Cognitive behavioral therapy focused upon communicational skills enhancement in anorexia nervosa- a case series

2011 ◽  
Vol 26 (S2) ◽  
pp. 740-740
Author(s):  
D. Vasile ◽  
O. Vasiliu ◽  
A.G. Mangalagiu ◽  
C. Tudor ◽  
V. Bogdan ◽  
...  

IntroductionAnorexia nervosa (AN) has been approached from multiple medical, social and psychological perspectives, but it still stands as a major challenge for the clinician, due to its resistance to treatment, low therapeutic compliance and severe complications.ObjectiveTo asses the efficacy of an interpersonal focused cognitive-behavioral therapy (CBT) in patients diagnosed with AN.MethodsWe enrolled in 12 weeks, 3 sessions a week, CBT program a number of three patients, females, admitted successively in our departments, diagnosed with AN, who didn’t have previously any kind of psychotherapy. The first patient was 22, diagnosed with AN-restricting type, had a BMI of 14.5 and a score on Eating Attitudes Test (EAT) of 34. The second patient was 19, presented AN-binge eating-purging, had a BMI of 14 and an EAT score of 35. The third patient was 25, had also AN-binge eating-purging, a BMI of 15 and an EAT score of 32.ResultsThe first two patients responded well to the CBT program, but the first signs of recovery (EAT decreases of at least 5 points and increases of at least 1 unit on BMI) appeared after 10 weeks (15 sessions). The third patient discontinued rather fast the psychological treatment. The follow up (12 weeks after endpoint) showed relapse in one CBT-treated patient and a severe status of the patient that discontinued psychotherapy.ConclusionThe CBT focused on communicational skills enhancement is beneficial in patients with AN, but responses appear rather late and need to be boosted by frequent follow-up sessions.

Obesity ◽  
2007 ◽  
Vol 15 (7) ◽  
pp. 1702-1709 ◽  
Author(s):  
Michael J. Devlin ◽  
Juli A. Goldfein ◽  
Eva Petkova ◽  
Linxu Liu ◽  
B. Timothy Walsh

1997 ◽  
Vol 65 (2) ◽  
pp. 343-347 ◽  
Author(s):  
W. Stewart Agras ◽  
Christy F. Telch ◽  
Bruce Arnow ◽  
Kathleen Eldredge ◽  
Margaret Marnell

2021 ◽  
pp. 135910452110289
Author(s):  
Stephanie M Manasse ◽  
Elizabeth W Lampe ◽  
Sophie R Abber ◽  
Rachel Butler ◽  
Lindsay Gillikin ◽  
...  

Binge eating (BE) often develops during adolescence and is associated with deleterious psychological and physical consequences. Current treatments for adolescents achieve suboptimal results, likely due to failure to adequately address fear of weight gain (FOWG) which maintains BE. Thus, exposure treatment (the most powerful intervention for fear) may be a promising approach. However, exposure treatment has only minimally tested in adults with BE and never tested in adolescents. Thus, the current study is the first to evaluate a 4-session exposure module within a 12-session standard cognitive behavioral therapy for adolescents with BE. We recruited adolescents with BE ( N = 5) and examined treatment feasibility, acceptability, and preliminary effects on FOWG and eating pathology. Overall, the 4-session exposure module was feasible and acceptable and showed preliminary evidence that it could reduce FOWG. However, several participants did not endorse significant fears of weight gain; rather, these participants reported that fears of deprivation or social judgment were more related to their BE. Future research should test higher doses of exposure and further examine the role of fear of deprivation/social judgment. Finally, future iterations of this treatment could include more parent involvement or test exposure in combination with treatments other than cognitive behavioral therapy, such as family-based treatment.


2010 ◽  
Vol 79 (4) ◽  
pp. 238-248 ◽  
Author(s):  
Valdo Ricca ◽  
Giovanni Castellini ◽  
Carolina Lo Sauro ◽  
Edoardo Mannucci ◽  
Claudia Ravaldi ◽  
...  

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