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Severe and Enduring Anorexia Nervosa? Illness Severity and Duration Are Unrelated to Outcomes From Cognitive Behaviour Therapy.

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Title: Severe and Enduring Anorexia Nervosa? Illness Severity and Duration Are Unrelated to Outcomes From Cognitive Behaviour Therapy.
Authors: Raykos, Bronwyn C.1 bronwyn.raykos@health.wa.gov.au, Fursland, Anthea2, Erceg-Hum, David M.3, McEvoy, Peter M.3, Waller, Glenn4
Source: Journal of Consulting & Clinical Psychology. Aug2018, Vol. 86 Issue 8, p702-709. 8p.
Subject Terms: *Cognitive therapy, Anorexia nervosa, Severity of illness index
Abstract: Objective: The present study aimed to examine whether Anorexia Nervosa (AN) illness severity or duration is associated with retention or treatment response in outpatient, enhanced cognitive-behavioral therapy (CBT-E). Method: Patients with a confirmed AN diagnosis (N = 134) completed measures of eating disorder symptoms and quality of life, and had their BMI objectively measured before, during, and after treatment. We evaluated whether illness severity or duration predicted treatment outcomes, using longitudinal regression models. Results: Greater levels of illness severity and duration were not associated with poorer treatment outcomes. Conclusions: Patients with more severe or long-standing AN illness did just as well in CBT-E as any other patient starting treatment. Therefore, classifying individuals as "severe and enduring" appears to lack clinical utility in CBT-E. Clinicians should continue to administer evidence-supported treatments such as CBT-E for patients with AN, regardless of duration or severity of AN illness. [ABSTRACT FROM AUTHOR]
Copyright of Journal of Consulting & Clinical Psychology is the property of American Psychological Association and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Education Research Complete
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  Data: Severe and Enduring Anorexia Nervosa? Illness Severity and Duration Are Unrelated to Outcomes From Cognitive Behaviour Therapy.
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  Data: <searchLink fieldCode="AR" term="%22Raykos%2C+Bronwyn+C%2E%22">Raykos, Bronwyn C.</searchLink><relatesTo>1</relatesTo><i> bronwyn.raykos@health.wa.gov.au</i><br /><searchLink fieldCode="AR" term="%22Fursland%2C+Anthea%22">Fursland, Anthea</searchLink><relatesTo>2</relatesTo><br /><searchLink fieldCode="AR" term="%22Erceg-Hum%2C+David+M%2E%22">Erceg-Hum, David M.</searchLink><relatesTo>3</relatesTo><br /><searchLink fieldCode="AR" term="%22McEvoy%2C+Peter+M%2E%22">McEvoy, Peter M.</searchLink><relatesTo>3</relatesTo><br /><searchLink fieldCode="AR" term="%22Waller%2C+Glenn%22">Waller, Glenn</searchLink><relatesTo>4</relatesTo>
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  Data: <searchLink fieldCode="JN" term="%22Journal+of+Consulting+%26+Clinical+Psychology%22">Journal of Consulting & Clinical Psychology</searchLink>. Aug2018, Vol. 86 Issue 8, p702-709. 8p.
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  Data: *<searchLink fieldCode="DE" term="%22Cognitive+therapy%22">Cognitive therapy</searchLink><br /><searchLink fieldCode="DE" term="%22Anorexia+nervosa%22">Anorexia nervosa</searchLink><br /><searchLink fieldCode="DE" term="%22Severity+of+illness+index%22">Severity of illness index</searchLink>
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  Data: Objective: The present study aimed to examine whether Anorexia Nervosa (AN) illness severity or duration is associated with retention or treatment response in outpatient, enhanced cognitive-behavioral therapy (CBT-E). Method: Patients with a confirmed AN diagnosis (N = 134) completed measures of eating disorder symptoms and quality of life, and had their BMI objectively measured before, during, and after treatment. We evaluated whether illness severity or duration predicted treatment outcomes, using longitudinal regression models. Results: Greater levels of illness severity and duration were not associated with poorer treatment outcomes. Conclusions: Patients with more severe or long-standing AN illness did just as well in CBT-E as any other patient starting treatment. Therefore, classifying individuals as "severe and enduring" appears to lack clinical utility in CBT-E. Clinicians should continue to administer evidence-supported treatments such as CBT-E for patients with AN, regardless of duration or severity of AN illness. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
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  Data: <i>Copyright of Journal of Consulting & Clinical Psychology is the property of American Psychological Association and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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