Bukkems, E.L.H. (2020) Method of Stamp Strike Shout: first analysis in patients diagnosed with eating disorders. thesis, Human Movement Sciences.
Full text available on request.Abstract
Introduction: Issues in emotion recognition and regulation play a key-role in eating disorders. Specifically, anger coping strategies of avoiding and inhibiting anger relate to eating disorders. These strategies increase the complexity of clinical features, change the prognosis and cause a more difficult management. In clinical practice, self-report questionnaires are often used to assess anger coping and control. These questionnaires can be influenced by social desirability, thus an objective measure is needed. The Method of Stamp Strike Shout (MSSS) has been developed as an objective instrument to be used in addition to self-report measurements. The levels of force production and control, which are produced during the subtests, are suggested to provide insight into the regulation of anger and aggression. Previously, the MSSS was tested in a first explorative study in a control sample of students. The aim of the present study is to do a first explorative analysis of the MSSS in a clinical sample and examine the influence of emotions. Method: The MSSS consists of three subtests, including stamping on a force plate, hitting a punching bag and shouting into a microphone. Patients with eating disorders had to produce a force pyramid on each subtest by increasing and decreasing force production. The Self-Expression and Control Scale was used to measure anger coping style of the patient group. To examine the influence of approach- and withdrawal-related emotions on force production, a self-developed questionnaire was used which evaluated the participants experience of the measurements. Results: 32 female patients with eating disorders were included and compared to an all-female control group (n=56). In line with previous research, the patient group scored higher on anger internalization. Force production on the strike test was significantly higher for the patient group and force production on the shout test was significantly lower for the patient group compared to the control group. No significant differences were found for the shape of the force pyramid. Body weight was found to be a significant confounder in the stamp and strike subtests. The shout subtest seemed to be the most discriminative for coping style and seemed to be the most suitable to distinguish between the patient and control group. Lastly, approach- and withdrawal-related emotions appear to influence force production in a dissimilar way. Conclusion: The MSSS seems to be a promising objective behavioural measure for anger expression and control, but results should be interpreted with caution. In line with a previous study in a non-clinical population, the shout subtest appears to be the best suitable to distinguish between coping style and group. The anger-performance relationship is complicated and remains uncertain. Before conclusions can be made, further research with a larger sample size is needed and measurement equipment and questionnaires should be adapted. Keywords: MSSS, Method of Stamp Strike Shout, psychomotor therapy, force production, eating disorders, anger coping, anger internalization, approach-related, withdrawal-related.
| Item Type: | Thesis (UNSPECIFIED) |
|---|---|
| Supervisor name: | Boerhout, dr. C. and Keeken, dr. H.G. van and Busschbach, dr. J.T. van |
| Faculty: | Medical Sciences |
| Date Deposited: | 16 May 2022 09:44 |
| Last Modified: | 16 May 2022 09:44 |
| URI: | https://umcg.studenttheses.ub.rug.nl/id/eprint/3339 |
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