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 -