CPG for Eating Disorders

SUMMARY OF THE EVIDENCE FORPSYCHOLOGICAL THERAPY(QUESTIONS 9.3. to 9.8.)Anorexia nervosaCPG 30CPG 30CPG 30CPG 30CPG 30SRSE 311++There is insufficient evidence to determine that a certain psychologicaltreatment (including CBT, IPT, SFT and BT) is more effective than anotherpsychological treatment for adults with AN by the end of treatment and at posttreatmentfollow-up. (6 RCTs; N=297; Bachar, 1999 276 ; Channon, 1989 215 ;Crisp, 1991 263 ; Dare, 2001 264 ; McIntosh, 2005 216 ; Treasure, 1995 277 ).There is limited evidence to determine that the outcomes of a certainpsychological treatment (including CBT, IPT, SFT, PDT and BT) are moreeffective at increasing body weight and that patients with AN should bereferred to reference centres (tertiary) by the end of treatment and at posttreatmentfollow-up (more than 5 years) (5 RCTs; N=258; Channon, 1989 215 ;Crisp, 1991 263 ; Dare, 2001 264 ; Hall, 1987 278 ; Treasure, 1995 277 ).There is insufficient evidence to determine that psychological treatment(including CBT, IPT, SFT, PDT and BT) has more or less acceptability forpatients with AN when compared to standard treatments (3 RCTs; N=198;Channon, 1989 215 ; Crisp, 1991 263 ; Dare, 2001 264 ).There is insufficient evidence to determine that psychological treatment(including CBT, IPT, SFT, PDT and BT) has more or less acceptability inadults with AN (6 RCTs; N=297; Bachar, 1999 276 ; Channon, 1989 215 ; Crisp,1991 263 ; Dare, 2001 264 ; McIntosh, 2005 216 ; Treasure, 1995 277 ).There is insufficient evidence to determine that psychological treatments (CBT,SFT and PDT) on an outpatient basis for patients with AN have more or lessacceptability in comparison with standard treatments (3 RCTs; N=198;Channon, 1989 215 ; Crisp, 1991 263 ; Dare, 2001 264 ).Current evidence on the efficacy of psychological treatment for AN is weak,with the exception of evidence relating to psychological treatment foradolescents with AN, which is moderate.Bulimia nervosaSRSE 311++In BN, evidence is strong for behavioural interventions and poor for SH (guidedor not).134CLINICAL PRACTICE GUIDELINE FOR EATING DISORDERS