Treatment of eating disorders in primary care: a systematic review

J Health Psychol. 2011 Nov;16(8):1165-76. doi: 10.1177/1359105311402244. Epub 2011 Apr 1.

Abstract

This review evaluated psychological treatments for Anorexia Nervosa, Bulimia Nervosa, and Binge Eating Disorder conducted in primary care. Five studies met inclusion criteria. Guided self-help cognitive-behavioral therapy via a self-help book may be a beneficial, first-line treatment for reducing binging and purging symptoms. Outcomes combining self-help with antidepressants remain unclear, although antidepressants alone may provide reduction of symptoms. High attrition and non-compliance rates among studies reviewed indicate the importance of a strong therapeutic alliance between provider and patient. Further research in primary care is needed to develop a standard of care for patients with eating disorders.

Publication types

  • Review
  • Systematic Review

MeSH terms

  • Feeding and Eating Disorders / therapy*
  • Humans
  • Primary Health Care*
  • Psychotherapy, Brief
  • Self Care