Enhanced cognitive behaviour therapy (CBT-E) for severe and extreme anorexia nervosa in an outpatient eating disorder unit at a public hospital: a quality-assessment study

Abstract Background The aim of this quality-assessment study was to determine the outcome of patients with severe and extreme anorexia nervosa (AN) in a real-world outpatient setting. Methods Twenty-one adults with AN and a body mass index (BMI) of < 16 were recruited from consecutive referrals t...

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Autores principales:	Stein Frostad, Simona Calugi, Caroline B. N. Engen, Riccardo Dalle Grave
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Severe and extreme anorexia nervosa Adults Cognitive behaviour therapy Outpatient Psychiatry RC435-571
Acceso en línea:	https://doaj.org/article/c628259863f1414d841cd81285d89c9f
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spelling	oai:doaj.org-article:c628259863f1414d841cd81285d89c9f2021-11-07T12:13:44ZEnhanced cognitive behaviour therapy (CBT-E) for severe and extreme anorexia nervosa in an outpatient eating disorder unit at a public hospital: a quality-assessment study10.1186/s40337-021-00499-12050-2974https://doaj.org/article/c628259863f1414d841cd81285d89c9f2021-11-01T00:00:00Zhttps://doi.org/10.1186/s40337-021-00499-1https://doaj.org/toc/2050-2974Abstract Background The aim of this quality-assessment study was to determine the outcome of patients with severe and extreme anorexia nervosa (AN) in a real-world outpatient setting. Methods Twenty-one adults with AN and a body mass index (BMI) of < 16 were recruited from consecutive referrals to an outpatient clinic at a public hospital in Western Norway. All enrolled patients were provided with enhanced cognitive behaviour therapy (CBT-E) to treat their AN, commencing between January 2013 and December 2016. Their BMI was recorded at baseline, at the end of CBT-E and 1 year after the end of treatment. Results Ten patients completed the CBT-E treatment and achieved a large weight gain with the change remaining stable at follow-up. Eleven patients did not complete the treatment but had a significant increase in BMI at the premature end of treatment. One year after end of therapy 14/21 (66.7%) of the patients had BMI above 18.5 kg/m2. No severe complications were observed during therapy. Conclusions Although 52.4% of the patients did not complete outpatient CBT-E, the findings of this quality-assessment study support previous findings indicating that CBT-E may represent a valid alternative to inpatient treatment in patients with severe and extreme AN.Stein FrostadSimona CalugiCaroline B. N. EngenRiccardo Dalle GraveBMCarticleSevere and extreme anorexia nervosaAdultsCognitive behaviour therapyOutpatientPsychiatryRC435-571ENJournal of Eating Disorders, Vol 9, Iss 1, Pp 1-5 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Severe and extreme anorexia nervosa Adults Cognitive behaviour therapy Outpatient Psychiatry RC435-571
spellingShingle	Severe and extreme anorexia nervosa Adults Cognitive behaviour therapy Outpatient Psychiatry RC435-571 Stein Frostad Simona Calugi Caroline B. N. Engen Riccardo Dalle Grave Enhanced cognitive behaviour therapy (CBT-E) for severe and extreme anorexia nervosa in an outpatient eating disorder unit at a public hospital: a quality-assessment study
description	Abstract Background The aim of this quality-assessment study was to determine the outcome of patients with severe and extreme anorexia nervosa (AN) in a real-world outpatient setting. Methods Twenty-one adults with AN and a body mass index (BMI) of < 16 were recruited from consecutive referrals to an outpatient clinic at a public hospital in Western Norway. All enrolled patients were provided with enhanced cognitive behaviour therapy (CBT-E) to treat their AN, commencing between January 2013 and December 2016. Their BMI was recorded at baseline, at the end of CBT-E and 1 year after the end of treatment. Results Ten patients completed the CBT-E treatment and achieved a large weight gain with the change remaining stable at follow-up. Eleven patients did not complete the treatment but had a significant increase in BMI at the premature end of treatment. One year after end of therapy 14/21 (66.7%) of the patients had BMI above 18.5 kg/m2. No severe complications were observed during therapy. Conclusions Although 52.4% of the patients did not complete outpatient CBT-E, the findings of this quality-assessment study support previous findings indicating that CBT-E may represent a valid alternative to inpatient treatment in patients with severe and extreme AN.
format	article
author	Stein Frostad Simona Calugi Caroline B. N. Engen Riccardo Dalle Grave
author_facet	Stein Frostad Simona Calugi Caroline B. N. Engen Riccardo Dalle Grave
author_sort	Stein Frostad
title	Enhanced cognitive behaviour therapy (CBT-E) for severe and extreme anorexia nervosa in an outpatient eating disorder unit at a public hospital: a quality-assessment study
title_short	Enhanced cognitive behaviour therapy (CBT-E) for severe and extreme anorexia nervosa in an outpatient eating disorder unit at a public hospital: a quality-assessment study
title_full	Enhanced cognitive behaviour therapy (CBT-E) for severe and extreme anorexia nervosa in an outpatient eating disorder unit at a public hospital: a quality-assessment study
title_fullStr	Enhanced cognitive behaviour therapy (CBT-E) for severe and extreme anorexia nervosa in an outpatient eating disorder unit at a public hospital: a quality-assessment study
title_full_unstemmed	Enhanced cognitive behaviour therapy (CBT-E) for severe and extreme anorexia nervosa in an outpatient eating disorder unit at a public hospital: a quality-assessment study
title_sort	enhanced cognitive behaviour therapy (cbt-e) for severe and extreme anorexia nervosa in an outpatient eating disorder unit at a public hospital: a quality-assessment study
publisher	BMC
publishDate	2021
url	https://doaj.org/article/c628259863f1414d841cd81285d89c9f
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Enhanced cognitive behaviour therapy (CBT-E) for severe and extreme anorexia nervosa in an outpatient eating disorder unit at a public hospital: a quality-assessment study

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