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.


Available from: Rebecca Murphy
    • "However, the study was limited by its exclusive focus on patients with bulimia nervosa. Despite suggestion that a transdiagnostic approach is more suited to treatment of eating disorders (Fairburn, 2008; Murphy, Straebler, Cooper, & Fairburn, 2010), this contention remains to be proven. The evidence to date is that outcomes for anorexia nervosa are weaker than for non-underweight eating disorder cases, even when applying similar CBT principles (e.g., Fairburn et al., 2009, 2013). "
    [Show abstract] [Hide abstract]
    ABSTRACT: Psychotherapists report routinely not practising evidence-based treatments. However, there is little research examining the content of therapy from the patient perspective. This study examined the self-reported treatment experiences of individuals who had been told that they had received cognitive-behavior therapy (CBT) for their eating disorder. One hundred and fifty-seven such sufferers (mean age = 25.69 years) were recruited from self-help organisations. Participants completed an online survey assessing demographics, clinical characteristics, and therapy components. The use of evidence-based CBT techniques varied widely, with core elements for the eating disorders (e.g., weighing and food monitoring) used at well below the optimum level, while a number of unevidenced techniques were reported as being used commonly. Cluster analysis showed that participants received different patterns of intervention under the therapist label of 'CBT', with evidence-based CBT being the least common. Therapist age and patient diagnosis were related to the pattern of intervention delivered. It appears that clinicians are not subscribing to a transdiagnostic approach to the treatment of eating disorders. Patient recollections in this study support the conclusion that evidence-based practice is not routinely undertaken with this client group, even when the therapy offered is described as such.
    Behaviour Research and Therapy 11/2015; 75. DOI:10.1016/j.brat.2015.10.009 · 3.85 Impact Factor
  • 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
Show more