FEEDING AND EATING DISORDERS MANAGEMENT IN ADOLESCENCE - COGNITIVE BEHAVIORAL APPROACH

2021 ◽  
Vol 7 (1) ◽  
pp. 171-182
Author(s):  
Cláudia Gomes Cano ◽  
Sandra Pires ◽  
Ana Catarina Serrano
Keyword(s):  
Eating Disorders ◽  
Adult Population ◽  
Adult Life ◽  
Behavioral Approach ◽  
Cognitive Behavioral ◽  
Public Health Issue ◽  
Young Population ◽  
Behaviour Therapy ◽  
Feeding And Eating Disorders ◽  
Cognitive Behaviour

Feeding and Eating Disorders (FED) are amongst the most frequent and severe psychiatric disorders in adolescence. These disorders can be considered an important public health issue, since they mostly affect a young population with potential significant functional impact at a young age and throughout adult life. Cognitive behavioral approach has demonstrated evidence as one of the empirically validated reference treatments for all FED. This article aims to perform a narrative review of the cognitive behavioral conceptualization and treatment approach of FED. Enhanced Cognitive Behaviour Therapy (CCT-E) is the treatment of choice for adolescents with FED when Family Therapy is contraindicated, not accepted, or not effective. Furthermore, the importance of an early intervention is emphasized, since it has been demonstrated that CCT-E has more effective results and in a shorter period of time in adolescents compared with an adult population.

Family therapy in iran: An OCD case study

2011 ◽  
Vol 26 (S2) ◽  
pp. 972-972
Author(s):  
M. Khodayarifard ◽  
J. McClenon ◽  
S. Khodayarifard
Keyword(s):  
Family Therapy ◽  
Behavioral Therapy ◽  
Behavioral Approach ◽  
Cognitive Behavioral ◽  
Childhood And Adolescence ◽  
Positive Thinking ◽  
Behaviour Therapy ◽  
Cognitive Behaviour ◽  
The Family ◽  
Religious Cultures

Iranian clinical psychologists have devised family therapy methods, based on cognitive behavioral models, fitting their collectivist, Islamic culture. We review Islamic-based strategies and describe family therapy in a culturally-specific childhood OCD case. In %80 of adults diagnosed with OCD, obsession is observed to have started in childhood and adolescence. Studies showed that cognitive-behaviour therapy, although efficient in treatment of OCD, fails in the case of children, due to their limited cognitive ability and their lower level of development. On the other hand, since children's response to medication cannot be anticipated, and because of the side-effects and the probability of recurrence after termination of medication, parents do not agree to medical treatment for their children. The purpose the present research was therefore designed to investigate the efficiency of family therapy based on cognitive behavioral approach in treatment of OCD case. The family therapy techniques used in this study are encounter, self-reporting, relaxation, modeling, and positive thinking. The OCD client was studied and exposed to the method. The results showed that the family therapy method using integrated, religious-based cognitive behavioral therapy, seems more appropriate for clients from collectivist, religious cultures. The final part of the research discusses the findings in relation to those of the previous studies.

Cognitive behaviour therapy for eating disorders

2012 ◽  
pp. 1298-1304
Author(s):  
Zafra Cooper ◽  
Rebecca Murphy ◽  
Christopher G. Fairburn
Keyword(s):  
Eating Disorders ◽  
Anorexia Nervosa ◽  
Eating Disorder ◽  
Bulimia Nervosa ◽  
Cognitive Behaviour Therapy ◽  
Behaviour Therapy ◽  
General Management ◽  
Not Otherwise Specified ◽  
Cognitive Behavioural ◽  
Cognitive Behaviour

The eating disorders provide one of the strongest indications for cognitive behaviour therapy. This bold claim arises from the demonstrated effectiveness of cognitive behaviour therapy in the treatment of bulimia nervosa and the widespread acceptance that cognitive behaviour therapy is the treatment of choice. Cognitive behaviour therapy is also widely used to treat anorexia nervosa although this application has not been adequately evaluated. Recently its use has been extended to ‘eating disorder not otherwise specified’ (eating disorder NOS), a diagnosis that applies to over 50 per cent of cases, and emerging evidence suggests that it is just as effective with these cases as it is with cases of bulimia nervosa. In this chapter the cognitive behavioural approach to the understanding and treatment of eating disorders will be described. The data on the efficacy and effectiveness of the treatment are considered in the chapters on anorexia nervosa and bulimia nervosa (see Chapters 4.10.1 and 4.10.2 respectively), as is their general management.

scholarly journals Outpatient CBT for Underweight Patients with Eating Disorders: Effectiveness Within a National Health Service (NHS) Eating Disorders Service

2018 ◽  
Vol 47 (2) ◽  
pp. 217-229
Author(s):  
Paul E. Jenkins ◽  
Ceri Morgan ◽  
Catherine Houlihan
Keyword(s):  
Eating Disorders ◽  
Anorexia Nervosa ◽  
National Health Service ◽  
Health Service ◽  
National Health ◽  
Real World ◽  
Evidence Base ◽  
Behaviour Therapy ◽  
Psychosocial Impairment ◽  
Cognitive Behaviour

Background: Underweight eating disorders (EDs) are notoriously difficult to treat, although a growing evidence base suggests that outpatient cognitive behaviour therapy for EDs (CBT-ED) can be effective for a large proportion of individuals. Aims: To investigate the effectiveness of CBT-ED for underweight EDs in a ‘real-world’ settings. Method: Sixty-three adults with underweight EDs (anorexia nervosa or atypical anorexia nervosa) began outpatient CBT-ED in a National Health Service setting. Results: Fifty-four per cent completed treatment, for whom significant changes were observed on measures of ED symptoms, psychological distress and psychosocial impairment. There was also a large effect on body weight at end-of-treatment. Conclusions: The results suggest that good outcomes can be achieved by the majority of those who complete treatment, although treatment non-completion remains a significant barrier to recovery. Future studies should focus on improving treatment retention, as evidence suggests that CBT-ED in ‘real-world’ settings is effective.

Increased wait-list time predicts dropout from outpatient enhanced cognitive behaviour therapy (CBT-E) for eating disorders

2012 ◽  
Vol 50 (7-8) ◽  
pp. 487-492 ◽  
Author(s):  
Olivia Carter ◽  
Louise Pannekoek ◽  
Anthea Fursland ◽  
Karina L. Allen ◽  
Amy M. Lampard ◽  
...  
Keyword(s):  
Eating Disorders ◽  
Cognitive Behaviour Therapy ◽  
Wait List ◽  
Behaviour Therapy ◽  
Cognitive Behaviour

Cognitive Behaviour Therapy for People with Asperger Syndrome

2005 ◽  
Vol 34 (3) ◽  
pp. 293-303 ◽  
Author(s):  
Stephen Anderson ◽  
Jane Morris
Keyword(s):  
Substance Abuse ◽  
Eating Disorders ◽  
Asperger Syndrome ◽  
Cognitive Behaviour Therapy ◽  
Bipolar Affective Disorder ◽  
Relevant Literature ◽  
Behaviour Therapy ◽  
Obsessive Compulsive ◽  
Compulsive Disorder ◽  
Cognitive Behaviour

People with Asperger syndrome (AS) appear to have higher than expected rates of co-morbid psychiatric disorder. The main co-morbid diagnoses are anxiety disorders and depression, but eating disorders, obsessive compulsive disorder, substance abuse and bipolar affective disorder have all been reported. Cognitive Behaviour Therapy (CBT) is used effectively to treat these conditions, so could it be used in people who also have Asperger syndrome? This paper reviews important components and characteristics of cognitive behaviour therapy in relation to its use with people who have Asperger syndrome with reference to the relevant literature and to feedback from people with AS. The use of CBT in people with Asperger syndrome appears promising, but further work is needed to evaluate its effectiveness and to examine which particular aspects of therapy are helpful.

scholarly journals Cognitive Behaviour Therapy for Bulimia Nervosa and Eating Disorders Not Otherwise Specified: Translation from Randomized Controlled Trial to a Clinical Setting

2014 ◽  
Vol 43 (6) ◽  
pp. 641-654 ◽  
Author(s):  
Sarah Knott ◽  
Debbie Woodward ◽  
Antonia Hoefkens ◽  
Caroline Limbert
Keyword(s):  
Eating Disorders ◽  
Randomized Controlled Trial ◽  
Eating Disorder ◽  
Cognitive Behaviour Therapy ◽  
Controlled Trial ◽  
Behaviour Therapy ◽  
Intention To Treat ◽  
Randomized Controlled ◽  
Eating Disorder Psychopathology ◽  
Cognitive Behaviour

Background: Enhanced Cognitive Behaviour Therapy (CBT-E) (Fairburn, Cooper and Shafran, 2003) was developed as a treatment approach for eating disorders focusing on both core psychopathology and additional maintenance mechanisms. Aims: To evaluate treatment outcomes associated with CBT-E in a NHS Eating Disorders Service for adults with bulimia and atypical eating disorders and to make comparisons with a previously published randomized controlled trial (Fairburn et al., 2009) and “real world” evaluation (Byrne, Fursland, Allen and Watson, 2011). Method: Participants were referred to the eating disorder service between 2002 and 2011. They were aged between 18–65 years, registered with a General Practitioner within the catchment area, and had experienced symptoms fulfilling criteria for BN or EDNOS for a minimum of 6 months. Results: CBT-E was commenced by 272 patients, with 135 completing treatment. Overall, treatment was associated with significant improvements in eating disorder and associated psychopathology, for both treatment completers and the intention to treat sample. Conclusions: Findings support dissemination of CBT-E in this context, with significant improvements in eating disorder psychopathology. Improvements to global EDE-Q scores were higher for treatment completers and lower for the intention to treat sample, compared to previous studies (Fairburn et al., 2009; Byrne et al., 2011). Level of attrition was found at 40.8% and non-completion of treatment was associated with higher levels of anxiety. Potential explanations for these findings are discussed.

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