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Effectiveness of enhanced cognitive behavior therapy for eating disorders: A randomized controlled trial
OBJECTIVE: Enhanced cognitive behavior therapy (CBT‐E) is a transdiagnostic treatment suitable for the full range of eating disorders (EDs). Although the effectiveness of CBT(‐E) is clear, it is not being used as widely in clinical practice as guidelines recommend. The aim of the present study was t...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
John Wiley & Sons, Inc.
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7317943/ https://www.ncbi.nlm.nih.gov/pubmed/32040244 http://dx.doi.org/10.1002/eat.23239 |
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author | de Jong, Martie Spinhoven, Philip Korrelboom, Kees Deen, Mathijs van der Meer, Iris Danner, Unna N. van der Schuur, Selma Schoorl, Maartje Hoek, Hans W. |
author_facet | de Jong, Martie Spinhoven, Philip Korrelboom, Kees Deen, Mathijs van der Meer, Iris Danner, Unna N. van der Schuur, Selma Schoorl, Maartje Hoek, Hans W. |
author_sort | de Jong, Martie |
collection | PubMed |
description | OBJECTIVE: Enhanced cognitive behavior therapy (CBT‐E) is a transdiagnostic treatment suitable for the full range of eating disorders (EDs). Although the effectiveness of CBT(‐E) is clear, it is not being used as widely in clinical practice as guidelines recommend. The aim of the present study was to compare the effectiveness of CBT‐E with treatment as usual (TAU), which was largely based on CBT principles. METHOD: We conducted a randomized controlled trial on a total of 143 adult patients with an ED who received either CBT‐E or TAU. The primary outcome was recovery from the ED. Secondary outcome measures were levels of ED psychopathology, anxiety, and depressive symptoms. Self‐esteem, perfectionism, and interpersonal problems were repeatedly measured to examine possible moderating effects. We explored differences in duration and intensity between conditions. RESULTS: After 80 weeks, there were no differences between conditions in decrease in ED psychopathology, or symptoms of anxiety and depression. However, in the first six weeks of treatment there was a larger decrease in ED psychopathology in the CBT‐E condition. Moreover, when the internationally most widely used definition of recovery was applied, the recovery rate at 20 weeks of CBT‐E was significantly higher (57.7%) than of TAU (36.0%). At 80 weeks, this difference was no longer significant (CBT‐E 60.9%; TAU 43.6%). Furthermore, CBT‐E was more effective in improving self‐esteem and was also the less intensive and shorter treatment. DISCUSSION: With broader use of CBT‐E, the efficiency, accessibility and effectivity (on self‐esteem) of treatment for EDs could be improved. |
format | Online Article Text |
id | pubmed-7317943 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | John Wiley & Sons, Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-73179432020-06-29 Effectiveness of enhanced cognitive behavior therapy for eating disorders: A randomized controlled trial de Jong, Martie Spinhoven, Philip Korrelboom, Kees Deen, Mathijs van der Meer, Iris Danner, Unna N. van der Schuur, Selma Schoorl, Maartje Hoek, Hans W. Int J Eat Disord Original Articles OBJECTIVE: Enhanced cognitive behavior therapy (CBT‐E) is a transdiagnostic treatment suitable for the full range of eating disorders (EDs). Although the effectiveness of CBT(‐E) is clear, it is not being used as widely in clinical practice as guidelines recommend. The aim of the present study was to compare the effectiveness of CBT‐E with treatment as usual (TAU), which was largely based on CBT principles. METHOD: We conducted a randomized controlled trial on a total of 143 adult patients with an ED who received either CBT‐E or TAU. The primary outcome was recovery from the ED. Secondary outcome measures were levels of ED psychopathology, anxiety, and depressive symptoms. Self‐esteem, perfectionism, and interpersonal problems were repeatedly measured to examine possible moderating effects. We explored differences in duration and intensity between conditions. RESULTS: After 80 weeks, there were no differences between conditions in decrease in ED psychopathology, or symptoms of anxiety and depression. However, in the first six weeks of treatment there was a larger decrease in ED psychopathology in the CBT‐E condition. Moreover, when the internationally most widely used definition of recovery was applied, the recovery rate at 20 weeks of CBT‐E was significantly higher (57.7%) than of TAU (36.0%). At 80 weeks, this difference was no longer significant (CBT‐E 60.9%; TAU 43.6%). Furthermore, CBT‐E was more effective in improving self‐esteem and was also the less intensive and shorter treatment. DISCUSSION: With broader use of CBT‐E, the efficiency, accessibility and effectivity (on self‐esteem) of treatment for EDs could be improved. John Wiley & Sons, Inc. 2020-02-10 2020-05 /pmc/articles/PMC7317943/ /pubmed/32040244 http://dx.doi.org/10.1002/eat.23239 Text en © 2020 The Authors. International Journal of Eating Disorders published by Wiley Periodicals, Inc. This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made. |
spellingShingle | Original Articles de Jong, Martie Spinhoven, Philip Korrelboom, Kees Deen, Mathijs van der Meer, Iris Danner, Unna N. van der Schuur, Selma Schoorl, Maartje Hoek, Hans W. Effectiveness of enhanced cognitive behavior therapy for eating disorders: A randomized controlled trial |
title | Effectiveness of enhanced cognitive behavior therapy for eating disorders: A randomized controlled trial |
title_full | Effectiveness of enhanced cognitive behavior therapy for eating disorders: A randomized controlled trial |
title_fullStr | Effectiveness of enhanced cognitive behavior therapy for eating disorders: A randomized controlled trial |
title_full_unstemmed | Effectiveness of enhanced cognitive behavior therapy for eating disorders: A randomized controlled trial |
title_short | Effectiveness of enhanced cognitive behavior therapy for eating disorders: A randomized controlled trial |
title_sort | effectiveness of enhanced cognitive behavior therapy for eating disorders: a randomized controlled trial |
topic | Original Articles |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7317943/ https://www.ncbi.nlm.nih.gov/pubmed/32040244 http://dx.doi.org/10.1002/eat.23239 |
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