The Efficacy of Cognitive-Behavioral Therapy for Eating Disorders: A Systematic Review and Meta-Analysis

@article{Linardon2017TheEO,
  title={The Efficacy of Cognitive-Behavioral Therapy for Eating Disorders: A Systematic Review and Meta-Analysis},
  author={Jake Linardon and Tracey D. Wade and Xochitl de la Piedad Garcia and Leah Brennan},
  journal={Journal of Consulting and Clinical Psychology},
  year={2017},
  volume={85},
  pages={1080–1094}
}
Objective: This meta-analysis examined the efficacy of cognitive–behavioral therapy (CBT) for eating disorders. Method: Randomized controlled trials of CBT were searched. Seventy-nine trials were included. Results: Therapist-led CBT was more efficacious than inactive (wait-lists) and active (any psychotherapy) comparisons in individuals with bulimia nervosa and binge eating disorder. Therapist-led CBT was most efficacious when manualized CBT-BN or its enhanced version was delivered. No… 

Figures and Tables from this paper

Meta-analysis of the effects of cognitive-behavioral therapy on the core eating disorder maintaining mechanisms: implications for mechanisms of therapeutic change
TLDR
Findings demonstrate that CBT has a specific effect in targeting the eating disorder maintaining mechanisms, and offers support to the underlying cognitive model.
Dropout from cognitive‐behavioral therapy for eating disorders: A meta‐analysis of randomized, controlled trials
TLDR
This meta-analysis highlights the urgency for RCTs to utilize a standardized dropout definition and to report as much information on patient dropout as possible, so that strategies designed to minimize dropout can be developed, and factors predictive of CBT dropouts can be more easily identified.
Comparing the effectiveness and predictors of cognitive behavioural therapy-enhanced between patients with various eating disorder diagnoses: a naturalistic study
TLDR
No subgroup of patients differentially benefited from CBT-E supporting the transdiagnostic perspective for the treatment of eating disorders, and longer-term follow-up data are necessary to measure persistence of treatment benefits.
A pragmatic effectiveness study of 10-session cognitive behavioural therapy (CBT-T) for eating disorders: Targeting barriers to treatment provision.
TLDR
Results provide evidence for the effectiveness of CBT-T delivered by trainee psychologists for transdiagnostic eating disorder patients, thus tackling some important barriers for treatment.
Eating Disorder Treatment: a Systematic Review and Meta-analysis of the Efficacy of Mindfulness-Based Programs
This systematic review and meta-analysis sought to evaluate the efficacy of mindfulness-based programs (MBPs) on eating disorder (ED) symptoms and related outcomes such as BMI, body dissatisfaction,
Meta‐analysis of the effects of cognitive‐behavioral therapy for binge‐eating–type disorders on abstinence rates in nonrandomized effectiveness studies: Comparable outcomes to randomized, controlled trials?
TLDR
Findings suggest that CBT for eating disorder can be effectively delivered in real-world settings, and provides evidence for the generalizability of CBT from controlled research settings to routine clinical services.
Internet-based Cognitive Behaviour Therapy for the Prevention, Treatment and Relapse Prevention of Eating Disorders: A Systematic Review
TLDR
Although ICBT is a promising intervention for eating disorders in adults and may be more effective than face-to-face CBT for treating cognitive symptoms further high-quality ED RCTs are required to increase the evidence-base and enable more precise meta-analyses to reach definitive conclusions.
Meta-Analysis of the Efficacy of Psychological and Medical Treatments for Binge-Eating Disorder
TLDR
This comprehensive meta-analysis demonstrated the efficacy of psychotherapy, structured self-help treatment, and pharmacotherapy for patients with BED.
Cognitive Behavior Therapy for the Eating Disorders.
  • W. Agras
  • Psychology, Medicine
    The Psychiatric clinics of North America
  • 2019
...
...

References

SHOWING 1-10 OF 142 REFERENCES
The effects of cognitive‐behavioral therapy for eating disorders on quality of life: A meta‐analysis
TLDR
Preliminary evidence is provided that CBT for eating disorders is associated with modest improvements in QOL, and thatCBT may be associated with greater improvements inQOL relative to comparison conditions.
A randomized comparison of group cognitive-behavioral therapy and group interpersonal psychotherapy for the treatment of overweight individuals with binge-eating disorder.
TLDR
Group IPT is a viable alternative to group CBT for the treatment of overweight patients with BED and both treatments showed initial and long-term efficacy for the core and related symptoms of BED.
The effects of extending cognitive-behavioral therapy for binge eating disorder among initial treatment nonresponders.
TLDR
The results suggest that an extended course of CBT (i.e., longer than 12 weeks) will likely maximize the number of potential responders to treatment, and lead to clinical improvement in 66.7% of all treated participants.
A randomized controlled trial of family therapy and cognitive behavior therapy guided self-care for adolescents with bulimia nervosa and related disorders.
TLDR
Compared with family therapy, CBT guided self-care has the slight advantage of offering a more rapid reduction of bingeing, lower cost, and greater acceptability for adolescents with bulimia or eating disorder not otherwise specified.
A randomized comparison of cognitive behavioral therapy and behavioral weight loss treatment for overweight individuals with binge eating disorder.
TLDR
CBT was somewhat more efficacious than BWLT in treating binge eating but this superior effect was barely maintained in the long term.
Effectiveness of spouse involvement in cognitive behavioral therapy for binge eating disorder.
TLDR
Although both CBT groups fared significantly better than the wait-list control group on measures of binge eating, weight, eating psychopathology, and general psychopathology), CBT with spouse involvement did not result in any additional benefit over and above standard CBT.
Comparison of cognitive-behavioral and supportive-expressive therapy for bulimia nervosa.
TLDR
Cognitive-behavioral therapy was significantly more effective in ameloriating disturbed attitudes toward eating and weight, depression, poor self-esteem, general psychological distress, and certain personality traits than supportive-expressive therapy.
A randomized controlled comparison of integrative cognitive-affective therapy (ICAT) and enhanced cognitive-behavioral therapy (CBT-E) for bulimia nervosa
TLDR
This initial randomized controlled trial of a new individual psychotherapy for BN suggests that targeting emotion and self-oriented cognition in the context of nutritional rehabilitation may be efficacious and worthy of further study.
Cognitive behavioral guided self-help for the treatment of recurrent binge eating.
TLDR
CBT-GSH is a viable first-line treatment option for the majority of patients with recurrent binge eating who do not meet diagnostic criteria for BN or anorexia nervosa and results in greater abstinence from binge eating than TAU at 12-month follow-up.
Web-Based Cognitive Behavioral Therapy for Female Patients With Eating Disorders: Randomized Controlled Trial
TLDR
Web-based CBT proved to be effective in improving eating disorder psychopathology and related health among female patients with eating disorders.
...
...