Abstract
Recent years have seen substantial consolidation and development of the evidence base for psychological therapies for eating disorders. This review summarises the key changes over that time period. Specific forms of cognitive behavioural therapy and family-based treatment have consolidated and extended their positions as treatments of choice despite the development of novel approaches. However, there is still a significant need for further development and testing to improve recovery rates, particularly in anorexia nervosa.
Highlights
Recent years have seen substantial consolidation and development of the evidence base for psychological therapies for eating disorders
Recent advances in psychological therapies for eating disorders How far have we progressed in the treatment of eating disorders during the current decade? In a previous review[1], it was suggested that developments were necessary
In-patient care for anorexia nervosa is not a predictor of better outcomes than treatment in less intensive settings and is substantially more expensive[3,4], suggesting that its use should be confined to medical need
Summary
There have been substantial developments in the field of psychological therapies for eating disorders since this decade began. Disappointment that treatment outcomes for adults with anorexia nervosa are still weaker than for nonunderweight cases, even though there are differential effects for different therapies[17,23,29,30,31]. Between them, these developments offer both possibilities and challenges. There remain substantial deficits in our treatment of eating disorders, for cases of anorexia nervosa. CBT and FBT themselves will need further development (e.g., recent evidence that a planful response to a lack of early change is beneficial in FBT for adolescents with anorexia nervosa[40]). Grant information The author(s) declared that no grants were involved in supporting this work
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