Evidence map›Paper›PMID 19074978›Full record

Trial reportThe American journal of psychiatry2009

Transdiagnostic cognitive-behavioral therapy for patients with eating disorders: a two-site trial with 60-week follow-up.

Christopher G Fairburn, Zafra Cooper, Helen A Doll, Marianne E O'Connor, Kristin Bohn, Deborah M Hawker, Jackie A Wales, Robert L Palmer

6 registry-linked trialsOpen access · greenAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in The American journal of psychiatry, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 6 registered trials, which are not on this map. Cited by 210 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
210citing papers in PubMed, 5 pooled it
37.0field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02444065 nacompletednot on this mapstarted 2014, after this paper: background citation

Rapid Response to Day Hospital Treatment in Bulimia Nervosa and Purging Disorder: A Randomized Controlled Trial of an Intervention to Facilitate Early Symptom Change

TypeinterventionalSponsorUniversity Health Network, TorontoRan2014 to 2016Enrolled44ConditionsBulimia Nervosa, Eating DisorderArmsCognitive Behavior Therapy (CBT), Motivational Interviewing (MI)
NCT03058302 nacompletednot on this mapstarted 2017, after this paper: background citation

Study of Effectiveness and Implementation of Different Versions of the CETA Mental Health Intervention Among Internally Displaced Persons (IDPs) and Veterans in Ukraine

TypeinterventionalSponsorJohns Hopkins Bloomberg School of Public HealthRan2017 to 2019Enrolled302ConditionsDepression, PostTraumatic Stress DisorderArmsCETA (Common Elements Treatment Approach)
NCT03156959 naunknown statusnot on this mapstarted 2017, after this paper: background citation

Efficacy of Eye Movement Desensitization and Reprocessing (EMDR) Plus Broad Form of Enhanced Cognitive Behavioural Therapy (CBT-Eb) in Patients With Eating Disorders. A Randomized Controlled Trial

TypeinterventionalSponsorRuggeri, MirellaRan2017 to 2022Enrolled80ConditionsEating DisorderArmsEMDR, CBT-Eb
NCT03984539 naunknown statusnot on this mapstarted 2021, after this paper: background citation

A Randomized Controlled Trial of the Effectiveness of CBT-T vs CBT-E in a Community Clinic of Individuals With Eating Disorders

TypeinterventionalSponsorLondon Health Sciences Centre Research Institute OR Lawson Research Institute of St. Joseph'sRan2021 to 2023Enrolled60ConditionsEating DisordersArmsCognitive Behavioural Therapy-Enhanced, Cognitive Behavioural Therapy-Ten
NCT05296915 naunknown statusnot on this mapstarted 2022, after this paper: background citation

Bulimia Nervosa e Binge Eating Disorder: Strategie Terapeutiche a Confronto

TypeinterventionalSponsorFondazione IRCCS Ca' Granda, Ospedale Maggiore PoliclinicoRan2022 to 2024Enrolled30ConditionsBulimia Nervosa, Binge-Eating DisorderArmstVNS, rTMS, CBT-E
NCT05503745 nacompletednot on this mapstarted 2022, after this paper: background citation

CBT-E vs CBT-F+Metacognitive Interpersonal Therapy for Non-underweight Adults With Eating Disorders: Study Protocol for a Pilot Randomised Controlled Trial

TypeinterventionalSponsorCentro Trattamento Integrato: Disturbi Alimentari e ObesitaRan2022 to 2024Enrolled20ConditionsEating Disorders, Maladaptive Personality Trait, Emotion Regulation, PersonalityArmsCBT-F+MIT, CBT-E
3 · Its place in the literature

Who cites it

210 citing papers in PubMed, 5 syntheses or guidelines pooled it, 823 citations in OpenAlex.

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  5. Bulimia nervosa.BMJ clinical evidence · 2010
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150 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 1 institution in 1 country.

Christopher G FairburnDepartment of Psychiatry, Oxford University, UK. credo@medsci.ox.ac.uk
Zafra Cooper
Helen A Doll
Marianne E O'Connor
Kristin Bohn
Deborah M Hawker
Jackie A Wales
Robert L Palmer
University of Oxford · GB

Funding

Wellcome Trust 046386Wellcome Trust 046386/Z/95/AWellcome Trust 079113
6 · The paper itself

Abstract

objectiveThe aim of this study was to compare two cognitive-behavioral treatments for outpatients with eating disorders, one focusing solely on eating disorder features and the other a more complex treatment that also addresses mood intolerance, clinical perfectionism, low self-esteem, or interpersonal difficulties.

methodA total of 154 patients who had a DSM-IV eating disorder but were not markedly underweight (body mass index over 17.5), were enrolled in a two-site randomized controlled trial involving 20 weeks of treatment and a 60-week closed period of follow-up. The control condition was an 8-week waiting list period preceding treatment. Outcomes were measured by independent assessors who were blind to treatment condition.

resultsPatients in the waiting list control condition exhibited little change in symptom severity, whereas those in the two treatment conditions exhibited substantial and equivalent change, which was well maintained during follow-up. At the 60-week follow-up assessment, 51.3% of the sample had a level of eating disorder features less than one standard deviation above the community mean. Treatment outcome did not depend on eating disorder diagnosis. Patients with marked mood intolerance, clinical perfectionism, low self-esteem, or interpersonal difficulties appeared to respond better to the more complex treatment, with the reverse pattern evident among the remaining patients.

conclusionsThese two transdiagnostic treatments appear to be suitable for the majority of outpatients with an eating disorder. The simpler treatment may best be viewed as the default version, with the more complex treatment reserved for patients with marked additional psychopathology of the type targeted by the treatment.

Indexed as

AdultBody Mass IndexCognitive Behavioral TherapyDemographyDiagnostic and Statistical Manual of Mental DisordersFeeding and Eating DisordersFemaleFollow-Up StudiesHumansInterpersonal RelationsMaleSelf ConceptSeverity of Illness Index

Identifiers

PMID19074978
PMCPMC3035831
OpenAlexW2143116894

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.