Inpatient cognitive behavior therapy for adolescents with anorexia nervosa: immediate and longer-term effects

Riccardo Dalle Grave, Simona Calugi, Marwan El Ghoch, Maddalena Conti, Christopher G Fairburn, Riccardo Dalle Grave, Simona Calugi, Marwan El Ghoch, Maddalena Conti, Christopher G Fairburn

Abstract

Introduction: Inpatient treatment for anorexia nervosa is often successful in restoring body weight, but a high percentage of patients relapse following discharge. The aim of the present study was to establish the immediate and longer-term effects of a novel inpatient program for adolescents that was designed to produce enduring change.

Method: Twenty-seven consecutive patients with severe anorexia nervosa were admitted to a 20-week inpatient treatment program based on the enhanced cognitive behavior therapy (CBT-E). The patients were assessed before and after hospitalization, and 6 and 12 months later.

Results: Twenty-six patients (96%) completed the program. In these patients, there was a substantial improvement in weight, eating disorder features, and general psychopathology that was well maintained at 12-month follow-up.

Conclusion: These findings suggest that inpatient CBT-E is a promising approach to the treatment of adolescents with severe anorexia nervosa.

Keywords: adolescents; anorexia nervosa; cognitive behavior therapy; eating disorders; family therapy; hospitalization; relapse; treatment.

Figures

Figure 1
Figure 1
Mean body mass index (BMI) centile and eating disorder psychopathology (global EDE) over treatment and 12-month of follow-up among those patients who completed inpatient CBT-E (n = 26).

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