Eating disorders

Efficacy of pharmacological and psychological interventions

William G. Johnson, Janice Y. Tsoh, Paula J. Varnado

Research output: Contribution to journalArticle

20 Citations (Scopus)

Abstract

Eating disorders represent a spectrum of overlapping conditions that combine disturbances in eating with various forms of traditional psychopathology. Medications are often helpful in the management of the psychopathology associated with anorexia nervosa but no compound has been shown to assist weight gain reliably or alter other core features of the condition. Contingency management and other behavior therapy procedures are effective in promoting weight gain in anorexia nervosa. The limited effectiveness of cognitive interventions for anorexia nervosa may be due to the complex of physical symptoms associated with low body weight. Antidepressants reduce binging and purging in bulimia nervosa and binge eating disorder, although this action appears to be independent of any antidepressant effect. Cognitive/behavioral interventions also reduce binging and purging and comparisons of this therapy with medication indicate that psychotherapy alone is more effective than medication alone. Moreover, changes produced by cognitive/behavioral interventions endure longer than medication where higher relapse rates are common. Most studies also reveal no advantage of medication over cognitive/behavioral therapy alone in the reduction of bulimic symptoms.

Original languageEnglish (US)
Pages (from-to)457-478
Number of pages22
JournalClinical Psychology Review
Volume16
Issue number6
DOIs
StatePublished - 1996
Externally publishedYes

Fingerprint

Anorexia Nervosa
Pharmacology
Psychology
Psychopathology
Antidepressive Agents
Weight Gain
Binge-Eating Disorder
Bulimia Nervosa
Behavior Therapy
Cognitive Therapy
Psychotherapy
Eating
Body Weight
Recurrence
Feeding and Eating Disorders
Therapeutics

ASJC Scopus subject areas

  • Psychiatry and Mental health
  • Clinical Psychology

Cite this

Eating disorders : Efficacy of pharmacological and psychological interventions. / Johnson, William G.; Tsoh, Janice Y.; Varnado, Paula J.

In: Clinical Psychology Review, Vol. 16, No. 6, 1996, p. 457-478.

Research output: Contribution to journalArticle

Johnson, William G. ; Tsoh, Janice Y. ; Varnado, Paula J. / Eating disorders : Efficacy of pharmacological and psychological interventions. In: Clinical Psychology Review. 1996 ; Vol. 16, No. 6. pp. 457-478.
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