This chapter provides an overview of the broad modules of CBT-E, developed to address non-specific maintaining mechanisms that hinder progress in patients with eating disorders. While focused CBT-E targets specific eating-disorder psychopathology, broad CBT-E incorporates additional modules addressing clinical perfectionism, core low self-esteem, marked interpersonal difficulties, and mood intolerance. Evidence suggests that the focused form is generally sufficient and preferable as a first-line approach, with the broad version reserved for cases where non-specific psychopathology is clearly present, actively maintaining the disorder, and interfering with treatment progress. Each module is described in terms of its psychopathological basis and therapeutic strategies, emphasizing cognitive and behavioural interventions tailored to adolescents. The chapter highlights the importance of individualized formulation, careful timing of broad module introduction, and the supportive role of parents in treatment. Although broad CBT-E increases treatment complexity and demands greater commitment, it can be critical for patients whose recovery is impeded by entrenched external vulnerabilities. Ultimately, the broad form complements focused CBT-E, equipping patients with skills to address both eating disorder symptoms and broader psychological challenges, thereby enhancing relapse prevention and long-term outcomes.

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Overview of the Broad Version of CBT-E

  • Riccardo Dalle Grave

摘要

This chapter provides an overview of the broad modules of CBT-E, developed to address non-specific maintaining mechanisms that hinder progress in patients with eating disorders. While focused CBT-E targets specific eating-disorder psychopathology, broad CBT-E incorporates additional modules addressing clinical perfectionism, core low self-esteem, marked interpersonal difficulties, and mood intolerance. Evidence suggests that the focused form is generally sufficient and preferable as a first-line approach, with the broad version reserved for cases where non-specific psychopathology is clearly present, actively maintaining the disorder, and interfering with treatment progress. Each module is described in terms of its psychopathological basis and therapeutic strategies, emphasizing cognitive and behavioural interventions tailored to adolescents. The chapter highlights the importance of individualized formulation, careful timing of broad module introduction, and the supportive role of parents in treatment. Although broad CBT-E increases treatment complexity and demands greater commitment, it can be critical for patients whose recovery is impeded by entrenched external vulnerabilities. Ultimately, the broad form complements focused CBT-E, equipping patients with skills to address both eating disorder symptoms and broader psychological challenges, thereby enhancing relapse prevention and long-term outcomes.