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Cognitive treatments for eating disorders

G T Wilson1, C G Fairburn

  • 1Department of Psychology, Rutgers University, Piscataway, New Jersey 08854.

Journal of Consulting and Clinical Psychology
|April 1, 1993
PubMed
Summary

Cognitive-behavioral therapy effectively treats bulimia nervosa by changing attitudes toward weight and improving eating habits. This therapy shows lasting benefits for bulimia nervosa patients.

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Area of Science:

  • Psychiatry
  • Clinical Psychology

Background:

  • Cognitive-behavioral therapy (CBT) is widely applicable to eating disorders.
  • Bulimia Nervosa (BN) has been the most studied eating disorder in relation to CBT.

Purpose of the Study:

  • To evaluate the effectiveness of CBT in treating Bulimia Nervosa.
  • To explore the mechanisms of action for CBT in BN treatment.

Main Methods:

  • CBT interventions focus on altering body image and weight attitudes.
  • Therapy aims to replace disordered eating with normal patterns.
  • CBT develops coping strategies for binge eating and purging behaviors.

Main Results:

  • CBT effectively reduces core symptoms of Bulimia Nervosa.
  • Therapeutic improvements demonstrate good maintenance over time.
  • CBT shows superiority over antidepressant drug therapy for BN.

Conclusions:

  • CBT is a highly effective treatment for Bulimia Nervosa.
  • While effective, CBT's superiority over other psychological treatments requires further investigation.
  • Understanding CBT's mechanisms is crucial for optimizing treatment.

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