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8. A conceptual comparison of family-based treatment and enhanced cognitive behavior therapy in the treatment of adolescents with eating disorders

Author

Dalle Grave, Riccardo, Eckhardt, Sarah, Calugi, Simona, and Le Grange, Daniel

Subjects
Clinical and Health Psychology, Psychology, Clinical Trials and Supportive Activities, Pediatric, Mental Health, Comparative Effectiveness Research, Mind and Body, Clinical Research, Nutrition, Eating Disorders, 6.6 Psychological and behavioural, Evaluation of treatments and therapeutic interventions, Mental health, Eating disorders, Anorexia nervosa, Treatment, Family-based treatment, Enhanced cognitive behavior therapy, Nutrition and Dietetics, Health sciences
Abstract

BackgroundThe aim of this paper is to give a conceptual comparison of family-based treatment (FBT), a specific form of family therapy, and enhanced cognitive behavior therapy (CBT-E) in the management of adolescents with eating disorders.Main textFBT and CBT-E differ in the conceptualization of eating disorders, the nature of involvement of parents and the child/adolescent, the number of treatment team members involved, and evidence of efficacy. FBT is the leading recommended empirically- supported intervention for adolescents with eating disorders. Data from randomized controlled trials indicate that FBT works well with less than half of the parents and adolescents who accept the treatment, but cannot be used with those who do not have available parents, or for those with parents who are not accepting of a FBT model, or are unable to participate in a course of this treatment. CBT-E has shown promising results in cohort studies of patients between ages 11 and 19 years, and has recently been recommended for youth with eating disorders when FBT is unacceptable, contraindicated, or ineffective.ConclusionThere is a need to compare these two treatments in a randomized controlled trial to assess their acceptability, effectiveness, relative cost and cost-effectiveness, and to explore moderators of treatment response.

Published
2019

9. Physical Complications

Author

Dalle Grave, Riccardo, Sartirana, Massimiliano, Calugi, Simona, Dalle Grave, Riccardo, Sartirana, Massimiliano, and Calugi, Simona

Published
2021
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24. The Benefit of Healthy Lifestyle in the Era of New Medications to Treat Obesity

Author

Dalle Grave,Riccardo and Dalle Grave,Riccardo

Abstract

Riccardo Dalle Grave Department of Eating and Weight Disorders, Villa Garda Hospital, Garda, VR, ItalyCorrespondence: Riccardo Dalle Grave, Via Monte Baldo, 89, Garda, VR, I-37016, Italy, Tel +39-045-8103915, Fax +39-045-8102884, Email rdalleg@gmail.comAbstract: Incretin-based medications for treating obesity produce substantial short- and long-term weight loss and improve obesity-related comorbidities. However, associating lifestyle modification with new medications to treat obesity is generally advisable for several reasons. Firstly, healthy eating patterns and physical activity may offer important additional benefits, enhancing the patient’s health and well-being. In addition, regular specialist counselling in lifestyle modification can help patients maintain their motivation levels and develop specific skills for addressing obstacles during the lengthy process of weight loss and maintenance, potentially improving outcomes in the long term. Given the high efficacy of the new weight-loss drugs, it would be timely to streamline and simplify the current gold standard of obesity management based on lifestyle modification. For example, it now seems redundant to prescribe strict diets or meal replacements to reduce calorie intake, or to recommend patients practice 200 to 300 minutes of moderate-to-vigorous-intensity exercise for enhanced weight loss. Moderate calorie restriction and, at least 150 minutes of moderate-intensity aerobic exercise and two sessions of muscle-strengthening activities per week may be more achievable and appropriate goals for sustainable weight loss in most patients on pharmaceutical obesity treatment. As regards lifestyle modification counselling, future studies should assess its optimal intensity and duration in the “new medications for obesity era”.Keywords: obesity, treatment, semaglutide, terzipatide, GLP-1 agonists, physical activity, exercise, Mediterranean diet, weight loss, lifestyle modification

Published
2024

30. Module 2: Changing Eating

Author

Dalle Grave, Riccardo, Sartirana, Massimiliano, El Ghoch, Marwan, Calugi, Simona, Dalle Grave, Riccardo, Sartirana, Massimiliano, El Ghoch, Marwan, and Calugi, Simona

Published
2018
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31. Preparatory Phase

Author

Dalle Grave, Riccardo, Sartirana, Massimiliano, El Ghoch, Marwan, Calugi, Simona, Dalle Grave, Riccardo, Sartirana, Massimiliano, El Ghoch, Marwan, and Calugi, Simona

Published
2018
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33. Treatment Overview

Author

Dalle Grave, Riccardo, Sartirana, Massimiliano, El Ghoch, Marwan, Calugi, Simona, Dalle Grave, Riccardo, Sartirana, Massimiliano, El Ghoch, Marwan, and Calugi, Simona

Published
2018
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34. Introduction

Author

Dalle Grave, Riccardo, Sartirana, Massimiliano, El Ghoch, Marwan, Calugi, Simona, Dalle Grave, Riccardo, Sartirana, Massimiliano, El Ghoch, Marwan, and Calugi, Simona

Published
2018
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35. CBT-OB and Digital Technology

Author

Dalle Grave, Riccardo, Sartirana, Massimiliano, El Ghoch, Marwan, Calugi, Simona, Dalle Grave, Riccardo, Sartirana, Massimiliano, El Ghoch, Marwan, and Calugi, Simona

Published
2018
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38. Adapting CBT-OB for Groups

Author

Dalle Grave, Riccardo, Sartirana, Massimiliano, El Ghoch, Marwan, Calugi, Simona, Dalle Grave, Riccardo, Sartirana, Massimiliano, El Ghoch, Marwan, and Calugi, Simona

Published
2018
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39. Involving Significant Others

Author

Dalle Grave, Riccardo, Sartirana, Massimiliano, El Ghoch, Marwan, Calugi, Simona, Dalle Grave, Riccardo, Sartirana, Massimiliano, El Ghoch, Marwan, and Calugi, Simona

Published
2018
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