Evidence map›Paper›PMID 32040244›Full record

Trial reportThe International journal of eating disorders2020

Effectiveness of enhanced cognitive behavior therapy for eating disorders: A randomized controlled trial.

Martie de Jong, Philip Spinhoven, Kees Korrelboom, Mathijs Deen, Iris van der Meer, Unna N Danner, Selma van der Schuur, Maartje Schoorl, Hans W Hoek

Abstract readMulticenter StudyRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in The International journal of eating disorders, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

26 citing papers in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Martie de JongCenter for Eating Disorders, PsyQ, Part of Parnassia Psychiatric Institute, The Hague, The Netherlands.
Philip SpinhovenInstitute of Psychology, Leiden University, Leiden, The Netherlands.
Kees KorrelboomParnassia Psychiatric Institute, The Hague, The Netherlands.
Mathijs DeenParnassia Psychiatric Institute, The Hague, The Netherlands.
Iris van der MeerCenter for Eating Disorders, PsyQ, Part of Parnassia Psychiatric Institute, The Hague, The Netherlands.
Unna N DannerAltrecht Eating Disorders Rintveld, Zeist, The Netherlands.
Selma van der SchuurCenter for Eating Disorders-PsyQ, Part of Lentis Psychiatric Institute, Groningen, The Netherlands.
Maartje SchoorlInstitute of Psychology, Leiden University, Leiden, The Netherlands.
Hans W HoekParnassia Psychiatric Institute, The Hague, The Netherlands.ORCID 0000-0001-6353-5465

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveEnhanced cognitive behavior therapy (CBT-E) is a transdiagnostic treatment suitable for the full range of eating disorders (EDs). Although the effectiveness of CBT(-E) is clear, it is not being used as widely in clinical practice as guidelines recommend. The aim of the present study was to compare the effectiveness of CBT-E with treatment as usual (TAU), which was largely based on CBT principles.

methodWe conducted a randomized controlled trial on a total of 143 adult patients with an ED who received either CBT-E or TAU. The primary outcome was recovery from the ED. Secondary outcome measures were levels of ED psychopathology, anxiety, and depressive symptoms. Self-esteem, perfectionism, and interpersonal problems were repeatedly measured to examine possible moderating effects. We explored differences in duration and intensity between conditions.

resultsAfter 80 weeks, there were no differences between conditions in decrease in ED psychopathology, or symptoms of anxiety and depression. However, in the first six weeks of treatment there was a larger decrease in ED psychopathology in the CBT-E condition. Moreover, when the internationally most widely used definition of recovery was applied, the recovery rate at 20 weeks of CBT-E was significantly higher (57.7%) than of TAU (36.0%). At 80 weeks, this difference was no longer significant (CBT-E 60.9%; TAU 43.6%). Furthermore, CBT-E was more effective in improving self-esteem and was also the less intensive and shorter treatment. DISCUSSION: With broader use of CBT-E, the efficiency, accessibility and effectivity (on self-esteem) of treatment for EDs could be improved.

Indexed as

AdultCognitive Behavioral TherapyFeeding and Eating DisordersFemaleHumansMalePsychopathologyTreatment OutcomeCBT-Ecognitive behavior therapyeating disordersRCTtransdiagnostictreatment outcome

Identifiers

PMID32040244
PMCPMC7317943

What OpenQuestion holds

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Registered trials

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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.