None listed
Conditions
Brief summary
Cognitive-behavioural therapy approaches for eating disorders (CBT-ED) are typically 20 sessions duration and can be challenging to access for consumers due to the time, cost and difficulty finding therapists who have the required expertise. While shorter guided-self interventions (GSH-CBT) designed to be used by non-experts have existed for a while as a first option in a stepped care approach, it has only been recently that a 10-session version of CBT-ED (CBT-T) has been available. This study compares these two brief CBT interventions to determine if either one is superior in treating non-underweight individuals with eating disorders.
Interventions
Two ten session face-to-face cognitive behaviour therapies for non-underweight eating disorders delivered over 10 consecutive weeks were compared. The first was Ten-session cognitive behaviour therapy (CBT-T), using the protocol outlined in Waller G, Turner H, Tatham M, Mountford VA, Wade TD. (2019). Brief Cognitive Behavioural Therapy for Non-Underweight Patients: CBT-T for Eating Disorders. Abingdon: Routledge, Taylor & Francis Group. The second was CBT using guided self-help (GSH) based primarily on the self-help books Cooper, P. (2009). Overcoming Bulimia Nervosa and Binge Eating (3rd ed). London, UK: Little, Brown Book Group and Cooper, M., Todd, G., & Wells, A. (2001). Bulimia Nervosa: A Cognitive Therapy Programme for Clients. London, UK: Jessica Kingsley Publisher Ltd. Both were delivered by postgraduate trainee therapists. Both therapies are conducted weekly over 10 weeks (50 minute sessions) and both address eating diaries to promote regular eating and to connect in-session weighing to changes in eating. The CBT-T addresses changes to eating more quickly than GSH and also includes content on body image. The GSH includes several initial sessions on motivation. The number of sessions attended was recorded.
Sponsors
Study design
Eligibility
Inclusion criteria
1. Be at least 16 years in age 2. Have a body mass index (BMI) more than 17.5, 3. Meet DSM-5 criteria for an eating disorder
Exclusion criteria
1. A severe physical/ psychiatric condition that would hinder treatment (e.g., psychosis, substance dependence) 2. Those already engaged with psychological treatment for an eating disorder 3. Difficulty speaking English