PSY2003 W6 Reading Flashcards
What are some forms of treatment for ed?
Specific forms of cognitive behavioural therapy and family-based treatment have consolidated and extended their positions as treatments of choice despite the development of novel approaches.
What is improtant to keep in mind when looking at sucess of treatments?
local health practices
For example, in some countries, individuals with bulimia
nervosa are routinely treated in a combination of in- and out-patient settings, whereas in others it is very rare for them to be treated as in-patients at all.
What were the recovery rate/results of different treatments?
Different forms of self-help and group treatments are less effective than face-to-face individual therapy. Specific types of family-based treatment (FBT) have a good recovery rate.
CBT can be a useful approach for adolescents with either underweight or non-underweight eating disorders. However, it should be noted that FBT has the
more immediate benefit when compared directly with CBT for adolescents with bulimia nervosa, although it was not statistically superior to CBT at follow-up12. Therefore, in this age group, CBT should be considered as an alternative that can be used only where FBT is not possible or indicated or where FBT has failed to be
effective.
Is CBT a good appraoch?
CBT-E is effective for normal-weight bulimia nervosa and
atypical eating disorders; approximately half of patients
remit and remain well.
Patients with anorexia do moderately well with CBT-E
CBT-E is more effective than interpersonal psychotherapy (IPT) and psychodynamic therapy for normal-weight cases.
What is SSCM?
Specialist supportive clinical management (SSCM).
Early SSCM findings were promising, suggesting better outcomes than CBT or IPT for anorexia nervosa.
However, those differences disappeared or reversed at
long-term follow-up, suggesting that SSCM might be a
therapy that needs to be delivered long-term to maintain its effects.
What is th maudsley model?
The Maudsley model of anorexia nervosa treatment for
adults (MANTRA). MANTRA is based on a relatively
elaborate theory compared with CBT, on the assumption
that CBT is too simplistic to deal with the multiplicity of
different pathological factors in anorexia nervosa cases.
However, initial findings suggest that it is notably less
effective than CBT-E; the recovery rate is similar to that
of SSCM.
What is DBT?
Dialectical behaviour therapy (DBT). A version of this
therapy (termed radically open-DBT) has been developed for anorexia nervosa, focusing on the compulsive pathology of such cases.
What part does Nutrional work take?
Starvation/semi-starvation is a powerful maintaining factor in the eating disorders; it has an impact
on biology, cognitions, emotions and social function.
There is little doubt that restoring nutritional balance is important for recovery, but it has recently been shown that nutritional improvements are important in terms of both positive changes in core cognitions32 and psychosocial functioning, such as quality of life
What is Cognitive remediation therapy?
Cognitive remediation therapy (CRT) is increasingly used to address the cognitive inflexibility that is associated with eating disorders, particularly anorexia nervosa. The evidence to date suggests that CRT is associated with greater cognitive flexibility in case series.
