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Psychotherapeutische behandeling van patiënten met de eetbuistoornis ...Samenvatting
De eetbuistoornis wordt in de DSM-IV-TR beschreven onder de categorie EDNOS (eating disorder not otherwise specified). Vaak resulteert de eetbuistoornis in obesitas. Als je de grote hoeveelheid studies over medicamenteuze behandelingen van de eetbuistoornis in ogenschouw neemt, kun je stellen dat er weinig onderzoek is verricht naar de effecten van een psychotherapeutische aanpak. In deze bijdrage vatten we ‘de state of the art’ samen omtrent de psychotherapeutische aanpak (met en zonder medicatie) van de eetbuistoornis en obesitas. Onderzoek geeft aan dat er matige evidentie bestaat voor een cognitieve gedragstherapeutische behandeling, aangeboden via een stapsgewijs protocol. Een hele reeks andere behandelingen lijkt erg beloftevol, maar méér en gecontroleerd onderzoek omtrent deze andere behandelingen blijft aangewezen om uitspraken over de evidentie ervan te kunnen doen.
Summary
Binge Eating Disorder (BED) is described within the DSM-IV-TR under the category of EDNOS (Eating Disorder Not Otherwise Specified). Often BED is associated with obesity. Compared to the many studies on the use of medications in the treatment of BED, little research has been done on the effects of a psychotherapeutic approach. In this contribution we summarize the ‘state of the art’ of the research on the psychotherapeutic approach of BED. Studies of a purely psychotherapy approach will be discussed together with studies combining psychotherapy and medication.
Research indicates that there is moderate evidence for a cognitive behavioral therapeutic approach, offered through a stepwise protocol as an effective treatment for BED. Several other treatment approaches seem to be very promising, but more controlled studies on larger samples are needed before any conclusions about the evidence can be drawn.
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