A Randomized Controlled Study of Cognitive Behavior Therapy and Behavioral Family Therapy for Anorexia Nervosa Patients

J. R. B. Ball · Philip Bowden Mitchell

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Eating Disorders and Behaviors Nutrition, Health and Food Behavior Child Nutrition and Feeding Issues

Abstract

Very few studies have examined the role of cognitive behavior therapy (CBT) in the outpatient treatment of anorexia nervosa. This study used a randomized, controlled design to evaluate a 12-month, manual based program of CBT, with behavioral family therapy as the comparison group. Twenty-five adolescents and young adults with anorexia nervosa, currently living with their families, were recruited into the study with both treatment groups receiving 21-25 sessions of therapy. Outcome measures included nutritional status, eating behaviors, mood, self-esteem, and family communication. Sixty percent of the total sample and 72% of treatment completers had "good" outcome (defined as maintaining weight within 10% of average body weight and regular menstrual cycles) at post-treatment and at six months follow-up. No significant differences between treatment groups were found and the majority of patients did not reach symptomatic recovery. While limited by the small sample size, the findings compliment and extend previous research.

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References

2013Diagnostic and Statistical Manual of Mental Disorders 1961An Inventory for Measuring Depression 1970Manual for the State-Trait Anxiety Inventory 1983Development and validation of a multidimensional eating disorder inventory for anorexia nervosa and bulimia 1991Development and validation of a scale for measuring state self-esteem.1987The eating disorder examination: A semi-structured interview for the assessment of the specific psychopathology of eating disorders 1987An Evaluation of Family Therapy in Anorexia Nervosa and Bulimia Nervosa 1975Value of family background and clinical features as predictors of long-term outcome in anorexia nervosa: four-year follow-up study of 41 patients

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2015Individual psychological therapy in the outpatient treatment of adults with anorexia nervosa 2010Family therapy for anorexia nervosa 2014Guideline Watch (August 2012): Practice Guideline for the Treatment of Patients With Eating Disorders, 3rd Edition 2012A Randomized Controlled Trial of Adjunctive Family Therapy and Treatment as Usual Following Inpatient Treatment for Anorexia Nervosa Adolescents

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