Hostname: page-component-8448b6f56d-cfpbc Total loading time: 0 Render date: 2024-04-24T03:02:45.964Z Has data issue: false hasContentIssue false
  • English
  • Français

Cognitive Behaviour Therapy for Eating Disorders

Published online by Cambridge University Press:  01 November 2008

Zafra Cooper  and
Roz Shafran
Zafra Cooper*
Affiliation:
University of Oxford, UK
Roz Shafran
Affiliation:
University of Reading, UK
*
Reprint requests to Zafra Cooper, Oxford University Department of Psychiatry, Warneford Hospital, Oxford OX3 7JX, UK. E-mail: zafra.cooper@psych.ox.ac.uk
Get access Rights & Permissions [Opens in a new window]

Abstract

The eating disorders provide one of the strongest indications for cognitive behaviour therapy (CBT). This bold claim arises from two sources: first, the fact that eating disorders are essentially cognitive disorders and second, the demonstrated effectiveness of CBT in the treatment of bulimia nervosa, which has led to the widespread acceptance that CBT is the treatment of choice. In this paper the cognitive behavioural approach to the understanding and treatment of eating disorders will be described. A brief summary of the evidence for this account and of the data supporting the efficacy and effectiveness of this form of treatment will be provided. Challenges for the future development and dissemination of the treatment will be identified.

Keywords

Cognitive behavioural treatmenteating disordertransdiagnostic
Type
Treatment Applications
Information
Behavioural and Cognitive Psychotherapy , Volume 36 , Issue 6: Developments in the Theory and Practice of Cognitive and Behavioural Therapies , November 2008 , pp. 713 - 722
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 2008

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Agras, W. S., Crow, S. J., Halmi, K. A., Mitchell, J. E., Wilson, G. T. and Kraemer, H. C. (2000). Outcome predictors for the cognitive behavioral treatment of bulimia nervosa: data from a multisite study. American Journal of Psychiatry, 157, 1302–1308.CrossRefGoogle ScholarPubMed
American Psychiatric Association (1994). Diagnostic and Statistical Manual of Mental Disorders (4th ed.). Washington DC: American Psychiatric Association.Google Scholar
American Psychiatric Association (2000). Diagnostic and Statistical Manual of Mental Disorders (4th ed., text revision). Washington, DC: American Psychiatric Association.Google Scholar
Bulik, C. M., Tozzi, F., Anderson, C., Masseo, S. E., Aggen, S. and Sullivan, P. F. (2003). The relation between eating disorders and components of perfectionism. American Journal of Psychiatry, 160, 366–368.CrossRefGoogle ScholarPubMed
Cooper, Z. and Fairburn, C. G. in press. The management of bulimia nervosa and other binge eating problems. Advances in Psychiatric Treatment.Google Scholar
Cooper, Z., Murphy, R. and Fairburn, C. G. in press. Cognitive behaviour therapy for eating disorders. InGelder, M. G.., Lopez-Ibor, J. J.., Andreasen, N. C. and Geddes, J. (Eds.), New Oxford Textbook of Psychiatry. Oxford: Oxford University Press.Google Scholar
Fairburn, C. G. (1981). A cognitive behavioural approach to the treatment of bulimia. Psychological Medicine, 11, 707–711.CrossRefGoogle Scholar
Fairburn, C. G. (2008). Cognitive Behavior Therapy and Eating Disorders. New York: Guilford Press.Google ScholarPubMed
Fairburn, C. G., Cooper, Z., Bohn, K., O'Connor, M. E., Doll, H. A. and Palmer, R. L. (2007). The severity and status of eating disorder NOS: implications for DSM-V. Behaviour Research and Therapy, 45, 1705–1715.CrossRefGoogle ScholarPubMed
Fairburn, C. G., Cooper, Z. and Cooper, P. (1986). The clinical features and maintenance of bulimia nervosa. InBrownell, K. D. and Foreyt, J. P. (Eds.), Physiology, Psychology and Treatment of the Eating Disorders. New York: Basic Books.Google Scholar
Fairburn, C. G., Cooper, Z., Doll, H. A., O'Connor, M. E., Bohn, K., Hawker, D. M., Wales, J. A. and Palmer, R. L. in press. Transdiagnostic cognitive behavior therapy for patients with eating disorders: a two-site trial with 60-week follow-up. American Journal of Psychiatry.Google Scholar
Fairburn, C. G., Cooper, Z., Doll, H. A. and Welch, S. L. (1999). Risk factors for anorexia nervosa: three integrated case-control comparisons. Archives of General Psychiatry, 56, 468–476.CrossRefGoogle ScholarPubMed
Fairburn, C. G., Cooper, Z. and Shafran, R. (2003). Cognitive behaviour therapy for eating disorders: a “transdiagnostic” theory and treatment. Behaviour Research and Therapy, 41, 509–528.CrossRefGoogle ScholarPubMed
Fairburn, C. G., Cooper, Z, Shafran, R, Bohn, K. and Hawker, D. (2008). Clinical perfectionism, core low self-esteem and interpersonal problems. InFairburn, C. G., Cognitive Behavior Therapy and Eating Disorders. New York: Guilford Press.Google ScholarPubMed
Fairburn, C. G., Jones, R., Peveler, R. C., Hope, R. A. and O'Connor, M. (1993a). Psychotherapy and bulimia nervosa: the longer–term effects of interpersonal psychotherapy, behaviour therapy and cognitive behaviour therapy. Archives of General Psychiatry, 50, 419–428.CrossRefGoogle Scholar
Fairburn, C. G., Marcus, M. D. and Wilson, G. T. (1993b). Cognitive-behavioral therapy for binge eating and bulimia nervosa: a comprehensive treatment manual. InFairburn, C. G. and Wilson, G. T. (Eds.), Binge Eating: nature, assessment and treatment. New York: Guilford Press.Google Scholar
Fairburn, C. G., Peveler, R. C., Jones, R., Hope, R. A. and Doll, H. A. (1993c). Predictors of 12-month outcome in bulimia nervosa and the influence of attitudes to shape and weight. Journal of Consulting and Clinical Psychology, 61, 696–698.CrossRefGoogle ScholarPubMed
Fairburn, C. G., Stice, E., Cooper, Z., Doll, H. A., Norman, P. A. and O'Connor, M. E. (2003). Understanding persistence in bulimia nervosa: a 5-year naturalistic study. Journal of Consulting and Clinical Psychology, 71, 103–109.CrossRefGoogle ScholarPubMed
Garner, D. M. (1997). Psychoeducational principles in treatment. InGarner, D. M. and Garfinkel, P. E. (Eds.), Handbook of Treatment for Eating Disorders. New York: Guildford Press.Google Scholar
Milos, G., Spindler, A., Schnyder, U. and Fairburn, C. G. (2005). Instability of eating disorder diagnoses: prospective study. British Journal of Psychiatry, 187, 573–578.CrossRefGoogle ScholarPubMed
National Institute for Clinical Excellence (2004). Eating Disorders: core interventions in the treatment and management of anorexia nervosa, bulimia nervosa and related eating disorders. NICE Clinical Guideline No. 9. London: NICE.Google Scholar
Polivy, J. and Herman, C. P. (1993). Etiology of binge eating: psychological mechanisms. InFairburn, C. G. and Wilson, G. T. (Eds.), Binge Eating: nature, assessment and treatment. New York: Guilford Press.Google Scholar
Russell, G. F. M. (1979). Bulimia nervosa: an ominous variant of anorexia nervosa. Psychological Medicine, 9, 429–448.CrossRefGoogle ScholarPubMed
Shafran, R., Cooper, Z. and Fairburn, C. G. (2002). Clinical perfectionism: a cognitive-behavioural analysis. Behaviour Research and Therapy, 40, 773–791.CrossRefGoogle ScholarPubMed
Shafran, R., Fairburn, C. G., Robinson, P. and Lask, B. (2003). Body checking and its avoidance in eating disorders. International Journal of Eating Disorders, 35, 93–101.CrossRefGoogle Scholar
Shafran, R., Lee, M., Cooper, Z., Palmer, R. L. and Fairburn, C. G. (2007). Attentional bias in eating disorders. International Journal of Eating Disorders, 40, 369–380.CrossRefGoogle ScholarPubMed
Shafran, R., Lee, M., Payne, E. and Fairburn, C. G. (2007). An experimental analysis of body checking. Behaviour Research and Therapy, 45, 113–121.CrossRefGoogle ScholarPubMed
Stice, E. (1994). Review of the evidence for a sociocultural model of bulimia nervosa and an exploration of the mechanisms of action. Clinical Psychology Review, 14, 633–661.CrossRefGoogle Scholar
Vitousek, K. M. (1996). The current status of cognitive-behavioral models of anorexia nervosa and bulimia nervosa. InSalkovskis, P. (Ed.), Frontiers of Cognitive Therapy. New York: Guilford Press.Google Scholar
Waller, G. (2002). The psychology of binge eating. InFairburn, C. G. and Brownwell, K. D. (Eds.), Eating Disorders and Obesity: a comprehensive handbook. New York: Guildford Press.Google Scholar
Wilson, G. T. and Fairburn, C. G. (2007) Eating disorders. InNathan, P. E. and Gorman, J. M. (Eds.), Treatments that Work. New York: Oxford University Press.Google ScholarPubMed
Wilson, G. T., Fairburn, C. G., Agras, W. S., Walsh, B. T. and Kraemer, H. (2002). Cognitive-behavioral therapy for bulimia nervosa: time course and mechanisms of change. Journal of Consulting and Clinical Psychology, 70, 267–274.CrossRefGoogle ScholarPubMed
Wilson, G. T., Grilo, C. M. and Vitousek, K. M. (2007) Psychological treatment of eating disorders. American Psychologist, 62, 199–216.CrossRefGoogle ScholarPubMed
Wonderlich, S. A. (2002). Personality and eating disorders. InFairburn, C. G. and Brownwell, K. D. (Eds.), Eating Disorders and Obesity: a comprehensive handbook. New York: Guilford Press.Google Scholar
Submit a response

Comments

No Comments have been published for this article.