Bulimia, a new entry in our system of nomenclature, has become more prevalent during the past decade and has stimulated a considerable amount of research. It still remains a theoretical and therapeutic puzzle in spite of a variety of efforts to conceptualize it. Treatment approaches are multitudinous and sometimes conflicting, partly due to problems in definition of the disorder, and the role of psychoanalysis is still unclear. This paper surveys current information on bulimia with an emphasis on social, psychological and psychoanalytic theories of its causation and their application to treatment.
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http://dx.doi.org/10.1521/jaap.1.1985.13.4.489 | DOI Listing |
J Psychiatr Pract
January 2025
Mental Health Medical Activity Center, Caen Normandy University Hospital, Caen, France.
Psychodynamic therapy (PDT), a technical adaptation of psychoanalysis, is one of the most widely practiced forms of psychotherapy, making evaluative research on it essential. Although research on PDT has been ongoing for several decades, theoretical and practical challenges initially hindered the adoption of evidence-based medicine standards in such research, a shift that has largely taken place over the past 20 years. This article reviews the evolution of evaluative research on PDT for mental disorders in adults, with a focus on those with complex conditions.
View Article and Find Full Text PDFPhysiol Behav
March 2025
Psychiatry Residency Program Director, Valley Health System (VHS)/Universal Health, Services (UHS), Las Vegas, NV; Adjunct Professor of Psychiatry, The Touro University of, Nevada College of Osteopathic Medicine (TUNCOM); Adjunct Professor of Psychiatry, The, University of Nevada, Las Vegas (UNLV), Las Vegas, NV, USA.
Introduction: Despite emerging evidence on oxytocin's role in eating disorders,there is a need for a comprehensive review to integrate findings across neurobiological, genetic, hormonal, and therapeutic dimensions. This scoping review synthesizes existing literature on OXT's role in EDs and proposes a new theoretical perspective based on diverse research findings.
Methods: In accordance with PRISMA guidelines, we systematically synthesized all peer-reviewed articles indexed on PubMed which focused on both OXT and EDs as of December 2023 (k = 32 studies, n = 1942 participants).
Physiol Behav
December 2024
Laboratory of Biological Psychology, Faculty of Psychology and Educational Sciences, KU Leuven, Belgium; Radboud University Medical Centre, Donders Institute for Brain, Cognition and Behaviour, Cognitive Neuroscience Department. Electronic address:
People use various behaviors to cope with stressful events. These behaviors are mostly adaptive, as they allow a successful release of stress without impacting other aspects of life: How nice is it to have a break with a few spoons of that favorite ice cream during a hectic working day? However, when excessive consumption of high-sugar/salt ultra-processed food becomes the gateway to find relief from stress, eating loses this adaptive function and may escalate to binge eating, lead to obesity, and other medical conditions linked to overweight. Several etiological models attempt to explain stress-induced eating and excessive overeating behaviors characterizing these clinical conditions.
View Article and Find Full Text PDFNutrients
August 2024
Department of Psychology, Sapienza University of Rome, 00185 Roma, Italy.
Dysregulated eating behaviors, comprising subthreshold and clinical binge-eating disorder (BED) and bulimia nervosa (BN), are increasing among the general population, with a consequent negative impact on one's health and well-being. Despite the severity of these outcomes, people with BED and BN often face a delay in receiving a diagnosis or treatment, often due to difficulties in accessing care. Hence, evidence-based and sustainable interventions for eating symptomatology are needed.
View Article and Find Full Text PDFJMIR Ment Health
August 2024
Department of Epidemiology & Applied Clinical Research, Division of Psychiatry, University College London, London, United Kingdom.
Background: Previous systematic reviews of digital eating disorder interventions have demonstrated effectiveness at improving symptoms of eating disorders; however, our understanding of how these interventions work and what contributes to their effectiveness is limited. Understanding the behavior change techniques (BCTs) that are most commonly included within effective interventions may provide valuable information for researchers and developers. Establishing whether these techniques have been informed by theory will identify whether they target those mechanisms of action that have been identified as core to changing eating disorder behaviors.
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