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2 results on '"Ana B. Fagundo"'

1. Correlates of Non-suicidal Self-injury and Suicide Attempts in Bulimic Spectrum Disorders

Author

Alexandra Gómez-Expósito, Ines Wolz, Ana B Fagundo, Roser Granero, Trevor Steward, Susana Jiménez-Murcia, Zaida Aguera, and Fernando Fernandez-Aranda

Subjects
Personality, Emotion Regulation, impulsivity, suicide attempts, Non-suicidal self-injury (NSSI), bulimic spectrum disorder (BSD), Psychology, BF1-990
Abstract

Objective: The aim of this study was to examine the implication of personality, impulsivity, and emotion regulation difficulties in patients with a bulimic-spectrum disorder (BSD) and suicide attempts (SA), BSD patients with non-suicidal self-injury (NSSI), and BSD patients without these behaviors. Method: 122 female adult BSD patients were assessed using self-report questionnaires. Patients were clustered post-hoc into three groups depending on whether they presented BSD without NSSI or SA (BSD), BSD with lifetime NSSI (BSD+NSSI) or BSD with lifetime SA (BSD+SA). Results: The BSD+NSSI and BSD+SA groups presented more emotion regulation difficulties, more eating and general psychopathology, and increased reward dependence in comparison with the BSD group. In addition, BSD+SA patients specifically showed problems with impulse control, while also presenting higher impulsivity than both the BSD and BSD+NSSI groups. No differences in impulsivity between the BSD and BSD+NSSI groups were found. Conclusions: The results show that BSD + NSSI and BSD+SA share a common profile characterized by difficulties in emotion regulation and low reward dependence, but differ in impulsivity and cooperativeness. This suggests that self-injury, in patients without a history of suicide attempts (i.e. BSD+NSSI), may have a regulatory role rather than being due to impulsivity.

Published
2016
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2. Can an intervention based on a serious videogame prior to cognitive behavioral therapy be helpful in bulimia nervosa? A clinical case study

Author

Ana B. Fagundo, Cristina Giner-Bartolomé, Robert Ladouceur, Juan José Santamaría, Fernando Fernández-Aranda, Isabel Sánchez, José M. Menchón, Susana Jiménez-Murcia, and Universitat de Barcelona

Subjects
A-B-A-C-A design, medicine.medical_specialty, Videojocs, medicine.medical_treatment, Eating Disorders, ABACA design, lcsh:BF1-990, impulsivity, bulimia nervosa, Teràpia de la conducta, Impulsivity, behavioral disciplines and activities, Video games, Intervention (counseling), mental disorders, medicine, Psychology, Bulímia, Bulimia, Psychiatry, Trastorns de la conducta alimentària, General Psychology, Serious game, Bulimia nervosa, Neuropsychology, Novelty seeking, medicine.disease, Bulimia Nervosa (BN), Clinical Case Study, Cognitive behavioral therapy, Eating disorders, lcsh:Psychology, Behavior therapy, Anxiety, medicine.symptom, Clinical psychology
Abstract

Background: Several studies have highlighted the implications of impulsivity and novelty seeking for both the maintenance and the process of recovery from bulimia nervosa. Cognitive behavioral therapy (CBT) is the treatment of choice for bulimia nervosa, but for some cases, this treatment alone might not be sufficient for reducing the high levels of impulsivity. The paper presents a case report of a patient with bulimia nervosa, examining the effectiveness of using a videogame (Playmancer) as an additional intervention designed to address impulsivity. Design: Psychometric and neuropsychological measures were collected at baseline. After this assessment, Playmancer was applied prior to CBT, following an “A-B-A-C-A” single case experimental design. Impulsivity levels were assessed with the Conners’ Continuous Performance Test II (CPT-II). After the Playmancer treatment, the patient started CBT, and the levels of impulsivity were recorded again. Finally, psychometric and neuropsychological measures were collected after treatment. Weekly frequency of binges and vomiting were also recorded during the entire procedure. Results: After the videogame intervention, psychometric measures such as anxiety levels, impulsivity and novelty seeking decreased. Regarding the neuropsychological measures, impulsivity levels (measured with the CPT-II) progressively decreased throughout the intervention, and an improvement in decision making capacities was observed. Furthermore, the frequency of binges also decreased during and after the videogame intervention. Discussion: This case report suggests that using the Playmancer videogame to reduce impulsivity prior to CBT may enhance the final results of the treatment for bulimia nervosa.

Published
2015

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