Cognitive Behavioral Therapy for Eating Disorders

Department of Psychiatry, Warneford Hospital, Warneford Lane, Oxford University, Oxford OX3 7JX, UK.
The Psychiatric clinics of North America (Impact Factor: 1.87). 09/2010; 33(3):611-27. DOI: 10.1016/j.psc.2010.04.004
Source: PubMed


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.

Download full-text


Available from: Rebecca Murphy, Oct 05, 2015
42 Reads
  • Source
    • "Across all diagnoses and ages, average treatment length ranged from 3.86 to 6.73 sessions. We note that this is substantially shorter than most clinical guidelines (Murphy et al., 2010; NICE, 2004). These estimates across ages appear to be consistent with the range of 4.7 to 18.1 annual visits reported in past studies of private insurance claims among adults (Striegel- Moore et al., 2008) and across all ages up to 55 (Striegel-Moore & Leslie, 2000). "
    [Show abstract] [Hide abstract]
    ABSTRACT: This longitudinal, retrospective study examines patterns in eating disorder outpatient mental health treatment by age. Participants (n = 5,445) included patients treated for an eating disorder, with claims for treatment from Cigna, a leading health care insurance provider in the United States. Treatments for individuals 55 and older were less expensive and shorter than for any other age group. Treatments for individuals 44–55 were less expensive than for 15–24. Individual therapy is the most common treatment modality, but younger individuals are likely to receive family therapy. Younger individuals have lower dropout and higher return to care rates.
    Eating disorders 11/2014; 23(3). DOI:10.1080/10640266.2014.981427 · 1.48 Impact Factor
  • Source
    • "A range of psychological approaches may be suitable for the in-patient treatment of obesity, such as behavioral, cognitive-behavioral, interpersonal, systemic-strategic, psychodynamic, schema etc.; Shaw et al., 2005; Castelnuovo, 2010a,b). Among these different approaches, cognitive-behavior therapy (CBT) represents the gold standard for the treatment of obesity, focusing on dysfunctional behaviors, cognitive processes, unrealistic weight goals and body image perceptions (Murphy et al., 2010). The combination of psychological therapy and diet/exercise plans, leads to better weight loss outcomes than diet/exercise interventions alone. "
    [Show abstract] [Hide abstract]
    ABSTRACT: Obesity is currently an important public health problem of epidemic proportions (globesity). Inpatient rehabilitation interventions that aim at improving weight-loss, reducing obesity-related complications and changing dysfunctional behaviors, should ideally be carried out in a multidisciplinary context with a clinical team composed of psychologists, dieticians, psychiatrists, endocrinologists, nutritionists, physiotherapists, etc. Long-term outpatient multidisciplinary treatments are likely to constitute an essential aspect of rehabilitation. Internet-based technologies can improve long-term obesity rehabilitation within a collaborative approach by enhancing the steps specified by psychological and medical treatment protocols. These outcomes may be augmented further by the mHealth approach, through creating new treatment delivery methods to increase compliance and engagement. mHealth (m-health, mobile health) can be defined as the practice of medicine and public health, supported by mobile communication devices for health services and information. mHealth applications which can be implemented in weight loss protocols and obesity rehabilitation are discussed, taking into account future research directions in this promising area.
    Frontiers in Psychology 06/2014; 5:559. DOI:10.3389/fpsyg.2014.00559 · 2.80 Impact Factor
  • Source
    • "Eating disorder (ED) self-talk or the ‘voice of A/b (anorexia/bulimia)’ ([1], p. 21) has been argued to play a crucial role in the development and maintenance of disordered eating behaviour. This voice ensures that weight, shape, and eating issues are never far from one’s consciousness [2], that self-worth remains integrally connected with thinness [3], and that the sufferer’s original self-identity and values are subjugated, along with thoughts of a healthier/more positive nature [1,4]. "
    [Show abstract] [Hide abstract]
    ABSTRACT: Background While self-talk has been argued to play a crucial role in the development and maintenance of eating disorders (EDs), it has received limited research attention. This study aimed to explore the relationship of ED self-talk with ED severity and symptomatology. Methods Analysis of the existing literature, supplemented with a small-scale pilot study, identified 24 distinct categories of ED self-talk. The main study involved the completion of on-line questionnaires by 172 women aged 18–49, recruited through clinical services, ED websites, and the general population. Participants were assigned to clinical (n = 83) and non-clinical (n = 89) samples, using the Eating Disorder Examination Questionnaire to screen for ED psychopathology. Results Substantial differences in the levels of ED self-talk were found between the clinical and non-clinical populations. Principal components analysis, conducted within the clinical sample, revealed ED self-talk to have a two-component structure. Self-talk reflecting an ‘abusive relationship’ between the sufferer and the ED strongly predicted overall severity and several aspects of symptomatology. ‘Ascetic attitudes’ towards thinness were linked with compulsive exercising and lower BMIs but not with overall severity. Conclusions Close examination of the ‘abusive relationship’ component suggests a need to loosen the connection between negative appraisals of the abused self and the abusive voice of the ED so that the former can fulfil their potential as a force for change. Further, in seeking to counter the impact of the ED voice, it is suggested that the seducer and abuser roles require primary clinical focus.
    International Journal of Eating Disorders 05/2014; 2:14. DOI:10.1186/2050-2974-2-14 · 3.13 Impact Factor
Show more