Long-term efficacy of psychological treatments for binge eating disorder

Hilbert, Anja; Bishop, Monica; Stein, Richard I.; Tanofsky‐Kraff, Marian; Swenson, Anne K.; Welch, R. Robinson; Wilfley, Denise E.

doi:10.1192/bjp.bp.110.089664

Cited by 139 publications

(100 citation statements)

References 22 publications

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“…5,14 Its clinical range appears to be more limited, however. It has not been tested as a treatment for eating disorder NOS; it is slower to work than CBT in bulimia nervosa 15,16 ; and it is of uncertain value in the treatment of anorexia nervosa.…”

Section: Clinical Rangementioning

confidence: 99%

The dissemination and implementation of psychological treatments: Problems and solutions

Fairburn

Wilson

2013

Intl J Eating Disorders

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Treatment researchers expend their efforts identifying effective treatments, and for whom and how they work, but there are matters over and above these that are of concern when it comes to dissemination and implementation. These include the clinical range of the interventions concerned, the ease with which they can be learned, and their mode of delivery. It is these three topics, as they apply to the psychological treatment of eating disorders, that form the focus of this article. Alongside these considerations, we discuss how modern technology has the potential to transform both treatment and training. V

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Section: Clinical Rangementioning

confidence: 99%

The dissemination and implementation of psychological treatments: Problems and solutions

Fairburn

Wilson

2013

Intl J Eating Disorders

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“…Favourable data supporting the long-term efficacy of IPT derived from follow-up studies of IPT or therapy combining IPT and pharmacotherapy that were performed in other mental disorders, such as major depression of adolescents (Young et al, ,2010Jacobsen et al, 2012;Zhou et al, 2015) and adults (Schramm et al, 2008;Zobel et al, 2011;Toth et al, 2013;Lemmens et al, 2015), perinatal depression (Brandon et al, 2012;Reay et al, 2012), dysthymia (Browne et al, 2002), and eating disorders (Wilfley et al, 2002;Carter et al, 2011;Hilbert et al, 2012).…”

Section: Introductionmentioning

confidence: 99%

Combined therapy with interpersonal psychotherapy adapted for borderline personality disorder: A two-years follow-up

Bozzatello¹,

Bellino²

2016

Psychiatry Research

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Highlights IPT-BPD plus drug was superior to single drug after 32 weeks trial. Difference persisted at 24 months follow-up for impulsivity and relationships. It also persisted for perception of psychological and social functioning. Differences concerning anxiety and affective instability were lost after 6 months. The most of benefits of combining IPT-BPD endured two years after termination. AbstractFew investigations evaluated the long-term effects of psychotherapies in borderline personality disorder (BPD). In a previous study, we compared efficacy of combination of Index (BPDSI) were repeated at 6, 12, and 24 months. Statistical analysis was performed with the general linear model. Results showed that most of the differences between combined therapy and single pharmacotherapy at the end of the 32 weeks trial were maintained after 24 months follow-up. The addition of IPT-BPD to medication produced greater effects on BPD symptoms (impulsivity and interpersonal relationships) and quality of life (perception of psychological and social functioning) that endured after termination of psychotherapy. On the contrary, different effects on anxiety symptoms and affective instability were lost after 6 months.

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“…Posteriormente, Hilbert et al (2012) también demostraron la efectividad de la tcc y la tip en un estudio de seguimiento a largo plazo de cuatro años, en el cual examinaron la eficacia de dichos tratamientos administrados a dos grupos de pacientes con ta. Todos los participantes mostraron una sustancial recuperación, significativa mejoría clínica y reducción de su psicopatología, si bien su imc se mantuvo estable.…”

Section: Eficacia Comparativa De Los Distintos Tratamientos Para El Taunclassified

“…En este aspecto, las que muestran una mayor evidencia empírica respecto a su eficacia son la tcc, incluida su modalidad de autoayuda, y la tip, como concluyen numerosas revisiones llevadas a cabo en los últimos años (Hilbert et al, 2012;Iacovino et al, 2012;Wilson et al, 2010). La tcc, especialmente su modalidad de autoayuda, presenta la ventaja de ser un tratamiento eficaz con un coste menor , y una implementación más fácil, mientras que la tip parece ser más recomendable en aquellos pacientes con una patología más severa (Iacovino et al, 2012;Wilson et al, 2010), o en los que presentan una alta afectividad negativa y una clínica similar a la bulimia nerviosa (Ramacciotti et al, 2013).…”

Section: Conclusionesunclassified

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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Long-term efficacy of psychological treatments for binge eating disorder

Abstract: The results document the long-term efficacy of out-patient CBT and IPT for binge eating disorder. Further research is warranted to elucidate the time course and mechanisms of change of these treatments for binge eating disorder.

Cited by 139 publications

References 22 publications

The dissemination and implementation of psychological treatments: Problems and solutions

The dissemination and implementation of psychological treatments: Problems and solutions

Combined therapy with interpersonal psychotherapy adapted for borderline personality disorder: A two-years follow-up

Tratamientos actuales del trastorno por atracón

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