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 However, relapse occurs once medication is withdrawn.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 |
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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However, relapse occurs once medication is withdrawn.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. |
doi_str_mv | 10.1037/0022-006X.59.1.115 |
format | Article |
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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However, relapse occurs once medication is withdrawn.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.</description><identifier>ISSN: 0022-006X</identifier><identifier>EISSN: 1939-2117</identifier><identifier>DOI: 10.1037/0022-006X.59.1.115</identifier><identifier>PMID: 2002126</identifier><identifier>CODEN: JCLPBC</identifier><language>eng</language><publisher>Washington, DC: American Psychological Association</publisher><subject>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</subject><ispartof>Journal of consulting and clinical psychology, 1991-02, Vol.59 (1), p.115-125</ispartof><rights>1991 American Psychological Association</rights><rights>1991 INIST-CNRS</rights><rights>Copyright American Psychological Association Feb 1991</rights><rights>1991, American Psychological Association</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-a460t-6e90e209147f253f8a902d169043454b8e398bbdc588080588d980b909650d033</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27868,27923,27924,30998</link.rule.ids><backlink>$$Uhttp://eric.ed.gov/ERICWebPortal/detail?accno=EJ426774$$DView record in ERIC$$Hfree_for_read</backlink><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=19732020$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/2002126$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Craighead, Linda W</creatorcontrib><creatorcontrib>Agras, W. Stewart</creatorcontrib><title>Mechanisms of Action in Cognitive-Behavioral and Pharmacological Interventions for Obesity and Bulimia Nervosa</title><title>Journal of consulting and clinical psychology</title><addtitle>J Consult Clin Psychol</addtitle><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.</description><subject>Adult and adolescent clinical studies</subject><subject>Antidepressive Agents - therapeutic use</subject><subject>Appetite Depressants - therapeutic use</subject><subject>Behavior Modification</subject><subject>Behavior Therapy</subject><subject>Biological and medical sciences</subject><subject>Body Weight</subject><subject>Bulimia</subject><subject>Bulimia - drug therapy</subject><subject>Bulimia - prevention & control</subject><subject>Bulimia - therapy</subject><subject>Cognitive Restructuring</subject><subject>Cognitive Therapy</subject><subject>Combined Modality Therapy</subject><subject>Drug Therapy</subject><subject>Drugs</subject><subject>Eating</subject><subject>Eating behavior disorders</subject><subject>Eating disorders</subject><subject>Eating Habits</subject><subject>Human</subject><subject>Humans</subject><subject>Medical sciences</subject><subject>Methodology</subject><subject>Obesity</subject><subject>Obesity - drug therapy</subject><subject>Obesity - prevention & control</subject><subject>Obesity - therapy</subject><subject>Pharmacology</subject><subject>Psychology</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychopathology. Psychiatry</subject><subject>Relapse</subject><subject>Social research</subject><subject>Therapy</subject><subject>Treatment Outcomes</subject><subject>Weight Loss</subject><issn>0022-006X</issn><issn>1939-2117</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1991</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>K30</sourceid><sourceid>7QJ</sourceid><recordid>eNp9kUFrFDEcxYModa1-AVEYtHqb9Z9MkkmO7VK1Uq0HBW8hk8l0U2aSNZlZ2G_fjLtsQdBLAnm_93jhIfQSwxJDVX8AIKQE4L-WTC7xEmP2CC2wrGRJMK4fo8UReIqepXQHAJgDO0EnJCuY8AXyX61Za-_SkIrQFedmdMEXzhercOvd6La2vLBrvXUh6r7Qvi2-r3UctAl9uHUmv1350cat9bMxFV2IxU1jkxt3f-iLqXeD08W3zISkn6Mnne6TfXG4T9HPj5c_Vp_L65tPV6vz61JTDmPJrQRLQGJad4RVndASSIu5BFpRRhthKymapjVMCBCQz1YKaCRIzqCFqjpF7_e5mxh-TzaNanDJ2L7X3oYpKQG0JqRiGXzzF3gXpuhzN8UxrTBIRv8HEQycEFLjDL39F4RJLg5UcJEpsqdMDClF26lNdIOOO4VBzaOqeTM1b6aYVFjlUbPp9SF6agbbHi2HFbP-7qDrlCfpovbGpYdkWVcECGTu1Z6z0ZmjfPmFEl7X8zfP9rLeaLVJO6Pj6ExvkzJm89DmHrrgvBQ</recordid><startdate>19910201</startdate><enddate>19910201</enddate><creator>Craighead, Linda W</creator><creator>Agras, W. 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Stewart</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-a460t-6e90e209147f253f8a902d169043454b8e398bbdc588080588d980b909650d033</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1991</creationdate><topic>Adult and adolescent clinical studies</topic><topic>Antidepressive Agents - therapeutic use</topic><topic>Appetite Depressants - therapeutic use</topic><topic>Behavior Modification</topic><topic>Behavior Therapy</topic><topic>Biological and medical sciences</topic><topic>Body Weight</topic><topic>Bulimia</topic><topic>Bulimia - drug therapy</topic><topic>Bulimia - prevention & control</topic><topic>Bulimia - therapy</topic><topic>Cognitive Restructuring</topic><topic>Cognitive Therapy</topic><topic>Combined Modality Therapy</topic><topic>Drug Therapy</topic><topic>Drugs</topic><topic>Eating</topic><topic>Eating behavior disorders</topic><topic>Eating disorders</topic><topic>Eating Habits</topic><topic>Human</topic><topic>Humans</topic><topic>Medical sciences</topic><topic>Methodology</topic><topic>Obesity</topic><topic>Obesity - drug therapy</topic><topic>Obesity - prevention & control</topic><topic>Obesity - therapy</topic><topic>Pharmacology</topic><topic>Psychology</topic><topic>Psychology. 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Stewart</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><ericid>EJ426774</ericid><atitle>Mechanisms of Action in Cognitive-Behavioral and Pharmacological Interventions for Obesity and Bulimia Nervosa</atitle><jtitle>Journal of consulting and clinical psychology</jtitle><addtitle>J Consult Clin Psychol</addtitle><date>1991-02-01</date><risdate>1991</risdate><volume>59</volume><issue>1</issue><spage>115</spage><epage>125</epage><pages>115-125</pages><issn>0022-006X</issn><eissn>1939-2117</eissn><coden>JCLPBC</coden><abstract>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.</abstract><cop>Washington, DC</cop><pub>American Psychological Association</pub><pmid>2002126</pmid><doi>10.1037/0022-006X.59.1.115</doi><tpages>11</tpages></addata></record> |
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issn | 0022-006X 1939-2117 |
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source | MEDLINE; EBSCOhost APA PsycARTICLES; Periodicals Index Online; Applied Social Sciences Index & Abstracts (ASSIA) |
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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