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A Computer-Based Platform for Aiding Clinicians in Eating Disorder Analysis and Diagnosis
Published on: May 10, 2022
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Evolution of cognitive-behavioral therapy for eating disorders
W Stewart Agras1, Ellen E Fitzsimmons-Craft2, Denise E Wilfley2
1Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, 401 Quarry Rd., Stanford, CA 94305, USA.
Behaviour Research and Therapy
|January 24, 2017
Summary
Cognitive-behavioral therapy (CBT) has evolved to treat bulimic disorders, expanding to binge eating disorder and utilizing technology for wider access. Future mobile applications may offer personalized and effective eating disorder treatments.
Area of Science:
- Psychiatry
- Clinical Psychology
- Behavioral Science
Background:
- Bulimic disorders, including bulimia nervosa and binge eating disorder, present significant treatment challenges.
- Cognitive-behavioral therapy (CBT) is a primary treatment modality, but its evolution is key to improving outcomes.
- Broadening access and enhancing efficacy remain critical goals in treating these conditions.
Purpose of the Study:
- To review the historical evolution of cognitive-behavioral therapy (CBT) for bulimic disorders.
- To examine enhancements to CBT, including exposure and response prevention and guided self-help.
- To explore the role of technology in expanding treatment accessibility and efficacy.
Main Methods:
- Review of controlled studies on enhanced CBT and technology-based interventions.
- Analysis of treatment modifications, including broadening scope and reducing therapist input.
- Consideration of the risks and benefits associated with technological integration.
Main Results:
- CBT has been enhanced through additions like exposure and response prevention and adapted for binge eating disorder.
- Shortened treatment formats (guided self-help) and technology (computer-based, internet, mobile apps) have broadened treatment access.
- Controlled studies indicate potential benefits of technology, but risks and benefits require careful consideration.
Conclusions:
- The evolution of CBT has led to more accessible and potentially efficacious treatments for bulimic disorders.
- Technology-driven interventions, particularly mobile applications, show promise for personalized and improved eating disorder care.
- Balancing technological advancements with appropriate therapist input is crucial for optimizing treatment delivery.
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