饮食不协调 课件 eating disorder.pdfVIP

Empirically-Supported Treatments for Eating Disorders • Cognitive-behavioral therapy (CBT) • Interpersonal Therapy (IPT) • Dialectical Behavioral Therapy (DBT) • Family-based Psychotherapy (Maudsley Method) Cognitive-Behavioral Therapy • Rationale: Modify thoughts and behaviors that cause and maintain eating disorder symptoms. Change how you feel by changing how you think. • Features – Symptom-focused – Therapist is directive – Time limited • Based on the cognitive model of eating disorder symptoms (Fairburn, Marcus Wilson, 1993) CBT and Eating Disorders • CBT for eating disorders has been adapted from other manual-based CBT (e.g., Beck’s treatment of depression) • Extensive studies using CBT with bulimia nervosa • Few studies using CBT with anorexia nervosa • CBT for BED has followed bulimia nervosa 1 CBT and Bulimia Nervosa • At least 25 controlled trials of CBT • CBT wait-list control and minimal intervention conditions • CBT short-term psychodynamic therapy • CBT antidepressant medication alone • CBT + antidepressant medication: mixed results • CBT = IPT (Interpersonal Therapy) at follow-up Percent Abstinent IPT From Bulimic Symptoms CBT BT 100 80 60 40 20 0 Beginning End 4 months 8months 12months Fairburn et al., 1993 CBT versus IPT for Bulimia Nervosa (Agras et al., 2000) 60 50 40 % free of