scholarly journals Cognitive-behavioural therapy for individuals with bulimia nervosa and a co-occurring substance use disorder

2009 ◽  
Vol 17 (2) ◽  
pp. 89-100 ◽  
Author(s):  
Robyn Sysko ◽  
Tom Hildebrandt
Keyword(s):  
Substance Use ◽  
Bulimia Nervosa ◽  
Cognitive Behavioural Therapy ◽  
Substance Use Disorder ◽  
Behavioural Therapy ◽  
Cognitive Behavioural

scholarly journals Understanding eHealth Cognitive-Behavioural Therapy Targeting Substance Use: A Realist Review (Preprint)

10.2196/20557 ◽  
2020 ◽  
Author(s):  
Farhud Shams ◽  
James S.H. Wong ◽  
Mohammadali Nikoo ◽  
Ava Outadi ◽  
Ehsan Moazen-Zadeh ◽  
...  
Keyword(s):  
Substance Use ◽  
Cognitive Behavioural Therapy ◽  
Realist Review ◽  
Behavioural Therapy ◽  
Cognitive Behavioural

scholarly journals Stepped care and cognitive–behavioural therapy for bulimia nervosa: randomised trial

2011 ◽  
Vol 198 (5) ◽  
pp. 391-397 ◽  
Author(s):  
James E. Mitchell ◽  
Stewart Agras ◽  
Scott Crow ◽  
Katherine Halmi ◽  
Christopher G. Fairburn ◽  
...  
Keyword(s):  
Bulimia Nervosa ◽  
Cognitive Behavioural Therapy ◽  
Relative Effectiveness ◽  
Randomised Trial ◽  
Behavioural Therapy ◽  
Individual Therapy ◽  
Stepped Care ◽  
Self Help ◽  
Treatment Conditions ◽  
Cognitive Behavioural

BackgroundThis study compared the best available treatment for bulimia nervosa, cognitive–behavioural therapy (CBT) augmented by fluoxetine if indicated, with a stepped-care treatment approach in order to enhance treatment effectiveness.AimsTo establish the relative effectiveness of these two approaches.MethodThis was a randomised trial conducted at four clinical centres (Clinicaltrials.gov registration number: NCT00733525). A total of 293 participants with bulimia nervosa were randomised to one of two treatment conditions: manual-based CBT delivered in an individual therapy format involving 20 sessions over 18 weeks and participants who were predicted to be non-responders after 6 sessions of CBT had fluoxetine added to treatment; or a stepped-care approach that began with supervised self-help, with the addition of fluoxetine in participants who were predicted to be non-responders after six sessions, followed by CBT for those who failed to achieve abstinence with self-help and medication management.ResultsBoth in the intent-to-treat and completer samples, there were no differences between the two treatment conditions in inducing recovery (no binge eating or purging behaviours for 28 days) or remission (no longer meeting DSM–IV criteria). At the end of 1-year follow-up, the stepped-care condition was significantly superior to CBT.ConclusionsTherapist-assisted self-help was an effective first-level treatment in the stepped-care sequence, and the full sequence was more effective than CBT suggesting that treatment is enhanced with a more individualised approach.

scholarly journals The impact of interventions for youth experiencing homelessness on housing, mental health, substance use, and family cohesion: a systematic review

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Jean Zhuo Wang ◽  
Sebastian Mott ◽  
Olivia Magwood ◽  
Christine Mathew ◽  
Andrew Mclellan ◽  
...  
Keyword(s):  
Substance Use ◽  
Randomized Controlled Trials ◽  
Cognitive Behavioural Therapy ◽  
Systematic Reviews ◽  
Behavioural Therapy ◽  
Controlled Trials ◽  
Housing Stability ◽  
Randomized Controlled ◽  
Cognitive Behavioural ◽  
Family Based

Abstract Background Youth often experience unique pathways into homelessness, such as family conflict, child abuse and neglect. Most research has focused on adult homeless populations, yet youth have specific needs that require adapted interventions. This review aims to synthesize evidence on interventions for youth and assess their impacts on health, social, and equity outcomes. Methods We systematically searched Medline, Embase, PsycINFO, and other databases from inception until February 9, 2018 for systematic reviews and randomized controlled trials on youth interventions conducted in high income countries. We screened title and abstract and full text for inclusion, and data extraction were completed in duplicate, following the PRISMA-E (equity) review approach. Results Our search identified 11,936 records. Four systematic reviews and 18 articles on randomized controlled trials met the inclusion criteria. Many studies reported on interventions including individual and family therapies, skill-building, case management, and structural interventions. Cognitive behavioural therapy led to improvements in depression and substance use, and studies of three family-based therapies reported decreases in substance use. Housing first, a structural intervention, led to improvements in housing stability. Many interventions showed inconsistent results compared to services as usual or other interventions, but often led to improvements over time in both the intervention and comparison group. The equity analysis showed that equity variables were inconsistently measured, but there was data to suggest differential outcomes based upon gender and ethnicity. Conclusions This review identified a variety of interventions for youth experiencing homelessness. Promising interventions include cognitive behavioural therapy for addressing depression, family-based therapy for substance use outcomes, and housing programs for housing stability. Youth pathways are often unique and thus prevention and treatment may benefit from a tailored and flexible approach.

Cognitive-Behavioural Treatment of Bulimia Nervosa

1995 ◽  
Vol 12 (2) ◽  
pp. 81-97 ◽  
Author(s):  
Harold Leitenberg
Keyword(s):  
Bulimia Nervosa ◽  
Effective Treatment ◽  
Cognitive Behavioural Therapy ◽  
Behavioural Therapy ◽  
Behavioural Treatment ◽  
Term Outcome ◽  
Long Term Outcome ◽  
Cognitive Behavioural Treatment ◽  
Cognitive Behavioural

This paper reviews the literature on cognitive-behavioural treatment of bulimia nervosa, including the rationale and procedure for including an exposure plus response-prevention component. Comparisons of the full cognitive-behavioural therapy package to no treatment, other forms of psychotherapy, and pharmacotherapy are evaluated. The evidence suggests that cognitive-behavioural therapy is a relatively effective treatment for bulimia nervosa, although long-term outcome is still far from optimal.

A randomized controlled trial of internet-based cognitive-behavioural therapy for bulimia nervosa or related disorders in a student population

2010 ◽  
Vol 41 (2) ◽  
pp. 407-417 ◽  
Author(s):  
V. C. Sánchez-Ortiz ◽  
C. Munro ◽  
D. Stahl ◽  
J. House ◽  
H. Startup ◽  
...  
Keyword(s):  
Eating Disorder ◽  
Bulimia Nervosa ◽  
Cognitive Behavioural Therapy ◽  
Controlled Trial ◽  
Behavioural Therapy ◽  
Waiting List ◽  
Eating Disorder Examination ◽  
Delayed Treatment ◽  
Cognitive Behavioural ◽  
E Mail

BackgroundBulimic eating disorders are common among female students, yet the majority do not access effective treatment. Internet-based cognitive-behavioural therapy (iCBT) may be able to bridge this gap.MethodSeventy-six students with bulimia nervosa (BN) or eating disorder not otherwise specified (EDNOS) were randomly assigned to immediate iCBT with e-mail support over 3 months or to a 3-month waiting list followed by iCBT [waiting list/delayed treatment control (WL/DTC)]. ED outcomes were assessed with the Eating Disorder Examination (EDE) at baseline, 3 months and 6 months. Other outcomes included depression, anxiety and quality of life.ResultsStudents who had immediate iCBT showed significantly greater improvements at 3 and 6 months than those receiving WL/DTC in ED and other symptoms.ConclusionsiCBT with e-mail support is efficacious in students with bulimic disorders and has lasting effects.

A short-term cognitive behavioural therapy for bulimia nervosa including brief hospitalisation

1997 ◽  
Vol 12 (8) ◽  
pp. 405-411 ◽  
Author(s):  
T Léonard ◽  
C Mirabel-Sarron ◽  
C Foulon ◽  
J-C Melchior ◽  
D Rigaud ◽  
...  
Keyword(s):  
Food Intake ◽  
Bulimia Nervosa ◽  
Cognitive Behavioural Therapy ◽  
Eating Behaviour ◽  
Behavioural Therapy ◽  
Psychiatric Ward ◽  
Metabolic Study ◽  
Short Term ◽  
Meal Intake ◽  
Cognitive Behavioural

SummaryThis was a metabolic study of bulimia nervosa required to design short-term cognitive-behavioural therapy (CBT) beginning with a brief admission to a psychiatric ward. The treatment produced significant improvements in eating behaviour and results are compared with those of previously published studies. The comparisons do not suggest that brief admission at the onset of therapy might enhance its effectiveness. In other respects, increase in normal meal intake was found to correlate significantly with decrease in hinging. This supports the notion that appropriate food intake at meal times should be an important issue in CBT for bulimia nervosa.

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