Experiences when implementing enhanced cognitive behavioral therapy as a standard treatment for anorexia nervosa in outpatients at a public specialized eating-disorder treatment unit

Journal of Eating Disorders

Yngvild Danielsen¹  Malin Mandelid Kleppe²  Ute Kessler³  Guro Årdal Rekkedal⁴  Øyvind Rø⁵ 

[1] Department of Clinical Psychology, University of Bergen, Bergen, Norway;Division of Psychiatry, Haukeland University Hospital, Bergen, Norway;Division of Psychiatry, Haukeland University Hospital, Bergen, Norway;Department of Clinical Medicine, University of Bergen, Bergen, Norway;Division of Psychiatry, Haukeland University Hospital, Bergen, Norway;Department of Clinical Psychology, University of Bergen, Bergen, Norway;Regional Department for Eating Disorders, Division of Mental Health and Addiction, Oslo University Hospital, Oslo, Norway;Institute of Clinical Medicine, Faculty of Medicine, University of Oslo, Oslo, Norway;

关键词: Anorexia nervosa;    Enhanced cognitive behavioral therapy;    CBT-E;    Treatment dropout;   

DOI  :  10.1186/s40337-022-00536-7

来源: Springer

【 摘 要 】

BackgroundEnhanced cognitive behavioral therapy (CBT-E) is a promising treatment option for outpatients with anorexia nervosa (AN). We aimed to determine the effectiveness of CBT-E as a standard treatment for adult outpatients with AN from the specialized eating-disorder unit of a public hospital with responsibilities to their catchment area.MethodsThis study had an open, longitudinal design. Thirty three (of planned 100) outpatients aged > 16 years suffering from AN were included to receive 40 sessions of CBT-E. Eating-disorder psychopathology and body mass index (BMI) were assessed before and after treatment, while comorbid psychiatric symptoms and trauma experiences were evaluated at the baseline, and therapeutic alliance was assessed after 4 weeks of treatment.ResultsA high proportion (69%) of patients dropped out of the treatment. Patient recovery was considered when they reached BMI > 18.5 and Eating Disorder Examination Questionnaire (EDE-Q) score < 2.5, and 27% of all patients recovered.ConclusionsPatients who completed the treatment had mostly satisfactory outcomes. Considering the high dropout rate, it is necessary to improve the strategies for engaging patients in therapy. Several aspects of CBT-E as a standard treatment are discussed regarding the high dropout rate.Trial registration ClinicalTrials.gov. Identifier: NCT02745067. Registered: April 20, 2016. https://clinicaltrials.gov/ct2/showNCT02745067

【 授权许可】

CC BY