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  Behandling av binge eating disorder
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 Ophav:
Singdahlsen, Marie Henriette Rostad1, Forfatter
Lunn, Susanne2, Vejleder
Tilknytninger:
1Det Samfundsvidenskabelige Fakultet, Københavns Universitet, København, Danmark, diskurs:7001              
2Institut for Psykologi, Det Samfundsvidenskabelige Fakultet, Københavns Universitet, København, Danmark, diskurs:7012              
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Indhold

Ukontrollerede emneord: overspisingslidelse, binge eating disorder, spiseforstyrrelser, psychological treatment, kognitiv atferdsterapi, dialektisk atferdsterapi
 Abstract: This study investigated the effects of two different psychological treatments for Binge Eating Disorder (BED): Cognitive Behaviour Therapy (CBT) and Dialectical Behaviour Therapy (DBT). Individuals with BED eat large amount of food during a short period of time, accompanied with feelings of loss of control and guilt, shame and depressive symptoms as aftereffects (Vocks, et al., 2010). In contrast to patients with bulimia nervosa (BN), people with BED do not engage in compensating behaviour after an overeating episode (Brownley, Berkman, Sedway, Lohr, & Bulik, 2007). In addition to eating related psychopathology, comorbid Axis I disorder is prevalent along with medical and psychological components of obesity (Wildes & Marcus, 2010).
Etiologic and maintenance models of binge eating center around dieting and negative affect regulation processes. CBT’s theoretical assumption is that BED occurs as a consequence of breaking strict dietary rules when trying to live up to the cultures demand of a fit and slim body (Fairburn, 1993). CBT-BED addresses dysfunctional beliefs about food, weight and shape together with behaviour strategies to eliminate BED.
DBT see binge eating as an attempt to change, or avoid negative affect, and focus on teaching patients adaptive emotion regulation skills to achieve mindful eating and therefor eliminate binge eating (Safer, Telch, & Chen, 2009).
In treating BED and related psychopathology, CBT-BED is the “treatment of choice” (National Institute of Clinical Excellence: NICE, 2004). DBT-BED is a new and upcoming treatment choice with promising initial results (Safer, et al., 2009). Since none of the treatments results in weight loss, it is time to make a decision whether weight loss should be an explicit treatment goal for treatments of BED (Brownell, 2010; Vocks, et al., 2010).
The research literature has many limitations and future studies should focus on valid and reliable measurements across different trials, develop a model and treatment-manual for BED, as well as testing new methods (e.g. DBT) against evidence-based treatments (e.g. CBT) (Ghaderi, 2009). Since BED has a chronic, but also unstable course with sudden remissions, future research should focus on longitudinal trials for BED to address longer-term effects (Brownley, et al., 2007; Wilson, Grilo, & Vitousek, 2007).
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Navn:
Binge Eating Disorder.pdf (Hovedtekst)
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-
Tilgængelighed:
Offentlig
Mime-type / størrelse:
application/pdf / 877KB
Copyright dato:
2013-04-22
Copyright information:
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Basal

Bogmærk denne post: https://diskurs.kb.dk/item/diskurs:47036:1
 Type: Speciale
Alternativ titel: - med særlig fokus på dialektisk atferdsterapi
Alternativ titel: Behandling av overspisingslidelse
Alternativ titel: - med særlig fokus på dialektisk atferdsterapi
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Detaljer

Sprog: Norwegian Bokmål - nob
 Datoer: 2013-01-02
 Sider: -
 Publiceringsinfo: København : Københavns Universitet
 Indholdsfortegnelse: -
 Note: -
 Type: Speciale
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