Integrative and Transdiagnostic Psychotherapeutic Intervention in Eating Disorders
DOI:
https://doi.org/10.33898/rdp.v29i110.248Keywords:
transdiagnostic, eating disorders, treatment, nonspecific symptoms, migrationAbstract
The Psychopathology of Eating disorders (ED) may be categorized into specific components, features only seen in the eating disorders and features seen in other psychiatric conditions. Intolerance to uncertainty, hypersensitivity to criticism, negative emotionality, perfectionism, cognitive rigidity or impulsivity influence the severity of the picture and its subsequent evolution are some of those symptoms or traits considered as transdiagnostic symptoms.
This fact may partly explain that currently empirically validated treatments do not obtain enough improvement in a large part of eating disorders. In recent years, new psychotherapeutic techniques adapted from those already existing or applied to this pathology have arisen focused on the management not only of the symptoms that characterize ED, but also focused on the treatment of those concurrent symptoms.
In this paper, we show a review of these therapeutic proposals accompanied by a reflection on the practical application of an integrated and transdiagnostic model in our environment.
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References
American Psychiatric Association (2013). Diagnostic and statistical manual of mental disorders (5th). Arlington, VA: American Psychiatric Publishing.
Abbate-Daga, G., Buzzichelli, S., Marzola, E., Amianto, F. y Fassino, S. (2012). Effectiveness of cognitive remediation therapy (CRT) in anorexia nervosa: a case series. Journal of Clinical and Experimental Neuropsychology, 34(10), 1009–1015. http://doi.org/10.1080/13803395.2012.704900
Agüera, Z., Sánchez, I., Granero, R., Riesco, N., Steward, T., Martín-Romera, V., Jiménez-Murcia, S., Romero, X., Caroleo, M., Segura-García, C., Mechon, J. M. y Fernández-Aranda, F. (2017). Short-Term Treatment Outcomes and Dropout Risk in Men and Women with Eating Disorders. European Eating Disorders Review, 25(4), 293–301. http://doi.org/10.1002/erv.2519
Atiye, M., Miettunen, J. y Raevuori-Helkamaa, A. (2015). A meta-analysis of temperament in eating disorders. European Eating Disorders Review, 23(2), 139–146. http://doi.org/10.1002/erv.2342
Barlow, D. H. (Ed.). (2007). Emotional Disorders: A unified transdiagnostic protocol. En Clinical Handbook of Psychological Disorders: A Step-by-Step Treatment Manual. New York, NY: Guildford. http://doi.org/10.4088/JCP.09bk05278
Berg, K. C. y Wonderlich, S. A. (2013). Emerging psychological treatments in the field of eating disorders. Current Psychiatry Reports, 15(11). http://doi.org/10.1007/s11920-013-0407-y
Brown, M., Robinson, L., Campione, G. C., Wuensch, K., Hildebrandt, T. y Micali, N. (2017). Intolerance of Uncertainty in Eating Disorders: A Systematic Review and Meta-Analysis. European Eating Disorders Review, 25(5), 329–343. http://doi.org/10.1002/erv.2523
Cano, T. R., Fernandez, L. B., Saenz, B. M., Moreno, L. R. y Leal, F. V. (2016). Perfectionism, a transdiagnostic construct in eating disorders. European Psychiatry, 33. http://doi.org/10.1016/j.eurpsy.2016.01.1562
Currin L, Schmidt, U., Treasure, J. y Jick, H. (2005). Time trends in eating disorder incidence. The British Journal Psychiatry, 186(2), 132–135.
Fairburn, C. G., Bailey-Straebler, S., Basden, S., Doll, H. A., Jones, R., Murphy, R., O'Connor, M. E., y Cooper, Z. (2015). A transdiagnostic comparison of enhanced cognitive behaviour therapy (CBT-E) and interpersonal psychotherapy in the treatment of eating disorders. Behaviour Research and Therapy 70, 64-71. http://doi.org/10.1016/j.brat.2015.04.010
Fairburn, C. G., Cooper, Z., & Shafran, R. (2003). Cognitive behaviour therapy for eating disorders: A ‘transdiagnostic’ theory and treatment. Behaviour Research and Therapy, 41(5), 509-528. http://doi.org/10.1016/S0005-7967(02)00088-8
Fairburn, C. G., Cooper, Z., Shafran, R. y Wilson, Terence, G. (2008). Eating Disorders - a Transdiagnostic Protocol. En David H. Barlow (Ed.), Clinical Handbook of Psychological Disorders, New York, NY: Guildford. http://doi.org/10.1056/NEJM199908193410816
Fulton, J., Lavender, J., Tull, M., Klein, A., Muehlenkamp, J. y Gratz, K. (2012). The relationship between anxiety sensitivity and disordered eating: The mediating role of experiential avoidance. Eating Behaviors, 13(2), 166–169. http://doi.org/10.1016/J.EATBEH.2011.12.003
Gómez Del Barrio, A., Vellisca Gonzalez, M. Y., González Gómez, J., Latorre Marín, J. I., Carral-Fernández, L., Orejudo Hernandez, S., Madrazo, R-H., y Moreno Malfaz, L. (2017). Characteristics of patients in an eating disorder sample who dropped out: 2-year follow-up. Eating and Weight Disorders, 1–9. http://doi.org/10.1007/s40519-017-0416-7
Goss, K. y Allan, S. (2012). An Introduction to Compassion-Focused Therapy for Eating Disorders (CFT-E). En J. Fox y K. Goss (Eds.), Eating and its Disorders (pp. 303-314). http://doi.org/10.1002/9781118328910.ch20
Guideline, C. (2017). National Institute for Health and Care Excellence Eating Disorders: recognition and treatment, (May). Recuperado de: https://www.nice.org.uk/guidance/ng69/evidence/full-guideline-pdf-161214767896
Hilbert, A., Pike, K., Goldschmidt, A., Wilfley, D., Fairburn, C., Dohm, F-A., Walsh, T. y Striegel Weissman, R. (2014). Risk factors across the eating disorders. Psychiatry Research 220(1), 500-506. http://doi.org/10.1016/j.psychres.2014.05.054
Hill, L., Peck, S. K., Wierenga, C. E. y Kaye, W. H. (2016). Applying neurobiology to the treatment of adults with anorexia nervosa. Journal of Eating Disorders, 4(1), 1–14. http://doi.org/10.1186/s40337-016-0119-x
Knowles, L., Anokhina, A. y Serpell, L. (2013). Motivational interventions in the eating disorders: What is the evidence? International Journal of Eating Disorders, 46(2), 97–107. http://doi.org/10.1002/eat.22053
Lester, R. J. (2017). Self-governance, psychotherapy, and the subject of managed care: Internal Family Systems therapy and the multiple self in a US eating-disorders treatment center. American Ethnologist, 44(1), 23–35. http://doi.org/10.1111/amet.12423
Mallorquí-Bagué, N., Vintró-Alcaraz, C., Sánchez, I., Riesco, N., Agüera, Z., Granero, R., Jiménez-Múrcia, S., Mechón, J. M., Treasure, J. y Fernández-Aranda, F. (2018). Emotion Regulation as a Transdiagnostic Feature Among Eating Disorders : Cross-sectional and Longitudinal Approach. European Eating Disorders Review, 26(1), 53–61. http://doi.org/10.1002/erv.2570
Mcintosh, V., Jordan, J., Carter, J. D., Luty, S. E., Carter, F. A., McKenzie, J. M., Frampton, C. M. y Joyce, P. (2016). Assessing the distinctiveness of psychotherapies and examining change over treatment for anorexia nervosa with cognitive‐behavior therapy, interpersonal psychotherapy, and specialist supportive clinical management. International Journal of Eating Disorders, 49(10), 958–962. http://doi.org/10.1002/eat.22555
Schmidt, U., Renwick, B., Lose, A., Kenyon, M., Dejong, H., Broadbent, H., Loomes, R., Watson, C., Ghelani, S., Serpell, L., Richards, L., Johnson-Sabine, E., Bougton, N., Whitehead, L., Beecham, J., Treasure, J. L. y Landau, S. (2013). The MOSAIC study - comparison of the Maudsley Model of Treatment for Adults with Anorexia Nervosa (MANTRA) with Specialist Supportive Clinical Management (SSCM) in outpatients with anorexia nervosa or eating disorder not otherwise specified, anorexia nerv. Trials, 14(1), 160. http://doi.org/10.1186/1745-6215-14-160
Thompson-Brenner, H., Boswell, J. F., Espel-Huynh, H., Brooks, G. y Lowe, M. R. (2018). Implementation of transdiagnostic treatment for emotional disorders in residential eating disorder programs: A preliminary pre-post evaluation. Psychotherapy Research : Journal of the Society for Psychotherapy Research, 1–17. http://doi.org/10.1080/10503307.2018.1446563
Treasure, J., Cardi, V., Leppanen, J. y Turton, R. (2015). New treatment approaches for severe and enduring eating disorders. Physiology and Behavior, 152, 456–465. http://doi.org/10.1016/j.physbeh.2015.06.007
Treasure, J., Claudino, A. M. y Zucker, N. (2010). Eating disorders. The Lancet, 375(9714), 583–593. http://doi.org/10.1016/S0140-6736(09)61748-7
Treasure, J., Leslie, M., Chami, R. y Fernández-Aranda, F. (2018). Are trans diagnostic models of eating disorders fit for purpose? A consideration of the evidence for food addiction. European Eating Disorders Review. http://doi.org/10.1002/erv.2578
Vall, E. y Wade, T. D. (2015). Predictors of treatment outcome in individuals with eating disorders: A systematic review and meta-analysis. International Journal of Eating Disorders, 48(7), 946–971. http://doi.org/10.1002/eat.22411
Waller, G. (2016). Treatment Protocols for Eating Disorders: Clinicians’ Attitudes, Concerns, Adherence and Difficulties Delivering Evidence-Based Psychological Interventions. Current Psychiatry Reports, 18(4), 1–8. http://doi.org/10.1007/s11920-016-0679-0
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