BookTimothy D. Brewerton, Amy Baker Dennis, editors.
Summary: Eating disorders, addictions, and substance use disorders are each challenging in their own right, but they also commonly co-occur, causing major challenges for clinicians. Emerging research suggests that there are common substrates at the neuroanatomical, neurochemical, and psychological levels. While randomized controlled trials have revealed a number of effective psychotherapeutic and psychopharmacologic treatments for the individual conditions, little is known about integrative interventions for these comorbidities. This book presents cutting-edge research on the overlap of these complex disorders and reviews integrative assessment strategies and treatment approaches, including enhanced cognitive behavioral therapy, dialectical behavior therapy, abstinence approaches, motivational enhancement, mindfulness meditation, and pharmacotherapy. The issue of whether eating-disordered behaviors such as dieting, binge eating, and excessive exercise are merely other forms of addictive behavior is examined. The authors argue both for and against the concept of food addiction in research, clinical treatment, and public policy.
Contents:
Research Perspectives: Relationship between feeding and drug seeking behaviors
Animal models of eating disorders
Activity Anorexia
Role of neurotransmitter systems
Dimensions of personality and neuropsychological function
Imaging findings
Genetic aspects: Do EDs, addictions, and SUDs share genetic vulnerabilities
The Role of Epigenetics
Clinical Perspectives: Epidemiology of EDs, addictions and SUDs
Assessment
Nutritional Aspects
Are EDs addictive disorders?
The Role of Stress, Trauma and PTSD
The Role of Obesity
EDs, addictions and SUDs following bariatric surgery
Prevention and public policy issues
Treatment Perspectives: General principles of treating the comorbid patient
The use of CBT
Mindful based treatments
The use of self-help approaches
The use of motivational interviewing and MET
The use of family therapy
Nutritional interventions
The use of exercise
The use of alternative and complementary therapies
Ethics and the role of compulsory hospitalization
The role of invitational intervention.