A Randomized Controlled Trial of Psychoanalytic Psychotherapy or Cognitive-Behavioral Therapy for Bulimia Nervosa

Poulsen, Stig; Lunn, Susanne; Daniel, Sarah Ingrid Franksdatter; Folke, Sofie; Mathiesen, Birgit Bork; Katznelson, Hannah; Fairburn, Christopher G.

doi:10.1176/appi.focus.120410

Cited by 42 publications

(56 citation statements)

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“…CBT has since been shown to be more effective than psychodynamic psychotherapy in the treatment of bulimia nervosa (Poulsen et al, 2014), and is also suitable for use with underweight patients (Fairburn et al, 2013;Watson & Bulik, 2013;Zipfel et al, 2014). However, the majority of the evidence for CBT has come from efficacy studies -well-controlled treatment studies that often have tight inclusion criteria and are delivered under strict conditions with high levels of supervision.…”

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confidence: 99%

Cognitive-behavioural therapy for outpatients with eating disorders: Effectiveness for a transdiagnostic group in a routine clinical setting

Turner

Marshall

Stopa

et al. 2015

Behaviour Research and Therapy

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therapy for outpatients with eating disorders: Effectiveness for a transdiagnostic group in a routine clinical setting. Behaviour Research and Therapy,[68][69][70][71][72][73][74][75] https://doi.org/10.1016/j.brat.2015.03.001 eprints@whiterose.ac.uk https://eprints.whiterose.ac.uk/ Reuse Unless indicated otherwise, fulltext items are protected by copyright with all rights reserved. The copyright exception in section 29 of the Copyright, Designs and Patents Act 1988 allows the making of a single copy solely for the purpose of non-commercial research or private study within the limits of fair dealing. The publisher or other rights-holder may allow further reproduction and re-use of this version -refer to the White Rose Research Online record for this item. Where records identify the publisher as the copyright holder, users can verify any specific terms of use on the publisher's website. TakedownIf you consider content in White Rose Research Online to be in breach of UK law, please notify us by emailing eprints@whiterose.ac.uk including the URL of the record and the reason for the withdrawal request. These preliminary studies of effectiveness indicate that CBT can be delivered with strong outcomes in routine clinical settings. However, it is well-established that clinicians routinely fail to use CBT when working with the eating disorders (e.g., Tobin, Banker, Weisberg, & Bowers, 2007) or that they deliver it in sub-optimal ways (Waller, Stringer, & Meyer, 2012), expressing concerns about the use of those core CBT techniques (e.g., Turner, Tatham, Lant, Mountford, Waller, 2014) and discounting the use of evidence-based manuals to support their work (e.g., Waller et al., 2013). Therefore, there is a need for further evidence from other routine clinical settings to demonstrate that CBT for the eating disorders is an effective treatment, which others can use in their own clinics. This study aims to build on previous work by testing the effectiveness of CBT in a further routine clinical setting. It reports clinical outcomes for a large group of transdiagnostic patients who were offered CBT in a community eating disorders service in the UK. Unlike previous studies, there were very few exclusion criteria and no BMI cut-off. In this case, the variant of CBT used was based on a combination of elements from the relatively similar approaches of Fairburn (2008) and Waller et al. (2007), as used by Byrne et al. (2011) and Waller et al. (2014) respectively.

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confidence: 99%

Cognitive-behavioural therapy for outpatients with eating disorders: Effectiveness for a transdiagnostic group in a routine clinical setting

Turner

Marshall

Stopa

et al. 2015

Behaviour Research and Therapy

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“…While much of the evidence of efficacy of those approaches derives from tightly-controlled research trials (e.g., Fairburn, Cooper, Doll, O'Connor, Bohn, Hawker, Wales, & Palmer, 2009;Fairburn, Cooper, Doll, O'Connor, Palmer, & Dalle Grave, 2013;Poulsen, Lunn, Daniel, Folke, Mathieson, Katznelson, & Fairburn, 2014;Zipfel, Wild, Gro , Friederich, Teufel, Schelberg, Giel, de Zwaan, Dinkel, Herpertz, Burgmer, Löwe, Tagay, von Wietersheim, Zeeck, Schade-Brittinger, Schauenburg, & Herzog, 2014), recent studies have demonstrated its effectiveness in routine clinical settings (e.g., Byrne, Fursland, Allen, & Watson, 2011;Waller, Gray, Hinrichsen, Mountford, Lawson, & Patient, 2014). However, such effectiveness depends on the use of the core techniques developed in efficacy studies, and particularly the use of manual-based methods (e.g., Addis & Waltz, 2002;Cukrowicz, Timmons, Sawyer, Caron, Gummelt, & Joiner, 2011).…”

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Clinicians' concerns about delivering cognitive-behavioural therapy for eating disorders

Turner

Tatham²,

Lant

et al. 2014

Behaviour Research and Therapy

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“…Certamente, ambas as disciplinas apresentam suas justificativas históricas, mas as evidências a favor da cientificidade da psicanálise são menores do que as da Psicologia comportamental (POULSEN et al, 2014), o que suscita outra questão que, propositadamente não será contemplada aqui, que é: estaria o psicólogo preparado para tratar casos em saúde mental a partir de uma formação tão híbrida como esta?…”

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Psicologia Não Se Escreve Com S: Um Resgate À Ciência Psicológica

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2016

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Resumo: Este artigo é um estudo conceitual, de natureza qualitativa, que pretende narrar e descrever as definições de Psicologia em face de alguns de seus aspectos teóricos e operacionais. Partindo do cenário atual onde existem considerações díspares tanto sobre o conceito de ciência psicológica, como à definição do comportamento humano, trilha-se quatro caminhos diferentes visando à solução desta condição: a academia, a bibliografia, o mercado e a Neuropsicologia. Em seguida, a Neuropsicologia é apresentada como forma para resolver esta situação polissêmica. Finalmente, faz-se a defesa de que o critério que deva ser utilizado para considerar se determinada área do conhecimento, ou se uma disciplina, é integrante da ciência psicológica recai sobre seu estatuto de evidências e não sobre seu apelo retórico ou imagético. Acredita-se que este trabalho sirva para fomentar não só o pensamento crítico, mas também a ação efetiva sobre uma Psicologia que se escorou demais visando problematizar tanto sua atividade, como as congêneres, mas se esqueceu de resolver seus impasses fundamentais. Palavras-chave: Psicologia. Ciência. Formação profissional. PSYCHOLOGY IS NOT PSYCHOLOGIES: RESCUING PSYCHOLOGYAbstract: This conceptual study aims to narrate and describe the definitions of psychology facing theoretical and operational aspects. Based on the current scenario where there are disparate considerations on the concept of psychological science and the definition of human behavior, this paper will address to solve this condition regarding four different ways: academia, literature, free market and Neuropsychology. Then, Neuropsychology is presented as a way to resolve this ambiguous situation. Finally, this study claims that the criterion that should be used to evaluate if a particular area of knowledge, or a discipline, is part of psychological science lies in evidences, but never in rhetorical or imagery appeal. This work fosters not only the critical thinking, but also effective actions on the psychology.

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A Randomized Controlled Trial of Psychoanalytic Psychotherapy or Cognitive-Behavioral Therapy for Bulimia Nervosa

Cited by 42 publications

References 19 publications

Cognitive-behavioural therapy for outpatients with eating disorders: Effectiveness for a transdiagnostic group in a routine clinical setting

Cognitive-behavioural therapy for outpatients with eating disorders: Effectiveness for a transdiagnostic group in a routine clinical setting

Clinicians' concerns about delivering cognitive-behavioural therapy for eating disorders

Psicologia Não Se Escreve Com S: Um Resgate À Ciência Psicológica

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