The Meta-Analytic Evidence Is In-Time to Get on and Improve Our Treatments.
Saved in:
| Title: | The Meta-Analytic Evidence Is In-Time to Get on and Improve Our Treatments. |
|---|---|
| Authors: | Wade TD; Flinders Institute for Mental Health and Wellbeing, Blackbird Initiative, Flinders University, Adelaide, Australia. |
| Source: | The International journal of eating disorders [Int J Eat Disord] 2025 Nov; Vol. 58 (11), pp. 2058-2061. Date of Electronic Publication: 2025 Aug 08. |
| Publication Type: | Journal Article |
| Language: | English |
| Journal Info: | Publisher: Wiley Country of Publication: United States NLM ID: 8111226 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1098-108X (Electronic) Linking ISSN: 02763478 NLM ISO Abbreviation: Int J Eat Disord Subsets: MEDLINE |
| Imprint Name(s): | Publication: <2005-> : Hoboken, NJ : Wiley Original Publication: [New York, N.Y. : Van Nostrand Reinhold Co., c1981- |
| MeSH Terms: | Cognitive Behavioral Therapy*/methods , Feeding and Eating Disorders*/therapy , Meta-Analysis as Topic*, Humans ; Randomized Controlled Trials as Topic |
| Abstract: | The good news is that Bruns and colleagues' robust meta-analysis of randomized controlled trials (RCTs) of individual Cognitive-Behavioral Therapy (CBT) for eating disorders has provided us with evidence congruent with other recent meta-analyses in this area. The emerging message, however, holds up an unflattering mirror reflecting the following regarding the use of CBT with eating disorders; we do not know whether to use CBT with adults who have anorexia nervosa; CBT is better than doing nothing with the other eating disorder diagnostic groups; any form of therapist input will suffice as the length and intensity of the CBT make no difference to outcomes; all evidence-based therapeutic approaches seem to perform just as well as CBT. The field needs to rise to the challenge to offer something more informative for clinicians and consumers alike, and three research strategies to achieve this are described. Evidence-based approaches to improving overall outcomes of all our therapies for eating disorders are also described. The use of these approaches in our existing therapies can be evaluated to examine whether these achieve improved remission rates. The challenge for our research community is not in producing further meta-analyses but in improving CBT for people with eating disorders. (© 2025 The Author(s). International Journal of Eating Disorders published by Wiley Periodicals LLC.) |
| References: | Behav Res Ther. 2021 Nov;146:103962. (PMID: 34534858) Int J Eat Disord. 2025 Nov;58(11):2029-2057. (PMID: 40810212) Cogn Behav Ther. 2025 Apr 29;:1-13. (PMID: 40298188) Int J Eat Disord. 2025 Nov;58(11):2058-2061. (PMID: 40776900) BMJ Ment Health. 2025 Jul 20;28(1):. (PMID: 40685229) Behav Res Ther. 2025 Jul;190:104754. (PMID: 40279886) Early Interv Psychiatry. 2021 Aug;15(4):882-888. (PMID: 32881352) Eur Eat Disord Rev. 2023 Jul;31(4):489-504. (PMID: 36952308) Int J Eat Disord. 2025 Jan;58(1):3-36. (PMID: 39041682) Int J Eat Disord. 2024 Jun;57(6):1337-1349. (PMID: 38469971) Behav Res Ther. 2025 Oct;193:104826. (PMID: 40749419) Int J Eat Disord. 2024 Feb;57(2):249-264. (PMID: 38098336) Eat Disord. 2025 Nov-Dec;33(6):783-804. (PMID: 39514189) Lancet Psychiatry. 2023 Dec;10(12):966-973. (PMID: 37769672) |
| Grant Information: | 2025665 Investigator Grant from the Australian National Health and Medical Research Council |
| Contributed Indexing: | Keywords: active comparators; adaptive trials; cognitive behavior therapy; meta‐analysis |
| Entry Date(s): | Date Created: 20250808 Date Completed: 20251113 Latest Revision: 20251205 |
| Update Code: | 20251206 |
| PubMed Central ID: | PMC12605743 |
| DOI: | 10.1002/eat.24520 |
| PMID: | 40776900 |
| Database: | MEDLINE |
Full Text Finder 
Nájsť tento článok vo Web of Science | Abstract: | The good news is that Bruns and colleagues' robust meta-analysis of randomized controlled trials (RCTs) of individual Cognitive-Behavioral Therapy (CBT) for eating disorders has provided us with evidence congruent with other recent meta-analyses in this area. The emerging message, however, holds up an unflattering mirror reflecting the following regarding the use of CBT with eating disorders; we do not know whether to use CBT with adults who have anorexia nervosa; CBT is better than doing nothing with the other eating disorder diagnostic groups; any form of therapist input will suffice as the length and intensity of the CBT make no difference to outcomes; all evidence-based therapeutic approaches seem to perform just as well as CBT. The field needs to rise to the challenge to offer something more informative for clinicians and consumers alike, and three research strategies to achieve this are described. Evidence-based approaches to improving overall outcomes of all our therapies for eating disorders are also described. The use of these approaches in our existing therapies can be evaluated to examine whether these achieve improved remission rates. The challenge for our research community is not in producing further meta-analyses but in improving CBT for people with eating disorders.<br /> (© 2025 The Author(s). International Journal of Eating Disorders published by Wiley Periodicals LLC.) |
|---|---|
| ISSN: | 1098-108X |
| DOI: | 10.1002/eat.24520 |