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Cited by 103Eating Disorders and BehaviorsNutrition, Health and Food BehaviorAnxiety, Depression, Psychometrics, Treatment, Cognitive Processes

Intensive enhanced cognitive behavioural therapy for severe and enduring anorexia nervosa: A longitudinal outcome study

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Calugi, Simona, El Ghoch, Marwan, Dalle Grave, Riccardo·2017·Behaviour Research and Therapy
DOI 10.1016/j.brat.2016.11.006
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Abstract

Objective This study aimed to evaluate short- and long-term outcomes in patients with severe and enduring anorexia nervosa (SE-AN), as compared with those with non SE-AN (NSE-AN), both treated via an inpatient programme based on a "recovery model" approach.Methods Sixty-six adult patients with anorexia nervosa (AN) were recruited from among consecutive referrals to a community-based eating disorder clinic offering inpatient enhanced cognitive behavioural therapy for eating disorders (CBT-E). Body mass index (BMI), and Eating Disorder Examination (EDE) and Brief Symptom Inventory (BSI) scores were recorded at admission, at the end of treatment, and at 6- and 12-month follow-ups.Results Thirty-two patients (48.5%) were classified as SE-AN (i.e., duration of illness >7 years), and 34 (51.5%) as NSE-AN. During the treatment, both groups displayed similarly large increases in BMI, as well as improvements in eating-disorder and general psychopathology. After discharge minor deterioration did occur, but both NSE-AN and SE-AN groups showed similar rates of 'good BMI outcome' (BM ≥ 18.5; 44.0% and 40.7%, respectively) and 'full response' (BMI ≥ 18.5 and minimal eating-disorder psychopathology; 32.0% and 33.3%, respectively) at 12-month follow-up.Conclusions These findings suggest that inpatient CBT-E is well accepted by patients with AN, and could also be a viable and promising treatment for those with SE-AN.

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Authors
Calugi, S., El Ghoch, M., & Dalle Grave, R.
Affiliations
Casa di Cura Villa Garda (IT)
Corresponding author
Calugi, Simona
ORCID
Calugi, Simona
Venue
Behaviour Research and Therapy
Publisher
Elsevier BV
Published
2017-02
Volume
89
Pages
41-48
ISSN
0005-7967 (ISSN-L)
DOI
10.1016/j.brat.2016.11.006
OpenAlex
W2556159789
Cited by
103
References
43
Citations by year
2026: 7 · 2025: 10 · 2024: 16 · 2023: 11 · 2022: 15 · 2021: 13 · 2020: 16 · 2019: 6 · 2018: 7 · 2017: 2
FWCI
5.85
Type
journal article
Language
en
Open access
Licence
Locations
  • Behaviour Research and Therapy (publishedVersion)
  • PubMed (publishedVersion)
  • IRIS UNIMORE (University of Modena and Reggio Emilia) (submittedVersion, cc-by)
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
anorexia nervosa, severe and enduring anorexia nervosa, inpatient care, recovery model, long-term outcomes, body mass index, eating disorder psychopathology, treatment response
MeSH terms
Adolescent, Adult, Aged, Anorexia Nervosa, Female, Humans, Inpatients, Longitudinal Studies, Male, Middle Aged, Time Factors, Cognitive Behavioral Therapy, Case-Control Studies, Treatment Outcome, Young Adult

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