Psychotherapeutic Approaches for Eating Disorders(Clinical Approach to Eating Disorders)

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  • Nagata Toshihiko
    Department of Neuropsychiatry, Osaka City University Graduate School of Medicine

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  • 摂食障害に対する精神療法的アプローチについて(摂食障害の臨床をめぐって,2011年,第52回日本心身医学会総会ならびに学術講演会(横浜))
  • 摂食障害に対する精神療法的アプローチについて
  • セッショク ショウガイ ニ タイスル セイシン リョウホウテキ アプローチ ニ ツイテ

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The psychopathogy of eating disorders has been rapidly changing and expanding since introduction of bulimia nervosa as an ominous variant of anorexia nervosa three decades ago. Most guidelines now recommend cognitive-behavioral treatment for bulimia nervosa (CBT-BN) as a first choice of treatment for bulimia nervosa. Because of the increasing complexity of psychopathology, CBT-enhanced (CBT-E) that addresses mood intolerance, clinical perfectionism, low self-esteem, and interpersonal difficulties in addition to the eating disorder symptoms themselves is being newly proposed. Family-based treatment for adolescents with anorexia nervosa or interpersonal psychotherapy for bulimia nervosa should be considered if appropriate. Eating disorder patients currently being treated as our facility have a considerably greater number of comorbid disorders such as generalized social anxiety disorder and multi-impulsivity. For these patients, more specific treatment such as CBT for social anxiety disorder or dialectical behavior therapy should be considered.

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