La therapie comportementale de l'anorexie nerveuse

Wulliemier, F.; Rossel, Frieda; Sinclair, Ken

doi:10.1016/0022-3999(75)90024-0

Cited by 19 publications

(5 citation statements)

References 6 publications

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“…Williemier et al. 8 reported on two groups of patients with AN; one group was treated with only appetizing drugs and other was treated with psychotherapy and behavior therapy involving operant conditioning. They were rigidly restricted in meeting their family or friends.…”

Section: Discussionmentioning

confidence: 99%

“…FT, Fukamachi's activity restriction therapy; TET, token economy therapy that combines a token economy with FT; KPT, Kyoto Prefectural University of Medicine Behavior Therapy. Williemier et al 8 reported on two groups of patients with AN; one group was treated with only appetizing drugs and other was treated with psychotherapy and behavior therapy involving operant conditioning. They were rigidly restricted in meeting their family or friends.…”

Section: Discussionmentioning

confidence: 99%

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A behavior therapy program combined with liquid nutrition designed for anorexia nervosa

Okamoto

Yamashita

Nagoshi

et al. 2002

Psychiatry Clin Neurosci

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We have introduced behavior therapy as standard in-patient treatment for anorexia nervosa and have modified the treatment program. At first, we used Fukamachi's activity restriction therapy (FT), followed by Token economy therapy (TET), which combined token economy with FT. Finally, we have developed Kyoto Prefectural University of Medicine Behavior Therapy (KPT). According to KPT, only liquid formula is given in the early stages of hospitalization and a target weight is not set at admission. We examined the effect of these three programs with respect to bodyweight gain. Thirty-five anorexic patients participated in these three programs in our hospital: seven completed FT, seven completed TET and 21 coompleted KPT. We compared the effects of these three programs on body mass index (BMI). Furthermore, the effects of these three programs on BMI were compared at admission, 1 month after admission and at discharge, 6 months after discharge. In addition, the rate of increase of BMI for the following three periods was investigated: 1 month after admission, total hospitalization (from admission to discharge) and from admission to 6 months after discharge. The result is that KPT was the most effective of the three programs with regard to both the amount and the rate of increase of BMI at all points and there is a significant difference between KPT and FT. This effectiveness may be attributable to the use of an oral liquid formula, the setting of target weight at a later stage of hospitalization and the release of activity restriction based on weight gain.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

A behavior therapy program combined with liquid nutrition designed for anorexia nervosa

Okamoto

Yamashita

Nagoshi

et al. 2002

Psychiatry Clin Neurosci

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“…Some studies also examined the impact of medication on mood or anorectic attitudes. A wide variety of psychoactive medications, such as L-dopa [94], phenoxybenzamine [95], diphenylhydantoin [96,97], stimulants [98], and naloxone [99], have been administered to individuals with AN in open, uncontrolled trials. In many of these trials, medications have been claimed to be beneficial, but none of these observations has been confirmed under double-blind, controlled conditions.…”

Section: Pharmacologic Treatment Of Anmentioning

confidence: 99%

Neurotransmitter and Imaging Studies in Anorexia Nervosa: New Targets for Treatment

Barbarich

Kaye²,

Jimerson³

2003

CDTCNSND

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Anorexia and Bulimia Nervosa are disorders of unknown etiology that invariably begin during adolescence and near in time to puberty in young women. These disorders are associated with aberrant eating behaviors, body image distortions, impulse and mood disturbances, as well as characteristic temperament and personality traits. It is well known that malnutrition produces changes in neuroendocrine function. More recently, disturbances in neuronal systems have been found to play a role in the modulation of feeding, mood, and impulse control. These neuronal systems include neuropeptides (CRH, opioids, neuropeptide-Y (NPY) and peptide YY (PYY), vasopressin and oxytocin, CCK, and leptin) and monoamines (serotonin, dopamine, norepinephrine). Disturbances of most of these neuronal systems have been found when people are ill with an eating disorder, but it was not certain whether they were a cause or consequence of symptoms. In order to address these questions, a growing number of studies have investigated whether neuromodulatory disturbances persist after recovery. Studies from several centers tend to show altered serotonin activity persists after prolonged normalization of weight, nutrition, and menstrual function, as do anxiety, obsessionality, and perfectionism. While there are fewer data, there may be persistent alterations of dopamine or some neuropeptides in some subjects in a recovered state. The inaccessibility of the central nervous system has made it difficult to understand brain and behavior. In the past decade, new tools, such as brain imaging, have offered the possibility of better characterization of complex neuronal function and behavior. Such studies have tended to consistently find that alterations of brain regions, such as the temporal lobe, occur in people who are ill with anorexia nervosa and appear to persist after some degree of weight gain and recovery. New imaging technology, that marries Positron Emission Tomography (PET) imaging with selective neurotransmitter radioligands, confirms that altered serotonin neuronal pathway activity persists after recovery from an eating disorder and supports the possibility that these psychobiological alterations might contribute to traits, such as increased anxiety or extremes of impulse control, that, in turn, may contribute to a vulnerability to the development of an eating disorder. In summary, studies of pathophysiology are starting to nominate new candidates for treatment leading to the possibility of finding effective treatments for this often chronic or fatal disorder.

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“…Halmi states that only two randomly assigned controlled treatment studies have evaluated behavior therapy (11). One showed that patients receiving an operant conditioning program gained weight three times as fast as those who received a program of strict isolation, appetite-stimulating drugs, and psy chotherapy (25).…”

Section: Treatment Studiesmentioning

confidence: 99%

Anorexia Nervosa and Bulimia

Autry¹,

Stover²,

Reatig³

et al. 1986

Annu. Rev. Public Health

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go, llJinois 60637 INTRODUCTIONAnorexia nervosa is a heterogeneous disorder of self-starvation primarily found in adolescent females. It is characterized by profound weight loss; denial of illness; an overriding and irrational fear of becoming overweight; distorted body image; increased physical activity; and metabolic changes and dis turbances in endocrine function, reflected in prolonged amenorrhea (7). Studies have indicated that the incidence of anorexia nervosa has doubled over the past two decades. In a retrospective study in Monroe County, New York, it was found that the incidence increased from a rate of O. 35 per 100 ,000 population in *The us Government has the right to retain a nonexclusive, royalty-free license in and to any copyright covering this paper.

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La therapie comportementale de l'anorexie nerveuse

Cited by 19 publications

References 6 publications

A behavior therapy program combined with liquid nutrition designed for anorexia nervosa

A behavior therapy program combined with liquid nutrition designed for anorexia nervosa

Neurotransmitter and Imaging Studies in Anorexia Nervosa: New Targets for Treatment

Anorexia Nervosa and Bulimia

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