Enhanced cognitive behavioral therapy for eating disorders adapted for a group setting

Wade, Stephanie; Byrne, Sue; Allen, Karina L.

doi:10.1002/eat.22723

Cited by 39 publications

(75 citation statements)

References 47 publications

(62 reference statements)

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“…In one study (Allen et al, ) that recruited patients with AN, BN, or EDNOS, subgroup analyses revealed that attrition was significantly higher in those with the former diagnosis. However, Wade et al () found no difference in attrition between patients with AN, BN, BED, or OSFED.…”

Section: Resultsmentioning

confidence: 99%

“…All randomized trials were conducted in an outpatient treatment setting, and all but one (Thompson‐Brenner et al, ) reported findings using intent‐to‐treat (ITT) analyses. Three trials recruited women only (Thompson‐Brenner et al, ; Wade et al, ; Zipfel et al, ) and one trial did not report on the sex composition of their sample (Allen et al, ). For the remainder of studies, the majority of participants were women (i.e., >90%).…”

Section: Resultsmentioning

confidence: 99%

“…Attrition rates appeared to be highest in studies that included patients with AN (Allen et al, ; Byrne et al, ; Wade et al, ; Zipfel et al, ). In one study (Allen et al, ) that recruited patients with AN, BN, or EDNOS, subgroup analyses revealed that attrition was significantly higher in those with the former diagnosis.…”

Section: Resultsmentioning

confidence: 99%

“…Two randomized trials with an AN sample (Byrne et al, ; Zeeck et al, ) and two randomized trials with a transdiagnostic sample (Allen et al, ; Wade et al, ) reported remission rates using a comprehensive and stringent definition. Byrne et al () defined remission as BMI > 18.5 kg/m 2 , global EDE score less than one standard deviation above 1.81, and the absence of binge eating or purging behaviors.…”

Section: Resultsmentioning

confidence: 99%

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A systematic review of enhanced cognitive behavioral therapy (CBT‐E) for eating disorders

Atwood

Friedman

2019

Intl J Eating Disorders

123

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Objective To review the literature examining the efficacy and effectiveness of enhanced cognitive behavioral therapy (CBT‐E) for adults and older adolescents with eating disorders. Method A systematic search of the literature (using PsycINFO and PubMed) was conducted in order to identify relevant publications (randomized controlled trials [RCTs] and uncontrolled trials) up to June 2019. Effect sizes were reported for outcomes including treatment attrition and remission rates, eating disorder behaviors, body mass index (BMI), and core eating disorder psychopathology. The Downs and Black checklist was used to assess the quality of included studies. Results Twenty studies (10 RCTs and 10 uncontrolled trials) met criteria for inclusion. Support was found for the efficacy and effectiveness of CBT‐E for the full spectrum of eating disorders, with respect to reducing eating disorder behaviors and core psychopathology. BMI also increased, with large effects, for individuals with AN. However, the majority of the randomized trials included in this review did not demonstrate superiority of CBT‐E over comparison treatments, particularly in the longer‐term. Furthermore, rates of attrition and remission for CBT‐E among individuals without AN did not appear to differ from rates for CBT‐BN. Discussion There is evidence to support CBT‐E as an efficacious and effective treatment for adults and older adolescents with a range of eating disorder diagnoses. Future research would benefit from directly comparing CBT‐E to CBT‐BN, expanding measured outcomes to include driven exercise and subjective binge eating, increasing consistency in the definition and measurement of outcomes, and exploring factors associated with treatment retention.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

A systematic review of enhanced cognitive behavioral therapy (CBT‐E) for eating disorders

Atwood

Friedman

2019

Intl J Eating Disorders

123

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“…Fortunately, the recent paper by Le, Hay, Wade, Touyz, and Mihalopoulos (in press) addresses just this point, showing CBT‐ED to be a cost‐effective treatment for many of our patients. It is also possible to get good results with CBT‐ED delivered in a group format (Jones & Clausen, ; Wade, Byrne, & Allen, ). Finally, and again with low‐cost interventions in mind, Chithambo and Huey () show the potential of CBT‐ED as a prevention tool, giving results that are comparable with those of dissonance‐based interventions.…”

Section: The Content Of This Virtual Issuementioning

confidence: 99%

The current status of cognitive behavioral therapy for eating disorders: Marking the 51st Annual Convention of the Association of Behavioral and Cognitive Therapies

Weissman

Frank

Klump

et al. 2017

Intl J Eating Disorders

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evidence that we can take CBT-ED into our everyday practice with very similar results to those from the RCTs, as long as we deliver the same therapy. That includes work in specialist eating disorder services (Calugi et al., 2016;Waller et al., 2014) as well as non-specialist services (Rose & Waller, in press).A further consideration is whether CBT-ED is just too narrow, failing to address the wider range of problems that our patients experience. Some of the papers cited in this Virtual Issue show that CBT-ED has much broader effects, reducing anxiety, depression, and more.However, we should draw particular attention to the way that CBT-ED has positive impacts on quality of life-indeed, a greater impact than many other therapies (Linardon & Brennan, 2017). However, we should not be complacent about the use of exposure, as it is a treatment technique that is on the move more broadly. Reilly, Anderson, Gorrell, Schaumberg, and Anderson (2017) point to ways in which we can use a more contemporary model of exposure therapy to increase its impact.As well as techniques, we should think about the timing of change.It is always tempting to take it easy at first, to acculturate the patient to therapy. A key paper in this field is that of Raykos, Watson, Fursland, Byrne, and Nathan (2013), who have shown that early change in CBT-ED has substantial clinical impact-a finding that has been replicated extensively in other centers and across therapies (e.g., Linardon, Brennan & de la Piedad Garcia, 2016;Vall & Wade, 2015). This work demonstrates that we should be using CBT-ED intensively from the beginning, as change by 4-5 weeks is a key predictor of outcome.That early symptom change has another impact, but one that is different in CBT-ED to other therapies. Graves et al. (2017) have shown that the usual assumption of the early alliance driving therapeutic change in the eating disorders might be true of other therapies, but is not true of CBT-ED. Again, the most effective early element of CBT-ED appears to be early symptom change, which results in the development of a better alliance. | SU M M A R YThe papers included in this Virtual Issue have been chosen to reflect the state of our clinical science-what is best in CBT-ED? While we hope that you find them useful, we would like to draw your attention to one point that emerged when selecting these papers-their global origins. The teams undertaking this research come from Australia, Canada, Denmark, Italy, the United Kingdom, and the United States of America. While this was not a strategic choice, we hope that you share our view that this Virtual Issue reflects the truly international nature of the IJED. There were many more papers from IJED that we could have included in this Virtual Issue, but we obviously could not include them all. We have selected papers that reflect the range of recent research that IJED has published, but go online and search through the journal and you will see far more research that relates to CBT-ED and many other topics related to eating disorders.Plea...

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Screening for Eating Disorders in Adolescents and Adults

Feltner

Peat

Reddy

et al. 2022

JAMA

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Enhanced cognitive behavioral therapy for eating disorders adapted for a group setting

Cited by 39 publications

References 47 publications

A systematic review of enhanced cognitive behavioral therapy (CBT‐E) for eating disorders

A systematic review of enhanced cognitive behavioral therapy (CBT‐E) for eating disorders

The current status of cognitive behavioral therapy for eating disorders: Marking the 51st Annual Convention of the Association of Behavioral and Cognitive Therapies

Screening for Eating Disorders in Adolescents and Adults

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