The therapeutic process in psychological treatments for eating disorders: A systematic review

About this resource

ABSTRACT Objective For eating disorders, a vast number of investigations have demonstrated the efficacy of psychological treatments. However, evidence supporting the impact of therapeutic process aspects on outcome (i.e., process-outcome research) has not been disentangled. Method Using the Generic Model of Psychotherapy (GMP) to organize various process aspects, a systematic literature search was conducted on psychological treatment studies for anorexia nervosa, bulimia nervosa, binge-eating disorder, and eating disorders not otherwise specified. Results Improved outcomes resulted for family-based treatment compared to individual treatment, for individual compared to group treatment, booster sessions, and positive patient expectations (GMP contract aspect); for nutritional counseling and exercising but not exposure with response prevention as adjunct interventions (therapeutic operations); for highly motivated patients and, to a lesser extent, for therapeutic alliance (therapeutic bond); as well as for rapid response and longer overall treatment duration (temporal patterns). Regarding other GMP aspects, studies on self-relatedness were completely lacking and in-session impacts were rarely investigated. Discussion As most studies assessed only a limited number of process aspects, the ability to draw conclusions about their overall impact regarding outcome is rather limited. Therefore, future process-outcome research is needed beyond investigations of treatment efficacy for eating disorders. (c) 2014 Wiley Periodicals, Inc. (Int J Eat Disord 2014; 47:565-584) [ABSTRACT FROM AUTHOR]

AuthorBrauhardt, Anne; de Zwaan, Martina & Hilbert, Anja
JournalInternational Journal of Eating Disorders

See also

The mortality rate from anorexia nervosa

OBJECTIVE: We determined the standardized mortality ratio (SMR) in our anorexia nervosa (AN) patient population.

Read more

Insensitivity to Losses: A Core Feature in Patients With Anorexia Nervosa?

BACKGROUND: Patients with anorexia nervosa (AN) demonstrate aberrations in choice behavior, including impairments in laboratory measures of decision making.

Read more

Weight changes during inpatient refeeding of underweight eating disorder patients

AIM: To describe patterns of weight change in patients admitted to a specialised eating disorder program with established protocols for inpatient refeeding.

Read more

Emotion avoidance in patients with anorexia nervosa: Initial test of a functional model

This study aimed to evaluate emotion avoidance in patients with anorexia nervosa (AN) and to examine whether emotion avoidance helps to explain (i.e., mediates) the relation between depressive and anxiety symptoms and eating disorder (ED) psychopathology in this group.

Read more

Help us improve!

Give us feedback!

We will continue throughout 2020 to update and improve the NEDC website and welcome any feedback you may have on the site.

Provide feedback