Psychological treatments for eating disorders
Open accessAbstract
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.
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Children and adolescents may respond more fully than adults to ARFID treatment, or perhaps have a better overall prognosis.
“The finding that children and adolescents may respond more fully than adults to ARFID treatment, or perhaps have a better overall prognosis, mirrors the literature for anorexia nervosa (e.g., Jagielska & Kacperska, 2017; Kass, Kolko & Wilfley, 2013).”
From Cognitive-behavioral therapy for adults with avoidant/restrictive food intake disorder (2021) · cites this paper as Kass et al., 2013
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- Authors
- Kass, A. E., Kolko, R. P., & Wilfley, D. E.
- Affiliations
- Washington University in St. Louis (US)
- Corresponding author
- Wilfley, Denise E.
- Venue
- Current Opinion in Psychiatry
- Published
- 2013-11
- Volume
- 26
- Issue
- 6
- Pages
- 549-555
- ISSN
- 0951-7367 (ISSN-L)
- PMC
- PMC4096990
- OpenAlex
- W2061250136
- Cited by
- 152
- References
- 68
- Citations by year
- 2026: 4 · 2025: 8 · 2024: 10 · 2023: 11 · 2022: 9 · 2021: 12 · 2020: 14 · 2019: 15 · 2018: 17 · 2017: 20 · 2016: 11 · 2015: 12 · 2014: 6 · 2013: 1
- FWCI
- 1.46
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Current Opinion in Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Heart, Lung, and Blood Institute (T32HL007456)
- National Institute of Mental Health (K24MH070446)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
- Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
- Health Sciences › Medicine › Psychiatry and Mental health › Child Nutrition and Feeding Issues
- Keywords
- eating disorders, psychological intervention, anorexia nervosa, bulimia nervosa, binge eating disorder, cognitive behavioral therapy, interpersonal psychotherapy, stepped care, loss of control eating, weight gain prevention, adolescent eating disorders, health care access
- MeSH terms
- Anorexia Nervosa, Feeding and Eating Disorders, Behavior Therapy, Humans, Psychotherapy, Cognitive Behavioral Therapy, Evidence-Based Medicine, Bulimia Nervosa, Binge-Eating Disorder
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