Predicting Cognitive Behavioral Therapy Outcomes For Bulimia Nervosa Patients Based On Skill Use During Treatment

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Predicting Cognitive-Behavioral Therapy Outcomes for Bulimia Nervosa Patients Based on Skill Use During Treatment

Author : Olivia M. Clancy
Publisher :
ISBN 13 :
Total Pages : 0 pages
Book Rating : 4.:/5 (135 download)

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Book Synopsis Predicting Cognitive-Behavioral Therapy Outcomes for Bulimia Nervosa Patients Based on Skill Use During Treatment by : Olivia M. Clancy

Download or read book Predicting Cognitive-Behavioral Therapy Outcomes for Bulimia Nervosa Patients Based on Skill Use During Treatment written by Olivia M. Clancy and published by . This book was released on 2022 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Cognitive-behavioral therapy (CBT-E) is the most widely researched and effective treatment for bulimia nervosa (BN). CBT-E for BN emphasizes the importance of therapeutic skills utilization as consistent skill utilization is proposed to drive treatment outcomes. Despite its theoretical importance, there is limited research on skill use during BN treatment and its impact on BN symptoms. The current study was an exploratory analysis of whether skills utilization during CBT for BN were associated with improvements in BN at post-treatment. Participants (N=54) with BN-spectrum eating disorders received 16 weekly sessions of individual CBT-E, in which they were taught six core skills designed to reduce BN symptoms. After each session, clinicians rated the degree of skills utilization by participants during the past week. Linear regressions were used to examine whether within-person averages of utilization of each of the six skills were related to treatment outcomes (measured as reduction in binge eating and EDE global scores assessed via the Eating Disorders Examination Scale) at post treatment and follow up. Higher average use of all six skills during treatment predicted improvements in global eating pathology at post treatment and follow up. There was no relationship found between skill use and improvements in binge eating at post treatment, however, all of six skills except regular eating skill predicted improvements in binge eating at follow up. These findings suggest that greater utilization of skills is crucial in maximizing treatment gains for BN patients. Future studies should explore ways to increase the acceptability and utilization of these skills.

Trajectories of Therapeutic Skills Use and Their Dynamic Relations to Symptom Change During Cognitive-behavioral Therapy for Bulimia Nervosa

Download Trajectories of Therapeutic Skills Use and Their Dynamic Relations to Symptom Change During Cognitive-behavioral Therapy for Bulimia Nervosa PDF Online Free

Author : Laura D'Adamo
Publisher :
ISBN 13 :
Total Pages : 0 pages
Book Rating : 4.:/5 (141 download)

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Book Synopsis Trajectories of Therapeutic Skills Use and Their Dynamic Relations to Symptom Change During Cognitive-behavioral Therapy for Bulimia Nervosa by : Laura D'Adamo

Download or read book Trajectories of Therapeutic Skills Use and Their Dynamic Relations to Symptom Change During Cognitive-behavioral Therapy for Bulimia Nervosa written by Laura D'Adamo and published by . This book was released on 2023 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Cognitive-behavioral therapy, including the enhanced version (CBT-E), is the leading treatment for bulimia nervosa (BN). Yet, a significant proportion of patients have suboptimal outcomes, prompting a need to investigate factors that drive symptom change during treatment. CBT-E teaches skills to address key mechanisms of change (i.e., reducing dietary restraint and increasing adaptive responses to cues for binge eating) and promotes skills use between sessions. It has been hypothesized that poor acquisition and use of CBT-E skills contribute to suboptimal treatment outcome, and limited research supports that therapeutic skills use is associated with improved treatment outcomes. However, the trajectories of patients' use of each CBT-E skill and the temporal relations between skills use and symptom change during treatment have not been explored. Examining patterns of skills use and their prospective associations with symptoms could inform interventions focused on targeting the most potent skills for symptom improvement and elucidate the optimal timing and frequency of skills practice. In this study, fifty-five adults (M age: 39.0 ℗ł 14.1; 83.9% female; 64.3% White, 93.6% non-Hispanic/Latino) receiving CBT-E for BN-spectrum EDs self-monitored their eating and use of five therapeutic skills (i.e., regular eating, eating enough to prevent excessive hunger and eating a range of macronutrients, breaking dietary rules, urge management strategies, and mood management strategies) several times per day during treatment. Patients also self-reported their symptoms (i.e., frequency of binge eating, compensatory behaviors, and dietary restraint) weekly prior to each therapy session. This study examined trajectories in use of each CBT-E skill and weekly relations between use of each skill and behavioral BN symptoms throughout treatment. Participants showed significant increases in eating enough to prevent excessive hunger and eating a range of macronutrients from week to week during treatment, as well as significant increases in regular eating and urge management strategy use in the first half of treatment and a significant increase in breaking food rules in the second half of treatment. Regular eating, eating enough to prevent excessive hunger, and eating a range of macronutrients one week predicted lower ED symptoms the same week and the following week. Results provide preliminary evidence for temporal relationships between therapeutic skills use and symptom change on a weekly level and support that specific CBT-E skills are associated with differential patterns of BN symptom change during treatment. Findings highlight the promise of future work in this area to elucidate the most potent CBT-E skills for symptom improvement and inform more targeted interventions for BN-spectrum EDs.

Prediction of Group Cognitive Behavioral Therapy Treatment Outcome for Women with Bulimia Nervosa

Author : Melissa Pederson Mussell
Publisher :
ISBN 13 :
Total Pages : 356 pages
Book Rating : 4.:/5 (319 download)

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Book Synopsis Prediction of Group Cognitive Behavioral Therapy Treatment Outcome for Women with Bulimia Nervosa by : Melissa Pederson Mussell

Download or read book Prediction of Group Cognitive Behavioral Therapy Treatment Outcome for Women with Bulimia Nervosa written by Melissa Pederson Mussell and published by . This book was released on 1996 with total page 356 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Overcoming Your Eating Disorder

Author : W. Stewart Agras
Publisher : Oxford University Press
ISBN 13 : 0190450487
Total Pages : 112 pages
Book Rating : 4.1/5 (94 download)

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Book Synopsis Overcoming Your Eating Disorder by : W. Stewart Agras

Download or read book Overcoming Your Eating Disorder written by W. Stewart Agras and published by Oxford University Press. This book was released on 2007-09-17 with total page 112 pages. Available in PDF, EPUB and Kindle. Book excerpt: Cognitive-Behavioral Therapy (CBT) has been proven effective for treating Bulimia Nervosa and Binge Eating Disorder. However, this type of program requires at least 6 months of weekly sessions with a qualified mental health professional. If you suffer from an eating disorder and want to get treatment, but have little time to devote to therapy, a shorter, time-limited program may be right for you. This workbook outlines a Guided Self-Help (GSH) program based on the principles of CBT. Although sessions with a therapist or clinician are required, there are usually no more than 12 and each one is only 25 minutes long. You will do much of the treatment on your own using the workbook as your guide. You will learn and practice the skills you need to overcome your eating disorder and establish healthy habits, while consulting with your therapist for encouragement and support. Through daily self-monitoring of your eating patterns, and strategies such as challenging negative thoughts and formal problem-solving, you will reduce your desire to binge and purge. GSH is hard work, but the benefits are well worth it. If you have the desire and the drive, you can use this workbook to eliminate your eating disorder once and for all. TreatmentsThatWorkTM represents the gold standard of behavioral healthcare interventions! · All programs have been rigorously tested in clinical trials and are backed by years of research · A prestigious scientific advisory board, led by series Editor-In-Chief David H. Barlow, reviews and evaluates each intervention to ensure that it meets the highest standard of evidence so you can be confident that you are using the most effective treatment available to date · Our books are reliable and effective and make it easy for you to provide your clients with the best care available · Our corresponding workbooks contain psychoeducational information, forms and worksheets, and homework assignments to keep clients engaged and motivated · A companion website (www.oup.com/us/ttw) offers downloadable clinical tools and helpful resources · Continuing Education (CE) Credits are now available on select titles in collaboration with PsychoEducational Resources, Inc. (PER)

Implementation and Predictive Capacity of CBT Coping Strategies in Individuals with Bulimia Nervosa

Author : Roslyn Beth Binford
Publisher :
ISBN 13 :
Total Pages : 306 pages
Book Rating : 4.:/5 (319 download)

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Book Synopsis Implementation and Predictive Capacity of CBT Coping Strategies in Individuals with Bulimia Nervosa by : Roslyn Beth Binford

Download or read book Implementation and Predictive Capacity of CBT Coping Strategies in Individuals with Bulimia Nervosa written by Roslyn Beth Binford and published by . This book was released on 2003 with total page 306 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Bulimia Nervosa

Author : Molly Gill Willer
Publisher :
ISBN 13 :
Total Pages : 260 pages
Book Rating : 4.:/5 (319 download)

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Book Synopsis Bulimia Nervosa by : Molly Gill Willer

Download or read book Bulimia Nervosa written by Molly Gill Willer and published by . This book was released on 2007 with total page 260 pages. Available in PDF, EPUB and Kindle. Book excerpt: Recent studies suggest that individuals with bulimia nervosa fall into three groups typically described as high functioning, constrained, and impulsive. This research project aimed to replicate previous findings and to determine whether they predict outcome of cognitive behavior therapy for bulimia.

Examining Patient's Use Of, Intention to Use, and Perceived Helpfulness of Emotion Regulation Strategies in an Acceptance Based Behavioral Treatment for Bulimia Nervosa as Predictors of Treatment Outcome

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Author : Megan Nicole Parker
Publisher :
ISBN 13 :
Total Pages : 46 pages
Book Rating : 4.:/5 (112 download)

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Book Synopsis Examining Patient's Use Of, Intention to Use, and Perceived Helpfulness of Emotion Regulation Strategies in an Acceptance Based Behavioral Treatment for Bulimia Nervosa as Predictors of Treatment Outcome by : Megan Nicole Parker

Download or read book Examining Patient's Use Of, Intention to Use, and Perceived Helpfulness of Emotion Regulation Strategies in an Acceptance Based Behavioral Treatment for Bulimia Nervosa as Predictors of Treatment Outcome written by Megan Nicole Parker and published by . This book was released on 2019 with total page 46 pages. Available in PDF, EPUB and Kindle. Book excerpt: Higher rates of emotion dysregulation appear to be cross sectionally related to more severe bulimia nervosa (BN) symptoms and predict worse outcomes from treatment. As such, Mindfulness and Acceptance-based Treatments (MABTs) may be particularly helpful for individuals with BN because they directly address emotion regulation difficulties. MABTs have been shown to improve emotion regulation in individuals with EDs, however, little is known about which emotion regulation skills are the most acceptable and effective for individuals with BN. As such, the current study examined if the total number of skills a patient was using, perceived helpfulness, and intended future use of multiple skills was related to treatment outcomes. We also characterized which skills were most frequently identified by patients as helpful. Lastly, we examined if use of any specific skill was associated with better outcomes from a 20 session, outpatient Acceptance Based Behavioral Treatment (ABBT) for BN. Patients (N=14) were all females, ages 20 to 57 (M=31.57 SD=11.23) with an average BMI of 24.99 (SD=5.65) and a full threshold BN diagnosis. Observers watched video recordings of therapy sessions 18 and 19 where the therapist and patient jointly reviewed the emotion regulation strategies taught during treatment. Observers rated patient's expressions of skill use, perceived helpfulness and intended future use of each skill. We examined the relationship between skill use and changes in behavioral (ie. frequency of binge eating and inappropriate compensatory behaviors) and cognitive (ie. Eating Disorder Examination global scores) outcomes at post-treatment and six-month follow-up. Due to the small sample, we conducted spearman rank correlations and reported relations of at least medium strength (r 9́Æ .3). Unexpectedly, total number of skills a patient reported using, perceiving as helpful, and intending to use skills during future moments of need were related to improvements in cognitive symptoms, but not bulimic behaviors at end of treatment and 6 month follow-up. Consistent with hypotheses, reporting using a larger number of skill during session 18 and 19 appeared to be related to larger improvements in outcomes from end of treatment to follow up. Further, use of values appeared to be the skill most commonly associated with larger improvements from pre-treatment to end of treatment and follow up. While using experiential acceptance and self-soothing appeared to be related to larger improvements in outcomes from end of treatment to follow-up. Future treatments for BN might maximize their effectiveness by fostering patient's use of specific emotion regulation skills (eg. committing and clarifying to values and experiential acceptance). Further, studies should measure skill use across the entire course treatment to establish whether skill use precedes changes in BN symptoms and if continued skill use is necessary for maintaining improvements long term.

Integrative Cognitive-Affective Therapy for Bulimia Nervosa

Author : Stephen A. Wonderlich
Publisher : Guilford Publications
ISBN 13 : 1462524818
Total Pages : 257 pages
Book Rating : 4.4/5 (625 download)

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Book Synopsis Integrative Cognitive-Affective Therapy for Bulimia Nervosa by : Stephen A. Wonderlich

Download or read book Integrative Cognitive-Affective Therapy for Bulimia Nervosa written by Stephen A. Wonderlich and published by Guilford Publications. This book was released on 2015-10-12 with total page 257 pages. Available in PDF, EPUB and Kindle. Book excerpt: Packed with useful clinical tools, this state-of-the-art manual presents an empirically supported treatment solidly grounded in current scientific knowledge. Integrative cognitive-affective therapy for bulimia nervosa (ICAT-BN) has a unique emphasis on emotion. Interventions focus on helping clients understand the links between emotional states and BN as they work to improve their eating behaviors, defuse the triggers of bulimic episodes, and build crucial emotion regulation skills. In a large-size format for easy photocopying, the book includes 47 reproducible handouts. Purchasers get access to a Web page where they can download and print the reproducible materials.

Treating Bulimia Nervosa and Binge Eating

Author : Myra Cooper
Publisher : Routledge
ISBN 13 : 113544465X
Total Pages : 270 pages
Book Rating : 4.1/5 (354 download)

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Book Synopsis Treating Bulimia Nervosa and Binge Eating by : Myra Cooper

Download or read book Treating Bulimia Nervosa and Binge Eating written by Myra Cooper and published by Routledge. This book was released on 2008-08-26 with total page 270 pages. Available in PDF, EPUB and Kindle. Book excerpt: Treating Bulimia Nervosa and Binge Eating explains how cognitive therapy can be used to treat those suffering from bulimia nervosa. The manual provides a step-by-step treatment guide, incorporating a number of case examples offering detailed explanations of the treatment process, questionnaires, worksheets and practical exercises for the client, which will provide a framework and focus for therapy. The authors use existing techniques, as well as new integrated cognitive and metacognitive methods developed from their recent research, to take the therapist from initial assessment to the end of treatment and beyond, with chapters covering: engagement and motivation case formulation and socialisation detached mindfulness strategies positive and negative beliefs. This practical guide will allow those treating patients with bulimia nervosa to take advantage of recent developments in the field and will be an essential tool for all therapists working with this eating disorder.

Brief Cognitive Behavioural Therapy for Non-Underweight Patients

Author : Glenn Waller
Publisher : Routledge
ISBN 13 : 0429576676
Total Pages : 189 pages
Book Rating : 4.4/5 (295 download)

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Book Synopsis Brief Cognitive Behavioural Therapy for Non-Underweight Patients by : Glenn Waller

Download or read book Brief Cognitive Behavioural Therapy for Non-Underweight Patients written by Glenn Waller and published by Routledge. This book was released on 2019-05-10 with total page 189 pages. Available in PDF, EPUB and Kindle. Book excerpt: Most people with eating disorders struggle to find an effective therapy that they can access quickly. Brief Cognitive Behavioural Therapy for Non-Underweight Patients: CBT-T for Eating Disorders presents a new form of cognitive behavioural therapy (CBT) that is brief and effective, allowing more patients to get the help that they need. CBT is a strongly supported therapy for all adults and many adolescents with eating disorders. This 10-session approach to CBT (CBT-T) is suitable for all eating disorder patients who are not severely underweight, helping adults and young adults to overcome their eating disorder. Using CBT-T with patients will allow clinicians to treat people in less time, shorten waiting lists, and see patients more quickly when they need help. It is a flexible protocol, which fits to the patient rather than making the patient fit to the therapy. Brief Cognitive Behavioural Therapy for Non-Underweight Patients provides an evidence-based protocol that can be delivered by junior or senior clinicians, helping patients to recover and go on to live a healthy life. This book will appeal to clinical psychologists, psychiatrists, psychotherapists, dietitians, nurses, and other professionals working with eating disorders.

Negative Affect Among Patients with Binge Eating Disorder

Author : Jennifer Zoler Dounchis
Publisher :
ISBN 13 :
Total Pages : 190 pages
Book Rating : 4.:/5 (318 download)

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Book Synopsis Negative Affect Among Patients with Binge Eating Disorder by : Jennifer Zoler Dounchis

Download or read book Negative Affect Among Patients with Binge Eating Disorder written by Jennifer Zoler Dounchis and published by . This book was released on 2001 with total page 190 pages. Available in PDF, EPUB and Kindle. Book excerpt: Recurrent binge episodes, marked by the consumption of a large amount of food and the experience of loss of control, are the hallmark feature of binge eating disorder (BED). A stronger desire to eat when experiencing negative affect is associated with higher levels of binge eating, and is a hypothesized pathway to BED. Interpersonal psychotherapy (IPT), with the goal of improving the interpersonal context in which binge eating occurs, and cognitive behavioral therapy (CBT), with the goal of altering cognitions associated with eating, shape, and weight, have both demonstrated efficacy for the treatment of BED. These treatments result in similar outcomes, but typically half of all patients fail to improve. Investigating the relation of high and low negative affect subtypes to treatment outcome may shed additional light on our ability to predict response to treatment and lead to improved treatment planning and outcome. Through the use of cluster analysis, the subtyping of BED participants along a negative affect dimension was examined as was its relation to treatment outcome in the short- and long-term within a sample of 159 female and male patients receiving group IPT or CBT for BED. At pretreatment, participants within the high negative affect subtype experienced greater levels of eating disorder psychopathology, higher levels of emotional eating, poorer social adjustment, and more current psychopathology and personality disorders, but not weight cycling or efficacy controlling overeating across situations. High negative affect predicted a poorer overall response to treatment due to more difficulty maintaining treatment gains and a correspondingly higher risk for relapse by 1-year follow-up. Although there were no significant treatment-specific findings, results suggest that perhaps a longer or more intensive course of treatment, subsequent maintenance treatment, or alternative treatment specifically targeting high negative affect may be beneficial for this subset of BED patients. Future directions may also include designing a pretreatment screen using the negative affect dimension in order to implement the most effective course of treatment for patients with BED.

Cognitive Behavioral Therapy for Eating Disorders

Author : Glenn Waller
Publisher : Cambridge University Press
ISBN 13 : 1139463330
Total Pages : 18 pages
Book Rating : 4.1/5 (394 download)

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Book Synopsis Cognitive Behavioral Therapy for Eating Disorders by : Glenn Waller

Download or read book Cognitive Behavioral Therapy for Eating Disorders written by Glenn Waller and published by Cambridge University Press. This book was released on 2007-04-12 with total page 18 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book describes the application of cognitive behavioural principles to patients with a wide range of eating disorders - it covers those with straightforward problems and those with more complex conditions or co-morbid states. The book takes a highly pragmatic view. It is based on the published evidence, but stresses the importance of individualized, principle-based clinical work. It describes the techniques within the widest clinical context, for use across the age range and from referral to discharge. Throughout the text, the links between theory and practice are highlighted in order to stress the importance of the flexible application of skills to each new situation. Case studies and sample dialogs are employed to demonstrate the principles in action and the book concludes with a set of useful handouts for patients and other tools. This book will be essential reading for all those working with eating-disordered patients including psychologists, psychiatrists, nurses, counsellors, dieticians, and occupational therapists.

Overcoming Eating Disorder (ED)

Author : Robin F. Apple
Publisher : Graywind Publications Incorporated
ISBN 13 : 9780195186772
Total Pages : 194 pages
Book Rating : 4.1/5 (867 download)

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Book Synopsis Overcoming Eating Disorder (ED) by : Robin F. Apple

Download or read book Overcoming Eating Disorder (ED) written by Robin F. Apple and published by Graywind Publications Incorporated. This book was released on 2004-11 with total page 194 pages. Available in PDF, EPUB and Kindle. Book excerpt: Patients are guided to objectively observe their own eating patterns, including contexts in which problematic eating takes place. Through careful education, patients are guided toward normalizing their eating patterns as a way of breaking the deprivation/ binge cycle. Alternative pleasurable activities to problematic eating are explored. Patients are encouraged to explore problematic thoughts associated with bingeing and purging and taught to challenge these thoughts. This Client Workbook is intended to be used by individuals with Bulimia Nervosa or binge-eating disorder, under the supervision of a qualified professional who can help them stay on track and overcome obstacles. The Client Workbook contains background information that will improve the client's understanding of Bulimia Nervosa and binge-eating disorder and its treatment with cognitive-behavioral therapy. Each chapter presents important educational material, relevant exercises, homework assignments, and self-assessments. In general, the client should plan on proceeding at a pace of approximately one chapter per session.

Multistep Cognitive Behavioral Therapy for Eating Disorders

Author : Riccardo Dalle Grave
Publisher : Jason Aronson, Incorporated
ISBN 13 : 0765709287
Total Pages : 357 pages
Book Rating : 4.7/5 (657 download)

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Book Synopsis Multistep Cognitive Behavioral Therapy for Eating Disorders by : Riccardo Dalle Grave

Download or read book Multistep Cognitive Behavioral Therapy for Eating Disorders written by Riccardo Dalle Grave and published by Jason Aronson, Incorporated. This book was released on 2012-11-08 with total page 357 pages. Available in PDF, EPUB and Kindle. Book excerpt: Multistep Cognitive Behavioral Therapy for Eating Disorders: Theory, Practice, and Clinical Cases describes a novel model of cognitive behavior therapy (CBT) for eating disorders called multistep CBT-E (Enhanched). The treatment, derived from the transdiagnostic cognitive behavior theory of eating disorders, extends the range of applicability of standard CBT-E. It is designed to be applicable to three different levels of care (outpatient, intensive outpatient, inpatient), and to eating disorder patients of all diagnostic categories, ages, and BMI categories. Distinguishing multistep CBT-E is the adoption of a multi-step approach conducted by a multidisciplinary CBT-E team including psychologists, dietitians, and physicians, the inclusion of a family module for patients under eighteen years old, and the use of assisted eating and group sessions, in adjunct to individual psychotherapy in the intensive levels of care. The first eight chapters provide an overview of eating disorders, the cognitive behavior theory of eating disorders, how to build a CBT-E multidisciplinary team, how patients are assessed and prepared for the treatment, the general organization, procedures, and strategies involved in the three steps of multistep CBT-E treatment, and how multistep CBT-E can be adapted for adolescents. In order to highlight the flexibility of the multistep CBT-E approach, Section Two of the book provides a detailed description of three treated clinical cases. The first case illustrates how outpatient CBT-E was adapted to treat a professional sportswoman affected by an eating disorder; the second describes the procedures and strategies applied in intensive outpatient CBT-E to treat a patient who did not improve with standard outpatient CBT-E; and the third case illustrates the procedures and strategies typically applied in inpatient CBT-E and shows how it can be used to help a patient with a longstanding eating disorder who has failed to respond to several outpatient treatments. Each chapter gives a general description of the case in question and details the main procedures, strategies, and tools used from the assessment stage through to discharge. In addition, abridged transcripts of relevant clinical sessions are included, to give interesting insight into the practical implementation of multistep CBT-E, and the outcomes at the end of the treatment and follow-up are reported.

Bergin and Garfield's Handbook of Psychotherapy and Behavior Change

Author : Michael Barkham
Publisher : John Wiley & Sons
ISBN 13 : 1119536588
Total Pages : 852 pages
Book Rating : 4.1/5 (195 download)

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Book Synopsis Bergin and Garfield's Handbook of Psychotherapy and Behavior Change by : Michael Barkham

Download or read book Bergin and Garfield's Handbook of Psychotherapy and Behavior Change written by Michael Barkham and published by John Wiley & Sons. This book was released on 2021-10-05 with total page 852 pages. Available in PDF, EPUB and Kindle. Book excerpt: Celebrating the 50th anniversary of a best-selling and renowned reference in psychotherapy research and practice. Now celebrating its 50th anniversary and in its seventh edition, Bergin and Garfield's Handbook of Psychotherapy and Behavior Change, maintains its position as the essential reference volume for psychotherapy research. This bestselling reference remains the most important overview of research findings in psychotherapy. It is a rigorous and evidence-based text for academics, researchers, practitioners, and students. In recognition of the 50th anniversary, this edition contains a Foreword by Allen Bergin while the Handbook covers the following main themes: historical and methodological issues, measuring and evidencing change in efficacy and practice-based research, therapeutic ingredients, therapeutic approaches and formats, increasing precision and scale of delivery, and future directions in the field of psychotherapy research. Chapters have either been completely rewritten and updated or comprise new topics by contributors including: Characteristics of effective therapists Mindfulness and acceptance-based therapies Personalized treatment approaches The internet as a medium for treatment delivery Models of therapy and how to scale up treatment delivery to address unmet needs The newest edition of this renowned Handbook offers state-of-the-art updates to the key areas in psychotherapy research and practice today. Over 60 authors, experts in their fields, from over 10 countries have contributed to this anniversary edition, providing in-depth, measured and insightful summaries of the current field.

Characterization, Feasibility, Acceptability, Target Engagement, and Efficacy of a Novel Exposure-based Treatment Module for Bulimia Nervosa

Download Characterization, Feasibility, Acceptability, Target Engagement, and Efficacy of a Novel Exposure-based Treatment Module for Bulimia Nervosa PDF Online Free

Author : Kelsey Elizabeth Clark
Publisher :
ISBN 13 :
Total Pages : 239 pages
Book Rating : 4.:/5 (115 download)

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Book Synopsis Characterization, Feasibility, Acceptability, Target Engagement, and Efficacy of a Novel Exposure-based Treatment Module for Bulimia Nervosa by : Kelsey Elizabeth Clark

Download or read book Characterization, Feasibility, Acceptability, Target Engagement, and Efficacy of a Novel Exposure-based Treatment Module for Bulimia Nervosa written by Kelsey Elizabeth Clark and published by . This book was released on 2020 with total page 239 pages. Available in PDF, EPUB and Kindle. Book excerpt: As many as 60% of bulimia nervosa (BN) patients treated with current approaches do not experience long-term remission, necessitating the development of improved interventions. Cognitive-behavioral therapy (CBT) is the most-researched treatment for BN and is widely considered the current first-line treatment. However, CBT may fail to sufficiently treat BN due to three reasons: 1. It does not effectively reduce patients' fears related to overvaluation of body shape and weight, 2. It does not adequately improve patients' distress tolerance skills and negative affect reactivity, and 3. It does not appropriately provide in-session opportunities to practice skills learned in treatment. One type of intervention that is well-poised to address these three limitations is exposure-based treatment (EBT). EBTs are behavioral interventions that immerse patients in feared situations to facilitate the development of new associations with feared or avoided stimuli. While exposure-based treatments (EBTs) hold promise for treating BN, their applications to disordered eating have been underexplored and previous applications of EBTs have not fully addressed the shortcomings of CBT for eating disorders. To address limitations of existing EBTs, a novel three-session EBT module was developed as part of a larger pilot randomized controlled trial of an acceptance-based behavioral treatment for BN. The present study aims to characterize and examine the feasibility, acceptability, target engagement, and efficacy of the novel EBT module for BN. Establishing the feasibility, acceptability, target engagement, and efficacy of the treatment module will inform protocol revisions and determine if larger-scale research and clinical dissemination is appropriate. Moreover, many clinicians have concerns about the feasibility and acceptability of EBTs (e.g., concerns that it is infeasible to deliver, concerns that it will be unacceptable to patients), resulting in the underutilization of EBTs in treating anxiety and fear-based disorders and especially in treating eating disorders. Therefore, there is additional need to explore the feasibility and acceptability of the EBT module. Patients (N = 17) completed personalized in vivo exposures and negative affect inductions. The EBT module allowed patients and clinicians to collaboratively design individualized exposures to target patients' unique fears related to overvaluation of body shape and weight, as well as practice distress tolerance skills learned in treatment. In the present study, video coding of therapy sessions and patient/clinician pre- and post-session self-report data were used to conduct mixed methods analysis of the implementation of the module. Results indicated that the EBT module is indeed feasible to implement and is acceptable, and patterns indicated preliminary efficacy. Preliminary patterns suggested that the EBT module did not target the theorized mechanisms as predicted. Results from the present study will be used to revise the EBT module to ultimately create an innovative, effective EBT for BN. Findings related to feasibility and acceptability contradicted the concerns of clinicians found in prior studies as the module was deliverable and patients' responses were highly positive. Additional exploration in research and clinical settings will improve our understanding of the untapped potential of EBTs for treating eating disorders.

Cognitive Behavior Therapy for Adolescents with Eating Disorders

Author : Riccardo Dalle Grave
Publisher : Guilford Publications
ISBN 13 : 1462542735
Total Pages : 362 pages
Book Rating : 4.4/5 (625 download)

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Book Synopsis Cognitive Behavior Therapy for Adolescents with Eating Disorders by : Riccardo Dalle Grave

Download or read book Cognitive Behavior Therapy for Adolescents with Eating Disorders written by Riccardo Dalle Grave and published by Guilford Publications. This book was released on 2020-04-30 with total page 362 pages. Available in PDF, EPUB and Kindle. Book excerpt: This state-of-the-art guide provides a powerful transdiagnostic approach for treating adolescent eating disorders (anorexia nervosa, bulimia nervosa, binge-eating disorder, and others) in either outpatient or inpatient settings. It describes how enhanced cognitive behavior therapy (CBT-E)--the gold-standard treatment for adult eating disorders--has been systematically adapted and tested with younger patients. With a strong motivational focus, CBT-E gives the adolescent a key role in decision making. The book presents session-by-session guidelines for assessing patients, determining whether CBT-E is appropriate, developing case conceptualizations, conducting individualized interventions, addressing medical issues, and involving parents. User-friendly features include case vignettes and reproducible forms; purchasers get access to a Web page where they can download and print the reproducible materials in a convenient 8 1/2" x 11" size. CBT-E is recognized as a best practice for the treatment of adolescent eating disorders by the U.K. National Institute for Health and Care Excellence (NICE).