{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,3]],"date-time":"2026-10-03T08:26:06Z","timestamp":1791015966957,"version":"4.1.0"},"reference-count":63,"publisher":"Springer Publishing Company","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Cogn Psychother"],"published-print":{"date-parts":[[2016]]},"abstract":"<jats:p>There is a recognized overlap between eating disorders (EDs) and obsessive-compulsive disorder (OCD) in terms of diagnosis, phenomenology, epidemiology, and psychological characteristics related to the disorder. In light of these similarities, a cognitive inference-based therapy (IBT) program, shown to be effective in treating OCD, was adapted for EDs. This case study describes the application of IBT treatment for a 35-year-old woman diagnosed with bulimia nervosa who also demonstrated overvalued ideation related to her body weight and shape. Over a 20-week period, the client\u2019s ED pathology significantly decreased. Notably, the frequency of binge episodes was reduced by 90% from pre- to posttreatment and by 100% at 6-month follow-up. Significant reductions were also observed in dietary restriction and overvalued ideation. This case study has important implications for the treatment of individuals with both an ED and strong overvalued ideas.<\/jats:p>","DOI":"10.1891\/0889-8391.30.4.263","type":"journal-article","created":{"date-parts":[[2017,2,15]],"date-time":"2017-02-15T03:01:35Z","timestamp":1487127695000},"page":"263-276","source":"Crossref","is-referenced-by-count":1,"title":["Diet and Doubt: A Clinical Case Study of Inference-Based Therapy for Bulimia Nervosa"],"prefix":"10.1891","volume":"30","author":[{"given":"Magali Purcell","family":"Lalonde","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kieron","family":"O\u2019Connor","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marie-Eve","family":"St-Pierre-Delorme","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Val\u00e9rie","family":"Perreault","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samantha","family":"Wilson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"793","published-online":{"date-parts":[[2016,1,1]]},"reference":[{"key":"2019091720254315000_30.4.263.2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jocrd.2013.05.005"},{"issue":"3","key":"2019091720254315000_30.4.263.3","doi-asserted-by":"crossref","first-page":"182","DOI":"10.1891\/088983907781494573","article-title":"The menace within: Obsessions and self","volume":"21","year":"2007","journal-title":"Journal of Cognitive Psychotherapy: An International Quarterly"},{"key":"2019091720254315000_30.4.263.4","doi-asserted-by":"publisher","DOI":"10.1080\/16506070510041202"},{"key":"2019091720254315000_30.4.263.5","doi-asserted-by":"crossref","unstructured":"American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: Author.","DOI":"10.1176\/appi.books.9780890425596"},{"key":"2019091720254315000_30.4.263.6","doi-asserted-by":"publisher","DOI":"10.1037\/0022-006X.56.6.893"},{"key":"2019091720254315000_30.4.263.7","unstructured":"Beck A. T. , Steer R. A. , & Brown G. (1996). Manual for Beck Depression Inventory II. San Antonio, TX: Psychological Corporation."},{"key":"2019091720254315000_30.4.263.8","doi-asserted-by":"crossref","first-page":"231","DOI":"10.1016\/j.paid.2012.08.042","article-title":"Eating disorder and obsessive-compulsive symptoms in a sample of bulimic women: Perfectionism as a mediating factor","volume":"54","year":"2013","journal-title":"Personality and Individual Differences"},{"key":"2019091720254315000_30.4.263.9","doi-asserted-by":"crossref","first-page":"149","DOI":"10.7202\/1005819ar","article-title":"Troubles de l\u2019alimentation et trouble obsessionnel-compulsif: Facteurs communs","volume":"36","year":"2011","journal-title":"Sant\u00e9 Mentale au Qu\u00e9bec"},{"key":"2019091720254315000_30.4.263.10","unstructured":"Bertrand A. , & O\u2019Connor K. (2009). Manuel de traitement des troubles de l\u2019alimentation par une th\u00e9rapie cognitive: l\u2019approche bas\u00e9e sur les inf\u00e9rences [Treatment manual for eating disorders using a cognitive therapy: The inference based approach]. Unpublished manuscript. Centre de Recherche Fernand-Seguin, Montr\u00e9al, Canada."},{"key":"2019091720254315000_30.4.263.11","doi-asserted-by":"publisher","DOI":"10.1016\/j.brat.2007.02.005"},{"key":"2019091720254315000_30.4.263.12","doi-asserted-by":"publisher","DOI":"10.1016\/j.cpr.2005.07.003"},{"key":"2019091720254315000_30.4.263.13","doi-asserted-by":"crossref","first-page":"193","DOI":"10.1007\/s007870050129","article-title":"Obsessive compulsive symptoms at initial presentation of adolescent eating disorders","volume":"8","year":"1999","journal-title":"European Child and Adolescent Psychiatry"},{"key":"2019091720254315000_30.4.263.14","first-page":"79","article-title":"The challenge of obsessive-compulsive disorder hoarding","volume":"8","year":"2001","journal-title":"Primary Psychiatry"},{"key":"2019091720254315000_30.4.263.15","doi-asserted-by":"publisher","DOI":"10.1080\/00050069308258896"},{"key":"2019091720254315000_30.4.263.16","doi-asserted-by":"publisher","DOI":"10.1002\/1098-108X(199305)13:4<385::AID-EAT2260130406>3.0.CO;2-W"},{"key":"2019091720254315000_30.4.263.17","doi-asserted-by":"publisher","DOI":"10.1037\/1040-3590.10.2.83"},{"key":"2019091720254315000_30.4.263.18","doi-asserted-by":"publisher","DOI":"10.1002\/erv.492"},{"key":"2019091720254315000_30.4.263.19","unstructured":"Emmelkamp P. M. G. (2002). Commentary on treatment. In R. O. Frost & G. Steketee (Eds.), Cognitive approaches to obsessions and compulsions: Theory, assessment, and treatment (pp. 391\u2013401). Oxford, United Kingdom: Elsevier."},{"key":"2019091720254315000_30.4.263.20","doi-asserted-by":"crossref","first-page":"113","DOI":"10.1016\/0005-7967(91)90038-5","article-title":"Obsessive-compulsive symptoms in eating disorders","volume":"29","year":"1991","journal-title":"Behaviour Research and Therapy"},{"key":"2019091720254315000_30.4.263.21","unstructured":"Fairburn C. G. (2008). Cognitive behavior therapy and eating disorders. New York, NY: Guilford Press."},{"key":"2019091720254315000_30.4.263.22","unstructured":"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\u2013360).New York, NY: Guilford Press."},{"key":"2019091720254315000_30.4.263.23","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(03)12378-1"},{"key":"2019091720254315000_30.4.263.24","doi-asserted-by":"publisher","DOI":"10.1001\/archpsyc.1995.03950160054010"},{"key":"2019091720254315000_30.4.263.25","unstructured":"First M. , Spitzer R. , Gibbon M. , & Williams J. B. W. (1996). Structured clinical interview for DSM-IV axis 1 disorders\u2014Patient edition (SCID-I\/P) (2nd ed.). New York, NY: State Psychiatric Institute, Biometrics Research Department."},{"key":"2019091720254315000_30.4.263.26","doi-asserted-by":"publisher","DOI":"10.1016\/0005-7967(79)90031-7"},{"key":"2019091720254315000_30.4.263.27","doi-asserted-by":"publisher","DOI":"10.1016\/S0005-7894(99)80035-5"},{"key":"2019091720254315000_30.4.263.28","doi-asserted-by":"publisher","DOI":"10.1007\/BF02229016"},{"key":"2019091720254315000_30.4.263.29","unstructured":"Garner D. M. (1991). Eating Disorder Inventory-2: Professional manual. Odessa, FL: Psychological Assessment Resources."},{"key":"2019091720254315000_30.4.263.30","unstructured":"Garner D. M. , & Olmsted M. A. (1984). Eating disorder manual. Lutz, FL: Psychological Assessment Resources."},{"key":"2019091720254315000_30.4.263.31","doi-asserted-by":"publisher","DOI":"10.1016\/j.janxdis.2007.01.012"},{"key":"2019091720254315000_30.4.263.32","doi-asserted-by":"crossref","first-page":"389","DOI":"10.1016\/0005-7967(77)90042-0","article-title":"Obsessional-compulsive complaints","volume":"15","year":"1977","journal-title":"Behaviour and Research Therapy"},{"key":"2019091720254315000_30.4.263.33","unstructured":"Hyler S. E. (1997). PDQ-4 and PDQ-4+ instructions for use. New York, NY: New York State Psychiatric Institute."},{"key":"2019091720254315000_30.4.263.34","doi-asserted-by":"crossref","first-page":"187","DOI":"10.1016\/j.jad.2016.05.060","article-title":"The inference-based approach to obsessive compulsive disorder: A comprehensive review of its etiological model, treatment efficacy, and model of change","volume":"202","year":"2016","journal-title":"Journal of Affective Disorders"},{"key":"2019091720254315000_30.4.263.35","doi-asserted-by":"crossref","unstructured":"Keys A. , Brozek J. , Henschel A. , Mickelsen O. , & Taylor H. L. (1950). The biology of human starvation. Minneapolis, MN: University of Minnesota Press.","DOI":"10.5749\/j.ctv9b2tqv"},{"issue":"5","key":"2019091720254315000_30.4.263.36","doi-asserted-by":"crossref","first-page":"425","DOI":"10.1016\/0022-3956(94)90002-7","article-title":"The Yale-Brown-Cornell Eating Disorder Scale: Development use, reliability and validity","volume":"28","year":"1994","journal-title":"Journal of Psychiatric Resources"},{"key":"2019091720254315000_30.4.263.37","unstructured":"Mehler P. S. , Birmingham L. C. , Crow S. J. , & Jahraus J. P. (2010). Medical complications of eating disorders. In C. M. Grilo & J. E. Mitchell (Eds.), The treatment of eating disorders: A clinical handbook (pp. 66\u201380). New York, NY: Guilford Press."},{"key":"2019091720254315000_30.4.263.38","doi-asserted-by":"publisher","DOI":"10.1016\/S0005-7967(98)00191-0"},{"key":"2019091720254315000_30.4.263.39","unstructured":"O\u2019Connor K. P. , & Aardema F. (2012). Clinician\u2019s handbook for obsessive compulsive disorder: Inference based therapy. Chichester, United Kingdom: Wiley-Blackwell."},{"key":"2019091720254315000_30.4.263.40","doi-asserted-by":"publisher","DOI":"10.1080\/16506070510041211"},{"key":"2019091720254315000_30.4.263.41","unstructured":"O\u2019Connor K. P. , Aardema F. , & P\u00e9lissier M. C. (2005). Beyond reasonable doubt: Reasoning processes in obsessive-compulsive disorder and related disorders. Chichester, United Kingdom: Wiley."},{"key":"2019091720254315000_30.4.263.42","doi-asserted-by":"publisher","DOI":"10.1016\/j.cbpra.2009.05.001"},{"issue":"4","key":"2019091720254315000_30.4.263.43","doi-asserted-by":"crossref","first-page":"359","DOI":"10.1891\/0889-8391.13.4.359","article-title":"A cognitive approach to the treatment of primary inferences on obsessive-compulsive disorder","volume":"13","year":"1999","journal-title":"Journal of Cognitive Psychotherapy: An International Quarterly"},{"key":"2019091720254315000_30.4.263.44","doi-asserted-by":"crossref","first-page":"6","DOI":"10.1521\/ijct.2014.7.1.6","article-title":"Inference-based therapy processes of change in compulsions and obsessional beliefs","volume":"7","year":"2014","journal-title":"International Journal of Cognitive Therapy"},{"key":"2019091720254315000_30.4.263.45","doi-asserted-by":"crossref","first-page":"1552","DOI":"10.1176\/ajp.148.11.1552","article-title":"Symptoms of eating disorders in patients with obsessive-compulsive disorder","volume":"148","year":"1991","journal-title":"American Journal of Psychiatry"},{"key":"2019091720254315000_30.4.263.46","unstructured":"Purcell Lalonde M. , & O\u2019Connor K. (2012). Cognitive therapy, ego-dystonicity and eating disorders. In S. A. Lee & D. M. Edget (Eds.), Cognitive behavioral therapy: Applications, methods and outcomes (pp. 93\u2013114). Hauppauge, NY: Nova Science Publishers."},{"issue":"3","key":"2019091720254315000_30.4.263.47","first-page":"1","article-title":"Food for thought: Change in ego-dystonicity and fear of self in bulimia nervosa over the course of inference based treatment","volume":"3","year":"2015","journal-title":"Journal of Psychology and Clinical Psychiatry"},{"key":"2019091720254315000_30.4.263.48","doi-asserted-by":"crossref","first-page":"179","DOI":"10.1002\/erv.2349","article-title":"Food for thought: Ego-dystonicity and fear of self in eating disorders","volume":"23","year":"2015","journal-title":"European Eating Disorders Review"},{"issue":"3","key":"2019091720254315000_30.4.263.49","doi-asserted-by":"crossref","first-page":"198","DOI":"10.1891\/088983907781494537","article-title":"Development of a measure of egodystonicity","volume":"21","year":"2007","journal-title":"Journal of Cognitive Psychotherapy: An International Quarterly"},{"key":"2019091720254315000_30.4.263.50","doi-asserted-by":"publisher","DOI":"10.1002\/1098-108X(200011)28:3<311::AID-EAT8>3.0.CO;2-K"},{"key":"2019091720254315000_30.4.263.51","doi-asserted-by":"publisher","DOI":"10.1016\/j.brat.2004.11.003"},{"key":"2019091720254315000_30.4.263.52","doi-asserted-by":"publisher","DOI":"10.1348\/014466599162728"},{"key":"2019091720254315000_30.4.263.53","doi-asserted-by":"publisher","DOI":"10.1002\/eat.20372"},{"key":"2019091720254315000_30.4.263.54","doi-asserted-by":"publisher","DOI":"10.1097\/YCO.0b013e328365a24f"},{"key":"2019091720254315000_30.4.263.55","doi-asserted-by":"publisher","DOI":"10.1097\/01.pra.0000265762.79753.88"},{"key":"2019091720254315000_30.4.263.56","unstructured":"Summerfeldt L. J. (2006). Incompleteness, ordering and arranging. In M. M. Antony , C. Purdon , & L. J. Summerfeldt (Eds.), Cognitive behavior therapy for OCD: Beyond the basics (pp. 187\u2013208). New York, NY: American Psychological Association."},{"key":"2019091720254315000_30.4.263.57","unstructured":"Taillon A. , & O\u2019Connor K. P. (2009, April). Changes in mood and behavior during cognitive therapy for obsessive compulsive disorder with and without overvalued ideation. Paper presented at the Association of Psychological Science Annual Convention, San Francisco, CA."},{"issue":"1","key":"2019091720254315000_30.4.263.58","doi-asserted-by":"crossref","first-page":"67","DOI":"10.1002\/cpp.767","article-title":"Inference-based therapy for body dysmorphic disorder","volume":"20","year":"2013","journal-title":"Clinical Psychology & Psychotherapy"},{"key":"2019091720254315000_30.4.263.59","doi-asserted-by":"publisher","DOI":"10.1111\/j.2044-8341.1983.tb01542.x"},{"key":"2019091720254315000_30.4.263.60","doi-asserted-by":"crossref","first-page":"284","DOI":"10.1159\/000382131","article-title":"Inference-based approach versus cognitive behavioral therapy in the treatment of obsessive-compulsive disorder with poor insight: A 24-session randomized controlled trial","volume":"84","year":"2015","journal-title":"Psychotherapy and Psychosomatics"},{"key":"2019091720254315000_30.4.263.61","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1098-108X(199707)22:1<35::AID-EAT4>3.0.CO;2-3"},{"key":"2019091720254315000_30.4.263.62","unstructured":"Welch G. (1988). Selected multivariate statistical techniques and eating disorders (Unpublished doctoral dissertation). University of Otago, New Zealand."},{"key":"2019091720254315000_30.4.263.63","unstructured":"White M. (2007). Maps of narrative practice. New York, NY: Norton."},{"key":"2019091720254315000_30.4.263.64","doi-asserted-by":"publisher","DOI":"10.1016\/S0005-7894(05)80192-3"}],"container-title":["Journal of Cognitive Psychotherapy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1891\/0889-8391.30.4.263","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,9,18]],"date-time":"2019-09-18T03:25:37Z","timestamp":1568777137000},"score":1,"resource":{"primary":{"URL":"http:\/\/connect.springerpub.com\/lookup\/doi\/10.1891\/0889-8391.30.4.263"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016]]},"references-count":63,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2016,1,1]]},"published-print":{"date-parts":[[2016]]}},"alternative-id":["10.1891\/0889-8391.30.4.263"],"URL":"https:\/\/doi.org\/10.1891\/0889-8391.30.4.263","relation":{},"ISSN":["0889-8391","1938-887X"],"issn-type":[{"value":"0889-8391","type":"print"},{"value":"1938-887X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2016]]}}}