scholarly journals The Real Happy Study: Protocol for a Prospective Assessment of the Real-World Effectiveness of the HAPIFED Program—a Healthy APproach to weIght management and Food in Eating Disorders

2019 ◽  
Vol 9 (7) ◽  
pp. 72 ◽  
Author(s):  
Andrea L. Pattinson ◽  
Natasha Nassar ◽  
Felipe Q. da Luz ◽  
Phillipa Hay ◽  
Stephen Touyz ◽  
...  
Keyword(s):  
Eating Disorders ◽  
Weight Loss ◽  
Binge Eating ◽  
Real World ◽  
Eating Behaviour ◽  
Excess Body Weight ◽  
Physical And Mental Health ◽  
Behaviour Therapy ◽  
The Real ◽  
Cognitive Behaviour

The prevalence of obesity with comorbid binge eating behaviour is growing at a faster rate than that seen for either obesity or eating disorders as separate conditions. Approximately 6% of the population are affected and they potentially face a lifetime of poor physical and mental health outcomes and an inability to sustain long-term weight loss. Current treatment options are inadequate in that they typically address either obesity or eating disorders exclusively, not the combination of both conditions. By treating one condition without treating the other, relapse is common, and patients are often left disappointed with their lack of weight loss. An integrated approach to treating these individuals is needed to prevent a worsening of the comorbidities associated with excess body weight and eating disorders. A new therapy has recently been developed, named HAPIFED, which addresses both overweight/obesity and comorbid binge eating behaviour with the combination of behavioural weight loss therapy and cognitive behaviour therapy-enhanced (CBT-E). The aim of this paper is to document the protocol for the Real Happy Study, which will evaluate the effectiveness of the HAPIFED program in treating overweight or obesity with comorbid binge-eating behaviour in a real-world setting.

scholarly journals Outpatient CBT for Underweight Patients with Eating Disorders: Effectiveness Within a National Health Service (NHS) Eating Disorders Service

2018 ◽  
Vol 47 (2) ◽  
pp. 217-229
Author(s):  
Paul E. Jenkins ◽  
Ceri Morgan ◽  
Catherine Houlihan
Keyword(s):  
Eating Disorders ◽  
Anorexia Nervosa ◽  
National Health Service ◽  
Health Service ◽  
National Health ◽  
Real World ◽  
Evidence Base ◽  
Behaviour Therapy ◽  
Psychosocial Impairment ◽  
Cognitive Behaviour

Background: Underweight eating disorders (EDs) are notoriously difficult to treat, although a growing evidence base suggests that outpatient cognitive behaviour therapy for EDs (CBT-ED) can be effective for a large proportion of individuals. Aims: To investigate the effectiveness of CBT-ED for underweight EDs in a ‘real-world’ settings. Method: Sixty-three adults with underweight EDs (anorexia nervosa or atypical anorexia nervosa) began outpatient CBT-ED in a National Health Service setting. Results: Fifty-four per cent completed treatment, for whom significant changes were observed on measures of ED symptoms, psychological distress and psychosocial impairment. There was also a large effect on body weight at end-of-treatment. Conclusions: The results suggest that good outcomes can be achieved by the majority of those who complete treatment, although treatment non-completion remains a significant barrier to recovery. Future studies should focus on improving treatment retention, as evidence suggests that CBT-ED in ‘real-world’ settings is effective.

scholarly journals Disturbo da binge-eating - Un update

IJEDO ◽  
2020 ◽  
pp. 29-40
Author(s):  
Riccardo Dalle Grave ◽  
Simona Calugi ◽  
Massimiliano Sartirana
Keyword(s):  
Weight Loss ◽  
Binge Eating ◽  
Impulse Control ◽  
Depressive Disorders ◽  
Normal Weight ◽  
Behaviour Therapy ◽  
Compensatory Behaviors ◽  
Cognitive Behaviour ◽  
Clinically Significant ◽  
New Treatment

Binge-eating disorder (BED) is characterized by the presence of recurrent binge-eating episodes not followed by the recurrent use of compensatory behaviors, occurring at least once a week for three months, and associated with marked distress. According to the most recent data, BED has a lifetime prevalence of 0.85% (men 0.42% and women 1.25%). The disorder, although it is also present in normal-weight individuals, is more frequent in those with obesity. BED often coexists with specific mental disorders (e.g., depressive disorders, anxiety disorders, substance use disorders, or impulse control disorders) and with general medical conditions (e.g., cardiometabolic diseases). Psychological treatments, such as cognitive behaviour therapy (CBT), produce remission of binge-eating episodes in about 50-55% of patients, but have a limited effect on weight loss when BED is associated with obesity. Pharmacological treatments for anxiety and depression have limited effects on the symptoms of BED, while some drugs that have shown promising results, such as lisdexamfetamine and dasotraline, are often burdened with important side effects and are not available in Italy. The need to develop a treatment able to determine both a modest, but clinically significant, weight loss and a simultaneous remission of binge-eating episodes and associated psychopathology, has led to design a new treatment, under evaluation, called “CBT-BO”, which integrates strategies and procedures of the CBT-E for eating disorders and CBT for obesity.

Fluoxetine and Fluvoxamine Combined with Individual Cognitive-Behaviour Therapy in Binge Eating Disorder: A One-Year Follow-Up Study

2001 ◽  
Vol 70 (6) ◽  
pp. 298-306 ◽  
Author(s):  
Valdo Ricca ◽  
Edoardo Mannucci ◽  
Barbara Mezzani ◽  
Sandra Moretti ◽  
Milena Di Bernardo ◽  
...  
Keyword(s):  
Eating Disorder ◽  
Binge Eating ◽  
Binge Eating Disorder ◽  
Cognitive Behaviour Therapy ◽  
Behaviour Therapy ◽  
Follow Up Study ◽  
Cognitive Behaviour ◽  
One Year

Predictors of Outcome for Cognitive Behaviour Therapy in Binge Eating Disorder

2015 ◽  
Vol 23 (3) ◽  
pp. 219-228 ◽  
Author(s):  
Mirjam W. Lammers ◽  
Maartje S. Vroling ◽  
Machteld A. Ouwens ◽  
Rutger C. M. E. Engels ◽  
Tatjana van Strien
Keyword(s):  
Eating Disorder ◽  
Binge Eating ◽  
Binge Eating Disorder ◽  
Cognitive Behaviour Therapy ◽  
Predictors Of Outcome ◽  
Behaviour Therapy ◽  
Cognitive Behaviour

FEEDING AND EATING DISORDERS MANAGEMENT IN ADOLESCENCE - COGNITIVE BEHAVIORAL APPROACH

2021 ◽  
Vol 7 (1) ◽  
pp. 171-182
Author(s):  
Cláudia Gomes Cano ◽  
Sandra Pires ◽  
Ana Catarina Serrano
Keyword(s):  
Eating Disorders ◽  
Adult Population ◽  
Adult Life ◽  
Behavioral Approach ◽  
Cognitive Behavioral ◽  
Public Health Issue ◽  
Young Population ◽  
Behaviour Therapy ◽  
Feeding And Eating Disorders ◽  
Cognitive Behaviour

Feeding and Eating Disorders (FED) are amongst the most frequent and severe psychiatric disorders in adolescence. These disorders can be considered an important public health issue, since they mostly affect a young population with potential significant functional impact at a young age and throughout adult life. Cognitive behavioral approach has demonstrated evidence as one of the empirically validated reference treatments for all FED. This article aims to perform a narrative review of the cognitive behavioral conceptualization and treatment approach of FED. Enhanced Cognitive Behaviour Therapy (CCT-E) is the treatment of choice for adolescents with FED when Family Therapy is contraindicated, not accepted, or not effective. Furthermore, the importance of an early intervention is emphasized, since it has been demonstrated that CCT-E has more effective results and in a shorter period of time in adolescents compared with an adult population.

Cognitive behaviour therapy for eating disorders

2012 ◽  
pp. 1298-1304
Author(s):  
Zafra Cooper ◽  
Rebecca Murphy ◽  
Christopher G. Fairburn
Keyword(s):  
Eating Disorders ◽  
Anorexia Nervosa ◽  
Eating Disorder ◽  
Bulimia Nervosa ◽  
Cognitive Behaviour Therapy ◽  
Behaviour Therapy ◽  
General Management ◽  
Not Otherwise Specified ◽  
Cognitive Behavioural ◽  
Cognitive Behaviour

The eating disorders provide one of the strongest indications for cognitive behaviour therapy. This bold claim arises from the demonstrated effectiveness of cognitive behaviour therapy in the treatment of bulimia nervosa and the widespread acceptance that cognitive behaviour therapy is the treatment of choice. Cognitive behaviour therapy is also widely used to treat anorexia nervosa although this application has not been adequately evaluated. Recently its use has been extended to ‘eating disorder not otherwise specified’ (eating disorder NOS), a diagnosis that applies to over 50 per cent of cases, and emerging evidence suggests that it is just as effective with these cases as it is with cases of bulimia nervosa. In this chapter the cognitive behavioural approach to the understanding and treatment of eating disorders will be described. The data on the efficacy and effectiveness of the treatment are considered in the chapters on anorexia nervosa and bulimia nervosa (see Chapters 4.10.1 and 4.10.2 respectively), as is their general management.

Sign in / Sign up

Export Citation Format

Share Document