Hostname: page-component-cd9895bd7-q99xh Total loading time: 0 Render date: 2024-12-19T04:43:42.511Z Has data issue: false hasContentIssue false
  • English
  • Français

Una terapia cognitivo-conductual a corto plazo para la bulimia nerviosa que incluye hospitalización breve

Published online by Cambridge University Press:  12 May 2020

T. Léonard ,
C. Mirabel-Sarron ,
C. Foulon ,
J-C Melchior ,
D. Rigaud ,
M. Apfelbaum  and
B. Samuel-Lajeunesse
T. Léonard
Affiliation:
Clínica de Enfermedades Mentales y del Encéfalo, Facultad de Medicina Cochin-Port Poyal, Universidad París V;
C. Mirabel-Sarron
Affiliation:
Clínica de Enfermedades Mentales y del Encéfalo, Facultad de Medicina Cochin-Port Poyal, Universidad París V;
C. Foulon
Affiliation:
Clínica de Enfermedades Mentales y del Encéfalo, Facultad de Medicina Cochin-Port Poyal, Universidad París V;
J-C Melchior
Affiliation:
Centro Hospitalario Universitario Bichat-Claude Bernard, Facultad de Medicina Bichat, París VII, Francia
D. Rigaud
Affiliation:
Centro Hospitalario Universitario Bichat-Claude Bernard, Facultad de Medicina Bichat, París VII, Francia
M. Apfelbaum
Affiliation:
Centro Hospitalario Universitario Bichat-Claude Bernard, Facultad de Medicina Bichat, París VII, Francia
B. Samuel-Lajeunesse
Affiliation:
Clínica de Enfermedades Mentales y del Encéfalo, Facultad de Medicina Cochin-Port Poyal, Universidad París V;
Get access

Resumen

Este trabajo era un estudio metabólico de la bulimia nerviosa necesario para diseñar una terapia cognitivoconductual (TCC) a corto plazo que comenzaba con una admisión breve en una sala psiquiátrica. El tratamiento produjo mejorías significativas en la conducta alimentaria, y los resultados se comparan con los de estudios publicados antes. Las comparaciones no indican que una admisión breve al comienzo de la terapia pueda aumentar su efectividad. Por otro lado, se encontró que el aumento en la ingesta normal de alimentos correlacionaba significativamente con la disminución en los atracones. Esto apoya la noción de que la ingesta apropiada de alimentos a la hora de las comidas debería ser una cuestión importante en la TCC para la bulimia nerviosa.

Keywords

bulimia nerviosaterapia cognitivo-conductualhospitalizacióningesta de alimentos
Type
Artículo original
Information
European Psychiatry (Ed. Española) , Volume 5 , Issue 4 , May 1998 , pp. 234 - 243
Copyright
Copyright © European Psychiatric Association 1998

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Bibliografía

Agras, WSRosister, EMArnow, B.Pharmacologic and cognitive-behavioral treatment for bulimia nervosa: a controlled comparison. Am J Psychicitry 1992; 148:82-7.Google Scholar
American Psychiatric Association, committee on nomenclature and statistic. Diagnostic and Statistical manual of Mental Disorders, revised third edition. Washington DC: APA, 1987.Google Scholar
Beck, ATRush, AJShaw, BFEmery, G.Cognitive tlierapy for depression. New York: Guilford Press, 1979.Google Scholar
Fairburn, CGA cognitive-behavioral approach to the treatment of bulimia. Psychol Med 1981; 11: 707-11.CrossRefGoogle Scholar
Fairburn, CG.Cognitive-behavioral treatment for bulimia. In: DM, Garner, PE, Garfmkel eds. Hand book of psychotherapy for anorexia nervos and bulimia. New York: Guilford Press, 1985: 160-92.Google Scholar
Fairburn, CGJones, RPeveler, RHope, RAO’Connor, M.Three psychological treatments for bulimia nervosa. Arh Gen Psychiatry 1991; 48: 463-9.CrossRefGoogle ScholarPubMed
Fairburn, CGJones, RPeveler, RHope, RAO’Connor, M.Psychotherapy and bulimia nervosa: longer-term effects of interpersonal psychotherapy, behavior therapy, and cognitive behavior therapy. Arch Gen Psychiatry 1993; 50; 419-28.CrossRefGoogle ScholarPubMed
Fichter, MMQuadflieg, NReif, W.The course of eating disorders. In: Herzog, W ed. The course of eating disorders. Heidelberg-New York-Tokyo: Springer, 1992; 133-49.CrossRefGoogle Scholar
Freeman, C.Cognitive therapy. In: Smukler, GDare, CThreausre, Jeds. Handbook of Eating Disorders: theory, treatmentand research. Chichester: John Wiley & Sons, 1995: 309-32.Google Scholar
Garner, DMGarfinkel, PEThe Eating Attitude Test: an index of symptoms of anorexia nervosa. Psychol Med 1979; 9: 273-9.CrossRefGoogle ScholarPubMed
Garner, DMOlmsted, MP.Eating Disorder Inventory. Odessa; Psychological Assessment Resources, 1983.Google Scholar
Garner, DM.Cognitive therapy for anorexia nervosa. In: Garner, DMGarfmkel, PE eds. Handbook of psycho therapy for anorexia nervo saand bulimia. New York: Guilford Press, 1987: 301-27.Google Scholar
Garner, DMRockert, WDavis, R: Comparison of cognitive behavioral and supportive-expressive therapy for bulimia nervosa. Am J Psychiatry 1993; 150: 37-46.Google ScholarPubMed
Goldbloom, DOlmsted, MDavis, R. A randomized controlled trial of fluoxetine and individual cognitive behavioral therapy for women with bulimia nervosa: short-term outcome. Paper presented at the Sixth International Conferenceon Eating Disorders, 1994.Google Scholar
Griffiths, RAHadzi-Pavlovic, DChannon-Little, L.The shortterm follow-up effects of hypnobehavioural and cognitive behavioural treatment for bulimia nervosa. Eur Eat Disord Rev 1996; 4: 12-31.3.0.CO;2-Q>CrossRefGoogle Scholar
Hamilton, MA rating scale for depression. J Neurol Neurosurg Psychiatry 1960; 23: 56-62.CrossRefGoogle ScholarPubMed
Hamilton, MThe assessment of anxiety States by rating. Br J Med Psychol 1959; 32: 50-5.CrossRefGoogle ScholarPubMed
Keller, MBHerzog, DBLavori, PWBradburn, ISMahoney, EMThe naturalistic history of bulimia nervosa: extraordinarily high rates of chronicity, relapse, recurrence, and psychosocial morbidity. int J Eat Disord 1992; 12: 1-9.3.0.CO;2-E>CrossRefGoogle Scholar
Kirkley, BGSchneider, JAAgras, WSBachman, JAComparison of two group-treatments for bulimia. J Consult Clin Psychol 1985; 53: 43-8.CrossRefGoogle ScholarPubMed
Lacey, JHBulimia nervosa, binge-eating and psychogenic vomiting: a controlled treatment study and longterm outcome. Br J Psychiatry 1983; 144: 1609-12.Google Scholar
Laessle, RGBeumont, PJVButow, PLennerts, W O’Connor, MPirke, KMet al.A comparison of nutritional management with stress management in the treatment for bulimia nervosa. Br J Psychiatry 1991; 159: 250-61.CrossRefGoogle ScholarPubMed
Lee, NFRush, AJCognitive-behavioral group therapy for bulimia. Int J Eat Disord 1986; 5: 599-615.3.0.CO;2-W>CrossRefGoogle Scholar
Leitenberg, HGross, JPeterson, JRosen, JCAnalysis of the anxiety model and the process of change during exposure plus response prevention treatment for bulimia nervosa. Behav Therapy 1984; 5: 3-20.CrossRefGoogle Scholar
Léonard, TFoulon, C Samuel-Lajeunesse, BMelchior, JCRigaud, DApfelbaum, M.High resting energy expenditure in normal-weight bulimics and its normalization with control of eating behaviour. Appetite 1996; 27: 223-33.Google Scholar
Mitchell, JEPyle, RLEckert, EDHatsukami, DPomero, CZimmerman, RA comparison study of antidepressant and structured intensive group psychotehrapy in the treatment of bulimia nervosa. Arch Gen Psychiatry 1990; 47: 149-57.CrossRefGoogle ScholarPubMed
Russell, GFMBulimia nervosa: an ominous variant of anorexia nervosa. Psychol Med 1979; 9: 429-48.CrossRefGoogle ScholarPubMed
Treasure, JSchmidt, UTroop, NTiller, JTod, GTurnbull, SSequential treatment for bulimia nervosa incorporating a self-care manual. Br J Psychiatry 1996; 168: 94-8.CrossRefGoogle ScholarPubMed