title: Comparative study of cognitive-behavioral psychotherapy and nutritional support in patients with different types of eating disorders.
abstract: OBJECTIVE
  There are several psychological approaches to treat ED with efficacy being revealed by empirical research; however none of them are universally accepted. The objective was to compare response to Cognitive Behavioral Therapy in patients with different clinical forms of Eating Disorders.
  
  
  METHODS
  Seventy-four patients diagnosed with eating disorders, 32 with Anorexia nervosa (AN), 19 with Bulimia nervosa (BN) and 23 with Eating disorders not otherwise specified (EDNOS) were included. This is a prospective and comparative study. Patients were treated by psychotherapy, nutritional treatment and pharmacotherapy.
  
  
  RESULTS
  The recovery rates in the groups of patients with AN, BN and EDNOS were 14 (43.7%), 8 (42.1%), 10 (43.4%), respectively, p>0.05. The rates of improvement were 14 (43.7%), 10 (52.6%), 12 (52.1%) for AN, BN and EDNOS, respectively, p>0.05. Finally, the rate of patients who had poor outcome were 3 (9.3%), 1 (5.2%), and 1 (4.3%), p>0.05, for AN, BN, and EDNOS, respectively. Cox regression analysis showed that the age of disease onset and no use of psychotropic drugs predicted a good response in patients with ED.
  
  
  CONCLUSIONS
  The treatment response to Cognitive Behavioral Therapy, nutritional support and psychotropic drugs in the majority of patients was favorable and similar in most patients with different types of Eating Disorders. Furthermore, a young age and no use of psychotropic drugs predict a favorable outcome in patients with ED.
authors.affiliation: Eating Disorders Unit, University Hospital of Vigo, Vigo, Spain.
authors.forename: Alejandra
authors.initials: A
authors.lastname: Larrañaga
authors.affiliation: Eating Disorders Unit, University Hospital of Vigo, Vigo, Spain.
authors.forename: Enrique
authors.initials: E
authors.lastname: Fluiters
authors.affiliation: Nutrition Section, University Hospital of Vigo, Vigo, Spain.
authors.forename: María F
authors.initials: MF
authors.lastname: Docet
authors.affiliation: Psychiatry Department, University Hospital of Vigo, Vigo, Spain.
authors.forename: José Luis
authors.initials: JL
authors.lastname: Fernández Sastre
authors.affiliation: Endocrinology and Nutrition Department, University Hospital of Vigo, Vigo, Spain. Electronic address: rvgarciamayor@gmail.com.
authors.forename: Ricardo V
authors.initials: RV
authors.lastname: García-Mayor
mesh_terms: D000293:Adolescent; D000328:Adult; D000856:Anorexia Nervosa / Q000628:therapy; D052018:Bulimia Nervosa / Q000628:therapy; D015928:Cognitive Behavioral Therapy; D003131:Combined Modality Therapy; D001068:Feeding and Eating Disorders / Q000628:therapy*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D018529:Nutritional Support; D011446:Prospective Studies; D016896:Treatment Outcome; D055815:Young Adult
keywords: Cognitive-behavior therapy; Eating disorders; Estudios de resultado; Farmacoterapia; Nutrition therapy; Outcome studies; Pharmacotherapy; Psicoterapia cognitivo-conductual; Terapia nutricional; Trastornos de la conducta alimentaria