{"id":16649,"date":"2014-04-16T08:57:30","date_gmt":"2014-04-16T12:57:30","guid":{"rendered":"http:\/\/therapytoronto.ca\/news\/?p=16649"},"modified":"2014-04-21T20:34:13","modified_gmt":"2014-04-22T00:34:13","slug":"when-eating-disorders-do-not-respond-to-psychotherapy","status":"publish","type":"post","link":"https:\/\/therapytoronto.ca\/news\/2014\/04\/when-eating-disorders-do-not-respond-to-psychotherapy\/","title":{"rendered":"When eating disorders do not respond to psychotherapy"},"content":{"rendered":"

From the Journal of Psychotherapy and Psychosomatics<\/em> media release:<\/p>\n

\"body<\/a>Cognitive behavioral therapy (CBT) is widely recommended for eating disorders (ED) by most evidence-based treatment guidelines. However, less than a half of ED patients report a full recovery in the short term<\/strong>, and a consistent rate of patients only obtains partial remission of symptoms.<\/p>\n

The authors conducted an analysis of treatment moderators to identify patients with a lower likelihood of response to therapy<\/strong>. Outpatients referred to the Clinic for Eating Disorders of the Psychiatric Unit of the University of Florence, (Italy) between June 1998 and February 2003 were enrolled in the study.<\/p>\n

Analyses were performed on a final sample consisting of 564 patients who participated in all 3 follow-ups<\/strong> (at the end of an individual CBT – T1; 3 years after the end of treatment – T2 ; and 3 years after the first follow-up – T3). CBT was provided over a minimum of 40 weeks for anorexia nervosa (AN), 20 weeks for bulimia nervosa (BN), and 24 weeks for binge eating disorder (BED).<\/p>\n

Patients were defined as ‘CBT non responders’ when no significant clinical improvement was observed at all 3 assessments after the baseline in terms of the DSM-IV diagnostic criteria.<\/p>\n

The overall recovery rate at the 6-year follow-up was 52.1% for AN, 49.6% for BN and 59.2% for BED<\/strong>.<\/p>\n

The BN patients showed highest nonresponse rate (39 patients; 28.5%)<\/strong>, followed by the AN patients (33; 20.0%) and the BED patients (37; 14.1%). AN and BN nonresponders showed higher ED psychopathology (EDE-Q scores) than other patients.<\/p>\n

AN subjects with a duration of illness longer than 2 years (94 patients, 57%) showed a greater likelihood of becoming nonresponders<\/strong>, while within the BED group, nonresponders showed higher EES and Beck Depression Inventory scores, higher rates of unipolar depression comorbidity, and a duration of illness longer than 7 years.<\/p>\n

This finding challenged the target of standard CBT. Indeed, according to recent new CBT protocols, going beyond symptoms at the cognitive\/behavioral level and expanding the therapeutic focus to the underlying, implicit emotional meanings<\/strong> would improve the effectiveness of CBT approaches.<\/p>\n

Moreover, these findings confirm that, after a period of time, the effects of the disorder significantly reduce the likelihood of a change in symptoms and highlight the importance of early intervention<\/strong>, reducing the time period in which the disorder is untreated and allowing patients to gain weight rapidly.<\/p><\/blockquote>\n

http:\/\/www.karger.com\/Article\/FullText\/356496<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"

From the Journal of Psychotherapy and Psychosomatics media release: Cognitive behavioral therapy (CBT) is widely recommended for eating disorders (ED) by most evidence-based treatment guidelines. However, less than a half… Read more »<\/a><\/p>\n","protected":false},"author":5,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[353,332],"tags":[],"_links":{"self":[{"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/posts\/16649"}],"collection":[{"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/users\/5"}],"replies":[{"embeddable":true,"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/comments?post=16649"}],"version-history":[{"count":1,"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/posts\/16649\/revisions"}],"predecessor-version":[{"id":16654,"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/posts\/16649\/revisions\/16654"}],"wp:attachment":[{"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/media?parent=16649"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/categories?post=16649"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/tags?post=16649"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}