Cognitive behavioral therapy for eating disorders

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

Abstract

Cognitive behavioral therapy (CBT) is the leading evidence-based treatment for bulimia nervosa. A new "enhanced" version of the treatment appears to be more potent and has the added advantage of being suitable for all eating disorders, including anorexia nervosa and eating disorder not otherwise specified. This article reviews the evidence supporting CBT in the treatment of eating disorders and provides an account of the "transdiagnostic" theory that underpins the enhanced form of the treatment. It ends with an outline of the treatment's main strategies and procedures.

Copyright 2010 Elsevier Inc. All rights reserved.

Figures

Fig. 1
Fig. 1
The composite “transdiagnostic” cognitive behavioral formulation.
Fig. 2
Fig. 2
An example monitoring record.
Fig. 3
Fig. 3
The overevaluation of shape and weight and their control: an extended formulation.

References

    1. National Institute for Clinical Excellence (NICE) NICE; London: 2004. Eating disorders—core interventions in the treatment and management of anorexia nervosa, bulimia nervosa and related eating disorders. Available at: Accessed October 2009. NICE Clinical Guidance No. 9.
    1. Fairburn C.G., Cooper Z., Doll H.A. Transdiagnostic cognitive behavioral therapy for patients with eating disorders: a two-site trial with 60-week follow-up. Am J Psychiatry. 2009;166:311–319.
    1. American Psychiatric Association . 4th edition. American Psychiatric Association; Washington, DC: 1994. Diagnostic and statistical manual of mental disorders.
    1. Fairburn C.G., Bohn K. Eating disorder NOS (EDNOS): an example of the troublesome “not otherwise specified” (NOS) category in DSM-IV. Behav Res Ther. 2005;43:691–701.
    1. Dalle Grave R., Calugi S. Eating disorder not otherwise specified on an inpatient unit. Eur Eat Disord Rev. 2007;15:340–349.
    1. Miller G., Holden C. Proposed revisions to psychiatry's canon unveiled. Science. 2010;327(5967):770–771.
    1. Fairburn C.G., Cooper Z., Bohn K. The severity and status of eating disorder NOS: implications for DSM-V. Behav Res Ther. 2007;45(8):1705–1715.
    1. Wilson G.T., Grilo C.M., Vitousek K.M. Psychological treatment of eating disorders. Am Psychol. 2007;62(3):199–216.
    1. Shapiro J.R., Berkamn N.D., Brownley K.A. Bulimia nervosa treatment: a systematic review of randomized controlled trials. Int J Eat Disord. 2007;40(4):321–336.
    1. Hay P.P.J., Bacaltchuk J., Stefano S. Psychological treatments for bulimia nervosa and binging. Cochrane Database Syst Rev. 2009;4 CD000562.
    1. Fairburn C.G., Jones R., Peveler R.C. Psychotherapy and bulimia nervosa: the longer-term effects of interpersonal psychotherapy, behaviour therapy and cognitive behaviour therapy. Arch Gen Psychiatry. 1993;50:419–428.
    1. Agras W.S., Walsh B.T., Fairburn C.G. A multicenter comparison of cognitive behavioral therapy and interpersonal psychotherapy for bulimia nervosa. Arch Gen Psychiatry. 2000;57:459–466.
    1. Wilson G.T., Fairburn C.G. Treatments for eating disorders. In: Nathan P.E., Gorman J.M., editors. A guide to treatments that work. 3rd edition. Oxford University Press; New York: 2007. pp. 581–583.
    1. Fairburn CG. Transdiagnostic CBT for eating disorders “CBT-E”, presented at association for behavioral and cognitive therapy. New York; 2009.
    1. Mitchell J., Devlin M., de Zwaan M. Guilford; New York: 2008. Binge eating disorder. Clinical foundations and treatment. p. 65–9.
    1. Brownley K.A., Berkman N.D., Sedway J.A. Binge eating disorder treatment: a systematic review of randomized controlled trials. Int J Eat Disord. 2007;40:337–348.
    1. Sysko R., Walsh T. A critical evaluation of the efficacy of self-help interventions for the treatment of bulimia nervosa and binge-eating disorder. Int J Eat Disord. 2008;41:97–112.
    1. Wilson G.T., Wilfley D.E., Agras W.S. Psychological treatments of binge eating disorder. Arch Gen Psychiatry. 2010;67(1):94–101.
    1. Fairburn C.G., Cooper Z., Shafran R. Cognitive behaviour therapy for eating disorders: a “transdiagnostic” theory and treatment. Behav Res Ther. 2003;41:509–528.
    1. Fairburn C.G., Harrison P.J. Eating disorders. Lancet. 2003;361:407–416.
    1. Fairburn C.G., Cooper Z., Cooper P. The clinical features and maintenance of bulimia nervosa. In: Brownwell K.D., Foreyt J.P., editors. Physiology, psychology and treatment of eating disorders. Basic Books; New York: 1986. pp. 389–404.
    1. Cooper Z., Stewart A. CBT-E and the younger patient. In: Fairburn C.G., editor. Cognitive behavior therapy and eating disorders. Guilford Press; New York: 2008. pp. 221–230.
    1. Dalle Grave R., Bohn K., Hawker D. Inpatient, day patient, and two forms of outpatient CBT-E. In: Fairburn C.G., editor. Cognitive behavior therapy and eating disorders. Guilford Press; New York: 2008. pp. 231–244.
    1. Dalle Grave R, Fairburn CG. Intensive CBT for eating disorders. New York: Guilford Press, in press.
    1. Fairburn C.G. Guilford Press; New York: 2008. Cognitive behavior therapy and eating disorders.
    1. Fairburn C.G., Cooper Z., Waller D. The patients: their assessment, preparation for treatment and medical management. In: Fairburn C.G., editor. Cognitive behavior therapy and eating disorders. Guilford Press; New York: 2008. pp. 35–40.
    1. Fairburn C.G., Agras W.S., Walsh B.T. Prediction of outcome in bulimia nervosa by early change in treatment. Am J Psychiatry. 2004;161:2322–2324.
    1. Agras W.S., Crow S.J., Halmi K.A. Outcome predictors for the cognitive-behavioral treatment of bulimia nervosa: data from a multisite study. Am J Psychiatry. 2000;157:1302–1308.
    1. Fairburn C.G. Guilford Press; New York: 1995. Overcoming binge eating.
    1. Schmidt U., Treasure J. Psychology Press; Hove (UK): 1993. Getting better bit(e) by bit(e). A survival guide for sufferers of bulimia nervosa and binge eating disorders.
    1. Fairburn C.G., Cooper Z., Shafran R. Enhanced cognitive behavior therapy for eating disorders: the core protocol. In: Fairburn C.G., editor. Cognitive behavior therapy and eating disorders. Guilford Press; New York: 2008. pp. 47–193.
    1. Fairburn C.G., Cooper Z., Shafran R. Clinical perfectionism, core low self-esteem and interpersonal problems. In: Fairburn C.G., editor. Cognitive behavior therapy and eating disorders. Guilford Press; New York: 2008. pp. 47–123.
    1. Shafran R., Cooper Z., Fairburn C.G. Clinical perfectionism: a cognitive-behavioural analysis. Behav Res Ther. 2002;40:773–791.
    1. Murphy R., Straebler S., Cooper Z. Interpersonal psychotherapy (IPT) for eating disorders. In: Dancyger I.F., Fornari V.M., editors. Evidence based treatments for eating disorders. Nova Science Publishers; New York: 2009. pp. 257–274.
    1. Kazdin A.E., Nock M.K. Delineating mechanisms of change in child and adolescent therapy: methodological issues and research recommendations. J Child Psychol Psychiatry. 2003;44:1116–1129.

Source: PubMed

Спонсоры и соавторы

Заболевания

Медикаментозные вмешательства

Подписаться