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Cited by 203Eating Disorders and BehaviorsNutrition, Health and Food BehaviorAnxiety, Depression, Psychometrics, Treatment, Cognitive Processes

The DOI matches its Crossref record; 48 of the 49 references it cites were found in a registry or an index.

A randomised controlled trial of three psychological treatments for anorexia nervosa

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Byrne, S., Wade, T., Hay, P., Touyz, S., Fairburn, C. G., Treasure, J., Schmidt, U., McIntosh, V., Allen, K., Fursland, A., Crosby, R. D.·2017·Psychological Medicine
DOI 10.1017/s0033291717001349
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Abstract

BACKGROUND: There is a lack of evidence pointing to the efficacy of any specific psychotherapy for adults with anorexia nervosa (AN). The aim of this study was to compare three psychological treatments for AN: Specialist Supportive Clinical Management, Maudsley Model Anorexia Nervosa Treatment for Adults and Enhanced Cognitive Behavioural Therapy. METHOD: A multi-centre randomised controlled trial was conducted with outcomes assessed at pre-, mid- and post-treatment, and 6- and 12-month follow-up by researchers blind to treatment allocation. All analyses were intention-to-treat. One hundred and twenty individuals meeting diagnostic criteria for AN were recruited from outpatient treatment settings in three Australian cities and offered 25-40 sessions over a 10-month period. Primary outcomes were body mass index (BMI) and eating disorder psychopathology. Secondary outcomes included depression, anxiety, stress and psychosocial impairment. RESULTS: Treatment was completed by 60% of participants and 52.5% of the total sample completed 12-month follow-up. Completion rates did not differ between treatments. There were no significant differences between treatments on continuous outcomes; all resulted in clinically significant improvements in BMI, eating disorder psychopathology, general psychopathology and psychosocial impairment that were maintained over follow-up. There were no significant differences between treatments with regard to the achievement of a healthy weight (mean = 50%) or remission (mean = 28.3%) at 12-month follow-up. CONCLUSION: The findings add to the evidence base for these three psychological treatments for adults with AN, but the results underscore the need for continued efforts to improve outpatient treatments for this disorder. Trial Registration Australian New Zealand Clinical Trials Registry (ACTRN 12611000725965) http://www.anzctr.org.au/.

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Research works printed but not linked: 3

  1. 2000, Diagnostic and Statistical Manual of Mental Disorders: DSM-IV-TR®
  2. Lovibond, 1995, Manual for the Depression, Anxiety and Stress Scales
  3. 2004, Eating disorders: Core Interventions in the Treatment and Management of AN, Bulimia Nervosa, and Related Eating Disorders

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Metadata

Authors
Byrne, S., Wade, T., Hay, P., Touyz, S., Fairburn, C. G., Treasure, J., Schmidt, U., McIntosh, V., Allen, K., Fursland, A., & Crosby, R. D.
Affiliations
  • The University of Western Australia (AU)
  • Flinders University (AU)
  • Western Sydney University (AU)
  • The University of Sydney (AU)
  • University of Oxford (GB)
  • King's College London (GB)
  • University of Otago (NZ)
  • Curtin University (AU)
  • University of North Dakota (US)
Corresponding author
Byrne, S.
ORCID
Venue
Psychological Medicine
Publisher
Cambridge University Press (CUP)
Published
2017-05-29
Volume
47
Issue
16
Pages
2823-2833
ISSN
  • 0033-2917 (ISSN-L)
  • 1469-8978
DOI
10.1017/s0033291717001349
OpenAlex
W2619816586
Cited by
203
References
49
Citations by year
2026: 13 · 2025: 15 · 2024: 27 · 2023: 31 · 2022: 27 · 2021: 27 · 2020: 18 · 2019: 22 · 2018: 15 · 2017: 7
FWCI
20.98
Type
journal article
Language
en
Open access
Licence
Locations
  • Psychological Medicine (publishedVersion)
  • PubMed (publishedVersion)
  • UWA Profiles and Research Repository (UWA) (submittedVersion)
  • eSpace (Curtin University) (submittedVersion)
  • Research Portal (King's College London) (submittedVersion, other-oa)
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, psychotherapy, treatment comparison, body mass index, eating disorder psychopathology, depression, anxiety, psychosocial impairment, remission, outpatient care
MeSH terms
Adolescent, Adult, Ambulatory Care, Anorexia Nervosa, Australia, Body Weight, Female, Humans, Male, Psychotherapy, Body Mass Index, Treatment Outcome, Young Adult

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