients in family practice. A rapid technique.Postgraduate Medicine, 52 81–85.

    Google Scholar 

  • Beck, A. T., Rial, W., & Rickels, K. (1974). Short form of depression inventory: A cross validation.Psychological Reports, 34 1184–1186.

    Google Scholar 

  • Bernard, M. E. (1990, June).Validation of General Attitude and Belief Scale. Paper presented at the World Congress on Mental Health Counselling, Keystone, CO.

  • Burgess, P. (1990). Toward resolution of conceptual issues in the assessment of belief systems in rational-emotive therapy.Journal of Cognitive Psychotherapy: An International Quarterly, 4 171–183.

    Google Scholar 

  • Butterfield, P. S., & Leclair, S. (1988). Cognitive characteristics of bulimic and drug abusing women.Addictive Behaviors, 13 131–138.

    Google Scholar 

  • Cook, M. L., & Peterson, C. (1986). Depressive irrationality.Cognitive Therapy and Research, 10 293–298.

    Google Scholar 

  • DiGiuseppe, R., & Leaf, R. C. (1990). The endorsement of irrational beliefs in a general clinical population.Journal of Rational-Emotive and Cognitive-Behavior Therapy, 8 235–247.

    Google Scholar 

  • Dobson, K. S., & Breiter, H. J. (1983). Cognitive assessment of depression: Reliability and validity of three measures.Journal of Abnormal Psychology, 92 107–109.

    Google Scholar 

  • Dobson, K. S., & Shaw, B. F. (1986). Cognitive assessment with major depressive disorders.Cognitive Therapy and Research, 10 1329.

    Google Scholar 

  • Dryden, W., & Ellis, A. (1988). Rational-emotive therapy. In Dobson, K. S. (Ed),Handbook of cognitive-behavioral therapies (pp. 214–272). New York: Guilford.

    Google Scholar 

  • Eaves, G., & Rush, A. J. (1984). Cognitive patterns in symptomatic and remitted unipolar major depression.Journal of Abnormal Psychology, 93 31–40.

    Google Scholar 

  • Ellis, A. (1990). The revised ABC's of Rational-Emotive Therapy (RET).Journal of Rational-Emotive and Cognitive-Behavior Therapy, 9 139–172.

    Google Scholar 

  • Ellis, A., & Harper, R. A. (1975).A new guide to rationa living. North Hollywood, CA: Wilshire Books.

    Google Scholar 

  • Fairburn, C. G. (1985). Cognitive-behavioural treatment for bulimia In D. M. Garner & P. E. Garfinkel (Eds.),Handbook of psychotherapy for anorexia and bulimia (pp. 160–192). New York: Guilford Press.

    Google Scholar 

  • Garner, D. M., & Bemis, K. M. (1982). A cognitive-behavioral approach to anorexia nervosa.Cognitive Therapy and Research, 6 123–150.

    Google Scholar 

  • Garner, D. M., & Bemis, K. M. (1985). Cognitive therapy for anorexia nervosa. In D. M. Garner & P. E. Garfinkel (Eds.),Handbook of psychotherapy for anorexia and bulimia (pp. 107–133). New York: Guilford Press.

    Google Scholar 

  • Garner, D. M., Rockert, W., Olmsted, M. P., Johnson, C., & Coscina, D. V. (1985). Psychoeducational principles in the treatment of anorexia nervosa and bulimia. In D. M. Garner & P. E. Garkinkel (EDs.),Handbook of psychotherapy for anorexia nervosa and bulimia (pp. 513–572). New York: Guilford Press.

    Google Scholar 

  • Goebel, M., Spalthoff, G., Schulze, C., & Florin, I. (1989). Dysfunctional cognitions, attributional style, and depression in bulimia.Journal of Psychosomatic Research, 33 747–752.

    Google Scholar 

  • Gotlib, I. H. (1984). Depression and general psychopathology in university students.Journal of Abnormal Psychology, 93 9–30.

    Google Scholar 

  • Gross, J., & Rosen, J. C. (1988). Bulimia in adolescents: Prevalence and psychosocial correlates.International Journal of Eating Disorders, 7 51–61.

    Google Scholar 

  • Hinz, L. D., & Williamson, D. A. (1987). Bulimia and depression: A review of the affective variant hypothesis.Psychological Bulletin, 102 150–158.

    Google Scholar 

  • Jones, R. G. (1968).A factored measure of Ellis' irrational belief system with personality and maladjustment correlates. Unpublished doctoral dissertation, Texas Technical College (University Microfilms No. 69-6443).

  • Katzman, M. A., & Wolchik, S. A. (1984). Bulimia and binge eating in college women: A comparison of personality and behavioral characteristics.Journal of Consulting and Clinical Psychology, 52 423–428.

    Google Scholar 

  • Keys, A., Fidanza, F., Karvonen, M. J., Kimura, N., & Taylor, H. L. (1972). Indices of relative weight and obesity.Journal of Chronic Disease, 25 329.

    Google Scholar 

  • Lefebvre, M. F. (1981). Cognitive distortion and cognitive errors in depressed and low back pain patients.Journal of Consulting and Clinical Psychology, 49 517–525.

    Google Scholar 

  • Lohr, J. M., & Parkinson, D. L. (1989). Irrational beliefs and bulimia symptoms.Journal of Rational-Emotive and Cognitive-Behavior Therapy, 7 253–262.

    Google Scholar 

  • Malouff, J. M., & Schutte, N. S. (1986). Development and validation of a measure of irrational belief.Journal of Consulting and Clinical Psychology, 54 860–862.

    Google Scholar 

  • Mayhew, R., & Edelmann, R. J. (1989). Self esteem, irrational beliefs and coping strategies in relation to eating problems in a non-clinical population.Personality and Individual Differences, 10 581–584.

    Google Scholar 

  • McLennan, J. P. (1987). Irrational beliefs in relation to self-esteem and depression.Journal of Clinical Psychology, 43 89–91.

    Google Scholar 

  • Mizes, J. S. (1988). Personality characteristics of bulimic and non-eating disordered female controls: A cognitive-behavioral perspective.International Journal of Eating Disorders, 7 541–550.

    Google Scholar 

  • Nelson, R. E. (1977). Irrational beliefs in depression.Journal of Consulting and Clinical Psychology, 45 1190–1191.

    Google Scholar 

  • Olinger, L. J., Shaw, B. F., & Kuiper, N. A. (1987). Nonassertiveness, dysfunctional attitudes, and mild levels of depression.Canadian Journal of Behavioural Science, 19 40–49.

    Google Scholar 

  • Oliver, J. M., & Baumgart, E. P. (1985). The Dysfunctional Attitude Scale: Psychometric properties and relation to depression in an unselected adult population.Cognitive Therapy and Research, 9 161–167.

    Google Scholar 

  • Parker, G. Bradshaw, G., & Bignault, T. (1984). Dysfunctional attitudes: Measurement, significant constructs and links with depression.Acta Psychiatrica Scandinavica, 70 90–96.

    Google Scholar 

  • Phelan, P. H. (1987). Cognitive correlates of bulimia: The Bulimic Thoughts Questionnaire.International Journal of Eating Disorders, 6 593–607.

    Google Scholar 

  • Polivy, J., & Herman, C. P. (1985). Dieting and bingeing: A causal analysis.American Psychologist, 40 193–201.

    Google Scholar 

  • Powers, P. S., Schulman, R. G., Gleghorn, A. A., & Prange, M. E. (1987). Perceptual and cognitive abnormalities in bulimia.American Journal of Psychiatry, 144 1456–1460.

    Google Scholar 

  • Rabkin, J. G., & Klein, D. F. (1987). The clinical measurement of depressive disorders. In A. J. Marsella, R. M. A. Hirschfeld, & M. M. Katz (Eds.),The measurement of depression (pp. 30–86). New York: Guilford Press.

    Google Scholar 

  • Rholes, W., Riskind, J. H., and Neville, B. (1985). The relationship of cognitions and hopelessness to depression and anxiety.Social Cognition, 3 36–50.

    Google Scholar 

  • Ruderman, A. J. (1986). Bulimia and irrational beliefs.Behaviour Research and Therapy, 24 193–197.

    Google Scholar 

  • Schlesier-Carter, B., Hamilton, S. A., O'Neil, P. M., Lydiard, R. B., & Malcolm, R. (1989). Depression and bulimia: The link between depression and bulimic cognitions.Journal of Abnormal Psychology, 98 322–325.

    Google Scholar 

  • Shorkey, C. T., & Whiteman, V. L. (1977). Development of the Rational Behavior Inventory: Initial validity and reliability.Educational and Psychological Measurement, 37 527–534.

    Google Scholar 

  • Smith, M. C., & Thelen, M. H. (1984). Development and validation of a test for bulimia.Journal of Consulting and Clinical Psychology, 52 863–872.

    Google Scholar 

  • Smith, T. W. (1989). Assessment in rational-emotive therapy: Empirical access to the ABCD model. In M. E. Bernard & R. DiGiuseppe (Eds.),Inside RET: A critical appraisal of the therapy and theory of Albert Ellis (pp. 135–153). New York: Academic Press.

    Google Scholar 

  • Smith, T. W., Aberger, E. W., Follick, M. J., and Ahern, D. K. (1986). Cognitive distortion and psychological distress in chronic low back pain.Journal of Consulting and Clinical Psychology, 54 573–575.

    Google Scholar 

  • Smith, T. W., Follick, M. J., Ahern, D. K., and Adams, A. (1986). Cognitive distortion and disability in chronic low back pain.Cognitive Therapy and Research, 10 201–210.

    Google Scholar 

  • Smith, T. W., Peck, J. R., Milano, R. A., and Ward, J. R. (1988). Cognitive distortion in rheumatoid arthritis.Journal of Consulting and Clinical Psychology, 56 412–416.

    Google Scholar 

  • Steiger, H., Fraenkel, L., & Leichner, P. P. (1989). Relation of body-image distortion to sex-role identifications, irrational cognitions and body weight in eating disordered females.Journal of Clinical Psychology, 45 61–65.

    Google Scholar 

  • Steiger, H., Goldstein, C., Mongrain, M., & Van der Feen, J. (1990). Description of eating disordered, psychiatric and normal women along cognitive and psychodynamic dimensions.International Journal of Eating Disorders, 9 129–140.

    Google Scholar 

  • Strauss, J., & Ryan, R. M. (1988). Cognitive dysfunction in eating disorders.International Journal of Eating Disorders, 7 19–27.

    Google Scholar 

  • Striegel-Moore, R. H., Silberstein, L. R., & Rodin, J. (1986). Toward an understanding of risk factors for bulimia.American Psychologist, 3 246–263.

    Google Scholar 

  • Swift, W. J., Andrews, D., & Barklage, N. E. (1986). The relationship between affective disorder and eating disorders: A review of the literature.American Journal of Psychiatry, 143 290–299.

    Google Scholar 

  • Warren, R., & Zgourides, G. (1989). Further validity and normative data for the Malouff and Schutte Belief Scale.Journal of Rational-Emotive and Cognitive-Behavior Therapy, 7 167–172.

    Google Scholar 

  • Weissman, A. N. (1979).The Dysfunctional Attitude Scale: A validation study. Unpublished doctoral dissertation, University of Pennsylvania (University Microfilms No. 79-19533).

  • Weissman, M. M., Sholomskas, D., Pottenger, M., Prusoff, B. A., & Locke, B. Z. (1977). Assessing depressive symptoms in five psychiatric populations: A validation study.American Journal of Epidemiology, 106 203–214.

    Google Scholar 

  • Wertheim, E. H. (1991). Examination of the concurrent and construct validity of the Bulimia Test using normal and bulimic samples.International Journal of Eating Disorders, 10 361–368.

    Google Scholar 

  • Yates, A. (1989). Current perspectives on eating disorders: I. History, psychological and biological aspects.Journal of the American Academy of Child and Adolescent Psychiatry, 28 813–828.

    Google Scholar 

  • Zgourides, G., & Warren, R. (1988). Further evidence of construct and discriminant validities for the Malouff and Schutte Belief Scale.Psychological Reports, 63 801–802.

    Google Scholar 

  • Zuroff, D. C., Igreja, I., and Mongrain, M. (1990). Dysfunctional attitudes, dependency, and self-criticism as predictors of depressive mood states: A 12-month longitudinal study.Cognitive Therapy and Research, 14 315–326.

    Google Scholar 

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The authors thank Christine Brown for helping to recruit subjects and collect data, and Dr. Ben Ong for his assistance with statistical procedures.

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Poulakis, Z., Wertheim, E.H. Relationships among dysfunctional cognitions, depressive symptoms, and bulimic tendencies. Cogn Ther Res 17, 549–559 (1993). https://doi.org/10.1007/BF01176078

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