Ten‐session cognitive behaviour therapy for eating disorders: Outcomes from a pragmatic pilot study of Australian non‐underweight clients

The eating disorders provide one of the strongest indications for cognitive behaviour therapy. This bold claim arises from the demonstrated effectiveness of cognitive behaviour therapy in the treatment of bulimia nervosa and the widespread acceptance that cognitive behaviour therapy is the treatment of choice. Cognitive behaviour therapy is also widely used to treat anorexia nervosa although this application has not been adequately evaluated. Recently its use has been extended to ‘eating disorder not otherwise specified’ (eating disorder NOS), a diagnosis that applies to over 50 per cent of cases, and emerging evidence suggests that it is just as effective with these cases as it is with cases of bulimia nervosa. In this chapter the cognitive behavioural approach to the understanding and treatment of eating disorders will be described. The data on the efficacy and effectiveness of the treatment are considered in the chapters on anorexia nervosa and bulimia nervosa (see Chapters 4.10.1 and 4.10.2 respectively), as is their general management.

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GROUP COGNITIVE BEHAVIOUR THERAPY FOR ANGER: A PILOT STUDY

Behavioural and Cognitive Psychotherapy ◽

10.1017/s1352465803001073 ◽

2003 ◽

Vol 31 (1) ◽

pp. 69-83 ◽

Cited By ~ 11

Author(s):

Ronald Siddle ◽

Freda Jones ◽

Fairuz Awenat

Keyword(s):

Randomized Controlled Trial ◽

Pilot Study ◽

Cognitive Behaviour Therapy ◽

Controlled Trial ◽

Behaviour Therapy ◽

Randomized Controlled ◽

Cognitive Behaviour ◽

Initial Appointment ◽

The Difference ◽

Group Cbt

Patients referred with anger problems often do not attend for treatment. The aim of this study was to determine if group Cognitive Behaviour Therapy (CBT) was feasible. Patients referred for help with their anger were assessed, given 6 sessions of group CBT and re-assessed. Of 119 patients referred, 49 (41%) did not attend the initial appointment. Patients who attended for interview were invited to participate in the group CBT. Only 11 patients (9%) of those referred for therapy attended for the full course of CBT. Thirty-four patients (29%) were exposed to at least one session of CBT, while 66 patients (56%) did not attend for any therapy. Patients who attended for some or all of the CBT treatment reported reductions in the frequency and intensity of their anger outbursts. There was also a significant reduction in measures of their anger traits. It could be concluded that group CBT is an appropriate way to deliver this therapy to patients with anger problems, but it is clear that many of those referred are ambivalent about therapy and will not attend. Figures are given that will allow the planning of a randomized controlled trial to evaluate the difference between individual and group based CBT for patients with anger problems.

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Increased wait-list time predicts dropout from outpatient enhanced cognitive behaviour therapy (CBT-E) for eating disorders

Behaviour Research and Therapy ◽

10.1016/j.brat.2012.03.003 ◽

2012 ◽

Vol 50 (7-8) ◽

pp. 487-492 ◽

Cited By ~ 34

Author(s):

Olivia Carter ◽

Louise Pannekoek ◽

Anthea Fursland ◽

Karina L. Allen ◽

Amy M. Lampard ◽

...

Keyword(s):

Eating Disorders ◽

Cognitive Behaviour Therapy ◽

Wait List ◽

Behaviour Therapy ◽

Cognitive Behaviour

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Cognitive Behaviour Therapy for People with Asperger Syndrome

Behavioural and Cognitive Psychotherapy ◽

10.1017/s1352465805002651 ◽

2005 ◽

Vol 34 (3) ◽

pp. 293-303 ◽

Cited By ~ 62

Author(s):

Stephen Anderson ◽

Jane Morris

Keyword(s):

Substance Abuse ◽

Eating Disorders ◽

Asperger Syndrome ◽

Cognitive Behaviour Therapy ◽

Bipolar Affective Disorder ◽

Relevant Literature ◽

Behaviour Therapy ◽

Obsessive Compulsive ◽

Compulsive Disorder ◽

Cognitive Behaviour

People with Asperger syndrome (AS) appear to have higher than expected rates of co-morbid psychiatric disorder. The main co-morbid diagnoses are anxiety disorders and depression, but eating disorders, obsessive compulsive disorder, substance abuse and bipolar affective disorder have all been reported. Cognitive Behaviour Therapy (CBT) is used effectively to treat these conditions, so could it be used in people who also have Asperger syndrome? This paper reviews important components and characteristics of cognitive behaviour therapy in relation to its use with people who have Asperger syndrome with reference to the relevant literature and to feedback from people with AS. The use of CBT in people with Asperger syndrome appears promising, but further work is needed to evaluate its effectiveness and to examine which particular aspects of therapy are helpful.

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Cognitive Behaviour Therapy for Bulimia Nervosa and Eating Disorders Not Otherwise Specified: Translation from Randomized Controlled Trial to a Clinical Setting

Behavioural and Cognitive Psychotherapy ◽

10.1017/s1352465814000393 ◽

2014 ◽

Vol 43 (6) ◽

pp. 641-654 ◽

Cited By ~ 24

Author(s):

Sarah Knott ◽

Debbie Woodward ◽

Antonia Hoefkens ◽

Caroline Limbert

Keyword(s):

Eating Disorders ◽

Randomized Controlled Trial ◽

Eating Disorder ◽

Cognitive Behaviour Therapy ◽

Controlled Trial ◽

Behaviour Therapy ◽

Intention To Treat ◽

Randomized Controlled ◽

Eating Disorder Psychopathology ◽

Cognitive Behaviour

Background: Enhanced Cognitive Behaviour Therapy (CBT-E) (Fairburn, Cooper and Shafran, 2003) was developed as a treatment approach for eating disorders focusing on both core psychopathology and additional maintenance mechanisms. Aims: To evaluate treatment outcomes associated with CBT-E in a NHS Eating Disorders Service for adults with bulimia and atypical eating disorders and to make comparisons with a previously published randomized controlled trial (Fairburn et al., 2009) and “real world” evaluation (Byrne, Fursland, Allen and Watson, 2011). Method: Participants were referred to the eating disorder service between 2002 and 2011. They were aged between 18–65 years, registered with a General Practitioner within the catchment area, and had experienced symptoms fulfilling criteria for BN or EDNOS for a minimum of 6 months. Results: CBT-E was commenced by 272 patients, with 135 completing treatment. Overall, treatment was associated with significant improvements in eating disorder and associated psychopathology, for both treatment completers and the intention to treat sample. Conclusions: Findings support dissemination of CBT-E in this context, with significant improvements in eating disorder psychopathology. Improvements to global EDE-Q scores were higher for treatment completers and lower for the intention to treat sample, compared to previous studies (Fairburn et al., 2009; Byrne et al., 2011). Level of attrition was found at 40.8% and non-completion of treatment was associated with higher levels of anxiety. Potential explanations for these findings are discussed.

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Cognitive behaviour therapy for adolescents with eating disorders: An effective alternative to the disease-based treatments

IJEDO ◽

10.32044/ijedo.2022.01 ◽

2022 ◽

Vol 4 ◽

pp. 1-5

Author(s):

Riccardo Dalle Grave ◽

Simona Calugi

Keyword(s):

Eating Disorders ◽

Cognitive Behaviour Therapy ◽

Disease Model ◽

Young Patients ◽

Recovery Process ◽

External Control ◽

Behaviour Therapy ◽

Psychological Mechanisms ◽

Cognitive Behaviour

Several clinical services offer eclectic multidisciplinary treatments with no evidence of efficacy and effectiveness for adolescents with eating disorders. These treatments are usually based on the ‘disease model’ of eating disorders. The model postulates that eating disorders are the result of a specific disease (i.e., anorexia nervosa, bulimia nervosa or other eating disorders), and patients are considered not to have control of their illness. Therefore, they need the external control of parents and/or health professionals. In this model, the patients adopt a passive role in the treatment. On the contrary, enhanced cognitive behaviour therapy (CBT-E) for adolescents is based on a ‘psychological model’ of eating disorders. Patients are helped to understand the psychological mechanisms that maintain their eating disorder and are ‘actively’ involved in the recovery process. Clinical studies showed that more than 60% of adolescent patients who complete the treatment achieve a full response at 12-month follow-up. The treatment is well accepted by young people and their parents, and its collaborative nature is well suited to ambivalent young patients who may be particularly concerned about control issues and for parents who cannot participate in all treatment sessions.

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