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Outpatient CBT for Underweight Patients with Eating Disorders: Effectiveness Within a National Health Service (NHS) Eating Disorders Service

Published online by Cambridge University Press:  02 August 2018

Paul E. Jenkins ,
Ceri Morgan  and
Catherine Houlihan
Paul E. Jenkins*
Affiliation:
Oxford Health NHS Foundation Trust, Cotswold House, Warneford Hospital, Oxford OX3 7JX, UK School of Psychology and Clinical Language Sciences, University of Reading, Reading RG6 6AL, UK
Ceri Morgan
Affiliation:
Oxford Health NHS Foundation Trust, Cotswold House, Warneford Hospital, Oxford OX3 7JX, UK
Catherine Houlihan
Affiliation:
Oxford Health NHS Foundation Trust, Cotswold House, Warneford Hospital, Oxford OX3 7JX University of Oxford, The Isis Education Centre, Roosevelt Drive, Warneford Hospital, Headington, Oxford OX3 7JX, UK
*
Correspondence to Dr Paul E. Jenkins, School of Psychology and Clinical Language Sciences, University of Reading, Reading RG6 6AL, UK. E-mail: [email protected]
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Abstract

Background: Underweight eating disorders (EDs) are notoriously difficult to treat, although a growing evidence base suggests that outpatient cognitive behaviour therapy for EDs (CBT-ED) can be effective for a large proportion of individuals. Aims: To investigate the effectiveness of CBT-ED for underweight EDs in a ‘real-world’ settings. Method: Sixty-three adults with underweight EDs (anorexia nervosa or atypical anorexia nervosa) began outpatient CBT-ED in a National Health Service setting. Results: Fifty-four per cent completed treatment, for whom significant changes were observed on measures of ED symptoms, psychological distress and psychosocial impairment. There was also a large effect on body weight at end-of-treatment. Conclusions: The results suggest that good outcomes can be achieved by the majority of those who complete treatment, although treatment non-completion remains a significant barrier to recovery. Future studies should focus on improving treatment retention, as evidence suggests that CBT-ED in ‘real-world’ settings is effective.

Keywords

eating disordersanorexia nervosacognitive behaviour therapyeffectiveness
Type
Research Article
Information
Behavioural and Cognitive Psychotherapy , Volume 47 , Issue 2 , March 2019 , pp. 217 - 229
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 2018 

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