Evidence map›Paper›PMID 35123583›Full record

ArticleJournal of eating disorders2022

Experiences when implementing enhanced cognitive behavioral therapy as a standard treatment for anorexia nervosa in outpatients at a public specialized eating-disorder treatment unit.

Ute Kessler, Malin Mandelid Kleppe, Guro Årdal Rekkedal, Øyvind Rø, Yngvild Danielsen

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Journal of eating disorders, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02745067 (Effectiveness of Enhanced Cognitive Behavioral Therapy), which is not on this map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.7field-weighted citation impact, top 17% 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.

NCT02745067 nacompletednot on this map

Effectiveness of Enhanced Cognitive Behavioral Therapy (CBT-E) in the Treatment of Anorexia Nervosa: a Prospective Multidisciplinary Study

TypeinterventionalSponsorHaukeland University HospitalRan2016 to 2022Enrolled70ConditionsAnorexia NervosaArmsenhanced cognitive behavioral therapy
3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 10 citations in OpenAlex.

  1. Anorexia nervosa: 150 years of critical theory.Journal of eating disorders · 2026
    Review
  2. Article
  3. Review
  4. Patient and carer feedback and engagement with ECHOMANTRA, a digital guided intervention for anorexia nervosa.European eating disorders review : the journal of the Eating Disorders Association · 2025
    Article
  5. Article
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

5 authors at 3 institutions in 1 country.

Ute KesslerDivision of Psychiatry, Haukeland University Hospital, Bergen, Norway. ute.kessler@helse-bergen.no.ORCID http://orcid.org/0000-0002-2002-5518
Malin Mandelid KleppeDivision of Psychiatry, Haukeland University Hospital, Bergen, Norway.
Guro Årdal RekkedalDivision of Psychiatry, Haukeland University Hospital, Bergen, Norway.
Øyvind RøRegional Department for Eating Disorders, Division of Mental Health and Addiction, Oslo University Hospital, Oslo, Norway.
Yngvild DanielsenDepartment of Clinical Psychology, University of Bergen, Bergen, Norway.
Haukeland University Hospital · NOOslo University Hospital · NOUniversity of Bergen · NO

Funding

Helse Vest Regionalt Helseføretak 912177
6 · The paper itself

Abstract

backgroundEnhanced cognitive behavioral therapy (CBT-E) is a promising treatment option for outpatients with anorexia nervosa (AN). We aimed to determine the effectiveness of CBT-E as a standard treatment for adult outpatients with AN from the specialized eating-disorder unit of a public hospital with responsibilities to their catchment area.

methodsThis study had an open, longitudinal design. Thirty three (of planned 100) outpatients aged > 16 years suffering from AN were included to receive 40 sessions of CBT-E. Eating-disorder psychopathology and body mass index (BMI) were assessed before and after treatment, while comorbid psychiatric symptoms and trauma experiences were evaluated at the baseline, and therapeutic alliance was assessed after 4 weeks of treatment.

resultsA high proportion (69%) of patients dropped out of the treatment. Patient recovery was considered when they reached BMI > 18.5 and Eating Disorder Examination Questionnaire (EDE-Q) score < 2.5, and 27% of all patients recovered.

conclusionsPatients who completed the treatment had mostly satisfactory outcomes. Considering the high dropout rate, it is necessary to improve the strategies for engaging patients in therapy. Several aspects of CBT-E as a standard treatment are discussed regarding the high dropout rate. Trial registration ClinicalTrials.gov. Identifier: NCT02745067. Registered: April 20, 2016. https://clinicaltrials.gov/ct2/showNCT02745067.

Indexed as

Anorexia nervosaCBT-EEnhanced cognitive behavioral therapyTreatment dropout

Identifiers

PMID35123583
PMCPMC8817598
OpenAlexW4210571693

What OpenQuestion holds

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LicenceCC BY
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.