Comparing clinical and research treatments for eating disorders

Haas, Heather L.; Clopton, James R.

doi:10.1002/eat.10156

Cited by 59Eating Disorders and BehaviorsNutrition, Health and Food BehaviorAnxiety, Depression, Psychometrics, Treatment, Cognitive Processes

Comparing clinical and research treatments for eating disorders

Haas, Heather L., Clopton, James R.·2003·International Journal of Eating Disorders

DOI 10.1002/eat.10156

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Abstract

Objective This study evaluated whether there is a gap between research and practice in the treatment of eating disorders. Method Psychologists in clinical practice (N = 126) were surveyed regarding their treatment of a recent client with an eating disorder and a content analysis of published treatment outcome studies for eating disorders (N = 76) was conducted. Results The treatment of eating disorders in clinical and research settings was found to differ significantly on several variables, including the types of therapeutic issues addressed and the frequency of comorbidity seen in clients. Logistic regression analyses found that the frequency with which psychologists read journal articles about eating disorders was significantly related to whether their clients received empirically validated treatment. Discussion Psychologists in clinical practice are not using empirically validated treatments not only because of a lack of training but also because such treatments provide little guidance for dealing with the issues and comorbid problems that their clients with eating disorders often have.

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Studies indicate that therapists routinely use less well-supported or unevidenced approaches, despite being trained in CBT-ED.
“Such studies indicate that therapists routinely use less well-supported or unevidenced approaches, despite being trained in CBT-ED.”
From To deliver or not to deliver cognitive behavioral therapy for eating disorders: Replication and extension of our understanding of why therapists fail to do what they should do (2018) · cites this paper as Haas & Clopton, 2003

Bridging the gap between laboratory and clinic in child and adolescent psychotherapy.
Weisz, J. R., Donenberg, G. R., Han, S. S., & Weiss, B. (1995) · Journal of Consulting and Clinical Psychology · doi:10.1037//0022-006x.63.5.688 · Cited by 606 · see citing works
Group cognitive-behavioral therapy and group interpersonal psychotherapy for the nonpurging bulimic individual: A controlled comparison.
Wilfley, D. E., Agras, W. S., Telch, C. F., Rossiter, E. M., Schneider, J. A., Cole, A. G., Sifford, L., & Raeburn, S. D. (1993) · Journal of Consulting and Clinical Psychology · doi:10.1037//0022-006x.61.2.296 · Cited by 412 · see citing works
Clinical Handbook of Psychological Disorders
Martino, S. (2015) · The Journal of Clinical Psychiatry · doi:10.4088/jcp.15bk09891 · Cited by 331 · see citing works
Drawing on clinical practice to inform research on child and adolescent psychotherapy: Survey of practitioners.
Kazdin, A. E., Siegel, T. C., & Bass, D. (1990) · Professional Psychology: Research and Practice · doi:10.1037/0735-7028.21.3.189 · Cited by 251 · see citing works
Interpersonal Psychotherapy
Weissman, M. M. (1994) · Archives of General Psychiatry · doi:10.1001/archpsyc.1994.03950080011002 · Cited by 146 · see citing works
In defense of dissemination of empirically supported psychological interventions.
Chambless, D. L. (1996) · Clinical Psychology: Science and Practice · doi:10.1111/j.1468-2850.1996.tb00074.x · Cited by 123 · see citing works
Are serotonin selective reuptake inhibitors effective in underweight anorexia nervosa?
Ferguson, C. P., Via, M. C. L., Crossan, P. J., & Kaye, W. H. (1999) · International Journal of Eating Disorders · doi:10.1002/(sici)1098-108x(199901)25:1 · Cited by 100 · see citing works
Evaluation in clinical practice: Clinically sensitive and systematic methods of treatment delivery
Kazdin, A. E. (1993) · Behavior Therapy · doi:10.1016/s0005-7894(05)80255-2 · Cited by 92 · see citing works
Why the high rate of dropout from individualized cognitive-behavior therapy for bulimia nervosa?
Steel, Z., Jones, J. M., Adcock, S., Clancy, R., Bridgford-West, L., & Austin, J. (2000) · International Journal of Eating Disorders · doi:10.1002/1098-108x(200009)28:2 · Cited by 86 · see citing works
National Register Of Health Service Providers In Psychology.
Hall, J. E. (2000) · Oxford University Press eBooks · doi:10.1037/10520-167 · Cited by 11 · see citing works
Untitled work
Mussell (2000) · doi:10.1002/(sici)1098-108x(200003)27:2

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Psychological treatment of eating disorders.
Wilson, G. T., Grilo, C. M., & Vitousek, K. M. (2007) · American Psychologist · doi:10.1037/0003-066x.62.3.199 · Cited by 650 · see citing works
Current Status and Future Prospects of Clinical Psychology
Baker, T. B., McFall, R. M., & Shoham, V. (2008) · Gothic.net · doi:10.1111/j.1539-6053.2009.01036.x · Cited by 342 · see citing works
The research-practice gap
Norman, D. A. (2010) · interactions · doi:10.1145/1806491.1806494 · Cited by 174 · see citing works
Comorbidity, case complexity, and effects of evidence-based treatment for children referred for disruptive behavior.
Kazdin, A. E., & Whitley, M. K. (2006) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.74.3.455 · Cited by 147 · see citing works
Effectiveness of cognitive behavioral therapy supported by virtual reality in the treatment of body image in eating disorders: One year follow-up
Marco, J. H., Perpiñá, C., & Botella, C. (2013) · Psychiatry Research · doi:10.1016/j.psychres.2013.02.023 · Cited by 140 · see citing works
Theoretical and practical barriers to practitioners' willingness to seek training in empirically supported treatments
Stewart, R. E., Chambless, D. L., & Baron, J. A. (2011) · Journal of Clinical Psychology · doi:10.1002/jclp.20832 · Cited by 104 · see citing works
Understanding the uptake of family‐based treatment for adolescents with anorexia nervosa: Therapist perspectives
Couturier, J. L., Kimber, M., Jack, S. M., Niccols, A., Blyderveen, S. V., & McVey, G. L. (2012) · International Journal of Eating Disorders · doi:10.1002/eat.22049 · Cited by 99 · see citing works
I know what you did last summer (and it was not CBT): a factor analytic model of international psychotherapeutic practice in the eating disorders
Tobin, D. L., Banker, J. D., Weisberg, L., & Bowers, W. (2007) · International Journal of Eating Disorders · doi:10.1002/eat.20426 · Cited by 90 · see citing works
How does overeaters anonymous help its members? A qualitative analysis
Russell‐Mayhew, S., von Ranson, K. M., & Masson, P. C. (2009) · European Eating Disorders Review · doi:10.1002/erv.966 · Cited by 89 · see citing works
Who is Providing what Type of Psychotherapy to Eating Disorder Clients? A Survey
von Ranson, K. M., & Robinson, K. E. (2006) · International Journal of Eating Disorders · doi:10.1002/eat.20201 · Cited by 83 · see citing works
Psychotherapies provided for eating disorders by community clinicians: infrequent use of evidence-based treatment
Von Ranson, K. M., Wallace, L. M., & Stevenson, A. (2013) · Psychotherapy Research · doi:10.1080/10503307.2012.735377 · Cited by 83 · see citing works
Clinician adherence to guidelines in the delivery of family-based therapy for eating disorders
Kosmerly, S., Waller, G., & Robinson, A. L. (2015) · International Journal of Eating Disorders · doi:10.1002/eat.22276 · Cited by 83 · see citing works
Bridging the gap between clinical research and clinical practice: Introduction to the special section.
Teachman, B. A., Drabick, D. A. G., Hershenberg, R., Vivian, D., Wolfe, B. E., & Goldfried, M. R. (2012) · Psychotherapy · doi:10.1037/a0027346 · Cited by 81 · see citing works
Five-year prospective study of personality disorders in adults with longstanding eating disorders
Vrabel, K. R., Rø, Ø., Martinsen, E. W., Hoffart, A., & Rosenvinge, J. H. (2010) · International Journal of Eating Disorders · doi:10.1002/eat.20662 · Cited by 73 · see citing works
Interesting practitioners in training in empirically supported treatments: research reviews versus case studies
Stewart, R. E., & Chambless, D. L. (2009) · Journal of Clinical Psychology · doi:10.1002/jclp.20630 · Cited by 66 · see citing works
A Naturalistic Study of Psychotherapy for Bulimia Nervosa, Part 1
Thompson‐Brenner, H., & Westen, D. (2005) · The Journal of Nervous and Mental Disease · doi:10.1097/01.nmd.0000178843.81100.eb · Cited by 62 · see citing works
Co-occurrence of avoidant personality disorder and child sexual abuse predicts poor outcome in long-standing eating disorder.
Vrabel, K. R., Hoffart, A., Rø, Ø., Martinsen, E. W., & Rosenvinge, J. H. (2010) · Journal of Abnormal Psychology · doi:10.1037/a0019857 · Cited by 62 · see citing works
Direct-to-Consumer Marketing of Evidence-Based Psychological Interventions
Santucci, L. C., McHugh, R. K., & Barlow, D. H. (2011) · Behavior Therapy · doi:10.1016/j.beth.2011.07.003 · Cited by 57 · see citing works
Mapping the evidence for the prevention and treatment of eating disorders in young people
Bailey, A. P., Parker, A. G., Colautti, L. A., Hart, L., Liu, P., & Hetrick, S. E. (2014) · Journal of Eating Disorders · doi:10.1186/2050-2974-2-5 · Cited by 59 · see citing works
Factors influencing the utilization of empirically supported treatments for eating disorders
Simmons, A. M., Milnes, S. M., & Anderson, D. A. (2008) · Eating Disorders · doi:10.1080/10640260802116017 · Cited by 54 · see citing works
To deliver or not to deliver cognitive behavioral therapy for eating disorders: Replication and extension of our understanding of why therapists fail to do what they should do
Mulkens, S., de Vos, C., de Graaff, A., & Waller, G. (2018) · Behaviour Research and Therapy · doi:10.1016/j.brat.2018.05.004 · Cited by 45 · see citing works
A Naturalistic Study of Psychotherapy for Bulimia Nervosa, Part 2
Thompson‐Brenner, H., & Westen, D. (2005) · The Journal of Nervous and Mental Disease · doi:10.1097/01.nmd.0000178883.82580.18 · Cited by 44 · see citing works
Perceptions and use of empirically-supported psychotherapies among eating disorder professionals.
Wallace, L. M., & von Ranson, K. V. (2012) · Behaviour Research and Therapy · doi:10.1016/j.brat.2011.12.006 · Cited by 38 · see citing works
The theory-practice gap in cognitive behavioral therapy: reflections and a modest proposal to bridge the gap.
Dobson, K., & Beshai, S. (2013) · The Behavior Therapist · doi:10.1016/j.beth.2013.03.002 · Cited by 37 · see citing works
An integrated review of fear and avoidance learning in anxiety disorders and application to eating disorders
Christian, C., & Levinson, C. A. (2022) · New Ideas in Psychology · doi:10.1016/j.newideapsych.2022.100964 · Cited by 33 · see citing works
Predicting Premature Termination Within a Randomized Controlled Trial for Binge-Eating Patients
Flückiger, C., Meyer, A. H., Wampold, B. E., Gassmann, D., Messerli‐Bürgy, N., & Munsch, S. (2011) · Behavior Therapy · doi:10.1016/j.beth.2011.03.008 · Cited by 25 · see citing works
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Shahar, G., & Davidson, L. (2009) · Psychiatry · doi:10.1521/psyc.2009.72.2.154 · Cited by 25 · see citing works
The course of illness following inpatient treatment of adults with longstanding eating disorders: A 5‐year follow‐up
Vrabel, K. R., Rosenvinge, J. H., Hoffart, A., Martinsen, E. W., & Rø, Ø. (2008) · International Journal of Eating Disorders · doi:10.1002/eat.20485 · Cited by 24 · see citing works
The Impact of Human Intuition in Psychology
Goddard, M. J. (2009) · Review of General Psychology · doi:10.1037/a0015104 · Cited by 20 · see citing works
Medication and psychotherapy in eating disorders: is there a gap between research and practice?
Cooper, M., & Kelland, H. (2015) · Journal of Eating Disorders · doi:10.1186/s40337-015-0080-0 · Cited by 16 · see citing works
Challenging rigidity in Anorexia (treatment, training and supervision): questioning manual adherence in the face of complexity
Robertson, A., & Thornton, C. (2021) · Journal of Eating Disorders · doi:10.1186/s40337-021-00460-2 · Cited by 15 · see citing works
Empirical Support for Psychodynamic Psychotherapy for Eating Disorders
Thompson‐Brenner, H., Weingeroff, J. L., & Westen, D. (2008) · Humana Press eBooks · doi:10.1007/978-1-59745-444-5_4 · Cited by 13 · see citing works
Care provision for patients with eating disorders in Europe: what patients get what treatment where?
Richard, M., & B6, F. C. A. (2005) · European Eating Disorders Review · doi:10.1002/erv.635 · Cited by 13 · see citing works
Empirically-supported and non-empirically supported therapies for bulimia nervosa: retrospective patient ratings
Serpell, L., Stobie, B., Fairburn, C. G., & van Schaick, R. (2013) · Journal of Eating Disorders · doi:10.1186/2050-2974-1-41 · Cited by 11 · see citing works
Tratamiento de la imagen corporal en los trastornos alimentarios y cambio clínicamente significativo.
Marco, J. H., Perpiñá, C., & Botella, C. (2014) · Anales de Psicología · doi:10.6018/analesps.30.2.151291 · Cited by 11 · see citing works
Adolescent eating disorders: treatment and response in a naturalistic study
Thompson‐Brenner, H., Boisseau, C. L., & Satir, D. A. (2009) · Journal of Clinical Psychology · doi:10.1002/jclp.20646 · Cited by 11 · see citing works
Towards collaborative care for severe and enduring Anorexia Nervosa – a mixed-method approach
van den Eijnde-Damen, I. M. C., Maas, J., Burger, P. C., Bodde, N. M. G., & Simeunovic-Ostojic, M. (2024) · Journal of Eating Disorders · doi:10.1186/s40337-024-01091-z · Cited by 9 · see citing works
Outpatient treatment for adults with complex eating disorders and co-morbid conditions: a decision making model and case example
Marino, J. M., Hardin, R., Gasbarro, A., Dansereau, V. A., & Fischer, S. F. (2020) · Eating Disorders · doi:10.1080/10640266.2020.1723372 · Cited by 9 · see citing works
Descriptive Expierence Sampling Of Individuals With Bulimia Nervosa
Jones-Forrester, S. (2020) · Digital Scholarship - UNLV (University of Nevada Reno) · doi:10.34917/2797381 · Cited by 8 · see citing works
Reasons for non-response and recommendations for optimal outpatient treatment of bulimia nervosa: A survey on German expert therapists’ views
Zeeck, A., Jäger, B., & Hartmann, A. (2019) · Zeitschrift für psychosomatische Medizin und Psychotherapie · doi:10.13109/zptm.2019.65.4.384 · Cited by 5 · see citing works
Attitudes Toward Family-Based Treatment Impact Therapists’ Intent to Change Their Therapeutic Practice for Adolescent Anorexia Nervosa
Accurso, E. C., Grange, D. L., & Graham, A. K. (2020) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2020.00305 · Cited by 4 · see citing works
Tratamiento de la imagen corporal en los trastornos alimentarios: diferencias en la respuesta al tratamiento según el diagnóstico
Marco, J. H., Perpiñá, C., & Arbona, C. B. (2013) · Psicología conductual = behavioral psychology: Revista internacional de psicología clínica y de la salud · Cited by 3 · see citing works
Feminist Multicultural Perspectives on Body Image and Eating Disorders in Women
Kashubeck‐West, S., & Tagger, L. (2012) · Oxford University Press eBooks · doi:10.1093/oxfordhb/9780199744220.013.0021 · Cited by 3 · see citing works
Evidence‐Based Psychological Interventions for Eating Disorders
Cândea, D., David, D. O., & Szentágotai‐Tătar, A. (2017) · doi:10.1002/9781119462996.ch8 · Cited by 3 · see citing works
Intervening in Cases with Clinical Complexity
France, K. G., McLay, L., Blampied, N. M., Chow, Y. W. Y., & Pin, N. I. (2022) · Springer eBooks · doi:10.1007/978-3-030-99134-0_3 · Cited by 2 · see citing works
Implementation of an adapted family-based eating disorder protocol enhanced with dietician support in a community private practice: evidence of full remission
Beery, S. H., Davis, E. R., Norton, T. R., & Corliss, K. (2025) · Eating Disorders · doi:10.1080/10640266.2025.2520970 · Cited by 1 · see citing works
Collaborative Treatment of Eating Disorders
Sanzone, M. (2010) · Springer eBooks · doi:10.1007/978-1-4419-7780-9_10
A five-year prospective follow-up of longstanding eating disorders : influence from personality disorders and child sexual abuse
Vrabel, K. R. (2010) · NORA - Norwegian Open Research Archives
Clinicians' understanding and use of their personal recovery in the treatment of eating disorders
Urbano, A. (2011)
Client Perspectives of Psychotherapy for Eating Disorders in Community Practice Settings
Lefebvre, D. B. (2015) · uO Research (University of Ottawa) · doi:10.20381/ruor-6797
Recognition and Use of Empirically-Supported Treatments Among Clinicians Treating Clients with Post-Traumatic Stress Disorder
Heckman, C. (2015) · OhioLink ETD Center (Ohio Library and Information Network)
Examining How the Mental Health Needs of Children Who Have Experienced Maltreatment Are Identified and Addressed In Ontario: A Focus on Childhood Sexual Abuse
Czincz, J. (2011) · uO Research (University of Ottawa) · doi:10.20381/ruor-4618
The Research–Practice Gap
(2010) · Elsevier eBooks · doi:10.1016/b978-0-12-375668-8.10027-0
Skuteczność zapobiegania zaburzeniom psychicznym i ich leczenia: wnioski z badań dla praktyki klinicznej
Rakowska, J. (2021) · Wydawnictwa Uniwersytetu Warszawskiego eBooks · doi:10.31338/uw.9788323547655
Research Practitioner Gap: Treatments for Anorexia Nervosa
Block, M. M. (2013) · Digital Commons - George Fox University (George Fox University)
Eating Disorders
Johnston, C., & Foreyt, J. P. (2013) · CRC Press eBooks · doi:10.1201/b15294-55
Call to Action
(2010) · Elsevier eBooks · doi:10.1016/b978-0-12-375668-8.10028-2
Introduction
(2010) · Elsevier eBooks · doi:10.1016/b978-0-12-375668-8.10033-6
Longitudinal trajectories of eating disorder symptoms in mothers: the predictive role of PTSD and childhood trauma
Helle, S. E., Wangsmo, P. T., Stänicke, L. I., & Vrabel, K. R. (2025) · Frontiers in Psychology · doi:10.3389/fpsyg.2025.1565102

Utilizing clinical practice to inform research on the treatment of eating disorders
Haas, H. L. (2002) · ThinkTech (Texas Tech University)
Self-citation
The Research–Practice Gap
(2010) · Elsevier eBooks · doi:10.1016/b978-0-12-375668-8.10027-0
Eating disorder psychotherapy research – beyond the brand: Introduction to a Special Section
Tasca, G. A., & Machado, P. P. P. (2013) · Psychotherapy Research · doi:10.1080/10503307.2013.796425 · Cited by 3 · see citing works
More on evidence-based practice in psychotherapy research
Dimcovic, N. (1992) · Clinical Psychology Forum · doi:10.53841/bpscpf.1992.1.43.9
Disseminating Evidence-Based Psychological Treatments for Eating Disorders
Cooper, Z., & Bailey-Straebler, S. (2015) · Current Psychiatry Reports · doi:10.1007/s11920-015-0551-7 · Cited by 71 · see citing works

Authors: Haas, H. L., & Clopton, J. R.
Affiliations: Texas Tech University (US)
Corresponding author: Clopton, James R.
Venue: International Journal of Eating Disorders
Publisher: Wiley
Published: 2003-03-20
Volume: 33
Issue: 4
Pages: 412-420
ISSN: 0276-3478 (ISSN-L)
1098-108X
DOI: 10.1002/eat.10156
OpenAlex: W2075870077
Cited by: 59
References: 12
Citations by year: 2025: 2 · 2024: 1 · 2022: 2 · 2021: 2 · 2020: 3 · 2019: 1 · 2018: 1 · 2017: 1 · 2015: 3 · 2014: 3 · 2013: 6 · 2012: 5
FWCI: 2.04
Type: journal article
Language: en
Open access: closed
Licence: onlinelibrary.wiley.com/termsAndConditions#vor (vor)
Locations: International Journal of Eating Disorders (publishedVersion)
PubMed (publishedVersion)
Topics: Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
Keywords: eating disorders, empirically supported treatments, research-practice gap, clinical psychologists, treatment outcome studies, comorbidities, intervention fidelity
MeSH terms: Adolescent, Adult, Feeding and Eating Disorders, Clinical Competence, Data Collection, Depressive Disorder, Education, Continuing, Female, Humans, Male, Periodicals as Topic, Psychology, Clinical, Psychotherapy, Quality Assurance, Health Care, Research, Comorbidity, Treatment Outcome

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Comparing clinical and research treatments for eating disorders

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