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A case series of CBT‐T in routine clinical practice
Author(s) -
Rose Charlotte,
Bakopoulou Ioanna,
Novak Tamas
Publication year - 2021
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.23566
Subject(s) - eating disorders , bulimia nervosa , abstinence , psychopathology , binge eating disorder , binge eating , anorexia nervosa , cognitive behavioral therapy , psychology , psychiatry , clinical psychology , underweight , intervention (counseling) , medicine , body mass index , cognition , overweight
Objective CBT‐T is a relatively new, brief cognitive behavioral therapy eating disorder treatment for non‐underweight patients. This study evaluates CBT‐T independently from the team that developed the protocol, and examines the relationship between eating disorder duration and CBT‐T effectiveness. Method A case series design was used, comprising N = 40 adults with bulimia or atypical anorexia type eating disorders. CBT‐T was delivered by CBT therapists in a specialist outpatient service. Mixed model analysis examined the interactions between eating disorder duration and change to eating disorder psychopathology and secondary impairment from pre‐post treatment. Abstinence, good outcome, and remission rates were also provided. Results Intervention effect sizes were large. Treatment completers reported abstinence from binge eating and purging over the final 28‐days, and 7‐days of treatment at 30.1%, and 73.1%, respectively; 76.9% reported good outcome; and 23.1% reported remission. No relationship between eating disorder duration and treatment effectiveness was found. Discussion These findings build on existing evidence supporting provision of CBT‐T in routine clinical practice, for patients with eating disorders of any duration. Replication, extension, and RCT will strengthen comparability with other evidence‐based approaches.