CPG for Eating Disorders

There is insufficient evidence to determine if there are significant differences betweenCBT-BN and CBT-ERP in the number of dropouts by the end of treatment (4 RCTs;N=115;Agras, 1989 222 ; Leitenberg, 1988 223 ; Cooper, 1987 75 ;Wilson, 1991 226 ; RR: 1.14;95% CI: 0.48 to 2.68).There is insufficient evidence to determine if there are significant differences betweenCBT-BN and IPT in the number of dropouts by the end of treatment (2 RCTs; N=70;Agras, 1989 222 ; Fairburn, 1991 224 ; RR: 1.24; 95% CI: 0.84 to 1.83).There is insufficient evidence to determine if there are significant differences betweenCBT-BN and PDT in the number of dropouts by the end of treatment (1 RCT; N=50;Garner, 1993 229 ; RR: 1.00; 95% CI: 0.33 to 3.03).There is insufficient evidence to determine if there are significant differences betweenCBT-BN and FSP in the number of dropouts by the end of treatment (4 RCTs: N=155;Agras, 1989 222 ; Fairburn, 1991 224 ; Freeman, 1988 220 ; Kirckley, 1985 244 ; RR: 0.84; 95%CI: 0.49 to 1.45).There is limited evidence to indicate significant differences between CBT-BN and NCin the number of dropouts by the end of treatment (1 RCT; N=31; Sundgot-Borgen,2002 212 ; SMD: -0.95; 95% CI: -1.70 to -0.20).There is insufficient evidence to determine if there are significant differences betweenCBT-BN and GSH in the number of dropouts by the end of treatment (1 RCT; N=81;Bailer, 2004 230 ; RR: 1.46; 95% CI: 0.75 to 2.86).There is insufficient evidence to determine if there are significant differences betweenCBT-BN and SH in the number of dropouts by the end of treatment (1 RCT; N=83;Treasure, 1994 231 ; RR: 0.98; 95% CI: 0.45 to 2.15).There is insufficient evidence to determine if there are significant differences betweengroup CBT and individual CBT in the number of dropouts by the end of treatment (1RCT; N=60; Chen, 2003 232 ; RR: 1.00; 95% CI: 0.43 to 2.31).In an RCT (Agras, 2000) 227 , the number of dropouts in the CBT group was 28% and24% in the IPT group. There was one case of acute panic attack as an adverse effect inthe CBT group.In another RCT (Wilfley, 1993; USA) 235 , where group CBT was compared to groupIPT and wait-list, in adult females with BN (N=56), the number of dropouts in theCBT group was 14%, 11% in the IPT group and there were no dropouts in the controlgroup (wait-list). No adverse effects were reported.In an RCT (Wilson, 2002) 234 , the total dropout rate by the end of treatment was 30%and 41% at follow-up. No adverse effects were reported.RCT1 ++RCT1 ++RCT1 ++RCT1 ++RCT1 ++RCT1 ++RCT1 ++RCT1 ++RCT1 ++RCT1 +RCT1 +106CLINICAL PRACTICE GUIDELINE FOR EATING DISORDERS