CoChat
Sign Up
Cited by 291Eating Disorders and BehaviorsNutrition, Health and Food BehaviorAnxiety, Depression, Psychometrics, Treatment, Cognitive Processes

The DOI matches its Crossref record; 44 of the 44 references it cites were found in a registry or an index.

Treating severe and enduring anorexia nervosa: a randomized controlled trial

Touyz, S., Le Grange, D., Lacey, H., Hay, P., Smith, R., Maguire, S., Bamford, B., Pike, K. M., Crosby, R. D.·2013·Psychological Medicine
DOI 10.1017/s0033291713000949
Open this paper in CoChat — free account

Abstract

Background: There are no evidence-based treatments for severe and enduring anorexia nervosa (SE-AN). This study evaluated the relative efficacy of cognitive behavioral therapy (CBT-AN) and specialist supportive clinical management (SSCM) for adults with SE-AN. Method: Sixty-three participants with a diagnosis of AN, who had at least a 7-year illness history, were treated in a multi-site randomized controlled trial (RCT). During 30 out-patient visits spread over 8 months, they received either CBT-AN or SSCM, both modified for SE-AN. Participants were assessed at baseline, end of treatment (EOT), and at 6- and 12-month post-treatment follow-ups. The main outcome measures were quality of life, mood disorder symptoms and social adjustment. Weight, eating disorder (ED) psychopathology, motivation for change and health-care burden were secondary outcomes. Results: Thirty-one participants were randomized to CBT-AN and 32 to SSCM with a retention rate of 85% achieved at the end of the study. At EOT and follow-up, both groups showed significant improvement. There were no differences between treatment groups at EOT. At the 6-month follow-up, CBT-AN participants had higher scores on the Weissman Social Adjustment Scale (WSAS; p = 0.038) and at 12 months they had lower Eating Disorder Examination (EDE) global scores ( p = 0.004) and higher readiness for recovery ( p = 0.013) compared to SSCM. Conclusions: Patients with SE-AN can make meaningful improvements with both therapies. Both treatments were acceptable and high retention rates at follow-up were achieved. Between-group differences at follow-up were consistent with the nature of the treatments given.

Overview

Integrity signals

Registry

Crossref · 10.1017/s0033291713000949

Cites

44 of 44 references verified0 citation errors · 0 not checkable

Statistics

Recomputing p-values needs the paper’s full text.

Verification

Claims the paper makes

This paper’s full text isn’t openly available, so its claims and self-check weren’t run. The registry and citation checks still apply.

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

Citations

Cites

Research works printed but not linked: 10

  1. Walsh, 2006, Fluoxetine after weight restoration: a randomized controlled trial, Journal of the American Medical Association, 295, 2605
  2. Kaplan AS , Buchanan S (2012). Is there a role for palliative care in the management of treatment resistant chronic anorexia nervosa? The International Conference on Eating Disorders, Austin, TX.
  3. Glasofer, New York, Psychopathology: Bridging the Gap Between Basic Empirical Findings and Clinical Practice
  4. Beck, 1996, Manual for the Beck Depression Inventory-II
  5. 2000, Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision
  6. First, 2002, Structured Clinical Interview for DSM-IV-TR Axis I Disorders, Research Version, Patient Edition (SCID-I/P)
  7. 2004, Eating Disorders: Care Interventions in the Treatment and Management of Anorexia Nervosa, Bulimia Nervosa and Related Disorders
  8. Birmingham, 2010, Medical Management of Anorexia Nervosa
  9. Fairburn, 1993, Binge Eating: Nature, 317
  10. Robinson, 2009, Severe and Enduring Anorexia Nervosa: Management of Complex Presentations of Anorexia Nervosa and Bulimia Nervosa

Cited by

Sorted by citations

See all 291

Related

See all

Metadata

Authors
Touyz, S., Le Grange, D., Lacey, H., Hay, P., Smith, R., Maguire, S., Bamford, B., Pike, K. M., & Crosby, R. D.
Affiliations
  • The University of Sydney (AU)
  • St George's, University of London (GB)
  • Western Sydney University (AU)
  • Columbia University (US)
  • University of North Dakota (US)
Corresponding author
Touyz, S.
ORCID
Venue
Psychological Medicine
Publisher
Cambridge University Press (CUP)
Published
2013-05-03
Volume
43
Issue
12
Pages
2501-2511
ISSN
  • 0033-2917 (ISSN-L)
  • 1469-8978
DOI
10.1017/s0033291713000949
OpenAlex
W2133783100
Cited by
291
References
44
Citations by year
2026: 10 · 2025: 11 · 2024: 31 · 2023: 21 · 2022: 21 · 2021: 21 · 2020: 24 · 2019: 19 · 2018: 21 · 2017: 29 · 2016: 26 · 2015: 24 · 2014: 24 · 2013: 8
FWCI
30.34
Type
journal article
Language
en
Open access
closed
Licence
www.cambridge.org/core/terms (unspecified)
Locations
  • Psychological Medicine (publishedVersion)
  • PubMed (publishedVersion)
  • ResearchOnline - JCU (James Cook University) (submittedVersion)
  • eScholarship (California Digital Library) (submittedVersion)
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
severe and enduring anorexia nervosa, treatment efficacy, social adaptation, eating disorder psychopathology, quality of life, treatment retention, chronic disease
MeSH terms
Adult, Anorexia Nervosa, Depression, Female, Follow-Up Studies, Humans, Middle Aged, Motivation, Quality of Life, Severity of Illness Index, Social Adjustment, Social Support, Cognitive Behavioral Therapy, Treatment Outcome, Cost of Illness, Disease Management, Young Adult

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review