What Works for Treating Eating Disorders? Conclusions of 28 Outcome Reviews

Cognitive‐behavioral therapy for bulimia nervosa: An empirical analysis of clinical significance

“…Differences may also be due to inaccuracies in self-report eating behaviors compared with purging behaviors (Ortega, Waranch, Maldonado, & Hubbard, 1987). These results are in contrast to the review published by Richards et al (2000), which found equivalent ranges in the average reduction of binge and purge episodes across CBT review studies. However, they reported a range of average percent reductions in symptomatology across review studies, not actual statistical analyses of symptom reduction.…”

“…Richards et al (2000) examined 19 CBT outcome reviews and found that the mean posttreatment binge abstinence rate ranged from 50% to 70% and the mean posttreatment purge abstinence rate ranged from 35% to 55%. Across the 19 studies, the average reduction in binge episodes ranged from 70% to 94% and the average purge reduction ranged from 75% to 94%.…”

“…Numerous review studies and meta-analyses have examined the efficacy of CBT for BN (Anderson & Maloney, 2001;Hartman, Herzog, & Drinkmann, 1992;Johnson, Tsoh, & Varnado, 1996;Keel & Mitchell, 1997;Lewandowski, Gebing, Anthony, & O'Brien, 1997;Richards, Baldwin, Frost, Clark-Sly, Berrett, & Hardman, 2000;Whittall, Agras, & Gould, 1999) and it has been suggested that CBT is the treatment of choice for this disorder (Vitousek, 1996;Whittall et al, 1999;Wilson, 1999).…”

Un/imaginable future selves: A discourse analysis of in‐patients' talk about recovery from an ‘eating disorder’

“…'Anorexia' continues to have a mortality rate of approximately 5% (Clinical Knowledge Summaries;Eating Disorders Statistics, 2008;Crisp, Callender, Halek, & Hsu, 1992;Sullivan, 1995) and in the UK, for example, it is estimated that 30% of those diagnosed as 'anorexic' (Royal College of Psychiatrists; Eating Disorders Statistics, 2008) and 20% of those diagnosed as 'bulimic' (NHS Library for Health; Eating Disorders Statistics, 2008) may never recover (see also Richards, Baldwin, Frost, Clark-Sly, Berrett, & Hardman, 2000; see also Bergh et al, 2002;Kaplan & Garfinkel, 1999;Smith, Feldman, Nasserbakht, & Steiner, 1993). In addition, there are also considerable problems of chronic relapse (Deter & Herzog, 1994), of 'recovered anorexics' maintaining an acceptable weight but developing 'bulimic' symptomatology (Eckert et al, 1995) and of weight-restored 'anorexics' continuing to experience psycho-social problems (Nilsson et al, 1999).…”

Discursive constructions of ‘eating disorders nursing’: an analysis of nurses' accounts of nursing eating disorder patients

“…A considerable body of research has been concerned with evaluating treatment efficacy (Richards et al, 2000); with comparing different approaches (e.g. Dare et al, 2001;Peterson & Mitchell, 1999), different treatment contexts such as in-patient and out-patient care (e.g.…”