Abstract
Little is known about the treatment of adolescents with an eating disorder who are not underweight. Enhanced cognitive behaviour therapy (CBT-E) is a potential option as it is a treatment for adult patients with eating disorders of this type and it has been shown to be effective with adolescent patients who are underweight. The aim of the present cohort study was to evaluate the effects of CBT-E on non-underweight adolescents with an eating disorder. Sixty-eight adolescent patients with an eating disorder and a body mass index (BMI) centile corresponding to an adult BMI ≥18.5 were recruited from consecutive referrals to a community-based eating disorder clinic. Each was offered 20 sessions of CBT-E over 20 weeks. Three-quarters completed the full 20 sessions. There was a marked treatment response with two-thirds (67.6%, intent-to-treat) having minimal residual eating disorder psychopathology by the end of treatment. CBT-E therefore appears to be a promising treatment for those adolescents with an eating disorder who are not underweight.
Highlights
There are substantial data supporting the use of “enhanced cognitive behaviour therapy” (CBT-E) in the treatment of adults with an eating disorder
EDE-Q e Eating Disorder Examination-Questionnaire; Global Severity Index (GSI) e Global severity index. a Global EDE-Q less than 1 SD above community EDE-Q mean for young adult women
The aim of the present study was to determine whether CBT-E might be a potential treatment for adolescent patients with an eating disorder who are not underweight
Summary
There are substantial data supporting the use of “enhanced cognitive behaviour therapy” (CBT-E) in the treatment of adults with an eating disorder. There has been much less research on the use of CBT-E with adolescent patients. The first study assessed the immediate and longer-term effects of CBT-E in a cohort of adolescent outpatients with anorexia nervosa (Dalle Grave, Calugi, Doll, & Fairburn, 2013). In these patients there was a substantial increase in weight accompanied by a marked decrease in eating disorder psychopathology that was well maintained over a 60-week period of follow-up. The second study was of adolescent inpatients with severe anorexia nervosa (Dalle Grave, Calugi, El Ghoch, Conti, & Fairburn, 2014). Most had a good outcome and there was a low rate of relapse following discharge
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