Abstract
Objective: Cognitive therapy (CT) has been used in anorexia nervosa, but little is known about its effectiveness, A randomized controlled trial was undertaken comparing dietary advice (DA) with cognitive therapy in the outpatient treatment of AN.Method: Thirty-five patients were randomly allocated to either cognitive therapy (n = 25) or dietary advice (n = 10). There were no significant differences in the groups pre-treatment. Twenty sessions of cognitive therapy or dietary advice were offered.Results: At 6 months 23 cognitive therapy patients remained engaged whereas all the dietary advice controls dropped out. Cognitive therapy patients showed significant changes in Body Mass Index (p = 0.001). Eating Disorder Inventory Scores (p = 0.035). Beck Depression Inventory Scores (p < 0.0001) and Locus of. Control of Behaviour Scores (p = 0.017),Conclusions: Significant improvements were observed in patients allocated to cognitive therapy, but not in those allocated to dietary advice on an intention to treat analysis. Cognitive therapy has advantages of promoting engagement and facilitating recovery. Copyright (C) 1999 John Wiley & Sons, Ltd and Eating Disorders Association.
Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
