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Evidence-based clinical guidelines for eating disorders: international comparison
Open accessAbstract
PURPOSE OF REVIEW: The current systematic review sought to compare available evidence-based clinical treatment guidelines for all specific eating disorders. RECENT FINDINGS: Nine evidence-based clinical treatment guidelines for eating disorders were located through a systematic search. The international comparison demonstrated notable commonalities and differences among these current clinical guidelines. SUMMARY: Evidence-based clinical guidelines represent an important step toward the dissemination and implementation of evidence-based treatments into clinical practice. Despite advances in clinical research on eating disorders, a growing body of literature demonstrates that individuals with eating disorders often do not receive an evidence-based treatment for their disorder. Regarding the dissemination and implementation of evidence-based treatments, current guidelines do endorse the main empirically validated treatment approaches with considerable agreement, but additional recommendations are largely inconsistent. An increased evidence base is critical in offering clinically useful and reliable guidance for the treatment of eating disorders. Because developing and updating clinical guidelines is time-consuming and complex, an international coordination of guideline development, for example, across the European Union, would be desirable.
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In the 2017 review of 8 existing guidelines for AN, only 3 mentioned psychiatric comorbidities, while 5 of 9 guidelines for BN noted comorbidities, usually as "special issues".
“In the excellent 2017 review of 8 existing guidelines for AN by Hilbert and colleagues, only 3 of these 8 manuscripts mentioned psychiatric comorbidities, while 5 of 9 guidelines for BN noted comorbidities, usually as “special issues” (34).”
From The integrated treatment of eating disorders, posttraumatic stress disorder, and psychiatric comorbidity: a commentary on the evolution of principles and guidelines (2023) · cites this paper as [34]
The Results > Comparison section reports two guidelines with information on treating physical and mental comorbidities in AN, not three. It reports four guidelines with specific information on treating comorbidities in BN, not five. The paper also counts nine AN guidelines and eight BN guidelines—the reverse of the claim’s denominators. Its tables do place comorbidity information under “Special issues.” Page numbers were not available in our copy. (LLM, conf=0.90)
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Experimental — accuracy not yet measuredFor adults with anorexia nervosa who have not responded to outpatient care, inpatient treatment in a behavioral specialty program is recommended.
“For adults who have not responded to outpatient care, inpatient treatment in a behavioral specialty program is recommended [13]”
From Terminal anorexia nervosa is a dangerous term: it cannot, and should not, be defined (2022) · cites this paper as [13]
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“In the excellent 2017 review of 8 existing guidelines for AN by Hilbert and colleagues, only 3 of these 8 manuscripts mentioned psychiatric comorbidities, while 5 of 9 guidelines for BN noted comorbidities, usually as “special issues” (34).”
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Metadata
- Authors
- Hilbert, A., Hoek, H. W., & Schmidt, R.
- Affiliations
- University Medical Center Groningen (NL)
- Leipzig University (DE)
- Corresponding author
- Hilbert, Anja
- Venue
- Current Opinion in Psychiatry
- Published
- 2017-11
- Volume
- 30
- Issue
- 6
- Pages
- 423-437
- ISSN
- 0951-7367 (ISSN-L)
- PMC
- PMC5690314
- OpenAlex
- W2742943332
- Cited by
- 373
- References
- 57
- Citations by year
- 2026: 31 · 2025: 43 · 2024: 68 · 2023: 48 · 2022: 57 · 2021: 47 · 2020: 41 · 2019: 20 · 2018: 14 · 2017: 3
- FWCI
- 3.26
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Current Opinion in Psychiatry (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- University of Groningen research database (University of Groningen / Centre for Information Technology) (publishedVersion, other-oa)
- Qucosa (Saxon State and University Library Dresden) (submittedVersion, other-oa)
- University of Groningen research database (University of Groningen / Centre for Information Technology) (submittedVersion, other-oa)
- Funders
- Bundesministerium für Bildung und Forschung (01EO1501)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Clinical practice guidelines implementation
- Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
- Keywords
- eating disorders, evidence-based treatment, dissemination of evidence-based treatment, guideline comparison, treatment guidelines
- MeSH terms
- Feeding and Eating Disorders, Humans, Practice Guidelines as Topic, Evidence-Based Medicine, Internationality
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