Psychological treatments for eating disorders

Andrea E. Kass, Rachel P. Kolko, Denise E. Wilfley*

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

70 Scopus citations

Abstract

Purpose of review: This review summarizes recent evidence on psychological treatments for eating disorders. Recent findings: Eating disorders are serious psychiatric conditions requiring evidence-based intervention. Treatments have been evaluated within each eating disorder diagnosis and across diagnoses. For adults with anorexia nervosa, no one specialist treatment has been shown to be superior. Cognitive behavioral therapy and interpersonal psychotherapy remain the most established treatments for bulimia nervosa and binge eating disorder, with stepped-care approaches showing promise and new behavioral treatments under study. Enhanced cognitive behavioral therapy has improved symptoms in adults and youth. Maudsley family-based therapy is the most established treatment for youth with anorexia nervosa and may be efficacious for youth with bulimia nervosa. Interpersonal psychotherapy for the prevention of excess weight gain may be efficacious for reducing loss of control eating and weight gain in overweight youth. Summary: Significant advances in treatments have been made, including evaluation of long-term outcomes, novel approaches, and tailored extension for specific patient profiles. However, widespread access to effective eating disorder treatments remains limited. Increasing the potency and expanding the implementation of psychological treatments beyond research settings into clinical practice has strong potential to increase access to care, thereby reducing the burden of eating disorders.

Original languageEnglish (US)
Pages (from-to)549-555
Number of pages7
JournalCurrent opinion in psychiatry
Volume26
Issue number6
DOIs
StatePublished - Nov 2013

Keywords

  • Eating disorders
  • evidence-based treatment
  • psychological treatments

ASJC Scopus subject areas

  • Psychiatry and Mental health

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