Cognitive Behavior Therapy for the Eating Disorders

Cognitive behavioral therapy (CBT) is an evidence-based treatment for bulimia nervosa and binge-eating disorder and is regarded as the first-line treatment for both eating disorders. An enhanced version of the treatment (CBT-E) appears more effective in treating patients with severe comorbidity. There is less evidence that CBT is effective for the treatment of anorexia nervosa. Evidence suggests that CBT-E is no more effective than specialist care involving regular medical follow-up and supportive psychotherapy in the persistent adult form of anorexia nervosa (AN). Early studies suggest that CBT-E may be useful in treating the adolescent form of AN.
Source: The Psychiatric Clinics of North America - Category: Psychiatry Authors: Source Type: research

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AbstractPurpose of ReviewThe Yale Food Addiction Scale (YFAS) is a self-report questionnaire for the assessment of addiction-like consumption of high-calorie, processed foods. The original scale was developed in 2009 and —for its tenth anniversary—we now review studies using its revised version—the YFAS 2.0.Recent FindingsThe 11 symptoms of food addiction as measured with the YFAS 2.0 demonstrated high internal reliability and a unidimensional structure in several studies, supporting construct validity. Similar to the original YFAS, highest prevalence rates of YFAS 2.0 diagnoses were found in individuals ...
Source: Current Addiction Reports - Category: Addiction Source Type: research
What would you say if a graduate student or clinical fellow asked you to explain the difference between a feeding/swallowing disorder and an eating disorder for pediatric patients? As a pediatric feeding and swallowing specialists, I answer this question with, “It’s complicated.” Often, an overriding medical issue—such as gastrointestinal issues or poor oral strength and coordination due to prematurity—causes feeding and swallowing disorders. As medical issues resolve, feeding and swallowing issues can persist. And, over time, these issues could gradually change from medically based issues to...
Source: American Speech-Language-Hearing Association (ASHA) Press Releases - Category: Speech-Language Pathology Authors: Tags: Health Care Private Practice Schools Slider Speech-Language Pathology Dysphagia eating disorders Feeding Disorders Social Media Source Type: blogs
DiscussionSelf-image aspects once again display substantial power in predicting outcome in EDs. In AN/R patients, self-love plays an almost as crucial a role as baseline ED pathology in relation to 12-month outcome.
Source: Journal of Eating Disorders - Category: Eating Disorders & Weight Management Source Type: research
CONCLUSIONS: Eating disorders, particularly 'other specified' syndromes, are common in adolescence, and are experienced across age, weight, socioeconomic and migrant status. The merit of adding a criterion for clinical significance to the eating disorders, similar to other DSM-5 disorders, warrants consideration. At the least, screening tools should measure distress and impairment associated with eating disorder symptoms in order to capture adolescents in greatest need for intervention. PMID: 31043181 [PubMed - as supplied by publisher]
Source: Psychological Medicine - Category: Psychiatry Authors: Tags: Psychol Med Source Type: research
This article describes the core components and elements of IPT, the empirical evidence that supports its effectiveness, efforts to increase the dissemination and implementation of IPT, and future directions.
Source: The Psychiatric Clinics of North America - Category: Psychiatry Authors: Source Type: research
Medications are a useful adjunct to nutritional and psychotherapeutic treatments for eating disorders. Antidepressants are commonly used to treat bulimia nervosa; high-dose fluoxetine is a standard approach, but many other antidepressants can be used. Binge eating disorder can be treated with antidepressants, with medications that diminish appetite, or with lisdexamfetamine. Anorexia nervosa does not generally respond to medications, although recent evidence supports modest weight restoration benefits from olanzapine.
Source: The Psychiatric Clinics of North America - Category: Psychiatry Authors: Source Type: research
The authors provide an overview of the current state of research on self-help interventions for eating disorders. The efficacy of different forms of self-help interventions for bulimia nervosa, binge eating disorder, and other eating disorders at various stages of the care pathway (from prevention to relapse prevention) is described. Cost-effectiveness studies are also presented. Moderators of outcome, such as guidance and adherence, are discussed. Overall, the findings are promising and support the use of self-help interventions in the treatment of bulimic disorders, across the stages of the care pathway. Less is known ab...
Source: The Psychiatric Clinics of North America - Category: Psychiatry Authors: Source Type: research
ConclusionsOverall, the findings highlight changes in negative affect as a potential mechanism underlying the effects of mindfulness-based interventions in treating eating disorders.
Source: Mindfulness - Category: Psychiatry & Psychology Source Type: research
There is no such thing as a life free of distress. And yet in the distress — by learning to move through it, find strengths that help us cope, and most importantly, not avoid it — we often find the path to growth. This path, from finding escape from the distress of life to finding growth in it, is also the journey that underlies the recovery from an eating disorder. “People with eating disorders, like all people, flourish when they feel a sense of agency,” write authors Laura J. Goodman and Mona Villapiano. In their new book, Eating Disorders: The Journey to Recovery Workbook, 2nd Ed., Laura J. Good...
Source: Psych Central - Category: Psychiatry Authors: Tags: Addictions Anorexia Binge Eating Book Reviews Bulimia Diet & Nutrition Disorders Eating Disorders General Habits Healthy Living Psychology Self-Esteem Self-Help Trauma Treatment Weight Loss books on how to recover from an Source Type: news
Abstract At least 5% of women have an eating disorder (ED) during pregnancy. These EDs affect prepregnancy body mass index (BMI) and weight gain during pregnancy, factors associated with birth complications and adverse neonatal outcomes. This review contributes to the literature by examining several adverse birth outcomes associated with EDs and differentiates between past and present EDs. Of the 18 articles reviewed, EDs were associated with preterm birth in 5/14 (36%) and small-for-gestational-age in 5/8 (63%) studies. Anorexia Nervosa increases the odds of a low birth weight baby, particularly when women enter ...
Source: Canadian Journal of Dietetic Practice and Research - Category: Nutrition Authors: Tags: Can J Diet Pract Res Source Type: research
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