 |
|
Family-based treatment more effective than supportive psychotherapy in treating bulimia
September 04, 2007Bulimia patients age 12 to 19 years who received family-based treatment were less likely to continue to binge and purge than those who received supportive psychotherapy, which explores the underlying issues of the disorder, according to a report in the September issue of Archives of General Psychiatry, one of the JAMA/Archives journals.
"Bulimia nervosa (BN) is a disabling eating disorder with a prevalence of 1 percent to 2 percent among adolescents, while another 2 percent to 3 percent of adolescents present with bulimic symptoms that are clinically significant but do not meet full threshold criteria," according to background information in the article. The disorder is characterized by episodes of excessive eating, or bingeing, combined with inappropriate weight loss methods, such as purging (vomiting), using laxatives or exercising obsessively.
Daniel le Grange, Ph.D., of the University of Chicago, and colleagues analyzed 80 patients (age 12 to 19, average age 16.1), 37 with bulimia and 43 with bulimic symptoms. Between 2001 and 2006, 41 were randomly assigned to family-based treatment and 39 to supportive psychotherapy. Family-based treatment involves parents, does not address underlying causes of the condition, seeks to separate bulimics from their symptoms and empowers them to change their behaviors. Supportive psychotherapy does not contain active advice on changing eating patterns, but instead helps patients resolve underlying emotional issues at the root of the disorder. The patients each attended 20 outpatient visits over six months and were assessed before treatment, midway through, immediately following and at six months after treatment.
More patients receiving family-based treatment (16, or 39 percent) than supportive psychotherapy (7, or 18 percent) achieved remission-defined as abstaining from binge eating and compensatory behavior, such as purging-immediately following treatment. "Somewhat fewer patients were abstinent at the six-month follow-up; however, the difference was statistically in favor of family-based treatment vs. supportive psychotherapy (12 patients [29 percent] vs. 4 patients [10 percent])," the authors write.
"Results suggest that family-based treatment for bulimia nervosa is promising in the amelioration of symptomatic behavior for this disorder," the authors conclude. "However, we do not know whether it is family involvement or the focus on eating behavior that is key to good treatment outcome. Moreover, abstinence rates between 30 percent and 40 percent leave considerable room for improvement."
JAMA and Archives Journals
More patients receiving family-based treatment (16, or 39 percent) than supportive psychotherapy (7, or 18 percent) achieved remission-defined as abstaining from binge eating and compensatory behavior, such as purging-immediately following treatment. "Somewhat fewer patients were abstinent at the six-month follow-up; however, the difference was statistically in favor of family-based treatment vs. supportive psychotherapy (12 patients [29 percent] vs. 4 patients [10 percent])," the authors write.
"Results suggest that family-based treatment for bulimia nervosa is promising in the amelioration of symptomatic behavior for this disorder," the authors conclude. "However, we do not know whether it is family involvement or the focus on eating behavior that is key to good treatment outcome. Moreover, abstinence rates between 30 percent and 40 percent leave considerable room for improvement."
JAMA and Archives Journals
Psychotherapy Current Events and Psychotherapy News RSSMix of taiji, cognitive therapy and support groups benefits those with dementia
Those diagnosed with early stage dementia can slow their physical, mental and psychological decline by taking part in therapeutic programs that combine counseling, support groups, Taiji and qigong, researchers report. Some of the benefits of this approach are comparable to those achieved with anti-dementia medications.
Genes determine whether sugar pills work
It is a well-known fact in drug trials that individuals can respond just as well to placebos, sugar pills, as to the active drug.
Nearly 5 percent of the US population suffers from persistent depression or anxiety
Though effective treatments are available for individuals suffering from chronic depression and anxiety, very little is known about how often these treatments are used or how prevalent these conditions are among the nation's general population.
Study identifies 3 effective treatments for childhood anxiety disorders
Treatment that combines a certain type of psychotherapy with an antidepressant medication is most likely to help children with anxiety disorders, but each of the treatments alone is also effective, according to a new study funded by the National Institutes of Health's National Institute of Mental Health (NIMH).
Working environment is 1 cause of rheumatoid arthritis
It has long been known that environmental factors play a part in the development of rheumatoid arthritis; smoking and drinking alcohol, along with heredity, are particularly instrumental in increasing the risk of the disease.
Patients stay with phone psychotherapy longer than office visits
The problem with psychotherapy has long been that nearly half the patients quit going after a few sessions. Therapy can't work if patients stop coming to the therapist's office.
National study finds post-traumatic stress disorder common among injured patients
Suffering a traumatic injury can have serious and long-lasting implications for a patient's mental health, according to the largest-ever U.S. study evaluating the impact of traumatic injury.
National study finds post-traumatic stress disorder common among injured patients
Suffering a traumatic injury can have serious and long-lasting implications for a patient's mental health, according to the largest-ever U.S. study evaluating the impact of traumatic injury.
Family therapy helps relieve depression symptoms in bipolar teens
Family-focused therapy, when combined with medication, appears effective in stabilizing symptoms of depression among teens with bipolar disorder, according to a report in the September issue of Archives of General Psychiatry, one of the JAMA/Archives journals.
Sex differences seen in response to common antidepressant
Women with depression may be much more likely than men to get relief from a commonly used, inexpensive antidepressant drug, a new national study finds. But many members of both sexes may find that it helps ease their depression symptoms.
More Psychotherapy Current Events and Psychotherapy News Articles
 | Theory and Practice of Group Psychotherapy, Fifth Edition by Irvin D. Yalom, Molyn Leszcz The fifth edition of the best-selling text-completely revised to reflect the latest developments in the field In this completely revised and updated fifth edition of group psychotherapy's standard text, Dr. Yalom and his collaborator present the most recent developments in the field, drawing on nearly a decade of new research as well as their broad clinical wisdom and expertise. Among the... |
 | Theory and Practice of Counseling and Psychotherapy by Gerald Corey Develop your own counseling style using Corey's bestselling THEORY AND PRACTICE OF COUNSELING AND PSYCHOTHERAPY. You will see the major theories of counseling (psychoanalytic, Adlerian, existential, person-centered, Gestalt, reality, behavior, cognitive-behavior, family systems, feminist and, and postmodern approaches) as they are used in practice through a case study focused on one client,... |
 | Student Manual for Theory and Practice of Counseling and Psychotherapy by Gerald Corey This latest edition of Jerry Corey's best-seller helps students develop a personalized style of counseling that incorporates the thinking, feeling, and behaving dimensions of human experience. Warm, personal, and easy to understand, Corey's book covers nine contemporary theories and then demonstrates how each theory can be applied to a single case... |
 | The Complete Adult Psychotherapy Treatment Planner (Practice Planners) by Arthur E., Jr. Jongsma, L. Mark Peterson The Complete Adult Psychotherapy Treatment Planner, Fourth Edition provides all the elements necessary to quickly and easily develop formal treatment plans that satisfy the demands of HMOs, managed care companies, third-party payors, and state and federal agencies. New edition features: Empirically supported, evidence-based treatment interventions Organized around 43... |
 | Current Psychotherapies by Raymond J. Corsini, Danny Wedding Used in top counseling, psychology, and social work programs, CURRENT PSYCHOTHERAPIES is the ideal resource to not only help you excel in the course, but also to learn, compare, and apply the major systems of psychotherapy in a way that will be meaningful in your own practice. Each contributor is either an originator or a leading proponent of one of the systems, and each presents the basic... |
 | Theories of Psychotherapy & Counseling: Concepts and Cases by Richard S. Sharf This comprehensive and insightful text will provide you a thorough overview of the theories of psychotherapy and counseling, with examples of their application through the use of case summaries and therapist-client dialogue to illustrate techniques and treatment. Futher, you will study how theories can be applied to individual therapy or counseling for common psychological disorders, such as... |
 | Psychoanalytic Psychotherapy: A Practitioner's Guide by Nancy McWilliams Building on the enormous popularity of her two previous texts on diagnosis and case formulation, this important work from Nancy McWilliams completes the trilogy by addressing in detail the art and science of psychodynamic treatment. McWilliams distills the essential principles of clinical practice, including effective listening and talking; transference and countertransference; emotional safety;... |
 | Attachment in Psychotherapy by David J. Wallin This eloquent book translates attachment theory and research into an innovative framework that grounds adult psychotherapy in the facts of childhood development. Advancing a model of treatment as transformation through relationship, the author integrates attachment theory with neuroscience, trauma studies, relational psychotherapy, and the psychology of mindfulness. Vivid case material... |
 | American Therapy: The Rise of Psychotherapy in the United States by Jonathan Engel From Freud to Zoloft, the first comprehensive history of American Psychotherapy Fifty percent of Americans will undergo some form of psychotherapy in their lifetimes, but the origins of the field are rarely known to patients. Yet the story of psychotherapy in America brims with colorful characters, intriguing experimental treatments, and intense debates within this community of healers. American... |
 | The Child Psychotherapy Treatment Planner (Practice Planners) by Arthur E., Jr. Jongsma, L. Mark Peterson, William P. McInnis The Child Psychotherapy Treatment Planner, Fourth Edition provides treatment planning guidelines and an array of pre-written treatment plan components for behavioral and psychological problems, including blended family problems, children of divorce, ADHD, attachment disorder, academic problems, and speech and language disorders. Clinicians with adult clients will find this up-to-date revision an... |
| © 2009 BrightSurf.com |