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Published on: May 8, 2018
Maintenance treatment for anorexia nervosa: a comparison of cognitive behavior therapy and treatment as usual
Jacqueline C Carter1, Traci L McFarlane, Carmen Bewell
1Department of Psychiatry, Toronto General Hospital, University Health Network, Toronto, Canada. jacqueline.carter@uhn.on.ca
Objective:
The aim of this study was to compare two maintenance treatment conditions for weight-restored anorexia nervosa (AN): individual cognitive behavior therapy (CBT) and maintenance treatment as usual (MTAU).
Method:
This study was a nonrandomized clinical trial. The participants were 88 patients with AN who had achieved a minimum body mass index (BMI) of 19.5 and control of binge eating and purging symptoms after completing a specialized hospital-based program. Forty-six patients received 1 year of manualized individual CBT and 42 were in an assessment-only control condition (i.e., MTAU) for 1 year. This condition was intended to mirror follow-up care as usual. Participants in both the conditions were assessed at 3-month intervals during the 1-year study. The main outcome variable was time to relapse.
Results:
When relapse was defined as a BMI
Discussion:
The current findings provide preliminary evidence that CBT may be helpful in improving outcome and preventing relapse in weight-restored AN.
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