There was no superiority of a specific approach .
Weight gains were more rapid in adolescents and inpatient treatment .
Background : The aim of the study was a systematic review of studies evaluating psychotherapeutic treatment approaches in anorexia nervosa and to compare their efficacy .
Weight gain was chosen as the primary outcome criterion .
We also aim ed to compare treatment effects according to service level ( inpatient vs. outpatient ) and age group ( adolescents vs. adults ) .
Changes in neuronal correlates of body image processing by means of cognitive-behavioural body image therapy for eating disorders: a randomized controlled fMRI study.
BACKGROUND Previous neuroimaging studies have demonstrated abnormalities in visual body image processing in anorexia and bulimia nervosa , possibly underlying body image disturbance in these disorders . Although cognitive behavioural interventions have been shown to be successful in improving body image disturbance in eating disorders , no r and omized controlled study has yet analysed treatment-induced changes in neuronal correlates of visual body image processing . METHOD Altogether , 32 females with eating disorders were r and omly assigned either to a manualized cognitive behavioural body image therapy consisting of 10 group sessions , or to a waiting list control condition . Using functional magnetic resonance imaging , brain responses to viewing photographs of one 's own and another female 's body taken from 16 st and ardized perspectives while participants were wearing a uniform bikini were acquired before and after the intervention and the waiting time , respectively . RESULTS Data indicate a general blood oxygen level dependent signal enhancement in response to looking at photographs of one 's own body from pre- to post-treatment , whereas exclusively in the control group activation decreases from pre- to post-waiting time were observed . Focused activation increases from pre- to post-treatment were found in the left middle temporal gyrus covering the coordinates of the extrastriate body area and in bilateral frontal structures including the middle frontal gyrus . CONCLUSIONS Results point to a more intense neuronal processing of one 's own body after the cognitive behavioural body image therapy in cortical regions that are responsible for the visual processing of the human body and for self-awareness
There was no superiority of a specific approach .
Weight gains were more rapid in adolescents and inpatient treatment .
Background : The aim of the study was a systematic review of studies evaluating psychotherapeutic treatment approaches in anorexia nervosa and to compare their efficacy .
Weight gain was chosen as the primary outcome criterion .
We also aim ed to compare treatment effects according to service level ( inpatient vs. outpatient ) and age group ( adolescents vs. adults ) .