Interpersonal psychotherapy for eating disorders: current perspectives. 2018

Mario Miniati, and Antonio Callari, and Alessandra Maglio, and Simona Calugi
Department of Clinical and Experimental Medicine, Section of Psychiatry, University of Pisa, Pisa, Italy, mario.miniati@med.unipi.it.

BACKGROUND Interpersonal psychotherapy (IPT) is a time-limited and affect-, life-event-, and present-focused psychotherapy originally conceptualized for unipolar depression, and then adapted to the treatment of other disorders, including eating disorders (EDs). The purpose of this paper is to conduct a systematic review of studies on IPT for EDs. METHODS The authors performed literature searches, study selection, method, and quality evaluation independently. Data were summarized using a narrative approach. RESULTS Of the 534 papers retrieved, 37 studies met the inclusion criteria, and 15 were considered for the systematic review (randomized controlled trials and long-term follow-up studies derived from the randomized controlled trials). Their analysis revealed six main findings: 1) no significant differences between IPT and cognitive-behavioral therapy (CBT) were found when administered as monotherapy to patients with anorexia nervosa; 2) when administered as monotherapy to patients with bulimia nervosa (BN), IPT had lower outcomes than CBT and its enhanced version; 3) patients with BN who remitted with IPT showed a prolonged time spent in clinical remission, when followed up on the long term; 4) IPT and CBT, with different timings and methods, have both shown efficacy in the mid-term/long-term period in patients with BN; 5) CBT and its enhanced version produced rapid changes in the acute phase. IPT led to improvements occurring later, with slower changes that tended to maintain efficacy in the long term; 6) abstinence from binge eating with group IPT for binge eating disorder is stable and maintained (or further improved) in the long term. CONCLUSIONS IPT is a reasonable, cost-effective alternative to CBT for the overall ED spectrum.

UI MeSH Term Description Entries

Related Publications

Mario Miniati, and Antonio Callari, and Alessandra Maglio, and Simona Calugi
January 2012, Clinical psychology & psychotherapy,
Mario Miniati, and Antonio Callari, and Alessandra Maglio, and Simona Calugi
June 2019, The Psychiatric clinics of North America,
Mario Miniati, and Antonio Callari, and Alessandra Maglio, and Simona Calugi
September 1997, The Keio journal of medicine,
Mario Miniati, and Antonio Callari, and Alessandra Maglio, and Simona Calugi
August 1994, Archives of general psychiatry,
Mario Miniati, and Antonio Callari, and Alessandra Maglio, and Simona Calugi
January 1995, Seishin shinkeigaku zasshi = Psychiatria et neurologia Japonica,
Mario Miniati, and Antonio Callari, and Alessandra Maglio, and Simona Calugi
April 2024, The International journal of eating disorders,
Mario Miniati, and Antonio Callari, and Alessandra Maglio, and Simona Calugi
January 2020, Indian journal of psychiatry,
Mario Miniati, and Antonio Callari, and Alessandra Maglio, and Simona Calugi
January 1994, Der Nervenarzt,
Mario Miniati, and Antonio Callari, and Alessandra Maglio, and Simona Calugi
August 2019, Journal of clinical psychology,
Mario Miniati, and Antonio Callari, and Alessandra Maglio, and Simona Calugi
January 1970, International psychiatry clinics,
Copied contents to your clipboard!