THE ROLE of GENERAL PRACTITIONER in PSYCHOTHERAPY of PATIENT BINGE EATING DISORDER

Authors

  • Ria Fajrin Internship Doctor Program (medical doctor) Rumah Sakit Grha Husada, Gresik, Indonesia

DOI:

https://doi.org/10.21776/ub.jppbr.2024.005.01.8

Abstract

Introduction – Binge Eating Disorder (BED) is a condition in which an individual has repeated episodes of binge eating or episode purging type (inducing vomiting by himself or by using laxatives, diuretics, or enemas). It has happened during at last 3 months. The prevalence of binge eating disorder peaks in female adolescents aged 19-22 years and male adolescents aged 24 years. Treatment that can be given for BED includes psychotherapy, pharmacotherapy, and weight loss therapy. Psychotherapy is the first-line treatment for BED. Types of psychotherapy used in BED are Cognitive behavior therapy (CBT), Interpersonal psychotherapy (IPT), and Dialectical behavior therapy (DBT).

Methods – The searching method in this article is based on several journals and textbook reviews including diagnosis of BED, and psychotherapy of BED such as Cognitive Behavior Therapy (CBT), Dialectical Behavior Therapy (DBT), and Interpersonal Psychotherapy (IPT).

Results – A binge eating disorder (BED) is someone who experiences uncontrollable binge eating, and these episodes can be repeated. after that, someone is trying to get his food out or purging (inducing vomiting by himself or by using laxatives, diuretics, or enemas). This is happened during the last 3 months. Psychotherapy is a formal process that involves the interaction between 2 or more people. Several professionals in mental health use psychotherapy. Types of psychotherapy used in BED are CBT, IPT, and DBT.

Discuss – The role of GP in CBT is to help patients change their patterns of thinking and what they do. CBT also helps patients develop their skills to identify, and deal with problematic thoughts, and beliefs The role of a GP in IPT is to help people manage negative feelings so they don't vent those feelings by binge eating. IPT enhances the development of healthy interpersonal skills by replacing maladaptive behavior by promoting a positive self-image. DBT is a complete therapy. it consists of many different components, which include behavior therapy such as exposure therapy, skill in taking an action (contingency), stimulus control skills, problem-solving, cognitive restructuring, and other interventions.

Conclusion – The three psychotherapies are interrelated with each other, with the combination of the three therapies on BED the results will be better.  

 Keywords: BED, CBT IPT, DBT, general practitioner.

References

American Psychiatric Association. The diagnostic and statistical manual (5th ed.). Washington: Author. (2013).

Eleonora Marzilli, Luca Cerniglia SC. A narrative review of binge eating disorder in adolescence: prevalence, impact, and psychological treatment strategies. Italy: Dovepress; 2018.

Pradhana A, Handadari W. Hubungan antara Kesadaran Diri dengan Kecenderungan Gangguan Makan Berlebihan pada Remaja dengan Obesitas di Surabaya. J Psikol Klin dan Kesehat Ment [Internet]. 2017;6:11–21. Available from: http://journal.unair.ac.id/download-fullpapers-jpkk2e618d014dfull.pdf

Iqbal A, Rehman A. Binge Eating Disorder. [Updated 2021 Jan 6]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2021 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK551700/

Susilawati LKPA, Widiasavitri PN, Budisetyani PW, Suarya LMKS, Supriyadi, Lestari MD, et al. Bahan Ajar Materi Kuliah Psikoterapi I. Univ Udayana [Internet]. 2017;185–94. Available from: https://simdos.unud.ac.id/uploads/file_pendidikan_1_dir/9bce2706cd103e0013badd148d3f51f3.PDF

Association of American Psychiatrists. Understanding psychotherapy and how it works. 2016

J Cape, C Barker, M Buszewicz and NP. General practitioner psychological management of common emotional problems (I): Definitions and literature review. J R Coll Gen Pract. 2000;50(453), 313–318.

Aschim B, Lundevall S, Martinsen EW, Frich JC. General practitioners’ experiences using cognitive behavioural therapy in general practice: A qualitative study. Scand J Prim Health Care. 2011;29(3):176–80.

Blashki G, Richards JC, Ryan P, Pierce D, McCabe MP, Morgan H, et al. Cognitive behavioural strategies for general practice. Aust Fam Physician [Internet]. 2003;32(11):910–7. Available from: http://www.ncbi.nlm.nih.gov/pubmed/14650786

Yager J, Devlin MJ, Halmi KA, Herzog DB, Mitchell JE, Powers P, et al. Treatment of patients with eating disorders third edition. Am J Psychiatry. 2006;163(7 SUPPL.):1–54.

Pietrabissa, Giada et al. “Brief Strategic Therapy for Bulimia Nervosa and Binge Eating Disorder: A Clinical and Research Protocol.” Frontiers in psychology vol. 10 373. 8 Mar. 2019, doi:10.3389/fpsyg.2019.00373

NICE. Eating disorders : recognition and treatment. Clin psychiatry. 2017;62(5):656–62

Wiser S, Telch CF. Dialectical Behavior Therapy for Binge-Eating Disorder. J Clin Psychol. 1999;55(6):755–68.

Wilhelm K, May R. Interpersonal therapy in the general practice setting. Med Today. 2017;18(8):41–9.

lacovino J.M, Gredsa, D.M., Altman, M., Wilfley DE. Psychological treatment for binge eating disorder. Curr psychiatry Rep. 2012;432–46

Wilson GT, Wilfley DE, Agras WS, Bryson SW. Psychological treatments of binge eating disorder. Arch Gen Psychiatry. 2010;67(1):94–101.

Judd F, Weissman M, Davis J, Hodgins G, Piterman L. Interpersonal counselling in general practice. Aust Fam Physician. 2004;33(5):332–7.

Burke NL, Higgins Neyland MK, Young JF, Wilfley DE, Tanofsky-Kraff M. Interpersonal psychotherapy for the prevention of binge-eating disorder and adult obesity in an African American adolescent military dependent boy. Eat Behav [Internet]. 2020;38(June):101408. Available from: https://doi.org/10.1016/j.eatbeh.2020.101408

Murphy R, Straebler S, Basden S, Cooper Z, Fairburn CG. Interpersonal Psychotherapy for Eating Disorders. Clin Psychol Psychother. 2012;19(2):150–8.

Alexander L. Chapman. Dialectical behavior therapy: current indications and unique elements. psychiatri [Internet]. 2006; Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2963469/

Lenz AS, Taylor R, Fleming M, Serman N. Effectiveness of Dialectical Behavior Therapy for Treating Eating Disorders. 2019;(January 2014).

Downloads

Published

2024-03-31

How to Cite

Fajrin, R. (2024). THE ROLE of GENERAL PRACTITIONER in PSYCHOTHERAPY of PATIENT BINGE EATING DISORDER. Journal of Psychiatry Psychology and Behavioral Research, 5(1), 34–38. https://doi.org/10.21776/ub.jppbr.2024.005.01.8