Rose, C. and Waller, G. orcid.org/0000-0001-7794-9546 (2017) Cognitive-behavioral therapy for eating disorders in primary care settings: Does it work, and does a greater dose make it more effective? International Journal of Eating Disorders, 50 (12). pp. 1350-1355. ISSN 0276-3478
Abstract
Objective
This study aimed to determine whether cognitive–behavioral therapy (CBT) for eating disorders can be effective in a routine, primary care clinical setting, and to assess dose response.
Method
The participants were 47 patients who commenced treatment with a publicly-funded primary care eating disorder service. They attended 7–33 sessions of individual CBT (mean = 17), using an evidence-based approach. Routine measures were collected pre- and post-therapy.
Results
Three-quarters of the patients completed treatment. Using intention to treat analysis (multiple imputation), the patients showed substantial improvements in eating attitudes, bulimic behaviors, and depression. However, there was no association between the level of improvement and the length of therapy past the 8th to 12th session.
Discussion
The level of effectiveness shown here is comparable to that previously demonstrated by more specialist services in secondary and tertiary care. The nonlinear association between number of sessions and recovery highlights the importance of early change, across the eating disorders.
Metadata
Item Type: | Article |
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Authors/Creators: |
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Copyright, Publisher and Additional Information: | © 2017 Wiley Periodicals, Inc. This is an author produced version of a paper subsequently published in International Journal of Eating Disorders. Uploaded in accordance with the publisher's self-archiving policy. |
Keywords: | cognitive–behavioral therapy; community sample; eating disorders; treatment dose |
Dates: |
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Institution: | The University of Sheffield |
Academic Units: | The University of Sheffield > Faculty of Science (Sheffield) > Department of Psychology (Sheffield) |
Depositing User: | Symplectic Sheffield |
Date Deposited: | 25 Aug 2017 13:02 |
Last Modified: | 08 Nov 2023 16:04 |
Status: | Published |
Publisher: | Wiley |
Refereed: | Yes |
Identification Number: | 10.1002/eat.22778 |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:120435 |