title: Cognitive Behaviour Therapy for Bulimia Nervosa and Eating Disorders Not Otherwise Specified: Translation from Randomized Controlled Trial to a Clinical Setting.
abstract: BACKGROUND
  Enhanced Cognitive Behaviour Therapy (CBT-E) (Fairburn, Cooper and Shafran, 2003) was developed as a treatment approach for eating disorders focusing on both core psychopathology and additional maintenance mechanisms.
  
  
  OBJECTIVE
  To evaluate treatment outcomes associated with CBT-E in a NHS Eating Disorders Service for adults with bulimia and atypical eating disorders and to make comparisons with a previously published randomized controlled trial (Fairburn et al., 2009) and "real world" evaluation (Byrne, Fursland, Allen and Watson, 2011).
  
  
  METHODS
  Participants were referred to the eating disorder service between 2002 and 2011. They were aged between 18-65 years, registered with a General Practitioner within the catchment area, and had experienced symptoms fulfilling criteria for BN or EDNOS for a minimum of 6 months.
  
  
  RESULTS
  CBT-E was commenced by 272 patients, with 135 completing treatment. Overall, treatment was associated with significant improvements in eating disorder and associated psychopathology, for both treatment completers and the intention to treat sample.
  
  
  CONCLUSIONS
  Findings support dissemination of CBT-E in this context, with significant improvements in eating disorder psychopathology. Improvements to global EDE-Q scores were higher for treatment completers and lower for the intention to treat sample, compared to previous studies (Fairburn et al., 2009; Byrne et al., 2011). Level of attrition was found at 40.8% and non-completion of treatment was associated with higher levels of anxiety. Potential explanations for these findings are discussed.
authors.affiliation: Cardiff Metropolitan University,Wales.
authors.forename: Sarah
authors.initials: S
authors.lastname: Knott
authors.affiliation: Whitchurch Hospital,Cardiff and Vale NHS University Health Board,Wales.
authors.forename: Debbie
authors.initials: D
authors.lastname: Woodward
authors.affiliation: Whitchurch Hospital,Cardiff and Vale NHS University Health Board,Wales.
authors.forename: Antonia
authors.initials: A
authors.lastname: Hoefkens
authors.affiliation: Cardiff Metropolitan University,Wales.
authors.forename: Caroline
authors.initials: C
authors.lastname: Limbert
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D052018:Bulimia Nervosa / Q000523:psychology / Q000628:therapy*; D015928:Cognitive Behavioral Therapy / Q000379:methods*; D001068:Feeding and Eating Disorders / Q000523:psychology / Q000628:therapy*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D016032:Randomized Controlled Trials as Topic; D016896:Treatment Outcome; D055815:Young Adult
keywords: Adults; EDNOS; bulimia nervosa; cognitive behaviour therapy; cognitive behavioural intervention; cognitive behavioural therapy; eating disorders