Skip to main content

Zusammenfassung

Die kognitiv-behaviorale Behandlung der Anorexia und Bulimia nervosa zielt zunächst auf die Normalisierung von Gewicht und Essverhalten ab. Im zweiten Schritt erfolgt die Bearbeitung assoziierter Problembereiche. Die kognitiv-behaviorale Behandlung gilt sowohl für Anorexia als auch Bulimia nervosa als Methode der Wahl. Die empirische Befundlage ist bei der Bulimia nervosa als gut zu bezeichnen, bei der Anorexia nervosa stehen Ergebnisse groß angelegter randomisiert-kontrollierter Studien noch aus. Neben der KVT kommen die interpersonelle Psychotherapie, familienorientierte und systemisch orientierte Ansätze, psychodynamische Therapieverfahren und Selbsthilfeprogramme bei der Behandlung von Essstörungen zur Anwendung.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 44.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 59.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Literatur

  • Agras WS, Walsh T, Fairburn CG, Wilson GT, Kraemer HC (2000) A multicenter comparison of cognitive-behavioral therapy and interpersonal psychotherapy for bulimia nervosa. Arch Gen Psychiatry 57:459–466

    Article  CAS  PubMed  Google Scholar 

  • Agras WS, Brandt HA, Bulik CM et al (2004) Report of the National Institutes of Health workshop on overcoming barriers to treatment research in anorexia nervosa. Int J Eat Disord 35:509–521

    Article  PubMed  Google Scholar 

  • Attia E, Haiman C, Walsh BT, Flater SR (1998) Does fluoxetine augment the inpatient treatment of anorexia nervosa. Am J Psychiatry 155:548–551

    Article  CAS  PubMed  Google Scholar 

  • Bailer U, de Zwaan M, Leisch F et al (2004) Guided self-help vs cognitive-behavioural group therapy in the treatment of bulimia nervosa. Int J Eat Disord 35:522–537

    Article  PubMed  Google Scholar 

  • Bankoff SM, Karpel MG, Forbes HE, Pantalone DW (2012) A systematic review of dialectical behavior therapy for the treatment of eating disorders. Eat Disord 20:196–215

    Article  PubMed  Google Scholar 

  • Beintner I, Jacobi C, Taylor CB (2012) Effects of an Internet-based prevention programme for eating disorders in the USA and Germany – a meta-analytic review. Eur Eat Disord Rev 20:1–8

    Article  PubMed  Google Scholar 

  • Beumont PJ, Beumont CC, Touyz SW, Williams H (1997) Nutritional counseling and supervised exercise. In: Garner DM, Garfinkel PE (Hrsg) Handbook of treatment for eating disorders, 2. Aufl. Guilford, New York, S 178–187

    Google Scholar 

  • Bruna T, Fogteloo J (2003) Drug treatments. In: Treasure J, Schmidt U, van den Furth E (Hrsg) Handbook of eating disorders, 2. Aufl. Wiley, Chichester, UK, S 311–323

    Google Scholar 

  • Bulik CM, Sullivan PF, Carter FA, McIntosh VV, Joyce PR (1998) The role of exposure with response prevention in the cognitive-behavioural therapy for bulimia nervosa. Psychol Med 28:611–623

    Article  CAS  PubMed  Google Scholar 

  • Carter FA, Jordan J, McIntosh VV, McKenzie JM, Luty SE et al (2011) The long-term efficacy of three psychotherapies for anorexia nervosa: a randomized, controlled trial. Int J Eat Disord 44:647–654

    Article  PubMed  Google Scholar 

  • Chen E, Touyz SW, Fairburn CG, Beumont PJ et al (2003) Comparison of group and individual cognitive-behavioral therapy for patients with bulimia nervosa. Int J Eat Disord 33:241–256

    Article  PubMed  Google Scholar 

  • Dare C, Eisler I, Russell G, Treasure J, Dodge L (2001) Psychological therapies for adults with anorexia nervosa: randomised controlled trial of out-patient treatments. Brit J Psychiatry 178:216–221

    Article  CAS  Google Scholar 

  • Eisler I, Dare C, Russell GFM, Szmukler GI, Dodge L, Le Grange D, Dogde E (1997) Family and individual therapy in anorexia nervosa. A 5-year follow-up. Arch Gen Psychiatry 54:1025–1030

    Article  CAS  PubMed  Google Scholar 

  • Eisler I, Le Grange D, Asen E (2003) Family interventions. In: Treasure J, Schmidt U, van den Furth E (Hrsg) Handbook of eating disorders, 2. Aufl. Wiley, Chichester, UK, S 291–310

    Google Scholar 

  • Fairburn CG (2005) Evidence-based treatment in anorexia nervosa. Int J Eat Disord 37:26–30

    Article  Google Scholar 

  • Fairburn CG, Shafran R, Cooper Z (1999) A cognitive behavioural theory of anorexia nervosa. Behav Res Ther 37:1–13

    Article  CAS  PubMed  Google Scholar 

  • Fichter M, Cebulla M, Kranzlin N et al (2003) Prästationäre manualisierte Therapie und darauf folgende stationäre Behandlung bei Anorexia nervosa: eine kontrollierte Studie. Nervenarzt 74(2):99

    Google Scholar 

  • Fichter MM, Quadflieg N (1999) Six-year course and outcome of anorexia nervosa. Int J Eat Disord 26:359–385

    Article  CAS  PubMed  Google Scholar 

  • Garner DM, Isaacs P (1986) The fundamentals of psychotherapy for anrexia nervosa and bulimia nervosa. In: Keller PA, Ritt L (Hrsg) Innovations in clinical practice: A source book. Guilford, New York, S 29–44

    Google Scholar 

  • Garner DM, Needleman LD (1997) Sequencing and integration of treatments. In: Garner DM, Garfinkel PE (Hrsg) Handbook of treatment for eating disorders, 2. Aufl. Guilford, New York, S 50–63

    Google Scholar 

  • Garner DM, Vitousek KM, Pike KM (1997) Cognitive behavioural therapy for anorexia nervosa. In: Garner DM, Garfinkel PE (Hrsg) Handbook of treatment for eating disorders, 2. Aufl. Guilford, New York, S 121–134

    Google Scholar 

  • Gröne M (2001) Systemische Ansätze zur Erklärung und Behandlung bulimischer Ess-Störungen. Psychother Dialog 2:174–185

    Article  Google Scholar 

  • Grover M, Williams C, Eisler I, McCloskey C, Fairbairn P et al (2011) An off-line pilot evaluation of a web-based systemic cognitive-behavioral intervention for carers of people with anorexia nervosa. Int J Eat Disord 44:708–715

    Article  PubMed  Google Scholar 

  • Gulec H, Moessner M, Mezei A, Kohls E, Túry F, Bauer S (2011) Internet-based maintenance treatment for patients with eating disorders. Profess Psychol Res Pract 42:479–486

    Article  Google Scholar 

  • Halmi KA, Agras WS, Crow S, Wilson GT, Mitchell J et al (2005) Predictors of Treatment Acceptance and Completion in Anorexia Nervosa. Arch Gen Psychiatry 62:776–781

    Article  PubMed  Google Scholar 

  • Hartmann A, Weber S, Herpertz S, Zeeck A (2011) Psychological treatment for anorexia nervosa: a meta-analysis of standardized mean change. Psychotherapy and Psychosomatics 80(4):216–226

    Article  PubMed  Google Scholar 

  • Hay PP, Bacaltchuk J, Stefano S, Kashyap P (2009) Psychological treatments for bulimia nervosa and binging. Cochrane Database Syst Rev t 7(4):CD000562

    Google Scholar 

  • Hay PJ, Bacaltchuk J (2001) Extracts from clinical evidence: Bulimia nervosa. Brit Med J 323:33–37

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Herpertz S, Hagenah U, Vocks S, von Wietersheim J, Cuntz U, Zeeck A (2011b) German Society of Psychosomatic Medicine and Psychotherapy; German College for Psychosomatic Medicine. The diagnosis and treatment of eating disorders. Dtsch Arztebl Int 108:678–685

    PubMed  PubMed Central  Google Scholar 

  • Herpertz S, Herpertz-Dahlmann B, Fichter M, Tuschen-Caffier B, Zeeck A (2011a) S3-Leitlinie Diagnostik und Behandlung der Essstörungen. Springer, Heidelberg

    Book  Google Scholar 

  • Herpertz-Dahlmann B, Salbach-Andrae H (2009) Overview of treatment modalities in adolescent anorexia nervosa. Child Adolesc Psychiatr Clin N Am 18(1):131–145

    Article  PubMed  Google Scholar 

  • Herzog T, Hartmann A (1997) Psychoanalytically oriented treatment of anorexia nervosa. Methodology-related critical review of the literature using meta-analysis methods. Psychother Psychosom Med Psychol 47:299–315

    CAS  PubMed  Google Scholar 

  • Hötzel K, von Brachel R, Schmidt U, Rieger E, Kosfelder J, Hechler T, Schulte D, Vocks S (2013) An internet-based program to enhance motivation to change in females with symptoms of an eating disorder: A randomized controlled trial. Psychological Medicine (epub ahead of print)

    Google Scholar 

  • Jacobi C, Dahme B, Dittmann R (2002) Cognitive-behavioural, fluoxetine and combined treatment for bulimia nerosa: Short- and long-term results. Eur Eat Disord Rev 10:179–198

    Article  Google Scholar 

  • Jacobi C, Thiel A, Paul T (2008) Kognitive Verhaltenstherapie bei Anorexia und Bulimia nervosa, 3. Aufl. Beltz, Weinheim

    Google Scholar 

  • Jager B, von Wietersheim J (1997) Psychoanalytically-based treatment of bulimia nervosa. Psychother Psychosom Med Psychol 47:322–331

    CAS  PubMed  Google Scholar 

  • Kächele H, Kordy H, Richard RG (2001) Therapy amount and outcome of inpatient psychodynamic treatment of eating disorders in Germany: Data from a multicenter study. Psychother Res 11:239–257

    Article  Google Scholar 

  • Kaye WH, Nagata T, Weltzin TE et al (2001) Double-blind placebo-controlled adminstration of fluoxetine in restricting and restricting-purging type anorexia nervosa. Biol Psychiatry 49:644–652

    Article  CAS  PubMed  Google Scholar 

  • Kordy H (2004) Das Internet in der psychosozialen Versorgung: Neue Methode – Neues Glück? Psychother Psychosom Med Psychol 54:43–44

    Article  PubMed  Google Scholar 

  • Linehan MM (1993) Cognitive-behavioral treatment for Borderline Personality: The dialects of effective treatment. Guildford, New York

    Google Scholar 

  • Lundgren JD, Danoff-Burg S, Anderson DA (2004) Cognitive-behavioral therapy for bulimia nervosa: an empirical analysis of clinical significance. Int J Eat Disord 35:262–274

    Article  PubMed  Google Scholar 

  • McIntosh VV, Jordan J, Carter FA, McKenzie JM, Luty SE et al (2005) Three psychotherapies for anorexia nervosa: a randomized, controlled trial. Am J Psychiatry 162(4):741–747

    Article  PubMed  Google Scholar 

  • Murphy R, Straebler S, Basden S, Cooper Z, Fairburn CG (2012) Interpersonal psychotherapy for eating disorders. Clin Psychol Psychother 19:150–158

    Article  PubMed  Google Scholar 

  • Openshaw C, Waller G, Sperlinger D (2004) Group cognitive behavior therapy for bulimia nervosa: Statistical vs clinical significance of changes in symptoms across treatment. Int J Eat Disord 36:363–375

    Article  PubMed  Google Scholar 

  • Palmer B, Birchall H (2003) Dialectical behaviour therapy. In: Treasure J, Schmidt U, van den Furth E (Hrsg) Handbook of eating disorders, 2. Aufl. Wiley, Chichester, UK, S 271–277

    Google Scholar 

  • Perkins S, Schmidt U (2005) Self help for eating disorders. In: Wonderlich S, Mitchell J, de Zwaan M, Steiger H (Hrsg) Eating disorders review, part 1. Radcliffe, Oxford, S 87–104

    Google Scholar 

  • Peterson CB, Mitchell JE, Engbloom S, Nugent S, Musell MP, Crow SJ, Thuras P (2001) Self-help vs. therapist led group cognitive-behavioral treatment of binge eating disorder at follow up. Int J Eat Disord 30:363–374

    Article  CAS  PubMed  Google Scholar 

  • Pike KM, Walsh BT, Vitousek K, Wilson G, Bauer J (2003) Cognitive Behavior Therapy in the posthospitalization treatment of anorexia nervosa. Am J Psych 160:2046–2049

    Article  Google Scholar 

  • Reich G (2004) Psychodynamische Psychotherapie einer Patientin mit Anorexie. Psychother Dialog 1:32–39

    Google Scholar 

  • Richards PS, Baldwin BM, Frost HA, Clark-Sly JB, Berrett ME, Hardmann RK (2000) What works for treating eating disorders? Conclusions of 28 outcome reviews. Eat Disord 8:189–206

    Article  Google Scholar 

  • Ruwaard J, Lange A, Broeksteeg J, Schrieken B, Renteria-Agirre A et al (2013) Online cognitive-behavioural treatment of bulimic symptoms: a randomized controlled trial. Clin Psychol Psychother 20:308–318

    Article  PubMed  Google Scholar 

  • Ryle A (1990) Cognitive analytic therapy: Active participation in change. A new Integration in brief psychotherapy. Wiley, Chichester, UK Safer DL, Telch CF, Agras WS (2001a) Dialectical behaviour therapy for bulimia nervosa: A case report. Int J Eat Disord 30: 101–106

    Google Scholar 

  • Safer DL, Telch CF, Agras WS (2001b) Dialectical behaviour therapy for bulimia nervosa. Am J Psychiatry 158:632–634

    Article  CAS  PubMed  Google Scholar 

  • Schnicker K, Legenbauer T, Hiller W (2011) Therapieeffekte und Responder-Analysen bei Patientinnen mit Essstörungen: Eine naturalistische Studie. Verhaltenstherapie 21(1):31–38

    Article  Google Scholar 

  • Steel Z, Jones J, Adcock S, Clancy R, Bridgford-West L, Austin J (2000) Why the high rate of dropout from individualized cognitive-behavior therapy for Bulimia nervosa? Int J Eat Disord 28:209–214

    Article  CAS  PubMed  Google Scholar 

  • Steinhausen HC, Weber S (2009) The outcome of bulimia nervosa: findings from one-quarter century of research. Am J Psych 166:1331–1341

    Article  Google Scholar 

  • Tanner C, Connan F (2003) Cognitive analytic therapy. In: Treasure J, Schmidt U, van den Furth E (Hrsg) Handbook of eating disorders, 2. Aufl. Wiley, Chichester, UK, S 279–289

    Google Scholar 

  • Telch CF, Agras WS, Linehan MM (2001) Group dialectical behaviour therapy for binge eating disorder: A preliminary uncontrolled trial. Behav Ther 31:569–582

    Article  Google Scholar 

  • Treasure J, Schmidt U (2003) Treatment overview. In: Treasure J, Schmidt U, van den Furth E (Hrsg) Handbook of eating disorders, 2. Aufl. Wiley, Chichester, UK, S 207–217

    Chapter  Google Scholar 

  • Treasure J, Ward A (1997) Cognitive analytical therapy in the treatment of anorexia nervosa. Clin Psychol Psychother 4:62–71

    Article  Google Scholar 

  • Tuschen-Caffier B, Florin I (2002) Teufelskreis Bulimie. Ein Manual zur psychologischen Therapie. Hogrefe, Göttingen

    Google Scholar 

  • Vocks S, Legenbauer T (2010) Körperbildtherapie bei Anorexia und Bulimia nervosa. Ein kognitiv-verhaltenstherapeutisches Behandlungsprogramm, 2. Aufl. Hogrefe, Göttingen

    Google Scholar 

  • Waadt S, Laessle RG, Pirke KM (1992) Bulimie: Ursachen und Therapie. Springer, Berlin

    Book  Google Scholar 

  • Waller G, Kennerley H (2003) Cognitive-behavioral Treatments. In: Treasure J, Schmidt U, van den Furth E (Hrsg) Handbook of eating disorders, 2. Aufl. Wiley, Chichester, UK, S 234–251

    Google Scholar 

  • Wallier J, Vibert S, Berthoz S, Huas C, Hubert T, Godart N (2009) Dropout from Inpatient Treatment for Anorexia Nervosa: Critical Review of the Literature. Int J Eat Disord 42:636–647

    Article  PubMed  Google Scholar 

  • Walsh BT, Agras WS, Devlin MJ et al (2000) Fluoxetine for bulimia nervosa following poor response to psychotherapy. Am J Psychiatry 157:1332–1334

    Article  CAS  PubMed  Google Scholar 

  • Walsh BT, Wilson GT, Loeb KL et al (1997) Medication and psychotherapy in the treatment of Bulimia nervosa. Am J Psychiatry 154:523–531

    Article  CAS  PubMed  Google Scholar 

  • Weissman MM, Markowitz JC, Klerman GL (2000) A comprehensive guide to interpersonal psychotherapy. Basic Books, New York

    Google Scholar 

  • Wilfley DE, Agras WS, Telch CF et al (1993) Group cognitive-behavioral therapy and group interpersonal psychotherapy for the non purging bulimic individual: A controlled comparison. J Consult Clin Psychol 61:296–305

    Article  CAS  PubMed  Google Scholar 

  • Wilfley D, Stein R, Welch R (2003) Interpersonal Psychotherapy. In: Treasure J, Schmidt U, van den Furth E (Hrsg) Handbook of eating disorders, 2. Aufl. Wiley, Chichester, UK, S 252–270

    Google Scholar 

  • Wilson GT (1999) Cognitive behaviour therapy for eating disorders: Progress and problems. Behav Res Ther 37:S79–S95

    Article  PubMed  Google Scholar 

  • Wilson GT, Fairburn CG (1993) Cognitive treatments for eating disorders. J Consult Clin Psychol 61:261–269

    Article  CAS  PubMed  Google Scholar 

  • Winston A, Webster P (2003) Inpatient treatment. In: Handbook of eating disorders, 2. Aufl. Wiley, Chichester

    Google Scholar 

  • de Zwaan M (2002) Binge eating disorder (BED) und Adipositas. Verhaltenstherapie 12:288–295

    Article  Google Scholar 

  • de Zwaan M, Zipfel S, Herzog W, Konrad K, Herpertz-Dahlmann B et al (2009) EDNET – eating disorders diagnostic and treatment network. Psychother Psychosom Med Psychol 59:110–116

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Tanja Legenbauer Prof. Dr. rer. nat. habil. .

Rights and permissions

Reprints and permissions

Copyright information

© 2014 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Legenbauer, T., Vocks, S. (2014). Therapieansätze und ihre Wirksamkeit. In: Manual der kognitiven Verhaltenstherapie bei Anorexie und Bulimie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-20385-5_3

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-20385-5_3

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-20384-8

  • Online ISBN: 978-3-642-20385-5

  • eBook Packages: Medicine (German Language)

Publish with us

Policies and ethics