The Evolution of "Enhanced" Cognitive Behavior Therapy for Eating Disorders: Learning From Treatment Nonresponse

The Evolution of "Enhanced" Cognitive Behavior Therapy for Eating Disorders: Learning From Treatment Nonresponse
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DOI:
10.1016/j.cbpra.2010.07.007
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发表时间:
2011-08-01
影响因子:
2.9
通讯作者:
Fairburn, Christopher G.
Fairburn, Christopher G.
中科院分区:
心理学3区
文献类型:
--
作者:
Cooper, Zafra;Fairburn, Christopher G.

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近年来,认知行为疗法(CBT)已被广泛接受,是治疗神经性贪食症的选择。神经性贪食症的认知行为治疗(CBT-BN)于1981年首次描述。在过去的几十年里,Meaty和治疗已经发展到应对各种挑战。这种治疗方法经过调整,使其适用于所有形式的进食障碍,从而使其在其范围内成为“跨诊断”,治疗程序也经过了改进,以改善结果。新版本的治疗,被称为增强CBT(CBT-E)还解决了精神病理过程“外部”的饮食失调,其中,在某些亚组的患者,与疾病本身的相互作用在本文中,我们讨论了如何发展这种更广泛的理论和治疗产生的关注那些患者谁没有很好地响应早期版本的治疗。
In recent years there has been widespread acceptance that cognitive behavior therapy (CBT) is the treatment of choice for bulimia nervosa. The cognitive behavioral treatment of bulimia nervosa (CBT-BN) was first described in 1981. Over the past decades the Meaty and treatment have evolved in response to a variety of challenges. The treatment has been adapted to make it suitable for all forms of eating disorder-thereby making it "transdiagnostic" in its scope- and treatment procedures have been refined to improve outcome. The new version of the treatment, termed enhanced CBT (CBT-E) also addresses psychopathological processes "external" to the eating disorder, which, in certain subgroups of patients, interact with the disorder itself In this paper we discuss how the development of this broader theory and treatment arose from focusing on those patients who did not respond well to earlier versions of the treatment.