What is the transdiagnostic theory of eating disorders?
The transdiagnostic view on the processes that maintain eating disorder psychopathology (Fairburn, Cooper and Shafran, 2003) is based on the observation that the main maintaining processes are likely to be largely the same across different eating disorder diagnoses. Therefore, if these maintaining processes can be disrupted in one eating disorder it should be …
What is CBT for eating disorders?
A transdiagnostic approach is ideal in the treatment of eating disorders, as it recognizes the complexity of this population. A transdiagnostic approach cuts across DSM-5 disorders, and targets core mechanisms, not specific disorders, while providing a unifying case conceptualization to the treatment of complex clients.
What is the UT model of eating disorders treatment?
Abstract. Categorical models dominate the eating disorder field, but the tandem use of categorical and dimensional models has been proposed. A transdiagnostic dimensional model, number of lifetime eating disorder behaviors (LEDB), was examined with respect to (1) its relationship to a variety of indicators of the individual's functioning, (2) the degree to which it …
What is a transdiagnostic approach?
Jan 01, 2017 · The Transdiagnostic Treatment Enhanced cognitive behavior therapy (CBT-E) is a transdiagnostic treatment for eating disorder psychopathology rather than for a particular eating disorder diagnosis. It is derived from the transdiagnostic theory outlined above, which highlights the maintaining processes that need to be addressed in treatment.
What is the Transdiagnostic theory?
The transdiagnostic model of FBT posits that while the etiology of an eating disorder is unknown, the pathology affects the family and home environment in ways that inadvertently allow for symptom maintenance and progression.
What is Fairburns Transdiagnostic model?
The transdiagnostic view on the processes that maintain eating disorder psychopathology (Fairburn, Cooper and Shafran, 2003) is based on the observation that the main maintaining processes are likely to be largely the same across different eating disorder diagnoses.
What is the most effective treatment of anorexia?
Maudsley family-based therapy is the most established treatment for youth with anorexia nervosa and may be efficacious for youth with bulimia nervosa.
What are the three forms of treatment for anorexia?
Major Types of Therapies for Eating DisordersCognitive Behavioral Therapy (CBT)Dialectical Behavioral Therapy (DBT)Acceptance and Commitment Therapy (ACT)
Who created the Transdiagnostic model?
Fairburn's transdiagnostic approach, developed from traditional Cognitive Behavior Therapy, proceeds from the notion that all eating disorders have similar characteristics and underlying psychopathology reflected in analogous attitudes and behaviors [Reference Fairburn, Cooper and Shafran1].Jan 1, 2020
What is Ednos?
Ednos stands for 'eating disorder not otherwise specified' and it is also now referred to as OSFED (other specified feeding and eating disorder).
What is the Maudsley method?
The Maudsley Method, also known as Family-Based Treatment, can be characterized by an intensive outpatient treatment where parents are integrated as an active and positive role. The primary purposes of including parents in this approach are to incorporate and encourage participation in their child's recovery journey.Apr 25, 2012
What is the first goal of the treatment of anorexia nervosa?
The primary focus of any eating disorder treatment program aimed at helping those living with anorexia is to find balance and health in eating properly.Oct 29, 2018
What is challenging about treating a person with anorexia nervosa?
People with anorexia may find themselves dealing with troubled personal relationships, bullying and pressures from peers or loved ones to maintain a certain standard of beauty. Hormonal changes that lead to physical changes in the body may also contribute to the development of eating disorders.Oct 4, 2018
What type of treatment is most effective for individuals with bulimia nervosa?
When you have bulimia, you may need several types of treatment, although combining psychotherapy with antidepressants may be the most effective for overcoming the disorder.May 10, 2018
How is anorexia treated in humans?
No medications are approved to treat anorexia because none has been found to work very well. However, antidepressants or other psychiatric medications can help treat other mental health disorders you may also have, such as depression or anxiety.Feb 20, 2018
What is the most effective treatment for bulimia?
Antidepressants, such as selective serotonin reuptake inhibitors (SSRIs) -- including Celexa, Lexapro, Prozac, and Zoloft -- in combination with psychological therapies, are now a mainstay in bulimia therapy.May 17, 2021
What are the current methods of classifying eating disorders?
In this chapter, we argue for an alternative transdiagnostic approach, which might better reflect clinical reality. The transdiagnostic treatment derived from this theory is described in outline together with its numerous extensions and variations. Evidence supporting both the theory and the treatment is presented, and future directions for research are identified.
Does eating disorder cause low self esteem?
Low self-esteem is common in patients with eating disorders and may not necessarily obstruct treatment of the disorder; in many patients, it improves with successful treatment. Core low self-esteem is usually evident from the outset as patients tend to be excessively self-critical and tend to discount their achievements and positive qualities.
What is anorexia nervosa?
The eating disorders, anorexia nervosa, bulimia nervosa, binge eating disorder, and their variants are serious disorders that are accompanied by significant impairment in physical and psychological functioning as well as in quality of life. They typically begin in adolescence and may run a chronic course; once established they are difficult to treat. They are less common among men than women and represent a significant source of morbidity among adolescent girls and young women in particular. Both anorexia nervosa and bulimia nervosa are associated with increased mortality, and binge eating disorder is associated with an increased risk of obesity. Despite the existence of evidence supported specialist interventions for eating disorders, there is a well-documented unmet need for treatment. Eating disorders are often undetected and even when they come to attention they may not receive appropriate treatment.
Can eating disorders be recurrent?
If such problems are isolated, they may be addressed with problem solving and work on mood intolerance, but if they are recurrent and interfering with treatment, they may need to be become an additional focus of treatment.
What is the DSM-5?
The Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5) scheme for classifying and diagnosing eating disorders recognizes three specific disorders, anorexia nervosa, bulimia nervosa, and binge eating disorder. In addition, there are two residual categories “other specified feeding or eating disorder” and “unspecified feeding or eating disorder” ( American Psychiatric Association, 2013 ). Although there are differences between the clinical presentations of these disorders in terms of their exact symptom patterns and weight status, they share a distinctive core psychopathology that is essentially cognitive in nature. This psychopathology, the overevaluation of shape, and weight and their control, refers to patients’ tendency to judge their self-worth largely or even exclusively in terms of weight and shape and their ability to control them. It is shared across anorexia nervosa and bulimia nervosa and occurs in the majority of those with binge eating disorder and the other eating disorders identified in the DSM-5. This core psychopathology is essentially the same in females and males, adults and adolescents. It occurs uniquely in the eating disorders and is rarely seen in the general population.
Is CBT E good for adolescents?
A number of considerations support the view that CBT-E might be particularly suitable for younger patients: The clinical features are very similar to those seen in adults; evidence supporting the use of CBT for other disorders in young people suggests that treatment of this style is likely to be suitable; the treatment is designed to enhance patients’ sense of control, an area of concern for many young patients; and CBT-E has well specified ways of enhancing motivation, an issue of particular relevance for adolescent patients. The transdiagnostic nature of the treatment is also an advantage as the limited research to date on the treatment of adolescents has focused on anorexia nervosa and, as with adults, the majority of young patients have other eating disorders, especially those likely to fall within the residual diagnostic categories ( Flament et al., 2015, Le Grange et al., 2012 ).
What is cognitive behavioral therapy?
Subsequently the cognitive behavioral account of the maintenance of bulimia nervosa was enhanced and extended in two major respects: It was extended to cover all eating disorders and to embrace four additional maintaining processes that , in certain patients, interact with the core eating disorder maintaining mechanisms and constitute obstacles to change ( Cooper and Fairburn, 2011, Fairburn et al., 2003 ).
