Treatment protocols for eating disorders: Clinicians’ attitudes, concerns, adherence and difficulties delivering evidence-based psychological interventions
Open accessAbstract
There are several protocols in existence that guide clinicians in the implementation of effective, evidence-based psychological interventions for eating disorders. These have been made accessible in the form of treatment manuals. However, relatively few clinicians use those protocols, preferring to offer more eclectic or integrative approaches. Following a summary of the research that shows that these evidence-based approaches can be used successfully in routine clinical settings, this review considers why there is such poor uptake of these therapies in such settings. This review focuses on the role of service culture and on clinicians' own attitudes, beliefs and emotions. Possible means of enhancing uptake are considered, but these cannot be considered to be ideal solutions at present.
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Few therapists adhere to evidence-based treatment protocols for eating disorders.
“which may be due to few therapists adhering to evidence-based treatment protocols (Kosmerly et al., 2015; von Ranson et al., 2013; Waller, 2016).”
From Feasibility of guided internet-based cognitive behavioral therapy for patients with anorexia nervosa (2022) · cites this paper as Waller, 2016
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- Authors
- Waller, G.
- Affiliations
- University of Sheffield (GB)
- Corresponding author
- Waller, Glenn
- ORCID
- Waller, Glenn
- Venue
- Current Psychiatry Reports
- Published
- 2016-02-18
- Volume
- 18
- Issue
- 4
- Pages
- 36-36
- ISSN
- 1523-3812 (ISSN-L)
- 1535-1645
- PMC
- PMC4759212
- OpenAlex
- W2283316693
- Cited by
- 83
- References
- 88
- Citations by year
- 2026: 4 · 2025: 12 · 2024: 9 · 2023: 7 · 2022: 12 · 2021: 11 · 2020: 8 · 2019: 8 · 2018: 6 · 2017: 6
- FWCI
- 0.99
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Locations
- Current Psychiatry Reports (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- White Rose Research Online (University of Leeds, The University of Sheffield, University of York) (acceptedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
- Keywords
- eating disorders, evidence-based psychological interventions, treatment manual, treatment protocols, clinician attitudes, service culture, medication adherence, routine clinical practice
- MeSH terms
- Feeding and Eating Disorders, Attitude of Health Personnel, Clinical Protocols, Emotions, Humans, Mental Health Services, Organizational Culture, Evidence-Based Medicine
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