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Cognitieve gedragstherapie bij eetstoornissen ...Samenvatting
Dit artikel beschrijft een nieuwe cognitief-gedragstherapeutische behandeling voor patiënten met obesitas en binge eating disorder. Het programma loopt één dag per week gedurende zes maanden (24 sessies). De specifieke therapeutische doelen zijn onder meer: het normaliseren van het eetgedrag en stoppen van de eetbuien; het bevorderen van lichaamsbeweging en een positieve lichaamsbeleving; het aanleren van sociale vaardigheden, zoals assertiviteit; het installeren van een functioneel zelfevaluatiesysteem; het leren identificeren, verdragen en uitdrukken van negatieve emoties; het bevorderen van zelfvertrouwen; het voorkomen van terugval en het bevorderen van de algemene levenskwaliteit. We beschrijven enkele onderzoeksgegevens over de effectiviteit van dit programma op korte termijn. Ondanks een vrij beperkt gewichtsverlies, daalde het aantal eetbuien per week aanzienlijk. Daarmee werd onze belangrijkste doelstelling gehaald. Daarnaast tonen de resultaten enkele veelbelovende verbeteringen wat betreft psychologisch welzijn, zoals significant minder depressieve klachten en angstklachten. Follow-up op langere termijn is nodig om het nut van dit programma te bevestigen.
Summary
This article describes an innovative cognitive-behavioural therapeutic program for patients with binge eating disorder and obesity. The program runs one day a week during six months (24 sessions). The most important therapeutic goals are: normalization of eating behaviour and stopping of the binges; promoting physical exercise and a positive body experience; learning social skills such as assertivity, installing a functional self-evaluation system, promoting self-esteem and the prevention of relapse. Overall, the program aims at improving the general physical and psychological well being. Some preliminary results of the efficacy of this program are described. Not withstanding a limited loss of weight, the program resulted in an important reduction of the number of binge episodes, a major goal of the program. Moreover, the results show that the psychological well being of the patients improved significantly.
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