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. 2020 Feb 1;12(2):41–63. doi: 10.14740/jocmr4066

Table 5. Psychological Interventions as an Augmentation Therapy in Eating Disorders.

References Study description Behavioral therapy used Outcomes
Davidson (1975) [60] Case study on avoidance of the stimulus Aversion therapy Reduction in poor eating and drug habits
Fairburn (1995) [58] Randomized controlled study Cognitive behavioral therapy (CBT) Quicker management of eating disorders
Fairburn et al (1993) [48] Randomized controlled study: use of three psychological treatments among 75 referred patients. There were two comparisons on cognitive therapy with interpersonal therapy and CBT Interpersonal psychotherapy; behavioral; CBT Changes in poor personal behaviors
Fairburn et al (2009) [44] Randomized controlled study: comparison of two transdiagnostic CBT treatments among outpatients who were diagnosed with ED; one was focused on the features of the ED and the other was more complex involving interpersonal difficulties, mood intolerance and perfectionism. Total of 154 patients with ED who were slightly underweight were selected; study involved 20 weeks of treatment followed by 60 weeks of follow-up CBT Faster clinical outcomes with the patients
Hay et al (2009) [43] Randomized controlled trial CBT Improved clinical outcomes
Mitchell et al (2007) [46] Case study CBT Improved clinical outcomes
Murphy et al (2010) [45] Randomized controlled trial CBT Improved clinical outcomes
Stiles-Shields et al (2012) [55] Case study Family-based treatment (FBT) Treatment of binge eating in youth. Improved clinical outcomes
Rienecke (2017) [56] Review article FBT Three phases of treatment, key tenets of FBT, and empirical support for FBT
Sysko and Walsh (2008) [57] Case study Self-help Improves clinical outcomes
Wilfley et al (2011) [47] Review article Enhanced CBT and the socio-ecological model Overview of current empirically supported treatments and the considerations for youth with weight control issues. Improved clinical outcomes were proposed
Atkinson and Wade (2015) [52] A school-based cluster randomized controlled trial Mindfulness-based approach Usefulness of mindfulness in the prevention of eating disorders
Kristeller and Jordan (2018) [53] Randomized controlled trial Mindfulness-based eating awareness training program Improvement in compulsive and emotional overeating is largely a function of ongoing behavioral change, suggesting that individuals who experience heightened spiritual well-being, may also be more fully engaging within the intervention. The clear relationship between increases in meaning, peace and faith and decreases in depression, anxiety, and program-targeted symptoms
Lock et al (2010) [54] 121 participants, ages 12 through 18 years with DSM-IV diagnosis of anorexia nervosa except for not requiring ammenorhea. Twenty-four outpatient hours of treatment over 12 months of FBT or AFT. Participants were assessed at baseline, end of treatment (EOT), 6 months and 12 months follow-up post treatment FBT, adolescent focused psychotherapy (AFT) There were no differences in full remission between treatments at EOT. However, at both 6 and 12 months follow-up FBT was significantly superior to AFT on this measure. FBT was significantly superior for partial remission at EOT but not at follow-up. In addition, BMI percentile at EOT was significantly superior for FBT, but this effect was not found at follow-up. Participants in FBT also had greater changes on the eating disorder examination at EOT than those in AFT, but there were no differences at follow-up
Telch et al (2001) [49] Randomized controlled trial Dialectical behavior therapy (DBT) Treated women evidenced significant improvement on measures of binge eating and eating pathology compared with controls, and 89% of the women receiving DBT had stopped binge eating by the end of treatment. Abstinence rates were reduced to 56% at the 6-month follow-up
Linehan and Chen (2005) [50] Review article DBT Conforms overall effectiviness of DBT
Iacovino et al (2012) [41] Review article Different treatment approaches Article reviews research on psychological treatments for BED, including the rationale and empirical support for CBT, interpersonal psychotherapy (IPT), DBT, behavioral weight loss (BWL), and other treatments warranting further study
Barrett and Chang (2016) [42] Review article Behavioral interventions Article identified behavioral interventions targeting chronic pain, depression, and SUD and discussed their limitations