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Enhanced cognitive behavioral therapy for adolescents with anorexia nervosa: Outcomes and predictors of change in a real‐world setting
Author(s) -
Dalle Grave Riccardo,
Sartirana Massimiliano,
Calugi Simona
Publication year - 2019
Publication title -
international journal of eating disorders
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.785
H-Index - 138
eISSN - 1098-108X
pISSN - 0276-3478
DOI - 10.1002/eat.23122
Subject(s) - anorexia nervosa , eating disorders , psychopathology , eating disorder inventory , body mass index , psychology , cognitive behavioral therapy , cohort , psychiatry , bulimia nervosa , clinical psychology , medicine , cognition
Objective The study aimed to establish the outcomes and predictors of change in a cohort of adolescents with anorexia nervosa treated via enhanced cognitive behavioral therapy (CBT‐E) in a real‐world clinical setting. Method Forty‐nine adolescent patients with anorexia nervosa were recruited from consecutive referrals to a clinical eating disorder service offering outpatient CBT‐E. Body Mass Index centiles and Eating Disorder Examination Questionnaire, Brief Symptom Inventory, and Clinical Impairment Assessment scores were recorded at admission, at the end of treatment, and at 20‐week follow‐up. Results Thirty‐five patients (71.4%) who finished the program showed both considerable weight gain and reduced scores for clinical impairment and eating disorder and general psychopathology. Changes remained stable at 20 weeks. No baseline predictors of drop‐out or treatment outcomes were detected. Conclusions Based on these results, CBT‐E seems suitable for adolescent patients with anorexia nervosa seeking treatment in a real‐world clinical setting.