Mechanisms of Action in Cognitive-Behavioral and Pharmacological Interventions for Obesity and Bulimia Nervosa

In the treatment of obesity, anorexiant medication appears to enhance restraint, presumably through altering internal cues, and facilitates weight loss with behavioral treatment. However, relapse occurs once medication is withdrawn. Antidepressants appear to work similarly, and initial evidence sugg...

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Veröffentlicht in:Journal of consulting and clinical psychology 1991-02, Vol.59 (1), p.115-125
Hauptverfasser: Craighead, Linda W, Agras, W. Stewart
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container_title Journal of consulting and clinical psychology
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creator Craighead, Linda W
Agras, W. Stewart
description In the treatment of obesity, anorexiant medication appears to enhance restraint, presumably through altering internal cues, and facilitates weight loss with behavioral treatment. However, relapse occurs once medication is withdrawn. Antidepressants appear to work similarly, and initial evidence suggests the same limitations. Long-term combined pharmacologic and behavioral treatment, however, may be useful for some individuals not responding positively to behavioral treatment alone. In the treatment of bulimia nervosa, antidepressants appear to enhance restraint, whereas cognitive behavioral treatment decreases restraint. Thus, these modalities appear to be incompatible, and highly restrictive eating is not desirable for those of normal weight. However, for individuals not responding to cognitive-behavioral treatment, long-term pharmacologic treatment may be an alternative, perhaps combined with a more compatible psychological treatment.
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subjects Adult and adolescent clinical studies
Antidepressive Agents - therapeutic use
Appetite Depressants - therapeutic use
Behavior Modification
Behavior Therapy
Biological and medical sciences
Body Weight
Bulimia
Bulimia - drug therapy
Bulimia - prevention & control
Bulimia - therapy
Cognitive Restructuring
Cognitive Therapy
Combined Modality Therapy
Drug Therapy
Drugs
Eating
Eating behavior disorders
Eating disorders
Eating Habits
Human
Humans
Medical sciences
Methodology
Obesity
Obesity - drug therapy
Obesity - prevention & control
Obesity - therapy
Pharmacology
Psychology
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Relapse
Social research
Therapy
Treatment Outcomes
Weight Loss
title Mechanisms of Action in Cognitive-Behavioral and Pharmacological Interventions for Obesity and Bulimia Nervosa
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