Work

The Changing “Weightscape” of Bulimia Nervosa

Year: 2012

Type: review

Abstract: Standard treatments for bulimia nervosa are for patients with normal weight, but a growing proportion of patients are substantially overweight or obese. Weight-related medical problems require coordination with primary care and expanded treatment goals. Cognitive-behavioral therapy (CBT), the gold standard for bulimia nervosa, is fairly ineffective in reducing weight. Compatible strategies tested for binge-eating disorder include appetite awareness training, behavioral weight loss, and appetite-focused CBT. A combined approach may be essential to treatment adherence, as patients are seeking weight loss. Nonetheless, goals of therapy include setting realistic expectations and shifting the focus from weight to health. Therapy groups specifically for overweight bulimia nervosa patients help avoid negative body comparisons.

Source: American Journal of Psychiatry

DOI: 10.1176/appi.ajp.2012.12010147

Authors: Cynthia M. Bulik, Marsha D. Marcus, Stephanie Zerwas, Michele D. Levine, Maria La Via

Institutions: University of North Carolina at Chapel Hill, University of Pittsburgh Medical Center

Language: English

Topic: Eating Disorders and Behaviors

Subfield: Clinical Psychology

Field: Psychology

Domain: Social Sciences

SDG: Good health and well-being

Open Access status: green

Funders: National Institute of Mental Health, Eunice Kennedy Shriver National Institute of Child Health and Human Development