Neurocognitive Treatments for Eating Disorders and Obesity

Curr Psychiatry Rep. 2017 Sep;19(9):62. doi: 10.1007/s11920-017-0813-7.

Abstract

Purpose of review: Recent research has highlighted executive function and neurocognitive deficits among individuals with eating and weight disorders, identifying a potential target for treatment. Treatments targeting executive function for eating and weight disorders are emerging. This review aims to summarize the recent literature evaluating neurocognitive/executive function-oriented treatments for eating and weight disorders and highlights additional work needed in this area.

Recent findings: Cognitive remediation therapy (CRT) for anorexia nervosa has been the most extensively studied neurocognitive treatment for eating disorders. Results demonstrate that CRT improves executive function and may aid in the reduction of eating disorder symptomatology. Computer training programs targeting modifying attention and increasing inhibition are targeting reduction of binge eating and weight loss with modest success. Neurocognitive treatments are emerging and show initial promise for eating and weight disorders. Further research is necessary to determine whether these treatments can be used as stand-alone treatments or whether they need to be used as an adjunct to or in conjunction with other evidence-based treatments to improve outcomes.

Keywords: Eating disorders; Executive function; Neurocognitive treatment; Obesity.

Publication types

  • Review

MeSH terms

  • Cognitive Behavioral Therapy / methods*
  • Executive Function
  • Feeding and Eating Disorders / classification
  • Feeding and Eating Disorders / complications
  • Feeding and Eating Disorders / physiopathology
  • Feeding and Eating Disorders / therapy*
  • Humans
  • Mental Status and Dementia Tests
  • Obesity* / diagnosis
  • Obesity* / etiology
  • Obesity* / psychology
  • Obesity* / therapy
  • Treatment Outcome