Download pdf
Cognitive Behavioral Therapy for Bulimia Nervosa: A Review
- 1 Hubei University of Chinese Medicine
* Author to whom correspondence should be addressed.
Abstract
Bulimia nervosa is a complex eating disorder that severely affects patients’ mental health and quality of life. And the Cognitive Behavioral Therapy (CBT), as a cutting-edge intervention, has profoundly revealed the cognitive mechanisms behind bulimic behaviors, paving new pathways for treatment. The paper delves into the strategies of CBT in bulimia intervention, emphasizing the core elements of emotional regulation, cognitive restructuring and behavioral experimentation. At the same time, the challenges that may arise during the implementation of CBT should not be overlooked, such as patient compliance and therapist skill requirements, which directly affect the treatment outcome. In addition, various coping strategies, including personalized treatment plans, enhanced patient participation, as well as continuous professional training, are analyzed to improve the applicability and effectiveness of CBT in the treatment of bulimia nervosa. Through the summarized analysis of existing studies, this paper aims to provide a scientific basis for clinical practice, so as to boost the application and development of CBT in the field of bulimia nervosa treatment, and to bring the hope of more effective recovery to patients.
Keywords
Cognitive Behavioral Therapy (CBT), Psychotherapy, Bulimia Nervosa, Eating Disorders
[1]. Iglesias, B., et al. (2017) Eating disorders during the adolescence: personality characteristics associated with anorexia and bulimia nervosa. Nutricion Hospitalaria, 34(5): 1178-1184.
[2]. Udo, T. and Grilo, C.M. (2018) Prevalence and correlates of DSM-5–defined eating disorders in a nationally representative sample of U.S. adults.Biol Psychiatry 1;84(5): 345-354.
[3]. Linardon, J., et al. (2017) The efficacy of cognitive-behavioral therapy for eating disorders: a systematic review and meta-analysis. Journal of Consulting & Clinical Psychology, 85(11): 1080-1094.
[4]. Grave, R., et al. (2013) Enhanced cognitive behaviour therapy for adolescents with anorexia nervosa: an alternative to family therapy? Behaviour Research and Therapy, 51(1): R9-R12.
[5]. Grave. R., et al. (2014) Inpatient cognitive behavior therapy for adolescents with anorexia nervosa: immediate and longer-term effects. Frontiers in Psychiatry, 5.
[6]. Signorini, R., et al. The effectiveness of enhanced cognitive behavioural therapy (cbt-e): a naturalistic study within an out-patient eating disorder service. Behavioural and Cognitive Psychotherapy, 1-14.
[7]. Byrne, S., et al. (2011) The effectiveness of enhanced cognitive behavioural therapy for eating disorders:an open trial. Behaviour Research and Therapy, 49, 219-226.
[8]. Knott, S.V., et al. (2014) Cognitive Behaviour Therapy for Bulimia Nervosa and Eating Disorders Not Otherwise Specified: Translation from Randomized Controlled Trial to a Clinical Setting. Behavioural and Cognitive Psychotherapy, 43: 641 - 654.
[9]. Loeb, K.L., et al. (2005) Therapeutic alliance and treatment adherence in two interventions for bulimia nervosa: a study of process and outcome. Journal of consulting and clinical psychology, 73(6): 1097-107.
[10]. Jakovina, T., et al. (2018) Emotional dysregulation and attachment dimensions in female patients with bulimia nervosa. Psychiatria Danubina, 30(1): 72-78 .
[11]. Chen, X., et al. (2022) Review of clinical aplication of cognitive behavioural therapy.Chinese Journal of General Practice, 20(10): 1755-1759.
[12]. Fairburn, C.G., et al. (2003) Cognitive behaviour therapy for eating disorders: a “transdiagnostic” theory and treatment. Behaviour research and therapy, 41(5): 509-528 .
[13]. Sang. Y. and Xie, W. (2010).The Causes and Treatment of Bulimia Nervosa. Journal of Campus Life & Mental Health, 8(06): 396-397.
[14]. Zhang, C., et al. (2017) An Overview of Interventions for Bulimia Nervosa. World Latest Medicine Information (Electronic Version), 17(40): 52-53+60.
[15]. Wang, L., et al. (2014) Between Weight Loss and Bulimia--A Metacognitive Psychological Intervention Technique in the Treatment of Bulimia Nervosa. Mental Health Education in Primary and Secondary School, 19: 28-30.
[16]. Luborsky, L., et al. (1986) Do therapists vary much in their success? findings from four outcome studies. American Journal of Orthopsychiatry, 56(4): 501-512.
[17]. Messer, S.B. and Wampold, B.E. (2002) Let’s face facts: Common factors are more potent than specific therapy ingredients. Clinical Psychology: Science and Practice, 9: 21-25.
[18]. McDonald, S., et al. (2021) Service user and eating disorder therapist views on anorexia nervosa recovery criteria. Psychology and Psychotherapy, 94: 721-736.
[19]. Berner, L.A., et al. (2023) Impaired belief updating and devaluation in adult women with bulimia nervosa. Translational Psychiatry, 13.
[20]. Liu, Q. (2018) A Review of Eating Disorder. Science & Technology Information, 16(29): 237-238.
[21]. Liu, Y., et al. (2013) Psychological Interventions for Bulimia Nervosa. Chinese Journal of Clinical Psychology, 21(03): 467-470+489.
Cite this article
Lan,Y. (2024). Cognitive Behavioral Therapy for Bulimia Nervosa: A Review. Theoretical and Natural Science,70,128-134.
Data availability
The datasets used and/or analyzed during the current study will be available from the authors upon reasonable request.
Disclaimer/Publisher's Note
The statements, opinions and data contained in all publications are solely those of the individual author(s) and contributor(s) and not of EWA Publishing and/or the editor(s). EWA Publishing and/or the editor(s) disclaim responsibility for any injury to people or property resulting from any ideas, methods, instructions or products referred to in the content.
About volume
Volume title: Proceedings of the 4th International Conference on Biological Engineering and Medical Science
© 2024 by the author(s). Licensee EWA Publishing, Oxford, UK. This article is an open access article distributed under the terms and
conditions of the Creative Commons Attribution (CC BY) license. Authors who
publish this series agree to the following terms:
1. Authors retain copyright and grant the series right of first publication with the work simultaneously licensed under a Creative Commons
Attribution License that allows others to share the work with an acknowledgment of the work's authorship and initial publication in this
series.
2. Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the series's published
version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgment of its initial
publication in this series.
3. Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and
during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See
Open access policy for details).