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STED: Shorter therapies for non-underweight Eating Disorders

Comparison of two 10-session cognitive behaviour therapies for non-underweight eating disorders on symptom severity: A randomised controlled trial

Status
Completed
Phases
Unknown
Study type
Interventional
Source
ANZCTR
Registry ID
ACTRN12621000111875
Acronym
STED
Enrollment
98
Registered
2021-02-04
Start date
2017-06-05
Completion date
2020-04-30
Last updated
2021-02-08

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

None listed

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 prima

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

Flinders University
Lead SponsorUniversity

Study design

Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Treatment
Masking
Open (masking not used)

Eligibility

Sex/Gender
All
Age
16 Years to No maximum
Healthy volunteers
No

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

Outcome results

None listed

Source: ANZCTR · Data processed: Feb 4, 2026