CPG for Eating Disorders

Summary of the Evidence(See summary of the evidence for psychological treatment)Recommendations(See recommendations 9.GP.12. to 9.GP.13.)9.7.3. Binge-eating disorder9.7.3.1. What is the efficacy and safety of PDT in patients with BED?There is no evidence that supports or denies the efficacy and safety of PDT in patients withBED.Summary of the Evidence(See summary of the evidence for psychological treatment)Recommendation(See recommendations 9.GP.12. to 9.GP.17.)9.8. Behavioural Therapy (BT)9.8.1. Anorexia nervosa9.8.1.1. What is the efficacy of BT in patients with AN?The answer is based on the NICE CPG 30 , where different outcome variables are described, on thehigh-quality SRSE (1++) elaborated by the AHRQ of the US (2006) 31 and on a more recentlypublished one (Bulik, et al., 2007) 202 . The updated search has not identified any new evidence onBT in AN.Scientific EvidenceAn RCT (Channon, 1989; UK) 215 compared CBT (N=8) to BT (N=8) and to FSP used ascontrol treatment (N=8) in women with AN (mean age for CBT: 21.6 years; BT: 24.1;control: 25.8) that underwent outpatient treatment over 12 months with 6-month followup.At 6 months of treatment, CBT was more effective than BT in improvingpsychosexual functioning; however, BT was more effective than CBT in improving theRCT1+130CLINICAL PRACTICE GUIDELINE FOR EATING DISORDERS