Cognitive Behavioral Therapy for Eating Disorders

Murphy, Rebecca; Straebler, Suzanne; Cooper, Zafra; Fairburn, Christopher G.

doi:10.1016/j.psc.2010.04.004

Cited by 299 publications

(200 citation statements)

References 19 publications

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“…Esta versión mejorada utiliza una variedad de nuevas estrategias y procedimientos con el propósito de potenciar los resultados, e incluye módulos dirigidos a tratar ciertos obstáculos del cambio tales como el perfeccionismo, la baja autoestima y las dificultades interpersonales (Murphy, Straebler, Cooper y Fairburn, 2010). Cuenta con dos modalidades de tratamiento: la primera se dirige exclusivamente a tratar la psicopatología del ta; la segunda (la forma más amplia de tratamiento), no solo pone el foco de atención en la superación de los obstáculos externos de cambio, sino que también se centra en la psicopatología más compleja.…”

Section: Terapia Cognitiva Mejoradaunclassified

Tratamientos actuales del trastorno por atracón

González-Calderón

Ormaechea-Alegre

2016

Pensando Psicol.

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ResumenIntroducción: a pesar de que el trastorno por atracón (ta) constituye un importante problema de salud, menos de la mitad de quienes lo padecen reciben tratamiento. Objetivo: revisar la literatura reciente sobre las intervenciones llevadas a cabo en casos de ta. Método: con el fin de llevar a cabo la presente revisión narrativa, se han consultado las bases de datos Pubmed, Medline y Scielo. Solo se eligieron artí-culos en revistas indexadas en la Web of Science. La literatura revisada corresponde a los artículos más citados publicados en el período temporal que abarca desde el 2010 hasta el 2015. Resultados y conclusiones: los resultados muestran que las intervenciones más utilizadas son las de índole psicológica, entre las cuales se destacan la terapia cognitivo-conductual y la terapia interpersonal, recomendada esta última en pacientes con patología más severa. La terapia de conducta de pérdida de peso es menos eficaz al no reducir los atracones, por lo que no constituye el tratamiento de elección. Aunque algunos antidepresivos y antiepiléticos han mostrado cierta utilidad para reducir los atracones, el peso y patologías comórbidas, no hay evidencia de que la intervención farmacológica por sí sola sea más eficaz que la psicológica, ni de que mejore los resultados de la segunda cuando ambos se aplican conjuntamente. The results show that the most commonly used interventions are those of psychological nature, including cognitive behavioral therapy and interpersonal therapy, the latter recommended in patients with a more severe pathology. The behavioral therapy for weight loss is less effective by not reducing binge eating; therefore, it is not the treatment of choice. Although some antidepressant and antiepileptic drugs have shown some utility in reducing binge eating, weight and comorbidities, there is no evidence that pharmacological intervention alone is more effective than psychological intervention, or that it improves the results of the latter when both are applied together.

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Section: Terapia Cognitiva Mejoradaunclassified

Tratamientos actuales del trastorno por atracón

González-Calderón

Ormaechea-Alegre

2016

Pensando Psicol.

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“…In relation to individual psychotherapy, behaviour analysis was recommended as one the effective preliminary approach to identify problematic behaviours during mealtimes and then to "teach" an appropriate set of behaviours that will yield a proper mealtime experience (Zimmerman, 2010). Others suggested Cognitive-behavioural Therapy (CBT) for the treatment of eating disorders (Hay, Bacaltchuk, Stefano & Kashyap, 2009) as they believed that the approach has been effectively utilized in many treatment procedures (Murphy, Straebler, Cooper & Fairburn, 2010).…”

Section: Review Of Literaturementioning

confidence: 99%

An Integrative Approach in Treating Complete Food Refusal in Children: a Case Study

Ismail¹,

Hamid²

2015

Eur. j. interdiscip. stud.

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Eating disorders among children may be attributed to the range of complications associated with feeding problems; from mild (e. g. , missed meals) to total food rejection. Many early feeding problems can be diagnosed and corrected either by medical interventions, therapies or behavioural modification. Parents might use reward system in persuading them to eat and in extreme cases, pressure, force and punishment are also applied. There are also cases of children who do not eat at all and simply refuse to eat. For parents of children with feeding disorders, this is the beginning of a long and challenging journey that will include many medical and clinical experts. This paper presents the case study of a 13-year old boy with borderline autism, dyslexia and ADHD who did not consume any food at all i. e. complete food refusal for the first 12 and a half years of his life. In his treatment strategies, the therapist utilized a combination of several interventions strategies based on a few theoretical approaches. This integrative approach designed for his treatment intervention was divided into four phases comprising of: (i) Person-Centred; (ii) Behavioural Therapy; (iii) Cognitive Behavioural Therapy; and (iv) Psycho-educational. His family was also involved in the treatment. This study found that the approaches used in the treatment helps to improve the boy's eating problem as he started to eat pureed and soft food such as porridge. The therapy has also helped him gained self-confidence and improved his communication as well as social skills. He was healthier as he had not been admitted to hospital after the therapy ended. The findings of this study provide evidence that eating disorder problem involving children can be treated with psychotherapy. The treatment plan can be utilized to initiate suitable intervention as an effort to help children as well as adolescents manages their eating problems.

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“…This course of treatment, developed by Fairburn and colleagues [3] , has a 40%-50% success rate in making long-term changes to patients eating behaviour [24] . Antidepressant medication [25] ; interpersonal psychotherapy (IPT) [24,26] or an intensive CBT programme is secondary interventions when CBT alone fails [4,22] . Dialectical behaviour therapy (DBT) has been shown to be effective in the treatment of binge eating disorder (BED ) when other combinations of treatment fail.…”

Section: Treating Diabulimiamentioning

confidence: 99%

“…Although these disorders are different in symptomology, they have similar clinical features including psychopathological traits and the obsession with body shape and weight are prominent in addition to cognitive distortions, such as alterations in body image. Individuals diagnosed with an eating disorder can also present with depression or anxiety disorder, and are usually socially withdrawn [3,4] . Diabulimia, is analogous to an eating disorder in which adolescents and young people, mostly women, with type 1 diabetes mellitus (DM), deliberately omit insulin to lose weight or to prevent weight gain.…”

Section: Introductionmentioning

confidence: 99%

Diabulimia among adolescents and young adults with Type 1 diabetes

Callum¹,

Lewis²

2014

Clinical Nursing Studies

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Eating disorders are common in young people with diabetes, where manipulation of insulin is often used to manage body weight. Deteriorating metabolic control in adolescents with Type 1 diabetes has been closely linked with the emergence of eating disorders. The practice of reducing calories by omitting insulin is referred to as diabulimia. This practice is known to compromise metabolic control resulting in subsequent detrimental health outcomes. Diabulimics risk microvascular complications including renal failure and peripheral neuropathy of the extremities; as well as macrovascular complications, such as, heart attack and stroke. Studies have shown that diabulimic behaviours lead to a threefold increase in the risk of death compared to non-diabetic subjects. While this disorder is relatively well known to endocrinologists who treat a large numbers of patients with type 1 diabetes, it is not often recognized by primary health care providers or members of the individual's family. If diabulimia is detected early, interventions can be implemented to minimize the risk of early morbidity and mortality.

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Cognitive Behavioral Therapy for Eating Disorders

Cited by 299 publications

References 19 publications

Tratamientos actuales del trastorno por atracón

Tratamientos actuales del trastorno por atracón

An Integrative Approach in Treating Complete Food Refusal in Children: a Case Study

Diabulimia among adolescents and young adults with Type 1 diabetes

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