Cognitive-behavioural therapy for outpatients with eating disorders: Effectiveness for a transdiagnostic group in a routine clinical setting

Abstract

therapy for outpatients with eating disorders: Effectiveness for a transdiagnostic group in a routine clinical setting. Behaviour Research and Therapy,[68][69][70][71][72][73][74][75] https://doi.org/10.1016/j.brat.2015.03.001 eprints@whiterose.ac.uk https://eprints.whiterose.ac.uk/ Reuse Unless indicated otherwise, fulltext items are protected by copyright with all rights reserved. The copyright exception in section 29 of the Copyright, Designs and Patents Act 1988 allows the making of a single copy solely for the purpose of non-commercial research or private study within the limits of fair dealing. The publisher or other rights-holder may allow further reproduction and re-use of this version -refer to the White Rose Research Online record for this item. Where records identify the publisher as the copyright holder, users can verify any specific terms of use on the publisher's website. TakedownIf you consider content in White Rose Research Online to be in breach of UK law, please notify us by emailing eprints@whiterose.ac.uk including the URL of the record and the reason for the withdrawal request. These preliminary studies of effectiveness indicate that CBT can be delivered with strong outcomes in routine clinical settings. However, it is well-established that clinicians routinely fail to use CBT when working with the eating disorders (e.g., Tobin, Banker, Weisberg, & Bowers, 2007) or that they deliver it in sub-optimal ways (Waller, Stringer, & Meyer, 2012), expressing concerns about the use of those core CBT techniques (e.g., Turner, Tatham, Lant, Mountford, Waller, 2014) and discounting the use of evidence-based manuals to support their work (e.g., Waller et al., 2013). Therefore, there is a need for further evidence from other routine clinical settings to demonstrate that CBT for the eating disorders is an effective treatment, which others can use in their own clinics. This study aims to build on previous work by testing the effectiveness of CBT in a further routine clinical setting. It reports clinical outcomes for a large group of transdiagnostic patients who were offered CBT in a community eating disorders service in the UK. Unlike previous studies, there were very few exclusion criteria and no BMI cut-off. In this case, the variant of CBT used was based on a combination of elements from the relatively similar approaches of Fairburn (2008) and Waller et al. (2007), as used by Byrne et al. (2011) and Waller et al. (2014) respectively.

Cognitive–behavioral therapy for eating disorders in primary care settings: Does it work, and does a greater dose make it more effective?

“…They do not have the range of professional backgrounds that are common in specialist eating disorders teams, but usually have training in appropriate therapies. For adult patients, this therapy base is commonly cognitive–behavioral therapy (CBT), given its proven benefits in clinical trials (Fairburn et al, ) and in routine practice in specialist eating disorder services (Byrne, Fursland, Allen & Watson, ; Knott, Woodward, Hoefkens & Limbert, ; Turner et al ). However, no studies to date have explored the effectiveness of CBT for eating disorders when delivered in a primary care setting.…”

“…While recommendations for length of treatment for CBT for eating disorders vary from 15 to 40 sessions (depending on the version of CBT and the patient's BMI—Fairburn, ), there is provision within protocols for CBT to be extended if appropriate (Fairburn, 2008; Waller et al, ). However, effectiveness studies have also suggested that the therapy might be shortened in response to early changes, as well as allowing for extension (e.g., Turner et al, ). While it might be assumed that adding more sessions would have a stronger clinical effect, there is some indication that therapy effects are not linear with time.…”

Immediate Effects of Body Checking Behaviour on Negative and Positive Emotions in Women with Eating Disorders: An Ecological Momentary Assessment Approach

“…Furthermore, in eating disorder research, a transdiagnostic model is being increasingly endorsed (Stice, Rohde, Butryn, Menke, & Marti, 2014;Turner, Marshall, Stopa, & Waller, 2015;Wade, Bergin, Martin, Gillespie, & Fairburn, 2006) as anorexia nervosa, bulimia nervosa and eating disorder not otherwise specified share the same core-pathology (Fairburn, Cooper, & Shafran, 2003) and distinctive clinical symptoms (Brockmeyer et al, 2013;Treasure, Claudino, & Zucker, 2010). Moreover, these disorders often move across from one to another in the course of time (Agras, Walsh, Fairburn, Wilson, & Kraemer, 2000;Castellini et al, 2011;Eddy, Dorer, Franko, Tahilani, Thompson-Brenner, & Herzog, 2008;Milos, Spindler, Schnyder, & Fairburn, 2005;Sullivan, Bulik, Fear, & Pickering, 1998).…”

Confirmatory factor analysis of Clinical Outcomes in Routine Evaluation (CORE-OM) used as a measure of emotional distress in people with tinnitus

“…Correlation with the BDI was r  = 0.85, with the BAI r  = 0.65 [24], with HADS anxiety r  = 0.74 and with HADS depression r  = 0.66 [25]. The CORE-OM has been widely and successfully used to measure emotional distress across a range of conditions such as chronic anxiety [26], depression [27], and eating disorders [28]. The items which make up the CORE-OM assess overall mental wellbeing by enquiring about both mental processes (e.g.…”