Cognitive‐behavioural therapy for individuals with bulimia nervosa and a co‐occurring substance use disorder
- 7 January 2009
- journal article
- review article
- Published by Wiley in European Eating Disorders Review
- Vol. 17 (2), 89-100
- https://doi.org/10.1002/erv.906
Abstract
A significant percentage of individuals with bulimia nervosa (BN) also can be diagnosed with a co‐occurring substance use disorder (SUD). Although studies have addressed the frequency of overlap between the disorders, etiology and shared personality traits, limited research is available about the treatment of these comorbid patients. Adapting cognitive‐behaviour therapy (CBT) to serve as an integrated treatment for patients with both BN and a SUD is a viable option, as studies of CBT suggest that this form of treatment is efficacious for both disorders independently. The shared strategies in CBT for BN and SUDs facilitate the development of a combined treatment for individuals with both disorders with the addition of modules designed to address some common features of these disorders, such as motivation, difficulty with interpersonal relationships, reward sensitivity and impulsivity. Future research should begin to evaluate the efficacy of an integrated CBT in treating individuals with BN and a SUD. Copyright © 2009 John Wiley & Sons, Ltd and Eating Disorders Association.Keywords
This publication has 74 references indexed in Scilit:
- Dialectical Behavior Therapy for Borderline Personality DisorderAnnual Review of Clinical Psychology, 2007
- The Prevalence and Correlates of Eating Disorders in the National Comorbidity Survey ReplicationBiological Psychiatry, 2006
- Efficacy of maintenance treatment with naltrexone for opioid dependence: a meta‐analytical reviewAddiction, 2006
- Motivational InterviewingAnnual Review of Clinical Psychology, 2005
- Cognitive behaviour therapy for eating disorders: a “transdiagnostic” theory and treatmentBehaviour Research and Therapy, 2003
- Impulsivity or Comorbidity in Bulimia NervosaThe British Journal of Psychiatry, 1996
- The treatment of eating disorder patients with substance abuse and borderline personality disorderEating Disorders, 1996
- A Comparison of Borderline Personality Symptomatology and Self-Destructive Behavior in Women With Eating, Substance Abuse, and Both Eating and Substance Abuse DisordersJournal of Personality Disorders, 1994
- Drug use in women with anorexia and bulimia nervosaInternational Journal of Eating Disorders, 1992
- Exposure plus response-prevention treatment of bulimia nervosa.Journal of Consulting and Clinical Psychology, 1988