Behavioral Treatment For Bulimics

Behavioral Treatment For Bulimics


A behavioral treatment for bulimics model is used to base this treatment, which stressed the key role of the cognitive and behavioral factors in the maintenance of order. The most important thing is the value of paying attention to is an ideal body weight and shape. This has led to women, to limit their food intake, in the rigid and unrealistic approach, a process, which allows them physically and psychologically cyclical lost control diet, the consumption of Carnival. Purification and other extreme forms of weight control is an attempt to compensate the impact of the consumption of Carnival. Purification is conducive to maintaining rave diet, reduce patient anxiety of potential weight gain and disrupted According to our information, full regulation of food intake. Conversely, the catering and cleaning rave causing distress, and lower self-esteem, promote each other conditions, which will inevitably lead to more consumption of dietary restraint and rave. Therefore, from this cognitive model of alimony Baoshizheng such treatment must be addressed on many of the Carnival Food and purification. In addition, dietary restraint, must be replaced by a more normal diet law, and dysfunctional thoughts and feelings, the personal significance, weight and shape, must be changed. Cognitive behavioral treatment for bulimics model also shows that the treatment may need to deal with the negative self-assessment, and the perfect dichotomy thinking, perhaps also to the negative impact of intolerance.

Commonly used in the form of cognitive behavioral therapy (CBT), the diet and rave Baoshizheng fairburn directly from the first developed this approach in Oxford, in the treatment manual, in the 20th century, in the early 1980s. More recently, expanded version of this manual was published in 1993 (fairburn, Marcoux, and Wilson, 1993). Although there are differences in how behavioral treatment for bulimics cognitive behavioral therapy has been implemented across different clinical and research environment, at the heart of it all stems from the practice of Oxford in the United Kingdom. It is now listed in the Oxford manual standards, in the Baoshizheng outpatient treatment, and are increasingly being used in clinical research centres (Wilson, fairburn, & Agelashi in the news).


2. Research on the effectiveness of adjuvant therapy

CBT, in order to behavioral treatment for bulimics has been critical evaluation of the more than 20 controlled trials. Three major findings can be found:

CBT in a wide range of beneficial effects on various aspects of the psychopathology of Baoshizheng.
Carnival frequency of diet and purification significantly reduced dietary restraint is dropped and the intensity of the concerns of the shape and weight of the attenuation, if we do not behavioral treatment for bulimics achieve normalization. With these changes is a decrease in the level of general psychiatric symptoms and improve self-esteem and social functions. In craighead and Agraz (1991) of 10 controlled trials, they reported that the average reduction in frequency, in the daily lives of 79 per cent, 57 per cent of the patients were abstinence. Wilson and fairburn (news) comparable data pool from the other nine controlled trials, and has achieved figures of 84% and 48% respectively for the purification and 79% and 62%, to rave diet.

CBT in the improvement appears to be induced by a well-maintained.
CBT have lasting impact. Available evidence suggests that the treatment of change is maintained properly over six to 12 months following treatment. The longest follow-up to the CBT (average length of follow-up = 5.8 years) found that about two-thirds of patients do not have eating disorders, and the great, and most of them are functioning well (fairburn and others, 1995). This is an impressive achievement given the treatment provides a concise (19 sessions over 18 weeks), chronic eating disorders in the briefing (average time for the past seven years), and the care and attention stringent, and its follow-up assessment carried out.

CBT has been found equal to or better than all the treatment and it had a comparative.
In addition to CBT, the most intensive study of antidepressant drugs Baoshizheng is, it has demonstrated a significant effect will be consistent than placebo pill. Therefore, the antidepressant drug therapy provides a strict standard behavioral treatment for bulimics, compared effects of CBT. Research report pointed out that there is a direct and comprehensive evaluation of the relative effectiveness of CBT and antidepressant medication, as a whole, show that CBT is superior to the single medication. CBT and the combination of drugs is significant effects than medication alone. Combining the two, and produced some of the benefits of CBT alone cuts at the core characteristics Baoshizheng. Also partial to the CBT, the study results show that, it seems to be more acceptable to patients, and may lead to fewer drop-outs. In contrast to the data on the CBT, almost no evidence that the long-term effects of drug therapy.

CBT has proven to be more effective than several other psychological treatment, including psychological support, support - vivid psychological therapy, stress management, treatment, as well as some form of cognitive behavioral therapy is not resolved characteristics of the Baoshizheng . The exception is the coordination of interpersonal psychotherapy (IPT). Comparison of results of a major study found that, after the end of IPT treatment is less effective than CBT, but in the follow-up to the difference between the two treatment disappeared, as the continuous improvement of the patients received IPT (fairburn and others, 1995).

At present, there is no other treatment, drugs or psychological treatment, equivalent to the effectiveness of CBT. However, it also made it clear behavioral treatment for bulimics that not more than about 50% of the patients stopped eating and purification rave. As for the rest, and some show partial improvement, and a few are not derived no benefit. CBT for the current Baoshizheng have great limitations. Attention must now be focused on the development of treatment strategies for patients with these targeted CBT is invalid or not fully help.