Evidence map›Paper›PMID 40600384›Full record

ArticleThe International journal of eating disorders2025

Delivering Brief Cognitive Behavioral Therapy (CBT-T) for Eating Disorders: Examining Real-World Outcomes of a Large-Scale Training Program.

Laura Dixon, Colby Price, Sara Bartel, Anastasia Harris, Marika Schenkels, Toni Spinella, Abraham Nunes, Sarrah I Ali, Glenn Waller, Jessica Wournell and 2 more

Abstract read
In one paragraph

Article in The International journal of eating disorders, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–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

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. 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

12 authors.

Laura DixonNova Scotia Provincial Eating Disorder Service, Nova Scotia Health, Halifax, Canada.
Colby PriceNova Scotia Provincial Eating Disorder Service, Nova Scotia Health, Halifax, Canada.
Sara BartelNova Scotia Provincial Eating Disorder Service, Nova Scotia Health, Halifax, Canada.
Anastasia HarrisNova Scotia Provincial Eating Disorder Service, Nova Scotia Health, Halifax, Canada.
Marika SchenkelsNova Scotia Provincial Eating Disorder Service, Nova Scotia Health, Halifax, Canada.
Toni SpinellaNova Scotia Provincial Eating Disorder Service, Nova Scotia Health, Halifax, Canada.
Abraham NunesDepartment of Psychiatry, Dalhousie University, Halifax, Nova Scotia, Canada.
Sarrah I AliDepartment of Psychology, Florida State University, Tallahassee, Florida, USA.ORCID 0000-0002-1459-7472
Glenn WallerSchool of Psychology, University of Sheffield, Sheffield, UK.ORCID 0000-0001-7794-9546
Jessica WournellNova Scotia Provincial Eating Disorder Service, Nova Scotia Health, Halifax, Canada.
Susan GambergNova Scotia Provincial Eating Disorder Service, Nova Scotia Health, Halifax, Canada.
Aaron KeshenNova Scotia Provincial Eating Disorder Service, Nova Scotia Health, Halifax, Canada.ORCID 0000-0003-0462-9749

Funding

Dalhousie University
6 · The paper itself

Abstract

objectiveCognitive Behavioral Therapy-Ten (CBT-T) is a 10-session manualized eating disorder (ED) treatment protocol for nonunderweight EDs. CBT-T was developed to increase access to treatment and reduce wait times, as it can be delivered in half the time as existing CBT approaches for EDs. To improve access to treatment, the Nova Scotia Eating Disorder Provincial Service trained 36 clinicians through a 10-month CBT-T training program and offered CBT-T provincially. This study examines changes in ED psychopathology, binge eating, compensatory behaviors, anxiety, and depression in a transdiagnostic cohort of adult patients treated with CBT-T. Further, an exploratory analysis of predictors of treatment outcome was conducted.

methodsA retrospective chart review was conducted on adults who began CBT-T between July 2022 and March 2024. Participants completed routine outcome measures per the CBT-T manual. Mixed-effects models examined symptom changes over time, along with predictors of treatment outcome, dropout, and extension.

resultsA total of 267 patients started CBT-T. Significant reductions in ED psychopathology, binge eating, and compensatory behaviors, anxiety, and depression were observed throughout treatment. Effect sizes were large to very large at the end of treatment for primary and secondary outcomes. Early change in ED psychopathology predicted better outcomes, whereas diagnoses of anorexia nervosa and atypical anorexia nervosa were associated with higher dropout rates. DISCUSSION: Findings support that CBT-T may be an effective, scalable treatment associated with significant symptom reductions corresponding to large effect sizes. Future research should explore adaptations to improve retention, especially for those with anorexia nervosa and atypical anorexia nervosa.

Indexed as

Cognitive Behavioral TherapyFeeding and Eating DisordersAdultFemaleHumansMaleMiddle AgedNova ScotiaRetrospective StudiesTreatment OutcomeaccessibilityCBT‐Tcognitive behavioral therapy‐teneffectivenessimplementationtreatment outcomes

Identifiers

PMID40600384
PMCPMC12501551

What OpenQuestion holds

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LicenceCC BY
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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.