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      Terapia cognitivo-comportamental para transtornos alimentares: a visão de psicoterapeutas sobre o tratamento Translated title: Cognitive-behavioral therapy for eating disorders: psychotherapists view about the treatment

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          Abstract

          Os transtornos alimentares (TA) constituem uma área de crescente interesse dos profissionais da saúde. Todavia, ainda há poucos estudos brasileiros sobre o tratamento dessas patologias pela Terapia Cognitivo-Comportamental (TCC). O presente artigo se propõe a investigar como se dá o tratamento dos TA na visão de quatro terapeutas especializados nessa abordagem. O delineamento utilizado foi o de Estudos de Caso Múltiplos e as informações foram obtidas através de entrevistas abertas. Os resultados mostraram consenso sobre a importância do vínculo terapêutico, da interdisciplinaridade e do envolvimento familiar no tratamento. Entre as vantagens da TCC foram citadas a resposta rápida e a eficácia das técnicas. Quanto às limitações, foram mencionados aspectos como pouca motivação dos pacientes e questões econômicas. O principal critério de alta é um funcionamento global adequado. Finalmente, todos concordam em que novas pesquisas na área são importantes. Salienta-se especialmente a necessidade de novas investigações no contexto nacional.

          Translated abstract

          Eating disorders (ED) is an area of growing interest for health professionals. However, there are few Brazilian studies on the treatment of these pathologies by Cognitive-Behavioral Therapy (CBT). This article aims to investigate the treatment of ED by four therapists experts in this approach. The design used was the Multiple Case Studies. The information was collected through interviews. Consensus between the results were the importance of the therapeutic bond, interdisciplinarity, and family involvement in treatment. Among the advantages of CBT were cited: rapid and effective techniques. About the limitations were mentioned aspects such as low motivation of patients and economic issues. The main discharge criterion was a high properly functioning. Finally, all agree that further researches in the area are important. It should be noted especially the need for further research in the national context.

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          The empirical status of cognitive-behavioral therapy: a review of meta-analyses.

          This review summarizes the current meta-analysis literature on treatment outcomes of CBT for a wide range of psychiatric disorders. A search of the literature resulted in a total of 16 methodologically rigorous meta-analyses. Our review focuses on effect sizes that contrast outcomes for CBT with outcomes for various control groups for each disorder, which provides an overview of the effectiveness of cognitive therapy as quantified by meta-analysis. Large effect sizes were found for CBT for unipolar depression, generalized anxiety disorder, panic disorder with or without agoraphobia, social phobia, posttraumatic stress disorder, and childhood depressive and anxiety disorders. Effect sizes for CBT of marital distress, anger, childhood somatic disorders, and chronic pain were in the moderate range. CBT was somewhat superior to antidepressants in the treatment of adult depression. CBT was equally effective as behavior therapy in the treatment of adult depression and obsessive-compulsive disorder. Large uncontrolled effect sizes were found for bulimia nervosa and schizophrenia. The 16 meta-analyses we reviewed support the efficacy of CBT for many disorders. While limitations of the meta-analytic approach need to be considered in interpreting the results of this review, our findings are consistent with other review methodologies that also provide support for the efficacy CBT.
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            Análise de conteúdo

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              Cognitive therapy and the emotional disorders

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                Author and article information

                Journal
                rbtcc
                Revista Brasileira de Terapia Comportamental e Cognitiva
                Rev. bras. ter. comport. cogn.
                Associação Brasileira de Psicoterapia e Medicina Comportamental (São Paulo, SP, Brazil )
                1517-5545
                April 2013
                : 15
                : 1
                : 36-49
                Affiliations
                [01] orgnameUniversidade Federal do Rio Grande
                Article
                S1517-55452013000100004 S1517-5545(13)01500104
                3ce290a6-f139-4cd4-8a81-9175cc1887fd

                http://creativecommons.org/licenses/by/4.0/

                History
                : 25 August 2012
                : 16 June 2012
                : 29 August 2012
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 55, Pages: 14
                Product

                SciELO Periódicos Eletrônicos em Psicologia

                Categories
                Artigos originais

                Transtornos alimentares,Terapia Cognitivo-comportamental,Treatment,Eating disorders,Cognitive-Behavioral Therapy,Tratamento

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