Use of psychotherapy as strategy for treatment of eating disorders

critical analysis of scientific knowledge

Authors

  • Fabio SCORSOLINI-COMIN Universidade Federal do Triângulo Mineiro, Instituto de Educação, Letras, Artes, Ciências Humanas e Sociais, Departamento de Psicologia.
  • Manoel Antônio dos SANTOS Universidade de São Paulo, Faculdade de Filosofia, Ciências e Letras de Ribeirão Preto, Departamento de Psicologia.

Keywords:

Anorexia nervosa, Bulimia, Psychotherapy, Eating disorders

Abstract

The objective of this study was to conduct a critical analysis of scientific knowledge on the use of psychotherapy as strategy for treatment of eating disorders. From searches in the databases PsycINFO, PePSIC and SciELO in the period 1999-2011, 35 articles were retrieved in full, categorized as brief psychotherapy, group, psychodynamic, alternative psychotherapy, and psychotherapy combined with other treatments such as those of a pharmacological nature. The most mentioned approaches were the psychodynamic and cognitive-behavioral types. The predominant type of service was the group. Although the use of a combination of different strategies is recommended, the literature is unanimous in pointing out the importance of psychotherapy in treatment. The critical analysis showed the need for reading that transcends the mere identification of psychotherapeutic techniques considered most effective for the treatment of eating disorders. The broader context in which treatments are offered must be considered, as well as promoting an open dialogue between theoretical approaches, prioritizing the plurality of knowledge and the relevance of psychotherapy as a practice that changes constantly

Downloads

Download data is not yet available.

References

Andrade, T. F., & Santos, M. A. (2009). A experiência corporal de um adolescente com transtorno alimentar. Revista Latino-Americana de Psicopatologia Fundamental, 12 (3), 454-468.

American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: Author.

American Psychiatric Association. (2011). Practice guideline for the treatment of patients with eating disorders. Washington, DC: Author. Retrieved January 2, 2011, from <http://www.psychiatryonline.com/pracGuide/pracGuideChapToc_12.aspx>.

Araújo, M. X., & Henriques, M. I. R. S. (2011). Que “diferença faz a diferença” na recuperação da anorexia nervosa? Revista de Psiquiatria Clínica, 38 (2), 71-76.

Bacaltchuk, J., & Hay, P. (1999). Tratamento da bulimia nervosa: síntese das evidências. Revista Brasileira de Psiquiatria, 21 (3), 1-6.

Barth, D. (1991). When the patient abuses food. In H. Jackson (Ed.), Using self psychology in psychotherapy (pp. 223-242). Northvale, NJ: Jason Aronson.

Barth, F. D. (2008). Hidden eating disorders: attachment and affect regulation in the therapeutic relationship. Clinical Social Work Journal, 36 (4), 355-365.

Biasoli-Alves, Z. M. M. (1998). A pesquisa psicológica: análise de métodos e estratégias na construção de um conhecimento que se pretende científico. In G. Romanelli & Z. M. M. Biasoli-Alves (Orgs.), Diálogos metodológicos sobre prática de pesquisa (pp.135-157). Ribeirão Preto: Legis Summa.

Bowers, W. A., & Andersen, A. E. (2007). Cognitive-behavior therapy with eating disorders: the role of medications in treatment. Journal of Cognitive Psychotherapy, 21 (1), 16-27.

Bradshaw, R. A., Cook, A., & McDonald, M. J. (2011). Observed & Experiential Integration (OEI): discovery and mdevelopment of a new set of trauma therapy techniques. Journal of Psychotherapy Interaction, 21 (2), 104-171.

Bruno, D., Rosani, M., & Berlincioni, V. (2009). Giocare al teatro: nota clinica su un’esperienza di laboratorio teatrale con pazienti affette da DCA. Rivista Sperimentale di Freniatria: La Rivista della Salute Mentale, 133 (1), 143-149.

Constantino, M. J., Arnow, B. A., Blasey, C., & Stewart Agras, W. (2005). The association between patient characteristics and the therapeutic alliance in cognitive-behavioral and interpersonal therapy for bulimia nervosa. Journal of Consulting and Clinical Psychology, 73 (2), 203-211.

Creswell, J. W. (2010). Revisão da literatura. In J. W. Creswell. Projeto de pesquisa (3ª ed., pp.48-75). Porto Alegre: Artmed.

Daini, S. (2009). Projective methods in the study of eating disorders: an update. Journal of Projective Psychology & Mental Health, 16 (2), 117-123.

Escobar-Koch, T., Bancker, J. D., Crow, S., Cullis, J., Ringwood, S., Snieth, G., et al. (2010). Service users’ views of eating disorder services: an international comparison. International Journal of Eating Disorders, 43 (6), 549-559.

Fassino, S., Amianto, F., & Ferrero, A. (2008). Psicoterapia breve psicodinamica adleriana: elementi teorici e indicatori di processo. Minerva Psichiatrica, 49 (3), 203-216.

Fassino, S., Daga, G. A., Pierò, A., & Rovera, G. G. (2002). Dropout from brief psychotherapy in anorexia nervosa. Psychotherapy and Psychosomatics, 71 (4), 200-206.

Fernandes, M. H. (2006). Transtornos alimentares: anorexia e bulimia. São Paulo: Casa do Psicólogo

Gaudriault, P., & Guilbaud, C. (2005). Évolution des boulimiques en psychothérapie dans le test de Rorschach. L’Évolution Psychiatrique, 70 (3), 577-593.

Gowers, S., & Bryant-Waugh, R. (2004). Management of child and adolescent eating disorders: the current evidence base and future directions. Journal of Child Psychology and Psychiatry and Allied Disciplines, 45 (1), 63-83.

Grave, R. D., Ricca, V., & Todesco, T. (2001). The stepped-care approach in anorexia nervosa and bulimia nervosa: progress and problems. Eating and Weight Disorders, 6 (2), 81-89.

Grothaus, K. (1998). Eating disorders and adolescents. Journal of Child and Adolescent Psychiatry, 11 (4), 141-51.

Hanns, L. A. (2004). Regulamentação em debate. Ciência e Profissão: Diálogos, 1 (1), 6-13.

Hendricks, P. S., & Thompson, J. K. (2005). An integration of cognitive-behavioral therapy and interpersonal psychotherapy for bulimia nervosa: a case study using the case formulation method. International Journal of Eating Disorders, 37 (2), 171-174.

Kong, S. (2005). Day treatment programme for patients with eating disorders: randomized controlled trial. Journal of Advanced Nursing, 51 (1), 5-14.

Leichsenring, F. (2005). Are psychodynamic and psychoanalytic therapies effective? A review of empirical data. International Journal of Psychoanalysis, 86 (3), 841-868.

Lewis, A. J., Dennerstein, M., & Gibbs, P. M. (2008). Shortterm psychodynamic psychotherapy: review of recente process and outcome studies. Australian and New Zealand Journal of Psychiatry, 42 (6), 445-455.

Lock, L. (2010). Treatment of adolescent eating disorders: progress and challenges. Minerva Psichiatrica, 51 (3), 207-216.

Messer, S. B. (2001). What makes brief psychodynamic therapy time efficient? Clinical Psychology, 8 (1), 5-22.

Mitchell, J. E., Peterson, C. B., Myers, T., & Wonderlich, S. (2001). Combining pharmacotherapy and psychotherapy in the treatment of patients with eating disorders. Psychiatric Clinics of North America, 24 (2), 315-323.

Moro, M. (2001). Un’esperienza di formazione in psicoterapia di gruppo per la terapia delle patologie del comportamento alimentare. Psicoterapia e Istituzioni: Review of Psychoanalytical Methodological Research and Clinical Experiences, 8 (2), 79-81.

Organização Mundial da Saúde (2002). Relatório Mundial da Saúde: saúde mental: nova concepção, nova esperança. Lisboa: Ministério da Saúde. Recuperado em agosto 15, 2011, disponível em <http://www.who.int./whr>.

Peres, R. S., & Santos, M. A. (2011). Técnicas projetivas na avaliação de aspectos psicopatológicos da anorexia e bulimia. Psico - USF, 16 (2), 185-192.

Pinto, F. P., Santeiro, T. V., & Santeiro, F. R. M. (2010). Produção mcientífica sobre psicoterapias na base de dados PePSIC (1998/2007). Fractal: Revista de Psicologia, 22 (2), 411-430.

Pomerantz, J. M. (2005). Eating disorders: when is medication use appropriate? Drug Benefit Trends, 17 (8), 364-365.

Ramacciotti, A., Sorbello, M., Pazzagli, A., Vismara, L., & Mancone, P. S. (2001). Attachment processes in eating disorders. Eating and Weight Disorders, 6 (3), 166-170.

Rieger, E., Van Buren, D. J., Bishop, M., Tanofsky-Kraff, M., mWelch, R., & Wilfley, D. E. (2010). An eating disorderspecific model of interpersonal psychotherapy (IPT-ED): causal pathways and treatment implications. Clinical Psychology Review, 30 (4), 400-410.

Rosa, B. P., & Santos, M. A. (2011). Comorbidade entre bulimia e transtorno de personalidade borderline: implicações para o tratamento. Revista Latinoamericana de Psicopatologia Fundamental, 14 (2), 268-282.

Ruiz-Lázaro, P. M. (2003). Terapia familiar hospitalaria ante un trastorno alimentario. Revista de Psiquiatría Infanto-Juvenil, 20 (1), 20-28.

Rutherford, L., & Couturier, J. (2007). A review of psychotherapeutic interventions for children and adolescents with eating disorders. Journal of the Canadian Academy of Child and Adolescent Psychiatry, 16 (4), 153-157.

Salierno, F. (2001). Un’esperienza da “osservatrice” in um gruppo di genitori di pazienti con disturbi del comportamento alimentare. Psicoterapia e Istituzioni: Review of Psychoanalytical Methodological Research and Clinical Experiences, 8 (2), 93-96.

Santeiro, T. V. (2008). Psicoterapia breve psicodinâmica preventiva: pesquisa exploratória de resultados e acompanhamento. Psicologia em Estudo, 13 (4), 761-770.

Santos, M. A. (2007). Psicoterapia psicanalítica: aplicações no tratamento de pacientes com problemas relacionados ao uso de álcool e outras drogas. SMAD: Revista Eletrônica Saúde Mental, Álcool e Drogas, 3 (1), 1-15.

Santos, M., & Zaslavsky, J. (2007). Pesquisando conceitos e tendências em psicoterapia e psicanálise. Revista Brasileira de Psicanálise, 41 (2), 115-124.

Scorsolini-Comin, F. (2010). Metodologia de pesquisa: uma abordagem científica e aplicada. Ribeirão Preto: Instituto de Ensino e Pesquisa em Administração.

Scorsolini-Comin, F., Souza, L. V., & Santos, M. A. (2010). A construção de si em um grupo de apoio para pessoas com transtornos alimentares. Estudos em Psicologia (Campinas), 27 (4), 467-478. doi: 10.1590/S0103-166X2010000400005.

Sicchieri, J. M. F., Santos, M. A., Dos Santos, J. E., & Ribeiro, R. P. P. (2007). Avaliação nutricional de portadores de transtornos alimentares: resultados após a alta hospitalar. Ciência, Cuidado e Saúde, 6 (1), 68-75.

Smith, T. B., Bartz, J., & Richards, P. S. (2007). Outcomes of religious and spiritual adaptations to psychotherapy: a meta-analytic review. Psychotherapy Research, 17 (6), 643-655.

Sonnenberg, S. L., & Chen, C. P. (2003). Using career development theories in the treatment of clients with eating disorders. Counselling Psychology Quarterly, 16 (2), 173-185.

Souza, L. V. (2011). Construindo cuidado: a relação com os profissionais da saúde nas práticas discursivas de pessoas diagnosticadas com transtornos alimentares. Tese de doutorado não-publicada, Programa de Pós-Graduação em Psicologia, Universidade São Paulo, Ribeirão Preto.

Souza, L. V., & Santos, M. A. (2010). A participação da família no tratamento dos transtornos alimentares. Psicologia em Estudo, 15 (2), 285-294.

Starzomska, M. (2008). Perspective of the use of electronic communication in the psychotherapy of eating disorders. Archives of Psychiatry and Psychotherapy, 10 (1), 55-65.

Sydow, K., Beher, S., Schweitzer, J., & Retzlaff, R. (2010). The efficacy of systemic therapy with adult patients: a metacontent analysis of 38 randomized controlled trials. Family Process, 49 (4), 457-485.

Tantillo, M. (2004). The terapist’s use of self-disclosure in a relational therapy approach for eating disorders. Eating Disorders: The Journal of Treatment & Prevention, 12 (1), 51-73.

Tasca, G. A., Ritchie, K., & Balfour, L. (2011). Implications of attachment theory and research for the assessment and treatment of eating disorders. Psychotherapy: Theory, Research, Practice, Training, 1 (1), 1-11.

Taylor, C. B., Cameron, R. P., Newman, M. G., & Junge, J. (2002). Issues related to combining risk factor reduction and clinical treatment for eating disorders in defined populations. The Journal of Behavioral Health Services & Research, 29 (1), 81-90.

Teriato, V. (2009). Dal cibo alle fantasie: Il tratamento psicoterapeutico dei disturbi del comportamento alimentare nell’adolescenza. Infanzia e Adolescenza, 8 (1), 35-44.

Thompson-Brenner, H., Boisseau, C. L., & Satir, D. (2010). Adolescent eating disorders: treatment and response in a naturalistic study. Journal of Clinical Psychology, 66 (3), 277-301.

Toffoli, G. A., & Ferreira, S. M. S. P. (2011). Mapeamento da produção científica de pesquisadores brasileiros de ciências da comunicação: período de 2000 a 2009. Psicologia USP, 22 (2), 399-422.

Weinberg, C., & Berlinck, M. T. (2010). A hiperatividade das anoréxicas: uma defesa maníaca? In A. P. Gonzaga & C. Weinberg (Orgs.), Psicanálise de transtornos alimentares (pp.102-119). São Paulo: Primavera Editorial.

Weissman, M. M., Markowitz, J. C., & Klerman, G. L. (2009). Psicoterapia interpessoal: guia prático do terapeuta. Porto Alegre: Artmed.

Zeeck, A., Herzog, T., & Hartmann, A. (2004). Day clinic or inpatient care for severe bulimia nervosa? European Eating Disorders Review, 12 (2), 79-86.

Zerbe, K. J. (2001). The crucial role of psychodynamic understanding in the treatment of eating disorders. Psychiatric Clinics of North America, 24 (2), 305-313.

Published

2012-12-31

How to Cite

SCORSOLINI-COMIN, F., & SANTOS, M. A. dos. (2012). Use of psychotherapy as strategy for treatment of eating disorders: critical analysis of scientific knowledge. Psychological Studies, 29(Suplemento 1). Retrieved from https://seer.sis.puc-campinas.edu.br/estpsi/article/view/8846