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Update on the treatment of anorexia nervosa: review of clinical trials, practice guidelines and emerging interventions

Published online by Cambridge University Press:  10 December 2012

H. J. Watson  and
C. M. Bulik
H. J. Watson
Affiliation:
Centre for Clinical Interventions, Department of Health in Western Australia, Perth, WA, Australia Eating Disorders Program, Princess Margaret Hospital for Children, Perth, WA, Australia School of Paediatrics and Child Health, The University of Western Australia, Perth, WA, Australia
C. M. Bulik*
Affiliation:
Department of Psychiatry, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA Department of Nutrition, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA
*
*Address for correspondence: C. M. Bulik, Ph.D., Department of Psychiatry, University of North Carolina at Chapel Hill, 101 Manning Drive, CB #7160, Chapel Hill, NC 27599-7160, USA. (Email: [email protected])
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Abstract

Background

Anorexia nervosa is a potentially deadly psychiatric illness that develops predominantly in females around puberty but is increasingly being recognized as also affecting boys and men and women across the lifespan. The aim of this environmental scan is to provide an overview of best practices in anorexia nervosa treatment across the age spectrum.

Method

A triangulation approach was used. First, a detailed review of randomized controlled trials (RCTs) for anorexia nervosa published between 1980 and 2011 was conducted; second, clinical practice guidelines were consulted and reviewed; third, information about RCTs currently underway was sourced. This approach facilitated a comprehensive overview, which addressed the extant evidence base, recent advances in evidence and improvements in treatment, and future directions.

Results

The evidence base for the treatment of anorexia nervosa is advancing, albeit unevenly. Evidence points to the benefit of family-based treatment for youth. For adults no specific approach has shown superiority and, presently, a combination of renourishment and psychotherapy such as specialist supportive clinical management, cognitive behavioral therapy, or interpersonal psychotherapy is recommended. RCTs have neither sufficiently addressed the more complex treatment approaches seen in routine practice settings, such as multidisciplinary treatment or level of care, nor specifically investigated treatment in ethnically diverse populations. Methodological challenges that hinder progress in controlled research for anorexia nervosa are explained.

Conclusions

The review highlights evidence-based and promising treatment modalities for anorexia nervosa and presents a triangulated analysis including controlled research, practice guidelines, and emerging treatments to inform and support clinical decision making.

Keywords

Anorexia nervosaantidepressantsantipsychoticsclinical trialscognitive behavioral therapyeating disordersfamily therapyfamily-based treatmentreviewssystematic reviewstreatment
Type
Invited Review
Information
Psychological Medicine , Volume 43 , Issue 12 , December 2013 , pp. 2477 - 2500
Copyright
Copyright © Cambridge University Press 2012 

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References

Agras, WS, Brandt, H, Bulik, C, Dolan-Sewell, R, Fairburn, CG, Halmi, KA, Jimerson, DC, Kaplan, AS, Kaye, WH, le Grange, D, Lock, J, Mitchell, JE, Rudorfer, MV, Street, LL, Striegel-Moore, R, Vitousek, KM, Walsh, BT, Wilfley, DE (2004). Report of the National Institutes of Health workshop on overcoming barriers to treatment research in anorexia nervosa. International Journal of Eating Disorders 35, 509–521.CrossRefGoogle ScholarPubMed
Álvarez-Jiménez, M, González-Blanch, C, Crespo-Facorro, B, Hetrick, S, Rodriguez-Sánchez, JM, Pérez-Iglesias, R, Vázquez-Barquero, JL (2008). Antipsychotic-induced weight gain in chronic and first-episode psychotic disorders: a systematic critical reappraisal. CNS Drugs 22, 547–562.CrossRefGoogle ScholarPubMed
APA (2000). Diagnostic and Statistical Manual of Mental Disorders, 4th edn.American Psychiatric Association: Washington, DC.Google Scholar
APA (2006). Practice Guideline for the Treatment of Patients with Eating Disorders. American Psychiatric Association: Washington, DC.Google Scholar
Arcelus, J, Mitchell, AJ, Wales, J, Nielsen, S (2011). Mortality rates in patients with anorexia nervosa and other eating disorders. A meta-analysis of 36 studies. Archives of General Psychiatry 68, 724–731.CrossRefGoogle ScholarPubMed
Attia, E, Haiman, C, Walsh, T, Flater, SR (1998). Does fluoxetine augment the inpatient treatment of anorexia nervosa? American Journal of Psychiatry 155, 548–551.CrossRefGoogle ScholarPubMed
Attia, E, Kaplan, AS, Walsh, BT, Gershkovich, M, Yilmaz, Z, Musante, D, Wang, Y (2011). Olanzapine versus placebo for out-patients with anorexia nervosa. Psychological Medicine 41, 2177–2182.CrossRefGoogle ScholarPubMed
Attia, E, Schroeder, L (2005). Pharmacologic treatment of anorexia nervosa: where do we go from here? International Journal of Eating Disorders 37 (Suppl.), S60–S63; discussion S87–S89.CrossRefGoogle Scholar
Ball, J, Mitchell, P (2004). A randomized controlled study of cognitive behavior therapy and behavioral family therapy for anorexia nervosa patients. Eating Disorders 12, 303–314.CrossRefGoogle ScholarPubMed
Barbarich, NC, McConaha, CW, Halmi, KA, Gendall, K, Sunday, SR, Gaskill, J, La Via, M, Frank, GK, Brooks, S, Plotnicov, KH, Kaye, WH (2004). Use of nutritional supplements to increase the efficacy of fluoxetine in the treatment of anorexia nervosa. International Journal of Eating Disorders 35, 10–15.CrossRefGoogle ScholarPubMed
Berkman, N, Bulik, C, Brownley, K, Lohr, K, Sedway, J, Rooks, A, Gartlehner, G (2006). Management of Eating Disorders. Evidence Report/Technology Assessment No. 135. AHRQ Publication No. 06-E010 (prepared by the RTI International-University of North Carolina Evidence-Based Practice Center under contract no. 290-02-0016). Agency for Healthcare Research and Quality: Rockville, MD.Google Scholar
Berkman, ND, Lohr, KN, Bulik, CM (2007). Outcomes of eating disorders: a systematic review of the literature. International Journal of Eating Disorders 40, 293–309.CrossRefGoogle ScholarPubMed
Biederman, J, Herzog, DB, Rivinus, TM (1985). Amitriptyline in the treatment of anorexia nervosa: a double-blind, placebo-controlled study. Journal of Clinical Psychopharmacology 5, 10–16.CrossRefGoogle ScholarPubMed
Birmingham, C, Gutierrez, E, Jonat, L, Beumont, P (2004). Randomized controlled trial of warming in anorexia nervosa. International Journal of Eating Disorders 35, 234–238.CrossRefGoogle ScholarPubMed
Birmingham, CL, Goldner, EM, Bakan, R (1994). Controlled trial of zinc supplementation in anorexia nervosa. International Journal of Eating Disorders 15, 251–255.3.0.CO;2-#>CrossRefGoogle ScholarPubMed
Birmingham, CL, Su, J, Hlynsky, JA, Goldner, EM, Gao, M (2005). The mortality rate from anorexia nervosa. International Journal of Eating Disorders 38, 143–146.CrossRefGoogle ScholarPubMed
Bissada, H, Tasca, GA, Barber, AM, Bradwejn, J (2008). Olanzapine in the treatment of low body weight and obsessive thinking in women with anorexia nervosa: a randomized, double-blind, placebo-controlled trial. American Journal of Psychiatry 165, 1281–1288.CrossRefGoogle ScholarPubMed
Brambilla, F, Draisci, A, Peirone, A, Brunetta, M (1995 a). Combined cognitive–behavioral, psychopharmacological and nutritional therapy in eating disorders. 1. Anorexia nervosa–restricted type. Neuropsychobiology 35, 59–63.CrossRefGoogle Scholar
Brambilla, F, Draisci, A, Peirone, A, Brunetta, M (1995 b). Combined cognitive–behavioral, psychopharmacological and nutritional therapy in eating disorders. 2. Anorexia-nervosa-binge-eating/purging type. Neuropsychobiology 35, 64–67.CrossRefGoogle Scholar
Brambilla, F, Garcia, CS, Fassino, S, Daga, GA, Favaro, A, Santonastaso, P, Ramaciotti, C, Bondi, E, Mellado, C, Borriello, R, Monteleone, P (2007). Olanzapine therapy in anorexia nervosa: psychobiological effects. International Clinical Psychopharmacology 22, 197–204.CrossRefGoogle ScholarPubMed
Bulik, CM (2002). Anxiety, depression, and eating disorders. In Eating Disorders and Obesity (ed. Fairburn, C. G. and Brownell, K. D.), pp. 193–198. Guilford Press: New York.Google Scholar
Bulik, CM, Baucom, DH, Kirby, JS, Pisetsky, E (2011). Uniting couples (in the treatment of) anorexia nervosa (UCAN). International Journal of Eating Disorders 44, 19–28.CrossRefGoogle ScholarPubMed
Bulik, CM, Berkman, ND, Brownley, KA, Sedway, JA, Lohr, KN (2007). Anorexia nervosa treatment: a systematic review of randomized controlled trials. International Journal of Eating Disorders 40, 310–320.CrossRefGoogle ScholarPubMed
Carney, T, Tait, D, Touyz, SW, Ingvarson, M, Saunders, D, Wakefield, A (2006). Managing Anorexia Nervosa: Clinical. Legal and Social Perspectives on Involuntary Treatment. Nova Science Publishers Inc.: New York.Google Scholar
Carter, FA, Jordan, J, McIntosh, VV, Luty, SE, McKenzie, JM, Frampton, CM, Bulik, CM, Joyce, PR (2011). The long-term efficacy of three psychotherapies for anorexia nervosa: a randomized, controlled trial. International Journal of Eating Disorders 44, 647–654.CrossRefGoogle ScholarPubMed
Channon, S, De Silva, P, Hemsley, D, Perkins, R (1989). A controlled trial of cognitive–behavioural and behavioural treatment of anorexia nervosa. Behaviour Research and Therapy 27, 529–535.CrossRefGoogle ScholarPubMed
Cohen, J (1962). The statistical power of abnormal-social psychological research: a review. Journal of Abnormal and Social Psychology 65, 145–153.CrossRefGoogle ScholarPubMed
Court, A, Mulder, C, Kerr, M, Yuen, HP, Boasman, M, Goldstone, S, Fleming, J, Weigall, S, Derham, H, Huang, C, McGorry, P, Berger, G (2010). Investigating the effectiveness, safety and tolerability of quetiapine in the treatment of anorexia nervosa in young people: a pilot study. Journal of Psychiatric Research 44, 1027–1034.CrossRefGoogle ScholarPubMed
Crisp, A, Norton, K, Gowers, S, Halek, C, Bowyer, C, Yeldham, D, Levett, G, Bhat, A (1991). A controlled study of the effect of effect of therapies aimed at adolescent and family psychopathology in anorexia nervosa. British Journal of Psychiatry 159, 325–333.CrossRefGoogle ScholarPubMed
Dare, C & Eisler, I (2000). A multi-family group day treatment programme for adolescent eating disorder. European Eating Disorders Review 8, 4–18.3.0.CO;2-P>CrossRefGoogle Scholar
Dare, C, Eisler, I, Russell, G, Treasure, J, Dodge, L (2001). Psychological therapies for adults with anorexia nervosa: randomised controlled trial of out-patient treatments. British Journal of Psychiatry 178, 216–221.CrossRefGoogle ScholarPubMed
Downs, KJ, Blow, AJ (in press). A substantive and methodological review of family-based treatment for eating disorders: the last 25 years of research. Journal of Family Therapy.Google Scholar
Eisler, I, Dare, C, Hodes, M, Dodge, E, Russell, G, le Grange, D (2000). Family therapy for adolescent anorexia nervosa: the results of a controlled comparison of two family interventions. Journal of Child Psychology and Psychiatry and Allied Disciplines 41, 727–736.CrossRefGoogle ScholarPubMed
Eisler, I, Dare, C, Russell, GF, Szmukler, G, le Grange, D, Dodge, E (1997). Family and individual therapy in anorexia nervosa. A 5-year follow-up. Archives of General Psychiatry 54, 1025–1030.CrossRefGoogle ScholarPubMed
Fairburn, CG (2005). Evidence-based treatment of anorexia nervosa. International Journal of Eating Disorders 37, S26–S30.CrossRefGoogle ScholarPubMed
Fassino, S, Leombruni, P, Daga, G, Brustolin, A, Migliaretti, G, Cavallo, F, Rovera, G (2002). Efficacy of citalopram in anorexia nervosa: a pilot study. European Neuropsychopharmacology 12, 453–459.CrossRefGoogle ScholarPubMed
Fazeli, PK, Lawson, EA, Prabhakaran, R, Miller, KK, Donoho, DA, Clemmons, DR, Herzog, DB, Misra, M, Klibanski, A (2010). Effects of recombinant human growth hormone in anorexia nervosa: a randomized, placebo-controlled study. Journal of Clinical Endocrinology and Metabolism 95, 4889–4897.CrossRefGoogle ScholarPubMed
Garber, AK, Michihata, N, Hetnal, K, Shafer, MA, Moscicki, AB (2012). A prospective examination of weight gain in hospitalized adolescents with anorexia nervosa on a recommended refeeding protocol. Journal of Adolescent Health 50, 24–29.CrossRefGoogle ScholarPubMed
Geist, R, Heinmaa, M, Stephens, D, Davis, R, Katzman, DK (2000). Comparison of family therapy and family group psychoeducation in adolescents with anorexia nervosa. Canadian Journal of Psychiatry 45, 173–178.CrossRefGoogle ScholarPubMed
Gowers, SG, Clark, A, Roberts, C, Griffiths, A, Edwards, V, Bryan, C, Smethurst, N, Byford, S, Barrett, B (2007). Clinical effectiveness of treatment for anorexia nervosa in adolescents: randomised control trial. British Journal of Psychiatry 191, 427–435.CrossRefGoogle Scholar
Hagman, J, Gralla, J, Sigel, E, Ellert, S, Dodge, M, Gardner, R, O'Lonergan, T, Frank, G, Wamboldt, MZ (2011). A double-blind, placebo-controlled study of risperidone for the treatment of adolescents and young adults with anorexia nervosa: a pilot study. Journal of the American Academy of Child and Adolescent Psychiatry 50, 915–924.CrossRefGoogle Scholar
Hall, A, Crisp, AH (1987). Brief psychotherapy in the treatment of anorexia nervosa. Outcome at one year. British Journal of Psychiatry 151, 185–191.CrossRefGoogle ScholarPubMed
Halmi, KA (2008). The perplexities of conducting randomized, double-blind, placebo-controlled treatment trials in anorexia nervosa patients. American Journal of Psychiatry 165, 1227–1228.CrossRefGoogle ScholarPubMed
Halmi, K, Agras, W, Crow, S, Mitchell, J, Wilson, G, Bryson, S, Kraemer, H (2005). Predictors of treatment acceptance and completion in anorexia nervosa: implications for future study designs. Archives of General Psychiatry 62, 776–781.CrossRefGoogle ScholarPubMed
Halmi, KA, Eckert, E, LaDu, TJ, Cohen, J (1986). Anorexia nervosa. Treatment efficacy of cyproheptadine and amitriptyline. Archives of General Psychiatry 43, 177–181.CrossRefGoogle ScholarPubMed
Harris, EC, Barraclough, B (1997). Suicide as an outcome for mental disorders. A meta-analysis. British Journal of Psychiatry 170, 205–228.CrossRefGoogle ScholarPubMed
Hay, PJ, Bacaltchuk, J, Byrnes, RT, Claudino, AM, Ekmejian, AA, Yong, PY (2003). Individual psychotherapy in the outpatient treatment of adults with anorexia nervosa. Cochrane Database of Systematic Reviews. Issue 4. Art. No.: CD003909. doi:10.1002/14651858.CD003909.CrossRefGoogle ScholarPubMed
Hedges, LV (1981). Distribution theory for Glass's estimator of effect size and related estimators. Journal of Educational Statistics 6, 107–128.CrossRefGoogle Scholar
Hedges, LV, Olkin, I (1985). Statistical Methods for Meta-Analysis. Academic Press: New York.Google Scholar
Hill, K, Bucuvalas, J, McClain, C, Kryscio, R, Martini, RT, Alfaro, MP, Maloney, M (2000). Pilot study of growth hormone administration during the refeeding of malnourished anorexia nervosa patients. Journal of Child and Adolescent Psychopharmacology 10, 3–8.CrossRefGoogle ScholarPubMed
Hudson, JI, Hiripi, E, Pope, HG Jr., Kessler, RC (2007). The prevalence and correlates of eating disorders in the National Comorbidity Survey Replication. Biological Psychiatry 61, 348–358.CrossRefGoogle ScholarPubMed
Janas-Kozik, M, Krzystanek, M, Stachowicz, M, Krupka-Matuszczyk, I, Janas, A, Rybakowski, JK (2011). Bright light treatment of depressive symptoms in patients with restrictive type of anorexia nervosa. Journal of Affective Disorders 130, 462–465.CrossRefGoogle ScholarPubMed
Kafantaris, V, Leigh, E, Hertz, S, Berest, A, Schebendach, J, Sterling, WM, Saito, E, Sunday, S, Higdon, C, Golden, NH, Malhotra, AK (2011). A placebo-controlled pilot study of adjunctive olanzapine for adolescents with anorexia nervosa. Journal of Child and Adolescent Psychopharmacology 21, 207–212.CrossRefGoogle ScholarPubMed
Kaye, WH, Nagata, T, Weltzin, TE, Hsu, LK, Sokol, MS, McConaha, C, Plotnicov, KH, Weise, J, Deep, D (2001). Double-blind placebo-controlled administration of fluoxetine in restricting- and restricting–purging-type anorexia nervosa. Biological Psychiatry 49, 644–652.CrossRefGoogle ScholarPubMed
Keel, PK, Dorer, DJ, Eddy, KT, Franko, D, Charatan, DL, Herzog, DB (2003). Predictors of mortality in eating disorders. Archives of General Psychiatry 60, 179–183.CrossRefGoogle ScholarPubMed
Klibanski, A, Biller, BMK, Schoenfeld, DA, Herzog, DB & Saxe, VC (1995). The effects of estrogen administration on trabecular bone loss in young women with anorexia nervosa. Journal of Clinical Endocrinology and Metabolism 80, 898–904.Google ScholarPubMed
Kohn, MR, Madden, S, Clarke, SD (2011). Refeeding in anorexia nervosa: increased safety and efficiency through understanding the pathophysiology of protein calorie malnutrition. Current Opinion in Pediatrics 23, 390–394.CrossRefGoogle ScholarPubMed
le Grange, D (2005). The Maudsley family-based treatment for adolescent anorexia nervosa. World Psychiatry 4, 142–146.Google ScholarPubMed
le Grange, D, Eisler, I, Dare, C, Russell, GFM (1992). Evaluation of family treatments in adolescent anorexia nervosa: a pilot study. International Journal of Eating Disorders 12, 347–357.3.0.CO;2-W>CrossRefGoogle Scholar
Lipsey, MW, Wilson, DB (2001). Practical Meta-Analysis. Sage: Thousand Oaks, CA.Google ScholarPubMed
Lock, J, Agras, W, Bryson, S, Kraemer, HC (2005). A comparison of short- and long-term family therapy for adolescent anorexia nervosa. Journal of the American Academy of Child and Adolescent Psychiatry 44, 632–639.CrossRefGoogle Scholar
Lock, J, le Grange, D, Agras, W, Moye, A, Bryson, SW, Jo, B (2010). Randomized clinical trial comparing family-based treatment with adolescent-focused individual therapy for adolescents with anorexia nervosa. Archives of General Psychiatry 67, 1025–1032.CrossRefGoogle ScholarPubMed
Loeb, KL, Craigen, KE, Goldstein, MM, Lock, J, le Grange, D (2011). Early treatment for eating disorders. In Eating Disorders in Children and Adolescents: A Clinical Handbook (ed. Le Grange, D. and Lock, J.), pp. 337–361. Guilford Press: New York.Google Scholar
Madden, S, Morris, A, Zurynski, YA, Kohn, M, Elliot, EJ (2009). Burden of eating disorders in 5–13-year-old children in Australia. Medical Journal of Australia 190, 410–414.CrossRefGoogle ScholarPubMed
McIntosh, VV, Jordan, J, Carter, FA, Luty, SE, McKenzie, JM, Bulik, CM, Frampton, CM, Joyce, PR (2005). Three psychotherapies for anorexia nervosa: a randomized, controlled trial. American Journal of Psychiatry 162, 741–747.CrossRefGoogle ScholarPubMed
McMahon, FJ, Insel, TR (2012). Pharmacogenomics and personalized medicine in neuropsychiatry. Neuron 74, 773–776.CrossRefGoogle Scholar
Meyer, C, Taranis, L, Goodwin, H, Haycraft, E (2011). Compulsive exercise and eating disorders. European Eating Disorders Review: The Journal of The Eating Disorders Association 19, 174–189.CrossRefGoogle ScholarPubMed
Miller, KK, Meenaghan, E, Lawson, EA, Misra, M, Gleysteen, S, Schoenfeld, D, Herzog, D, Klibanski, A (2011). Effects of risedronate and low-dose transdermal testosterone on bone mineral density in women with anorexia nervosa: a randomized, placebo-controlled study. Journal of Clinical Endocrinology and Metabolism 96, 2081–2088.CrossRefGoogle Scholar
Mondraty, N, Birmingham, C, Touyz, S, Sundakov, V, Chapman, L, Beumont, P (2005). Randomized controlled trial of olanzapine in the treatment of cognitions in anorexia nervosa. Australasian Psychiatry 13, 72–75.CrossRefGoogle ScholarPubMed
National Institute for Clinical Excellence (2004). Eating Disorders. Core Interventions in the Treatment and Management of Anorexia Nervosa. Bulimia Nervosa and Related Eating Disorders. NHS: London.Google Scholar
Nemeroff, CB (1997). Dosing the antipsychotic medication olanzapine. Journal of Clinical Psychiatry 58 (Suppl. 10), 45–49.Google ScholarPubMed
O'Brien, KM, Vincent, NK (2003). Psychiatric comorbidity in anorexia and bulimia nervosa: nature, prevalence, and causal relationships. Clinical Psychology Review 23, 57–74.CrossRefGoogle ScholarPubMed
Pike, KM, Walsh, BT, Vitousek, K, Wilson, GT, Bauer, J, (2003). Cognitive behavior therapy in the posthospitalization treatment of anorexia nervosa. American Journal of Psychiatry 160, 2046–2049.CrossRefGoogle ScholarPubMed
Pillay, M, Crisp, A (1981). The impact of social skills training within an established in-patient treatment programme for anorexia nervosa. British Journal of Psychiatry 139, 533–539.CrossRefGoogle ScholarPubMed
Rhodes, P, Baillee, A, Brown, J, Madden, S (2008). Can parent-to-parent consultation improve the effectiveness of the Maudsley model of family-based treatment for anorexia nervosa? A randomized control trial. Journal of Family Therapy 30, 96–108.CrossRefGoogle Scholar
Rigaud, D, Brondel, L, Poupard, AT, Talonneau, I, Brun, JM (2007). A randomized trial on the efficacy of a 2-month tube feeding regimen in anorexia nervosa: a 1-year follow-up study. Clinical Nutrition (Edinburgh, Scotland) 26, 421–429.CrossRefGoogle ScholarPubMed
Robin, AL, Siegel, PT, Moye, AW, Gilroy, M, Dennis, AB, Sikand, A (1999). A controlled comparison of family versus individual therapy for adolescents with anorexia nervosa. Journal of the American Academy of Child and Adolescent Psychiatry 38, 1482–1489.CrossRefGoogle ScholarPubMed
Rosenthal, R (1991). Meta-Analytic Procedures for Social Research. Sage: Newbury Park, CA.CrossRefGoogle Scholar
Ruggiero, GM, Laini, V, Mauri, MC, Ferrari, VMS, Clemente, A, Lugo, F, Mantero, M, Redaelli, G, Zappulli, D, Cavagnini, F (2001). A single blind comparison of amisulpride, fluoxetine and clomipramine in the treatment of restricting anorectics. Progress in Neuro-Psychopharmacology and Biological Psychiatry 25, 1049–1059.CrossRefGoogle ScholarPubMed
Russell, GFM, Szmukler, GI, Dare, C, Eisler, I (1987). An evaluation of family therapy in anorexia nervosa and bulimia nervosa. Archives of General Psychiatry 44, 1047–1056.CrossRefGoogle ScholarPubMed
Schmidt, U, Treasure, J (2006). Anorexia nervosa: valued and visible. A cognitive–interpersonal maintenance model and its implications for research and practice. British Journal of Clinical Psychology 45, 343–366.CrossRefGoogle ScholarPubMed
Stacher, G, Abatzi-Wenzel, TA, Wiesnagrotzki, S, Bergmann, H, Schneider, C, Gaupmann, G (1993). Gastric emptying, body weight and symptoms in primary anorexia nervosa. Long-term effects of cisapride. British Journal of Psychiatry 162, 398–402.CrossRefGoogle ScholarPubMed
Steinglass, JE, Sysko, R, Glasofer, D, Albano, AM, Simpson, HB, Walsh, BT (2011). Rationale for the application of exposure and response prevention to the treatment of anorexia nervosa. International Journal of Eating Disorders 44, 134–141.CrossRefGoogle Scholar
Szmukler, GI, Young, GP, Miller, G, Lichtenstein, M, Binns, DS (1995). A controlled trial of cisapride in anorexia nervosa. International Journal of Eating Disorders 17, 347–357.3.0.CO;2-K>CrossRefGoogle ScholarPubMed
Tchanturia, K, Hambrook, D (2010). Cognitive remediation therapy for anorexia nervosa. In The Treatment of Eating Disorders: A Clinical Handbook (ed. Grilo, C. M. and Mitchell, J. E.), pp. 130–149. Guilford Press: New York.Google Scholar
Thien, V, Thomas, A, Markin, D, Birmingham, CL (2000). Pilot study of a graded exercise program for the treatment of anorexia nervosa. International Journal of Eating Disorders 28, 101–106.3.0.CO;2-V>CrossRefGoogle ScholarPubMed
Treasure, J, Sepulveda, AR, MacDonald, P, Whitaker, W, Lopez, C, Zabala, M, Kyriacou, O, Todd, G (2008). Interpersonal maintaining factors in eating disorder: skills sharing interventions for carers. International Journal of Child and Adolescent Health 1, 331–338.Google Scholar
Treasure, J, Smith, G, Crane, A (2007). Skills-Based Learning for Caring for a Loved One with an Eating Disorder: The New Maudsley Method. Routledge/Taylor and Francis: New York.CrossRefGoogle Scholar
Treasure, J, Todd, G, Brolly, M, Tiller, J, Nehmed, A, Denman, F (1995). A pilot study of a randomised trial of cognitive analytical therapy vs educational behavioral therapy for adult anorexia nervosa. Behaviour Research and Therapy 33, 363–367.CrossRefGoogle ScholarPubMed
Vandereycken, W (1984). Neuroleptics in the short-term treatment of anorexia nervosa: a double-blind placebo-controlled study with sulpiride. British Journal of Psychiatry 144, 288–292.CrossRefGoogle ScholarPubMed
Wade, TD, Treasure, J, Schmidt, U (2011). A case series evaluation of the Maudsley model for treatment of adults with anorexia nervosa. European Eating Disorders Review 19, 382–389.CrossRefGoogle ScholarPubMed
Wallin, U, Kronovall, P, Majewski, M (2000). Body awareness therapy in teenage anorexia nervosa: outcome after two years. European Eating Disorders Review 8, 19–30.3.0.CO;2-K>CrossRefGoogle Scholar
Walsh, BT, Kaplan, AS, Attia, E, Olmsted, MP, Parides, M, Carter, JC, Pike, KM, Devlin, MJ, Woodside, B, Roberto, CA, Rockert, W (2006). Fluoxetine after weight restoration in anorexia nervosa: a randomized controlled trial. JAMA 295, 2605–2612.CrossRefGoogle ScholarPubMed
Watson, HJ, Elphick, R, Dreher, C, Steele, A, Wilksch, S, National Eating Disorders Collaboration Steering Committee (2010). Eating Disorders Prevention and Management: An Evidence Review. Prepared for the Commonwealth Department of Health and Ageing by The Butterfly Foundation on Behalf of the National Eating Disorders Collaboration Project. The Butterfly Foundation: Sydney.Google Scholar
Wild, B, Friederich, HC, Gross, G, Teufel, M, Herzog, W, Giel, KE, de Zwaan, M, Schauenburg, H, Schade-Brittinger, C, Schäfer, H, Zipfel, S (2009). The ANTOP study: focal psychodynamic psychotherapy, cognitive–behavioral therapy, and treatment-as-usual in outpatients with anorexia nervosa – a randomized controlled trial. Trials 10, 23.CrossRefGoogle ScholarPubMed
Wildes, JE, Marcus, MD (2011). Development of emotion acceptance behavior therapy for anorexia nervosa: a case series. International Journal of Eating Disorders 44, 421–427.CrossRefGoogle ScholarPubMed
Zucker, NL, Marcus, M, Bulik, C (2006). A group parent-training program: a novel approach for eating disorder management. Eating and Weight Disorders 11, 78–82.CrossRefGoogle Scholar