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 ) .
Inpatient Cognitive Behaviour Therapy for Anorexia Nervosa: A Randomized Controlled Trial
Background : The aim of this study was to compare the immediate and longer-term effects of two cognitive behaviour therapy programmes for hospitalized patients with anorexia nervosa , one focused exclusively on the patients ' eating disorder features and the other focused also on mood intolerance , clinical perfectionism , core low self-esteem or interpersonal difficulties . Both programmes were derived from enhanced cognitive behaviour therapy ( CBT-E ) for eating disorders . Methods : Eighty consecutive patients with severe anorexia nervosa were r and omized to the two inpatient CBT-E programmes , both of which involved 20 weeks of treatment ( 13 weeks as an inpatient and 7 as a day patient ) . The patients were then followed up over 12 months . The assessment s were made blind to treatment condition . Results : Eighty-one percent of the eligible patients accepted inpatient CBT-E , of whom 90 % completed the 20 weeks of treatment . The patients in both programmes showed significant improvements in weight , eating disorder and general psychopathology . Deterioration after discharge did occur but it was not marked and it was restricted to the first 6 months . There were no statistically significant differences between the effects of the two programmes . Conclusions : These findings suggest that both versions of inpatient CBT-E are well accepted by these severely ill patients and might be a viable and promising treatment for severe anorexia nervosa . There appears to be no benefit from using the more complex form of the treatment
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 ) .