Phillipa Hay1. 1. Foundation Chair of Mental Health & Centre for Health Research, School of Medicine, University of Western Sydney, Australia. p.hay@uws. edu.au
Abstract
OBJECTIVE: To update new evidence for psychotherapies in eating disorders (EDs) since 2005-September 2012. METHOD: Completed and published in the English language randomized controlled trials (RCTs) were identified by SCOPUS search using terms "bulimia" or "binge eating disorder" (BED) or "anorexia nervosa" (AN) or "eating disorder" and "treatment," and 36 new RCTs met inclusion criteria. RESULTS: There has been progress in the evidence for family based treatment in adolescents with AN, for cognitive behavior therapy (CBT) in full and guided forms, and new modes of delivery for bulimia nervosa (BN), BED, and eating disorder not otherwise specified with binge eating. Risk of bias was low to moderate in 22 (61%) of RCTs. DISCUSSION: The evidence base for AN has improved and CBT has retained and extended its status as first-line therapy for BN. However, further research is needed, in particular noninferiority trials of active therapies and the best approach to addressing ED features and weight management in co-morbid BED and obesity.
OBJECTIVE: To update new evidence for psychotherapies in eating disorders (EDs) since 2005-September 2012. METHOD: Completed and published in the English language randomized controlled trials (RCTs) were identified by SCOPUS search using terms "bulimia" or "binge eating disorder" (BED) or "anorexia nervosa" (AN) or "eating disorder" and "treatment," and 36 new RCTs met inclusion criteria. RESULTS: There has been progress in the evidence for family based treatment in adolescents with AN, for cognitive behavior therapy (CBT) in full and guided forms, and new modes of delivery for bulimia nervosa (BN), BED, and eating disorder not otherwise specified with binge eating. Risk of bias was low to moderate in 22 (61%) of RCTs. DISCUSSION: The evidence base for AN has improved and CBT has retained and extended its status as first-line therapy for BN. However, further research is needed, in particular noninferiority trials of active therapies and the best approach to addressing ED features and weight management in co-morbid BED and obesity.
Authors: Ellen E Fitzsimmons-Craft; Marie-Laure Firebaugh; Andrea K Graham; Dawn M Eichen; Grace E Monterubio; Katherine N Balantekin; Anna M Karam; Annie Seal; Burkhardt Funk; C Barr Taylor; Denise E Wilfley Journal: Psychol Serv Date: 2018-11-08
Authors: Amy S Garrett; James Lock; Nandini Datta; Judy Beenhaker; Shelli R Kesler; Allan L Reiss Journal: J Psychiatr Res Date: 2014-07-03 Impact factor: 4.791