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Therapist adherence to family-based treatment for adolescents with anorexia nervosa: A multi-site exploratory study.

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Related Experiment Video

Updated: Jan 25, 2026

Control of Eating Behavior Using a Novel Feedback System
04:48

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Published on: May 8, 2018

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Cognitive Behavior Therapy for the Eating Disorders.

William Stewart Agras1

  • 1Department of Psychiatry and Behavioral Sciences, Stanford University, 401 Quarry Road, #1322, Stanford, CA 94305, USA.

The Psychiatric Clinics of North America
|May 4, 2019
PubMed
Summary
This summary is machine-generated.

Cognitive behavioral therapy (CBT) is a first-line treatment for bulimia nervosa and binge-eating disorder. Enhanced CBT (CBT-E) shows promise for adolescent anorexia nervosa but is not more effective than specialist care for adult anorexia nervosa.

Keywords:
Anorexia nervosaBinge eating disorderBulimia nervosaCBTCBT-ECognitive behavioral therapy

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Area of Science:

  • Psychiatry
  • Clinical Psychology
  • Eating Disorder Treatment

Background:

  • Cognitive behavioral therapy (CBT) is an established treatment for bulimia nervosa and binge-eating disorder.
  • Enhanced CBT (CBT-E) may offer benefits for patients with severe comorbidities.
  • Evidence for CBT's efficacy in treating anorexia nervosa is less robust.

Purpose of the Study:

  • To evaluate the effectiveness of CBT and CBT-E in treating different forms of eating disorders.
  • To compare CBT-E with specialist care for adult and adolescent anorexia nervosa.

Main Methods:

  • Review of existing evidence on CBT and CBT-E for eating disorders.
  • Analysis of treatment outcomes in patients with bulimia nervosa, binge-eating disorder, and anorexia nervosa.
  • Comparison of CBT-E efficacy against specialist care in persistent adult and adolescent anorexia nervosa.

Main Results:

  • CBT is a first-line treatment for bulimia nervosa and binge-eating disorder.
  • CBT-E demonstrates potential in treating severe comorbidities.
  • CBT-E shows no superior efficacy compared to specialist care for adult anorexia nervosa.
  • Preliminary findings suggest CBT-E may benefit adolescent anorexia nervosa.

Conclusions:

  • CBT remains a primary intervention for bulimia nervosa and binge-eating disorder.
  • CBT-E shows promise for specific patient groups, including adolescents with anorexia nervosa.
  • Further research is needed to fully elucidate the role of CBT-E in anorexia nervosa treatment.