Abstract
The most important problem in cognitive–behavioural therapies for obese patients is to initiate weight loss without reinforcing the eating–behavioural disorders. We propose to assess the cognitive–behavioural therapy in obese patients suffering from eating disorders with and without combining a nutritional approach based on fat information. The patients ( n=60) have followed a group treatment of 12 weekly cognitive–behavioural therapy sessions with or without a combined nutritional approach mainly focused on fat restriction. The scores for depression ( P<0.01), anxiety ( P<0.01) and eating disorders ( P<0.001) are significantly and similarly improved with both types of treatments. The mean weight loss is significant ( P<0.001) only after a combined nutritional cognitive–behavioural approach. The Eating Disorders Inventory (EDI) subgroup ‘Drive for thinness’ remains only in a combined therapy (ANOVA P<0.01), which could explain the weight loss that only occurs in this group. Finally, the association between a cognitive–behavioural therapy and a nutritional learning process improves the anxiety and depression related to eating disorders as well as the weight loss.
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