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Addressing critical gaps in the treatment of eating disorders
Open accessAbstract
Remarkable progress has been made in developing psychosocial interventions for eating disorders and other mental disorders. Two priorities in providing treatment consist of addressing the research-practice gap and the treatment gap. The research-practice gap pertains to the dissemination of evidence-based treatments from controlled settings to routine clinical care. Closing the gap between what is known about effective treatment and what is actually provided to patients who receive care is crucial in improving mental health care, particularly for conditions such as eating disorders. The treatment gap pertains to extending treatments in ways that will reach the large number of people in need of clinical care who currently receive nothing. Currently, in the United States (and worldwide), the vast majority of individuals in need of mental health services for eating disorders and other mental health problems do not receive treatment. This article discusses the approaches required to better ensure: (1) that more people who are receiving treatment obtain high-quality, evidence-based care, using such strategies as train-the-trainer, web-centered training, best-buy interventions, electronic support tools, higher-level support and policy; and (2) that a higher proportion of those who are currently underserved receive treatment, using such strategies as task shifting and disruptive innovations, including treatment delivery via telemedicine, the Internet, and mobile apps.
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“First, as with all eating disorders, many patients do not receive evidence-based treatment (Cooper and Kelland, 2015; Kazdin et al., 2017).”
From Feasibility of guided internet-based cognitive behavioral therapy for patients with anorexia nervosa (2022) · cites this paper as Kazdin et al., 2017
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“However, shortages of appropriately skilled professionals fuel an unmet demand (11)”
From The acceptability, feasibility, and preliminary efficacy of a supported online self-help treatment program for binge-eating disorder (2023) · cites this paper as [11]
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“Given the aspiration of eTherapies to address issues of accessibility, scalability, and cost (11, 23, 24), this study’s use of other professionals in this role, whilst achieving similar results, supports this utility of BED-targeted eTherapies within a stepped-care model.”
From The acceptability, feasibility, and preliminary efficacy of a supported online self-help treatment program for binge-eating disorder (2023) · cites this paper as [11]
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“Furthermore, psychological treatments for EDs have not been shown to be consistently more effective than treatment as usual, and no specific treatment is consistently more successful than others [15, 19, 20].”
From Paper 1: a systematic synthesis of narrative therapy treatment components for the treatment of eating disorders (2022) · cites this paper as [20]
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Metadata
- Authors
- Kazdin, A. E., Fitzsimmons‐Craft, E. E., & Wilfley, D. E.
- Affiliations
- Yale University (US)
- Washington University in St. Louis (US)
- Corresponding author
- Kazdin, Alan E.
- Venue
- International Journal of Eating Disorders
- Publisher
- Wiley
- Published
- 2017-01-19
- Volume
- 50
- Issue
- 3
- Pages
- 170-189
- ISSN
- 0276-3478 (ISSN-L)
- 1098-108X
- PMC
- PMC6169314
- OpenAlex
- W2571658756
- Cited by
- 389
- References
- 179
- Citations by year
- 2026: 36 · 2025: 58 · 2024: 76 · 2023: 44 · 2022: 57 · 2021: 22 · 2020: 40 · 2019: 26 · 2018: 18 · 2017: 10
- FWCI
- 3.94
- Type
- journal article
- Language
- en
- Open access
- green
- europepmc.org
- Locations
- International Journal of Eating Disorders (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Heart, Lung, and Blood Institute (T32HL007456)
- National Institute of Mental Health (R01MH100455, R01MH095748)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
- Health Sciences › Medicine › Psychiatry and Mental health › Mental Health Treatment and Access
- Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
- Keywords
- eating disorders, treatment gap, research-practice gap, dissemination of evidence-based treatment, underserved populations, trainer training, online training, task shifting, disruptive innovation, telemedicine, mobile application, internet-delivered treatment, access to mental health care
- MeSH terms
- Feeding and Eating Disorders, Delivery of Health Care, Diffusion of Innovation, Humans, Mental Health Services, Psychotherapy, Social Support, United States, Telemedicine, Evidence-Based Medicine, Internet, Mobile Applications
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