TY  - JOUR
AB  - 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.
AU  - Dalle Grave, R.
AU  - Calugi, S.
DA  - 20023-03-13
DO  - https://www.doi.org/10.32044/ijedo.2023.03
KW  - Treatment
Mediators
Mechanisms
Cognitive behaviour therapy
Family-based treatment
Anorexia nervosa
Eating disorders
L1  - internal-pdf://3829176416/202302.pdf
LA  - English
M3  - Brief Report
PY  - 2023
SE  - 8
SP  - 4
ST  - Putative mediators of enhanced cognitive behaviour therapy for adolescents with anorexia nervosa
T2  - IJEDO
TI  - Putative mediators of enhanced cognitive behaviour therapy for adolescents with anorexia nervosa
UR  - https://onlineijedo.positivepress.net/articoli/10.32044/ijedo202303/
VL  - 5
ID  - 11
ER  -