Cognitive-behavioral therapy for adolescents with binge eating syndromes: A case series
ABSTRACT Published empirically based studies of psychotherapies for bulimia nervosa (BN) have been conducted solely with adult populations. The current study extends the extant literature by piloting a version of cognitive-behavioral therapy (CBT) for BN adapted for an adolescent population.
The participants were referred for treatment for binge eating and purging behaviors at a university clinic. Patients received pretreatment and posttreatment interviews assessing the frequency of their binge eating and purge behaviors, and they also completed pretreatment and posttreatment assessments with the Eating Disorders Examination (EDE).
Results indicated significant reductions in the frequency of binge eating from pretreatment to posttreatment. Furthermore, all subscale scores of the EDE showed significant declines from pretreatment to posttreatment.
The authors concluded that CBT adapted for adolescents with bulimic symptoms appears to be a promising intervention worthy of further study in adolescents.
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ABSTRACT: The purpose of this article is to review the extant treatment literature on bulimia nervosa and to offer suggestions for future research directions. The available treatment studies regarding both pharmacotherapy and psychotherapy are reviewed. Both pharmacotherapy and psychotherapy appear to play a role in the treatment of bulimia nervosa; however, available data suggest that cognitive behavioral therapy remains the treatment of choice. Additional work is clearly indicated regarding assisted and unassisted self-help. An enhanced form of CBT and the integrative cognitive-affective therapy both deserve further study. New approaches need to be piloted. More research is needed on treatment modeling.International Journal of Eating Disorders 03/2007; 40(2):95-101. DOI:10.1002/eat.20343 · 3.13 Impact Factor
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ABSTRACT: Psychotherapeutic interventions for child and adolescent eating disorders have recently received increasing attention in the research literature. This article attempts to summarize these studies. The current literature was reviewed using the PubMed and Embase databases under the search terms eating disorders, child, adolescent, and psychotherapy. Here we will present a practical overview of the current evidence for psychotherapeutic interventions in this clinical population. There have been some very promising findings with regards to specific types of therapy for anorexia nervosa (AN), bulimia nervosa (BN) and binge eating disorder (BED). The best evidence available suggests that family-therapy models are most effective for treating adolescents with AN, and that CBT models are most effective for adolescent BN, although family-based treatment may also be effective for adolescents with BN. Too few studies have been done on BED in adolescents to draw any conclusions; however CBT, IPT and DBT are all theoretically promising.Journal of the Canadian Academy of Child and Adolescent Psychiatry = Journal de l'Academie canadienne de psychiatrie de l'enfant et de l'adolescent 12/2007; 16(4):153-7.
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ABSTRACT: The purpose of this review is to report on existing literature regarding children and adolescents younger than 16 years of age experiencing a first-episode psychiatric disturbance. Rather than providing a comprehensive list of service implications, this paper identifies some of the gaps in knowledge and practice to encourage ongoing analysis regarding better practices for early intervention for children and adolescents experiencing a first-episode psychiatric disturbance. A search was conducted to identify key evidence-based literature published from 1985 to 2007 discussing various aspects of child and youth mental health in Canada, the USA, the UK, Australia and New Zealand. The review also included 'grey' literature. Categories of information include diagnoses, pharmacological and non-pharmacological treatment, prevalence, environmental and other risk factors, and demographic variables. Understanding first-episode psychiatric disturbance for patients under the age of 16 years is limited because of a scarcity of controlled studies focusing on this population. Programme evaluations are sparse, perhaps because of the small number of specialized units servicing this population. It may be helpful to enlist early intervention psychosis programmes that have been successful in assisting young people aged 16-24 in the development of better practices and care outcomes for younger age groups. The authors highlight information that has the potential to assist in optimizing care for those youth younger than 16 years experiencing or exhibiting signs of a first-episode psychiatric disturbance.Early Intervention in Psychiatry 11/2008; 2(4):212-24. DOI:10.1111/j.1751-7893.2008.00081.x · 1.95 Impact Factor