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

Cognitive-behavioural therapy for outpatients with eating disorders: effectiveness for a transdiagnostic group in a routine clinical setting
Cognitive-behavioural therapy for outpatients with eating disorders: effectiveness for a transdiagnostic group in a routine clinical setting
Whilst there is a growing evidence to support the impact of cognitive-behavioural therapy (CBT) in the treatment of adults with eating disorders, much of this evidence comes from tightly controlled efficacy trials. This study aimed to add to the evidence regarding the effectiveness of CBT when delivered in a routine clinical setting. The participants were 203 adults presenting with a range of eating disorder diagnoses, who were offered CBT in an out-patient community eating disorders service in the UK. Patients completed measures of eating disorder pathology at the start of treatment, following the sixth session, and at the end of treatment. Symptoms of anxiety, depression, and psychosocial functioning were measured pre- and post-treatment. Approximately 55% of patients completed treatment, and there were no factors that predicted attrition. There were significant improvements in eating disorder psychopathology, anxiety, depression and general functioning, with particular changes in eating attitudes in the early part of therapy. Effect sizes were medium to large for both completer and intention to treat analyses. These findings confirm that evidence-based forms of CBT can be delivered with strong outcomes in routine clinical settings. Clinicians should be encouraged to deliver evidence-based treatments when working in these settings.
0005-7967
70-75
Turner, Hannah
13912a99-670c-4405-945b-6d979e6805d8
Marshall, Emily
7a8af509-e9c1-4683-8241-e0446c3395e9
Stopa, Lusia
b52f29fc-d1c2-450d-b321-68f95fa22c40
Waller, Glenn
8f917a34-f50f-4703-a50f-dc9a9a6fc24b
Turner, Hannah
13912a99-670c-4405-945b-6d979e6805d8
Marshall, Emily
7a8af509-e9c1-4683-8241-e0446c3395e9
Stopa, Lusia
b52f29fc-d1c2-450d-b321-68f95fa22c40
Waller, Glenn
8f917a34-f50f-4703-a50f-dc9a9a6fc24b

Turner, Hannah, Marshall, Emily, Stopa, Lusia and Waller, Glenn (2015) Cognitive-behavioural therapy for outpatients with eating disorders: effectiveness for a transdiagnostic group in a routine clinical setting. Behaviour Research and Therapy, 68, 70-75. (doi:10.1016/j.brat.2015.03.001).

Record type: Article

Abstract

Whilst there is a growing evidence to support the impact of cognitive-behavioural therapy (CBT) in the treatment of adults with eating disorders, much of this evidence comes from tightly controlled efficacy trials. This study aimed to add to the evidence regarding the effectiveness of CBT when delivered in a routine clinical setting. The participants were 203 adults presenting with a range of eating disorder diagnoses, who were offered CBT in an out-patient community eating disorders service in the UK. Patients completed measures of eating disorder pathology at the start of treatment, following the sixth session, and at the end of treatment. Symptoms of anxiety, depression, and psychosocial functioning were measured pre- and post-treatment. Approximately 55% of patients completed treatment, and there were no factors that predicted attrition. There were significant improvements in eating disorder psychopathology, anxiety, depression and general functioning, with particular changes in eating attitudes in the early part of therapy. Effect sizes were medium to large for both completer and intention to treat analyses. These findings confirm that evidence-based forms of CBT can be delivered with strong outcomes in routine clinical settings. Clinicians should be encouraged to deliver evidence-based treatments when working in these settings.

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Accepted/In Press date: 6 March 2015
e-pub ahead of print date: 7 March 2015
Published date: May 2015
Organisations: Clinical Neuroscience

Identifiers

Local EPrints ID: 395507
URI: http://eprints.soton.ac.uk/id/eprint/395507
ISSN: 0005-7967
PURE UUID: 2c3c5eed-26a5-4e69-980f-8f1b43c0596e

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Date deposited: 31 May 2016 11:37
Last modified: 15 Mar 2024 00:41

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Contributors

Author: Hannah Turner
Author: Emily Marshall
Author: Lusia Stopa
Author: Glenn Waller

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