Psychotherapy for bulimia nervosa and binging

Hay, Phillipa; Bacaltchuk, Josué; Stefano, Sérgio Carlos

doi:10.1002/14651858.cd000562.pub2

Cited by 105 publications

(48 citation statements)

References 169 publications

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“…40 The Cochrane systematic review on psychotherapy for bulimia nervosa and binging also supports cognitive behavioural therapy for the treatment of bulimia nervosa and similar EDs. 41 Both reviews however, acknowledge that cognitive behavioural therapies are unlikely to be effective alone in reducing body weight. [40][41] Given the level of disordered eating in a community sample of young women with obesity and the considerable impairment this has on the psychological status, it would be prudent to screen for EDs in all young women seeking help for a weight problem.…”

Section: Discussionmentioning

confidence: 99%

“…41 Both reviews however, acknowledge that cognitive behavioural therapies are unlikely to be effective alone in reducing body weight. [40][41] Given the level of disordered eating in a community sample of young women with obesity and the considerable impairment this has on the psychological status, it would be prudent to screen for EDs in all young women seeking help for a weight problem. Further development and evaluation of combined exercise, dietary and psychological therapies (such as behavioural or cognitive behavioural therapy) for young women with obesity and co-morbid clinical or subclinical disordered eating psychopathology needs to occur with measurable outcomes including not only weight reduction, but changes in disordered eating, and other related social, physiological and psychological variables.…”

Section: Discussionmentioning

confidence: 99%

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Disordered eating behaviours and cognitions in young women with obesity: relationship with psychological status

et al. 2006

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Objective: To examine levels of eating disorder behaviours and cognitions of young women with obesity in the Australian Capital Territory, Australia and assess the impact upon psychological status. Design: General population cross-sectional survey. Subjects: A total of 4891 young women from the community aged 18-42 years, of which 630 were in the obese weight range. Measurements: Body mass index (BMI), eating disorder psychopathology (eating disorder examination questionnaire), and psychological distress (K-10). Results: Women with obesity had significantly higher levels of dietary restraint, eating concern, weight concern, shape concern, binge eating, misuse of diuretics, use of diet pills and fasting compared to other women in the community. These eating disorder cognitions and behaviours were associated with increased levels of psychological distress. In women with obesity, eating concern, weight concern, shape concern, dietary restraint and decreased age predicted psychological distress in a multivariate model. Among other women in the community, behaviours such as laxative misuse, 'hard' exercise and subjective bulimic episodes also contributed to the model predicting psychological distress. Conclusion: As disordered eating psychopathology is high in young obese women and negatively impacts upon psychological status, obesity prevention and treatment should consider eating disorder psychopathology and mental health outcomes.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Disordered eating behaviours and cognitions in young women with obesity: relationship with psychological status

et al. 2006

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“…Ambas as modalidades se mostram úteis na redução da frequência de episódios compulsivos, embora pareçam ter efeito limitado na redução de peso 51,52 . Duchesne et al avaliaram a eficácia de TCC em grupo em amostra de pacientes obesos brasileiros com TCAP.…”

Section: Compulsão Alimentar E Cirurgia Bariátricaunclassified

Aspectos do acompanhamento psiquiátrico de pacientes obesos sob tratamento bariátrico: revisão

Gordon

Kaio²,

Sallet³

2011

Rev. psiquiatr. clín.

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ResumoContexto: Nas últimas décadas, diversos estudos longitudinais têm demonstrado a eficácia da cirurgia bariátrica no controle de peso em longo prazo e na redução da mortalidade resultante de complicações clínicas associadas à obesidade. Contudo, os estudos também revelam aumento significativo da mortalidade devida a suicídio e comportamento impulsivo, por razões largamente desconhecidas, o que demonstra a escassez de informações relativas ao manejo clínico de pacientes bariátricos. O presente estudo tem como objetivo sintetizar o estado atual de conhecimentos referentes ao acompanhamento psiquiátrico de pacientes bariátricos. Método: Revisão seletiva da literatura envolvendo artigos indexados no Medline e PubMed até junho de 2010, utilizando-se os termos: "bariatric surgery", "psychiatry", "binge eating", "follow-up" e "outcome". Resultados: Há relativo consenso na literatura de que não haja contraindicação psiquiátrica absoluta para a cirurgia bariátrica, embora a avaliação pré-operatória seja de extrema importância para o diagnóstico e tratamento de eventuais transtornos psiquiátricos, objetivando assegurar aderência ao tratamento multidisciplinar, melhor qualidade de vida e, possivelmente, melhor prognóstico pós-cirúrgico. Entre os transtornos mais prevalentes nessa população, encontra-se o transtorno da compulsão alimentar periódica (TCAP), que está relacionado com menor perda ponderal e pior qualidade de vida, especialmente quando presente no pós-operatório. No acompanhamento pós-operatório, também se deve atentar para o surgimento de sintomas impulsivos, incluindo abuso de álcool e outras substâncias. Conclusão: Diversos estudos indicam elevada prevalência de transtornos mentais e alterações psicopatológicas na população de pacientes bariátricos. Embora a maioria dos pacientes apresente adequado controle ponderal e melhora na qualidade de vida em médio e longo prazo, alguns pacientes desenvolvem alterações relativas ao comportamento alimentar, abuso de álcool e outras substâncias e complicações associadas a comportamento impulsivo, o que remete a hipóteses etiológicas que vão desde modelos neuroquímicos até teorias psicossociais. Por todas essas razões, é de fundamental importância que os profissionais de saúde mental integrem as equipes que avaliam e acompanham os pacientes bariátricos. Gordon PC, et al. / Rev Psiq Clín. 2011;38(4):148-54Palavras-chave: Obesidade, cirurgia bariátrica, psiquiatria, transtorno da compulsão alimentar periódica. AbstractBackground: In recent decades, several longitudinal studies show the efficacy of bariatric surgery on long-term weight control and reductions in mortality due to clinical complications associated with obesity. However, studies also show significantly increased mortality due to suicide and impulsive behavior, for reasons largely unknown, which demonstrates the paucity of information concerning the clinical management of bariatric patients. This study aims to synthesize the current state of knowledge regarding the psychiatric care of bariatric patients. Meth...

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“…Since that time, dietary restraint has received much more attention as a potential risk factor; probably the most important risk factor for the development of eating disorders like bulimia nervosa or binge eating disorder (17)(18)(19) . Cognitive behavioural therapy, which aims at reducing dysfunctional dietary restraint, has been shown to be effective in the treatment of these eating disorders (19,20) . However, the role of dietary restraint in the prevention and treatment of obesity on the one hand, and in the development and maintenance of eating disorders on the other, appears to be more complicated.…”

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confidence: 99%

Eating behaviour and eating disorders in students of nutrition sciences

Korinth

Schiess

Westenhöfer

2009

Public Health Nutr.

133

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Objective: Sometimes the suspicion is put forward that nutrition students show more disordered eating patterns, which may be among the motivating factors to study nutrition. At the same time, it is not clear whether the students' increasing knowledge about diet and nutrition is associated with a more healthy eating behaviour or with an unhealthy obsession with food choices. Design: Cross-sectional comparison of nutrition students from German universities during the first year of their studies (n 123) and during higher semesters (n 96), with a control group from other study programmes (n 68 and n 46, respectively). Dietary restraint, disinhibition, the tendency towards orthorexia nervosa and healthy food choices were assessed using a questionnaire. Results: Nutrition students showed higher levels of dietary restraint than the control group. Disinhibition and orthorexia nervosa did not differ between nutrition students and controls. Orthorexic tendencies were lower in the more advanced nutrition students. Healthy food choices did not differ among students in the first year. More advanced nutrition students showed healthier food choices, whereas the corresponding controls showed slightly more unhealthy food choices. Conclusions: Nutrition students, more than other students, tend to restrict their food intake in order to control their weight, but they do not have more disturbed or disordered eating patterns than other students. Moreover, during the course of their studies, they adopt slightly more healthy food choices and decrease their tendency to be obsessive in their eating behaviour.

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Psychotherapy for bulimia nervosa and binging

Cited by 105 publications

References 169 publications

Disordered eating behaviours and cognitions in young women with obesity: relationship with psychological status

Disordered eating behaviours and cognitions in young women with obesity: relationship with psychological status

Aspectos do acompanhamento psiquiátrico de pacientes obesos sob tratamento bariátrico: revisão

Eating behaviour and eating disorders in students of nutrition sciences

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