Putative mediators of enhanced cognitive behaviour therapy for adolescents with anorexia nervosa

The effectiveness of enhanced cognitive behaviour therapy (CBT-E) for adolescents with anorexia has been supported by several cohort studies and a non-randomized effectiveness trial comparing this treatment with family-based treatment (FBT). However, although many patients achieve a good outcome, a significant proportion still has residual psychopathology at the end of the CBT-E. These indicate the need to further work on making CBT-E for adolescents more potent. Identifying treatment mediators of CBT-E (i.e., the mechanisms through which the treatment achieves its effect) is a potential strategy that might help improve its effectiveness. Some mediators of change hypothesized for the adult version of CBT-E (i.e., the regular eating procedure and reducing body checking) should also operate in the adolescent version of the treatment. However, there are at least three additional specific procedures used in CBT-E for adolescents that might be key treatment mediators in this population: (1) the procedure of engaging the patient in the treatment and the decision to change; (2) the procedure of weight regain; and (3) the procedure of involving parents as “helpers” (not “controllers”). An opportunity, which might help to identify these potential treatment mediators, is to compare FBT and CBT-E in a randomized controlled trial. Indeed, comparing these two treatments, which seem equally effective but operate via different mechanisms, may be used to ensure that change in the putative mediator is not a consequence of the change in the outcome variable.

• Publication year

  2023

• Venue

  IJEDO

• Publication date

  2023-03-13

• Fields of study

  Not labeled

• Identifiers
  DOI 10.32044/ijedo.2023.03
• External record

  Open on Semantic Scholar

• Source metadata

  Semantic Scholar

• No claims are published for this paper.

• No concepts are published for this paper.

• Cognitive Behavior Therapy for Adolescents With Eating Disorders

  2021cited by this paper
• Enhanced cognitive-behavior therapy and family-based treatment for adolescents with an eating disorder: a non-randomized effectiveness trial

  2020cited by this paper
• Mediators of change in cognitive behavior therapy and interpersonal psychotherapy for eating disorders: A secondary analysis of a transdiagnostic randomized controlled trial

  2020cited by this paper
• A conceptual comparison of family-based treatment and enhanced cognitive behavior therapy in the treatment of adolescents with eating disorders

  2019cited by this paper
• Body image concern and treatment outcomes in adolescents with anorexia nervosa.

  2019cited by this paper
• Enhanced cognitive behavioral therapy for adolescents with anorexia nervosa: Outcomes and predictors of change in a real-world setting.

  2019cited by this paper
• Body checking behaviors in anorexia nervosa

  2017cited by this paper
• Transdiagnostic cognitive behaviour therapy for adolescents with an eating disorder who are not underweight

  2015cited by this paper
• Enhanced cognitive behaviour therapy for adolescents with anorexia nervosa: An alternative to family therapy?

  2013cited by this paper
• How do psychological treatments work? Investigating mediators of change

  2009cited by this paper
• Treatment Manual For Anorexia Nervosa - A Family- Based Approach.

  2003cited by this paper
• Treatment Manual for Anorexia Nervosa: A Family-Based Approach

  2002cited by this paper
• Mediators and moderators of treatment effects in randomized clinical trials.

  2002cited by this paper

• No citing papers are available for this paper.