Psychological interventions in the treatment of eating disorders
DOI:
https://doi.org/10.25118/2763-9037.2019.v9.52Keywords:
Eati ng disorders, psychotherapy, cognitive behavioral therapyAbstract
Eating disorders can be defined by eating-related dysfunctional behaviors that impair physical health and psychosocial functioning. Anorexia nervosa is characterized by low body weight, dietary restriction, fear of gaining weight, overvaluation of body weight and/or shape and body image disorder. Bulimia nervosa is characterized by the presence of recurrent episodes of binge eating, followed by inappropriate compensatory behaviors to prevent weight gain and a self-evaluation unduly influenced by body shape or weight. The goals of psychotherapy in the treatment of eating disorders are to develop techniques to promote treatment adherence, improve the patient’s relationship with their body image, teach them how to control binge eating episodes, increase their self-esteem, improve interpersonal relationships, teach them how to functionally deal with intense emotions and modify the belief system associated with the development and maintenance of eating disorders. The present article describes the models of psychotherapy most widely tested in clinical studies for the treatment of eating disorders. Cognitive behavioral therapy is considered the gold standard for the treatment of these clinical conditions, due to the high number of controlled studies that corroborate the evidence of good results obtained with this model of psychotherapy. Techniques implemented by interpersonal therapy, dialectical behavior therapy and mindful eating are also described.
Downloads
Metrics
References
Associação Americana de Psiquiatria. Manual Diagnósti co e Estatí sti co de Transtornos Mentais, 5ª edição (DSM-5). Porto Alegre: Artmed; 2014.
Duchesne M, Costa S. Terapia cogniti vocomportamental dos transtornos alimentares. In: Abreu N, Vasques MFG, Callegaro MM, coordenadores. Curso digital terapias cogniti vas: módulo terapias cogniti vas e outros transtornos psiquiátricos (parte 1). Porto Alegre: Artmed Panamericana; 2018.
Nati onal Insti tute for Health and Care Excellence (NICE). Eati ng disorders: core interventi ons in the treatment and management of anorexia nervosa, bulimia nervosa and related eati ng disorders. London: NICE; 2004.
Linardon J, Fairburn CG, Fitzsimmons-Craft EE, Wilfl ey DE, Brennan L. The empirical status of the third-wave behavior therapies for the treatment of eati ng disorders: a systemati c review. Clin Psychol Rev. 2017;58:125-40. DOI: https://doi.org/10.1016/j.cpr.2017.10.005
Fairburn CG, Cooper Z, Shafran R, Bohn K, Hawker DM, Murphy R, et al. Enhanced cogniti ve behavior therapy: the core protocol. In: Fairburn CG. Cogniti ve behavior therapy and eati ng disorders. New York: Guilford Press; 2008. p. 47-183.
Beck AT. The current state of cogniti ve therapy: a 40-year retrospecti ve. Arch Gen Psychiatry. 2005;62:954-9. DOI: https://doi.org/10.1001/archpsyc.62.9.953
Duchesne M. Terapia cogniti vo-comportamental em grupo para pacientes obesos com transtorno da compulsão alimentar periódica [thesis]. Rio de Janeiro: Programa de Pós-Graduação em Psiquiatria e Saúde Mental do IPUB, UFRJ; 2006. DOI: https://doi.org/10.1590/S0101-81082007000100015
Cash TF, Smolak L. Body image: a handbook of science, practi ce, and preventi on. New York: Guilford Press; 2011.
Smolak L, Thompson JK. Body image, eati ng disorders and obesity in youth: assessment, preventi on, and treatment. 2nd ed. Washington: American Psychological Associati on; 2009. DOI: https://doi.org/10.1037/11860-000
Duchesne M, de Oliveira Falcone EM, de Freitas SR, D’Augusti n JF, Marinho V, Appolinario JC. Assessment of interpersonal skills in obese women with binge eati ng disorder. J Health Psychol. 2012;17:1065-75. DOI: https://doi.org/10.1177/1359105311432326
Karam AM, Fitzsimmons-Craft EE, Tanofsky-Kraff M, Wilfl ey DE. Interpersonal psychotherapy and the treatment of eati ng disorders. Psychiatr Clin North Am. 2019;42:205-18. DOI: https://doi.org/10.1016/j.psc.2019.01.003
Miniati M, Callari A, Maglio A, Calugi S. Interpersonal psychotherapy for eati ng disorders: current perspecti ves. Psychol Res Behav Manag. 2018;11:353-69. DOI: https://doi.org/10.2147/PRBM.S120584
Linehan MM. Treinamento de habilidades em DBT: manual de terapia comportamental dialética para o terapeuta. Porto Alegre: Artmed; 2018.
Safer DL, Telch CF, Chen EY. Dialecti cal behavior therapy for binge eati ng and bulimia. New York: The Guilford Press; 2017.
Duchesne M, Veiga D, Nazar PB. Mindfulness aplicada ao tratamento de obesos com transtorno da compulsão alimentar. In: Neufeld CB, Falcone EMO, Rangè B. Programa de atualização em terapia cogniti vo-comportamental: Ciclo 5. Vol. 2. Sistema de educação continuada a distância. Porto Alegre: Procogniti va. 2018. p. 91-132.
Kristeller J, Bowman A. The joy of half a cookie: using mindfulness to lose weight and end the struggle with food. São Paulo: Orion; 2015.
Downloads
Published
How to Cite
Conference Proceedings Volume
Section
License
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Debates em Psiquiatria allows the author (s) to keep their copyrights unrestricted. Allows the author (s) to retain their publication rights without restriction. Authors should ensure that the article is an original work without fabrication, fraud or plagiarism; does not infringe any copyright or right of ownership of any third party. Authors should also ensure that each one complies with the authorship requirements as recommended by the ICMJE and understand that if the article or part of it is flawed or fraudulent, each author shares responsibility.
Attribution-NonCommercial 4.0 International (CC BY-NC 4.0) - Debates em Psiquiatria is governed by the licencse CC-By-NC
You are free to:
- Share — copy and redistribute the material in any medium or format
- Adapt — remix, transform, and build upon the material
The licensor cannot revoke these freedoms as long as you follow the license terms. Under the following terms:
- Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.
- NonCommercial — You may not use the material for commercial purposes.
No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.
