Top

Open Access 08-05-2024 | Eating Disorder | REVIEW

Recent Advances in Cognitive-Behavioural Therapy for Eating Disorders (CBT-ED)

Authors: Glenn Waller, Jessica Beard

Published in: Current Psychiatry Reports

Abstract

Purpose of Review

Eating disorders require more effective therapies than are currently available. While cognitive behavioural therapy for eating disorders (CBT-ED) has the most evidence to support its effectiveness, it requires substantial improvement in order to enhance its reach and outcomes, and to reduce relapse rates. Recent years have seen a number of noteworthy developments in CBT-ED, which are summarised in this paper.

Recent Findings

The key advances identified here include: improvements in the efficiency and availability of CBT-ED; expansion of applicability to younger cases across durations of eating disorder; and new methodologies.

Summary

There have been important recent advances in the field of CBT-ED. However, it is important to stress that there remain gaps in our evidence base and clinical skills, and suggestions are made for future research and clinical directions.

American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 5th ed. Washington DC: American Psychiatric Association; 2013. https://doi.org/10.1176/appi.books.9780890425787.CrossRef

Arcelus J, Mitchell AJ, Wales J, Nielsen S. Mortality rates in patients with anorexia nervosa and other eating disorders. A meta-analysis of 36 studies. Arch Gen Psychiatry. 2011;68(7):724–31. https://doi.org/10.1001/archgenpsychiatry.2011.74.CrossRefPubMed

van Hoeken D, Hoek HW. Review of the burden of eating disorders: mortality, disability, costs, quality of life, and family burden. Curr Opin Psychiatry. 2020;33(6):521–7. https://doi.org/10.1097/YCO.0000000000000641.CrossRefPubMedPubMedCentral

Academy for Eating Disorders. Psychological care guidelines Task force: A guide to selecting evidence-based psychological therapies for eating disorders. First edition. Reston, VA: Academy for Eating Disorders. 2020. https://higherlogicdownload.s3.amazonaws.com/AEDWEB/27a3b69a-8aae-45b2-a04c2a078.

National Institute for Health and Care Excellence. Eating disorders: recognition and treatment [NICE Guideline No. NG69]. 2017. https://www.nice.org.uk/guidance/ng69.

Fairburn CG, Norman PA, Welch SL, O’Connor ME, Doll HA, Peveler RC. A prospective study of outcome in bulimia nervosa and the long-term effects of three psychological treatments. Arch Gen Psychiatry. 1995;52(4):304–12. https://doi.org/10.1001/archpsyc.1995.039501600540102011.CrossRefPubMed

Pike KM, Walsh BT, Vitousek K, Wilson GT, Bauer J. Cognitive behavior therapy in the posthospitalization treatment of anorexia nervosa. Am J Psychiatry. 2003;160(11):2046–9. https://doi.org/10.1176/appi.ajp.160.11.2046.CrossRefPubMed

Thomas JJ, Becker KR, Kuhnle MC, et al. Cognitive-behavioral therapy for avoidant/restrictive food intake disorder: Feasibility, acceptability, and proof-of-concept for children and adolescents. Int J Eat Disord. 2020;53(10):1636–46. https://doi.org/10.1002/eat.23355.CrossRefPubMedPubMedCentral

Waller G, Tatham M, Turner H, et al. A 10-session cognitive-behavioral therapy (CBT-T) for eating disorders: Outcomes from a case series of nonunderweight adult patients. Int J Eat Disord. 2018;51(3):262–9. https://doi.org/10.1002/eat.22837.CrossRefPubMed

10.

Zeeck A, Herpertz-Dahlmann B, Friederich HC, et al. Psychotherapeutic treatment for anorexia nervosa: a systematic review and network meta-analysis. Front Psychiatry. 2018;9:158. https://doi.org/10.3389/fpsyt.2018.00158.CrossRefPubMedPubMedCentral

11.

van den Berg E, Houtzager L, de Vos J, et al. Meta-analysis on the efficacy of psychological treatments for anorexia nervosa. Eur Eat Disord Rev. 2019;27(4):331–51. https://doi.org/10.1002/erv.2683.CrossRefPubMed

12.

Öst LG, Brattmyr M, Finnes A, et al. Cognitive behavior therapy for adult eating disorders in routine clinical care: A systematic review and meta-analysis. Int J Eat Disord. 2024;57(2):249–64. https://doi.org/10.1002/eat.24104.CrossRefPubMed

13.

Solmi M, Monaco F, Højlund M, et al. Outcomes in people with eating disorders: a transdiagnostic and disorder-specific systematic review, meta-analysis and multivariable meta-regression analysis. World Psychiatry. 2024;23(1):124–38. https://doi.org/10.1002/wps.21182.CrossRefPubMedPubMedCentral

14.

Mulkens S, Waller G. New developments in cognitive-behavioural therapy for eating disorders (CBT-ED). Curr Opin Psychiatry. 2021;34(6):576–83. https://doi.org/10.1097/YCO.0000000000000745.CrossRefPubMedPubMedCentral

15.

Waller G, Turner H, Tatham M, Mountford V, Wade T. Brief cognitive behavioural therapy for non-underweight patients: CBT-T for eating disorders. Hove, UK: Routledge. 2019. https://doi.org/10.4324/9780367192280.

16.

Keegan E, Waller G, Wade TD. A systematic review and meta-analysis of a 10-session cognitive behavioural therapy for non-underweight eating disorders. Clin Psychol. 2022;26(3):241–54. https://doi.org/10.1080/13284207.2022.2075257.CrossRef

17.

• Moore E, Waller G. Brief group cognitive-behavioral therapy for bulimia nervosa and binge-eating disorder: A pilot study of feasibility and acceptability. Int J Eat Disord. 2023;56(6):1228–1232. https://doi.org/10.1002/eat.23935. This study showed that a group version of CBT-T is a feasible intervention in the treatment of non-underweight eating disorders, with high compliance. However, the low acceptance rate warrants further understanding, as this limits the utility of group CBT-T in clinical practice.

18.

Adams G, Turner H, Hoskins J, Robinson A, Waller G. Effectiveness of a brief form of group dialectical behavior therapy for binge-eating disorder: Case series in a routine clinical setting. Int J Eat Disord. 2021;54(4):615–20. https://doi.org/10.1002/eat.23470.CrossRefPubMed

19.

Blood L, Adams G, Turner H, Waller G. Group dialectical behavioral therapy for binge-eating disorder: Outcomes from a community case series. Int J Eat Disord. 2020;53(11):1863–7. https://doi.org/10.1002/eat.23377.CrossRefPubMed

20.

Wade T, Byrne S, Fursland A, et al. Is guided self-help family-based treatment for parents of adolescents with anorexia nervosa on treatment waitlists feasible? A pilot trial. Int J Eat Disord. 2022;55(6):832–7. https://doi.org/10.1002/eat.23720.CrossRefPubMed

21.

Barakat S, Burton AL, Cunich M, et al. A randomised controlled trial of clinician supported vs self-help delivery of online cognitive behaviour therapy for Bulimia Nervosa. Psychiatry Res. 2023;329:115534. https://doi.org/10.1016/j.psychres.2023.115534.CrossRefPubMed

22.

Melisse B, Berg EVD, Jonge M, et al. Efficacy of web-based, guided self-help cognitive behavioral therapy-enhanced for binge eating disorder: randomized controlled trial. J Med Internet Res. 2023;25:e40472. https://doi.org/10.2196/40472.

23.

Hamid N. Internet-based cognitive behaviour therapy for the prevention, treatment and relapse prevention of eating disorders: A systematic review and meta-analysis. Psych J. 2024;13(1):5–18. https://doi.org/10.1002/pchj.715.CrossRefPubMed

24.

Fursland A, Erceg-Hurn DM, Byrne SM, McEvoy PM. A single session assessment and psychoeducational intervention for eating disorders: Impact on treatment waitlists and eating disorder symptoms. Int J Eat Disord. 2018;51(12):1373–7. https://doi.org/10.1002/eat.22983.CrossRefPubMed

25.

• Schleider JL, Smith AC, Ahuvia I. Realizing the untapped promise of single-session interventions for eating disorders. Int J Eat Disord. 2023;56(5):853–863. https://doi.org/10.1002/eat.23920. Important pointer to the value of brief focused interventions, and how they could be implemented in eating disorders.

26.

Wade TD. Developing the "single-session mindset" in eating disorder research: Commentary on Schleider et al., 2023 “Realizing the untapped promise of single-session interventions for eating disorders.” Int J Eat Disord. 2023;56(5):864–6. https://doi.org/10.1002/eat.23930.CrossRefPubMed

27.

Juarascio AS, Presseller EK, Srivastava P, Manasse SM, Forman EM. A Randomized Controlled Trial of CBT+: A Clinician-Controlled, Just-In-Time, Adjunctive Intervention for Bulimia-Spectrum Disorders. Behav Modif. 2023;47(3):551–72. https://doi.org/10.1177/01454455221109434.CrossRefPubMed

28.

Murphy R, Calugi S, Cooper Z, Dalle Grave R. Challenges and opportunities for enhanced cognitive behaviour therapy (CBT-E) in light of COVID-19. Cogn Behav Therap. 2020;13:e14. https://doi.org/10.1002/eat.23930.

29.

Waller G, Pugh M, Mulkens S, et al. Cognitive-behavioral therapy in the time of coronavirus: Clinician tips for working with eating disorders via telehealth when face-to-face meetings are not possible. Int J Eat Disord. 2020;53(7):1132–41. https://doi.org/10.1002/eat.23289.CrossRefPubMedPubMedCentral

30.

Schmidt U, Brown A, McClelland J, Glennon D, Mountford VA. Will a comprehensive, person-centered, team-based early intervention approach to first episode illness improve outcomes in eating disorders? Int J Eat Disord. 2016;49(4):374–7. https://doi.org/10.1002/eat.22519.CrossRefPubMed

31.

Flynn M, Austin A, Lang K, et al. Assessing the impact of First Episode Rapid Early Intervention for Eating Disorders on duration of untreated eating disorder: A multi-centre quasi-experimental study. Eur Eat Disord Rev. 2021;29(3):458–71.CrossRefPubMed

32.

Allen K. Guided self-help for recent-onset binge/purge eating disorders: Use and outcomes in the FREED Network. British Association for Behavioural and Cognitive Psychotherapies conference, Cardiff. 2023.

33.

Richards KL, Hyam L, Allen KL, et al. National roll-out of early intervention for eating disorders: Process and clinical outcomes from first episode rapid early intervention for eating disorders. Early Interv Psychiatry. 2023;17(2):202–11. https://doi.org/10.1111/eip.13317.CrossRefPubMed

34.

Hyam L, Torkelson C, Richards K, et al. "Early intervention isn't an option, it's a necessity": learning from implementation facilitators and challenges from the rapid scaling of an early intervention eating disorders programme in England. Front Health Serv. 2024;3:1253966. https://doi.org/10.3389/frhs.2023.1253966.

35.

Toro CT, Payne A, Jackson T, et al. Evidence for feasibility of implementing online brief cognitive-behavioral therapy for eating disorder pathology in the workplace. Int J Eat Disord. 2023;56(6):1254–68. https://doi.org/10.1002/eat.23961.CrossRefPubMed

36.

Craig M, Waine J, Wilson S, Waller G. Optimizing treatment outcomes in adolescents with eating disorders: The potential role of cognitive behavioral therapy. Int J Eat Disord. 2019;52(5):538–42. https://doi.org/10.1002/eat.23067.CrossRefPubMed

37.

Dalle Grave R, Sartirana M, Dalle Grave A, Calugi S. Effectiveness of enhanced cognitive behaviour therapy for patients aged 14 to 25: A promising treatment for anorexia nervosa in transition-age youth. Eur Eat Disord Rev. 2023. https://doi.org/10.1002/erv.3019.

38.

Dalle Grave R, Sartirana M, Calugi S. Enhanced cognitive behavioral therapy for adolescents with anorexia nervosa: Outcomes and predictors of change in a real-world setting. Int J Eat Disord. 2019;52(9):1042–6. https://doi.org/10.1002/eat.23122.CrossRefPubMed

39.

Hart M, Hirneth S, Mendelson J, Jenkins L, Pursey K, Waller G. Brief cognitive behavioural therapy for eating disorders symptomatology among a mixed sample of adolescents and young adults in primary care: A non-randomised feasibility and pilot study. Eur Eat Disord Rev. 2024. https://doi.org/10.1002/erv.3075.

40.

Le Grange D, Eckhardt S, Dalle Grave R, et al. Enhanced cognitive-behavior therapy and family-based treatment for adolescents with an eating disorder: a non-randomized effectiveness trial. Psychol Med. 2020. https://doi.org/10.1017/S0033291720004407.

41.

Zhu J, Hay PJ, Yang Y, et al. Specific psychological therapies versus other therapies or no treatment for severe and enduring anorexia nervosa. Cochrane Database Syst Rev. 2023;8(8):CD011570. https://doi.org/10.1002/14651858.CD011570.pub2.

42.

Calugi S, El Ghoch M, Dalle GR. Intensive enhanced cognitive behavioural therapy for severe and enduring anorexia nervosa: A longitudinal outcome study. Behav Res Ther. 2017;89:41–8. https://doi.org/10.1016/j.brat.2016.11.006.CrossRefPubMed

43.

Raykos BC, Erceg-Hurn DM, McEvoy PM, Fursland A, Waller G. Severe and enduring anorexia nervosa? Illness severity and duration are unrelated to outcomes from cognitive behaviour therapy. J Consult Clin Psychol. 2018;86(8):702–9. https://doi.org/10.1037/ccp0000319.CrossRefPubMed

44.

•• Calugi S, Dalle Grave A, Chimini M, Lorusso A, Dalle Grave R. Illness duration and treatment outcome of intensive cognitive-behavioral therapy in adolescents with anorexia nervosa. Int J Eat Disord. 2024. https://doi.org/10.1002/eat.24196. Important evidence that therapy is not made less effective by the duration of the individual’s eating disorder.

45.

Radunz M, Keegan E, Osenk I, Wade TD. Relationship between eating disorder duration and treatment outcome: Systematic review and meta-analysis. Int J Eat Disord. 2020;53(11):1761–73. https://doi.org/10.1002/eat.23373.CrossRefPubMed

46.

Radunz M, Ali K, Wade TD. Pathways to improve early intervention for eating disorders: Findings from a systematic review and meta-analysis. Int J Eat Disord. 2023;56(2):314–30. https://doi.org/10.1002/eat.23845.CrossRefPubMed

47.

Linardon J, Hindle A, Brennan L. Dropout from cognitive-behavioral therapy for eating disorders: A meta-analysis of randomized, controlled trials. Int J Eat Disord. 2018;51(5):381–91. https://doi.org/10.1002/eat.22850.CrossRefPubMed

48.

Vall E, Wade TD. Predictors of treatment outcome in individuals with eating disorders: A systematic review and meta-analysis [published correction appears in Int J Eat Disord. 2016 Apr;49(4):432–3. Int J Eat Disord. 2015;48(7):946–971. https://doi.org/10.1002/eat.22411.

49.

Linardon J, Brennan L, de la Piedad GX. Rapid response to eating disorder treatment: A systematic review and meta-analysis. Int J Eat Disord. 2016;49(10):905–19. https://doi.org/10.1002/eat.22595.CrossRefPubMed

50.

Chang PGRY, Delgadillo J, Waller G. Early response to psychological treatment for eating disorders: A systematic review and meta-analysis. Clin Psychol Rev. 2021;86: 102032. https://doi.org/10.1016/j.cpr.2021.102032.CrossRefPubMed

51.

Jenkins PE, Smith L, Morgan C. Can early change in eating disorder psychopathology predict outcome in guided self-help for binge eating? Eat Weight Disord. 2021;26(7):2143–52. https://doi.org/10.1007/s40519-020-01059-3.CrossRefPubMed

52.

Cardi V, Leppanen J, Mataix-Cols D, Campbell IC, Treasure J. A case series to investigate food-related fear learning and extinction using in vivo food exposure in anorexia nervosa: A clinical application of the inhibitory learning framework. Eur Eat Disord Rev. 2019;27(2):173–81. https://doi.org/10.1002/erv.2639.CrossRefPubMed

53.

Murray SB, Treanor M, Liao B, Loeb KL, Griffiths S, Le Grange D. Extinction theory & anorexia nervosa: Deepening therapeutic mechanisms. Behav Res Ther. 2016;87:1–10. https://doi.org/10.1016/j.brat.2016.08.017.CrossRefPubMed

54.

Reilly EE, Anderson LM, Gorrell S, Schaumberg K, Anderson DA. Expanding exposure-based interventions for eating disorders. Int J Eat Disord. 2017;50(10):1137–41. https://doi.org/10.1002/eat.22761.CrossRefPubMedPubMedCentral

55.

Dumont E, Jansen A, Kroes D, de Haan E, Mulkens S. A new cognitive behavior therapy for adolescents with avoidant/restrictive food intake disorder in a day treatment setting: A clinical case series. Int J Eat Disord. 2019;52(4):447–58. https://doi.org/10.1002/eat.23053.CrossRefPubMedPubMedCentral

56.

Melles H, Duijvis S, Jansen A. Inhibitory learning during exposure treatment in anorexia nervosa: A practical guide. Behav Sci. 2023;13(5):370. https://doi.org/10.3390/bs13050370.CrossRefPubMedPubMedCentral

57.

Essayli JH, Forrest LN, Zickgraf HF, Stefano EC, Keller KL, Lane-Loney SE. The impact of between-session habituation, within-session habituation, and weight gain on response to food exposure for adolescents with eating disorders. Int J Eat Disord. 2023;56(3):637–45. https://doi.org/10.1002/eat.23894.CrossRefPubMedPubMedCentral

58.

Natali L, Meregalli V, Rowlands K, et al. Virtual food exposure with positive mood induction or social support to reduce food anxiety in anorexia nervosa: A feasibility study. Int J Eat Disord. 2024;57(3):703–15. https://doi.org/10.1002/eat.24155.CrossRefPubMed

59.

Farrow CV, Coulthard H. Relationships between sensory sensitivity, anxiety and selective eating in children. Appetite. 2012;58(3):842–6. https://doi.org/10.1016/j.appet.2012.01.017.CrossRefPubMed

60.

• Thomas JJ, Becker KR, Breithaupt L, et al. Cognitive-behavioral therapy for adults with avoidant/restrictive food intake disorder. J Behav Cogn Ther. 2021;31(1):47–55. https://doi.org/10.1016/j.jbct.2020.10.004. Early evidence that CBT-AR is effective outside of the younger age range.

61.

Burton Murray H, Weeks I, Becker KR, et al. Development of a brief cognitive-behavioral treatment for avoidant/restrictive food intake disorder in the context of disorders of gut-brain interaction: Initial feasibility, acceptability, and clinical outcomes. Int J Eat Disord. 2023;56(3):616–27. https://doi.org/10.1002/eat.23874.CrossRefPubMed

62.

Burton-Murray H, Becker KR, Breithaupt L, et al. Cognitive-behavioral therapy for avoidant/restrictive food intake disorder: A proof-of-concept for mechanisms of change and target engagement. Int J Eat Disord. 2024. https://doi.org/10.1002/eat.24126.

63.

Bryant-Waugh R, Stern CM, Dreier MJ, et al. Preliminary validation of the pica, ARFID and rumination disorder interview ARFID questionnaire (PARDI-AR-Q). J Eat Disord. 2022;10(1):179. https://doi.org/10.1186/s40337-022-00706-7.

64.

Cooper-Vince CE, Nwaka C, Eddy KT, et al. The factor structure and validity of a diagnostic interview for avoidant/restrictive food intake disorder in a sample of children, adolescents, and young adults. Int J Eat Disord. 2022;55(11):1575–88. https://doi.org/10.1002/eat.23792.CrossRefPubMedPubMedCentral

65.

•• Rossi E, Cassioli E, Cecci L, et al. Eye movement desensitisation and reprocessing as add-on treatment to enhanced cognitive behaviour therapy for patients with anorexia nervosa reporting childhood maltreatment: A quasi-experimental multicenter study. Eur Eat Disord Rev. 2024;32(2):322–337. https://doi.org/10.1002/erv.3044. This quasi-experimental study is the first to evaluate the effect of CBT-E plus EMDR in patients with anorexia nervosa with a history of childhood maltreatment, finding greater improvements in general psychopathology and dissociative symptoms compared to CBT-E only.

66.

Vrabel KR, Waller G, Goss K, Wampold B, Kopland M, Hoffart A. Cognitive behavioral therapy versus compassion focused therapy for adult patients with eating disorders with and without childhood trauma: A randomized controlled trial in an intensive treatment setting. Behav Res Ther. 2024;174: 104480. https://doi.org/10.1016/j.brat.2024.104480.CrossRefPubMed

67.

Vrabel KR, Bratland-Sanda S. Effects of inpatient treatment on compulsive exercise in adults with longstanding eating disorders: Secondary analysis from a randomized controlled trial with 12-month follow-up. Int J Eat Disord. 2024;57(2):437–49. https://doi.org/10.1002/eat.24108.CrossRefPubMed

68.

Trottier K, Monson CM, Wonderlich SA, Crosby RD. Results of the first randomized controlled trial of integrated cognitive-behavioral therapy for eating disorders and posttraumatic stress disorder. Psychol Med. 2022;52(3):587–96. https://doi.org/10.1017/S0033291721004967.CrossRefPubMed

69.

Blackburn IM, James IA, Milne DL, Baker C, Standart S, Garland A, Reichelt FK. The revised cognitive therapy scale (CTS-R): psychometric properties. Behav Cog Psychotherapy. 2001;29(4):431–46.CrossRef

70.

Cooper Z, Doll H, Bailey-Straebler S, et al. The development of an online measure of therapist competence. Behav Res Ther. 2015;64:43–8. https://doi.org/10.1016/j.brat.2014.11.007.CrossRefPubMedPubMedCentral

71.

Cooper Z, Doll H, Bailey-Straebler S, et al. Assessing therapist competence: development of a performance-based measure and its comparison with a web-based measure. JMIR Ment Health. 2017;4(4):e51. https://doi.org/10.2196/mental.7704.

72.

Fairburn CG. Cognitive behavior therapy and eating disorders. Guilford Press; 2008.

73.

Beard J, Cooper Z, Masson P, et al. Assessing clinician competence in the delivery of cognitive-behavioural therapy for eating disorders: development of the Cognitive-Behavioural Therapy Scale for Eating Disorders (CBTS-ED). Cogn Behav Ther. 2024;53(1):29–47. https://doi.org/10.1080/16506073.2023.2263640.CrossRefPubMed

74.

Fairburn CG, Rothwell ER. Apps and eating disorders: A systematic clinical appraisal. Int J Eat Disord. 2015;48(7):1038–46. https://doi.org/10.1002/eat.22398.CrossRefPubMedPubMedCentral

75.

Fitzsimmons-Craft EE, Laboe AA, McGinnis C, et al. A pilot randomized controlled trial of a cognitive-behavioral therapy guided self-help mobile app for the post-acute treatment of anorexia nervosa: A registered report. Int J Eat Disord. 2023;56(3):654–61. https://doi.org/10.1002/eat.23891.CrossRefPubMedPubMedCentral

76.

Hay P, Palavras MA, da Luz FQ, et al. Physical and mental health outcomes of an integrated cognitive behavioural and weight management therapy for people with an eating disorder characterized by binge eating and a high body mass index: a randomized controlled trial. BMC Psychiatry. 2022;22(1):355. https://doi.org/10.1186/s12888-022-04005-y.

77.

Kurnik Mesarič K, Pajek J, Logar Zakrajšek B, Bogataj Š, Kodrič J. Cognitive behavioral therapy for lifestyle changes in patients with obesity and type 2 diabetes: a systematic review and meta-analysis [published correction appears in Sci Rep. 2023 Dec 19;13(1):22674]. Sci Rep. 2023;13(1):12793. https://doi.org/10.1038/s41598-023-40141-5.

78.

Boutelle KN, Afari N, Obayashi S, Eichen DM, Strong DR, Peterson CB. Design of the CHARGE study: A randomized control trial evaluating a novel treatment for Veterans with binge eating disorder and overweight and obesity. Contemp Clin Trials. 2023;130: 107234. https://doi.org/10.1016/j.cct.2023.107234.CrossRefPubMed

79.

Grilo CM, Lydecker JA, Gueorguieva R. Cognitive-behavioral therapy for binge-eating disorder for non-responders to initial acute treatments: Randomized controlled trial. Int J Eat Disord. 2023;56(8):1544–53. https://doi.org/10.1002/eat.23975.CrossRefPubMed

80.

Schmidt R, Hilbert A. Predictors of Symptom Trajectories After Cognitive-Behavioral Therapy in Adolescents With an Age-Adapted Diagnosis of Binge-Eating Disorder. Behav Ther. 2022;53(1):137–49. https://doi.org/10.1016/j.beth.2021.08.002.CrossRefPubMed

81.

Presseller EK, Lampe EW, Michael ML, Trainor C, Fan SC, Juarascio AS. Latent trajectories of symptom change during cognitive-behavior therapy predict post-treatment worsening of symptoms: a preliminary examination among outpatients with bulimia-spectrum eating disorders. Eat Weight Disord. 2022;27(6):2257–64. https://doi.org/10.1007/s40519-021-01348-5.CrossRefPubMedPubMedCentral

82.

Lampe EW, Srivastava P, Presseller EK, Wilkinson ML, Trainor C, Manasse SM, Juarascio AS. Latent change trajectories in mood during focused CBT Enhanced for eating disorders are associated with global eating pathology at post-treatment and follow-up among individuals with bulimia nervosa-spectrum disorders: A preliminary examination. Behav Ther. 2024. https://doi.org/10.1016/j.beth.2024.01.005.CrossRef

83.

Hilbert A, Herpertz S, Zipfel S, et al. Early Change Trajectories in Cognitive-Behavioral Therapy for Binge-Eating Disorder. Behav Ther. 2019;50(1):115–25. https://doi.org/10.1016/j.beth.2018.03.013.CrossRefPubMed

84.

Cibich M, Wade TD. Treating bulimia nervosa in the context of gender dysphoria using 10-session cognitive behavior therapy. Int J Eat Disord. 2019;52(5):602–6. https://doi.org/10.1002/eat.23068.CrossRefPubMed

85.

• Brown TA, Klimek-Johnson P, Siegel JA, et al. Promoting Resilience to Improve Disordered Eating (PRIDE): A case series of an eating disorder treatment for sexual minority individuals. Int J Eat Disord. 2024;57(3):648–60. https://doi.org/10.1002/eat.24150. Demonstrating the generalisability of treatment to non-binary individuals.

86.

Campbell L, Viswanadhan K, Lois B, Dundas M. Emerging Evidence: A Systematic Literature Review of Disordered Eating Among Transgender and Nonbinary Youth. J Adolesc Health. 2024;74(1):18–27. https://doi.org/10.1016/j.jadohealth.2023.07.027.CrossRefPubMed

87.

MacDonald DE, Liebman R, Trottier K. Clinical characteristics, treatment course and outcome of adults treated for avoidant/restrictive food intake disorder (ARFID) at a tertiary care eating disorders program. J Eat Disord. 2024;12(1):15. https://doi.org/10.1186/s40337-024-00973-6.

88.

Li Z, Halls D, Byford S, Tchanturia K. Autistic characteristics in eating disorders: Treatment adaptations and impact on clinical outcomes. Eur Eat Disord Rev. 2022;30(5):671–90. https://doi.org/10.1002/erv.2875.CrossRefPubMed

89.

Turk F, Waller G. Is self-compassion relevant to the pathology and treatment of eating and body image concerns? A systematic review and meta-analysis. Clin Psychol Rev. 2020;79: 101856. https://doi.org/10.1016/j.cpr.2020.101856.CrossRefPubMed

90.

Tobin DL, Banker JD, Weisberg L, Bowers W. I know what you did last summer (and it was not CBT): a factor analytic model of international psychotherapeutic practice in the eating disorders. Int J Eat Disord. 2007;40(8):754–7. https://doi.org/10.1002/eat.20426.CrossRefPubMed

Title: Recent Advances in Cognitive-Behavioural Therapy for Eating Disorders (CBT-ED)
Authors: Glenn Waller
Jessica Beard
Publication date: 08-05-2024
Publisher: Springer US
Keywords: Eating Disorder
Eating Disorder
Avoidant-Restrictive Food Intake Disorder
Anorexia Nervosa
Behavioural Therapy
Published in: Current Psychiatry Reports
Print ISSN: 1523-3812
Electronic ISSN: 1535-1645
DOI: https://doi.org/10.1007/s11920-024-01509-0

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Recent Advances in Cognitive-Behavioural Therapy for Eating Disorders (CBT-ED)

Abstract

Purpose of Review

Recent Findings

Summary

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose of Review

Recent Findings

Summary

Please log in to get access to this content