Culturally Sensitive Intervention for Latina Women with Eating Disorders: A Case Study

Rev Mex Trastor Aliment. 2014;5(2):136-146. doi: 10.1016/s2007-1523(14)72009-9.

Abstract

Objective: We describe cognitive-behavioral therapy for bulimia nervosa (CBT-BN) with a Latina woman that incorporates culturally relevant topics.

Method: A single case report of a 31-year-old monolingual Latina woman with BN describes the application of a couple-based intervention adjunctive to CBT-BN.

Results: The patient reported no binge and purge episodes by session 20 and remained symptom free until the end of treatment (session 26). Improvement was observed in the Eating Disorders Examination (EDE) comparing baseline (EDE=5.74) with post treatment (EDE=1.25).

Conclusions: The case illustrates how cultural adaptations such as including a family member, being flexible on topics and scheduling, and providing culturally relevant interventions can lead to successful completion of a course of therapy and facilitate ongoing interventions to ensure continued recovery.

Keywords: Latinas; adaptation; bulimia nervosa; culturally sensitive; treatment.