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 ) .
The slippery slope: prediction of successful weight maintenance in anorexia nervosa.
BACKGROUND Previous research has found that many patients with anorexia nervosa ( AN ) are unable to maintain normal weight after weight restoration . The objective of this study was to identify variables that predicted successful weight maintenance among weight-restored AN patients . METHOD Ninety-three patients with AN treated at two sites ( Toronto and New York ) through in-patient or partial hospitalization achieved a minimally normal weight and were then r and omly assigned to receive fluoxetine or placebo along with cognitive behavioral therapy ( CBT ) for 1 year . Clinical , demographic and psychometric variables were assessed after weight restoration prior to r and omization and putative predictors of successful weight maintenance at 6 and 12 months were examined . RESULTS The most powerful predictors of weight maintenance at 6 and 12 months following weight restoration were pre-r and omization body mass index ( BMI ) and the rate of weight loss in the first 28 days following r and omization . Higher BMI and lower rate of weight loss were associated with greater likelihood of maintaining a normal BMI at 6 and 12 months . An additional predictor of weight maintenance was site ; patients in Toronto fared better than those in New York . CONCLUSIONS This study found that the best predictors of weight maintenance in weight-restored AN patients over 6 and 12 months were the level of weight restoration at the conclusion of acute treatment and the avoidance of weight loss immediately following intensive treatment . These results suggest that outcome might be improved by achieving a higher BMI during structured treatment programs and on preventing weight loss immediately following discharge from such programs
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 ) .