From: Third-wave interventions for eating disorders in adolescence – systematic review with meta-analysis
Publication | Sample | Drop Outs | Time points | Intervention | Outcomes | Key findingsa |
---|---|---|---|---|---|---|
Accurso et al. (2018) [44] | • Female only • Age 11–18 years (m = 15.5 ± 1.78 years) • AN (n = 11) | 36.3% | EOT | • Outpatient • FBT plus DBT (ST) • 6 months | EDE subscales and global score, PEDE-Q, DERS, DTS, CSQ-8, HAQ, BMI | Significant reductions for BMI and PEDE-Q (not significant for ED patients), significant changes for DERS, DTS (patient and caregivers) |
Baudinet et al. (2020) [45] | • 94.6% female, 5.4% male • Age 11–18 years (m = 15.02 ± 1.52 years) • AN-R (n = 109), AN-BP (n = 6), AAN (n = 7), EDNOS (n = 8) | 26.7% | EOT | • Day-care/outpatient • Ro-DBT • m = 13.4 weeks | EDI-3, MFQ, SCS-R, ASQ, YSR, FFOCI-SF, SNYP-Y, TEPS, ERQ | Significant reductions in drive for thinness (EDI-3), depressive mood (MFQ), social connectedness (SCS-R), and emotional expressiveness (ERQ) |
Fischer & Peterson (2015) [46] | • Female only • Age 14–17 years (m = 16.2 ± 1.03) • EDNOS (n = 10) | 30% | EOT 6 months | • Outpatient • DBT • 6 months | EDE global score, frequency of NSSI and binge-purge behaviours, BMI, BDI | Significant reduction in EDE scores, NSSI, frequency of binge episodes and purging; at 6-month follow-up, 3 patients in remission |
Johnston et al. (2015) [47] | • Female only • Age 12–17.5 years (m = 14.8 ± 1.5) • AN (n = 17), BN (n = 6), EDNOS (n = 28) | 29% | EOT 3 months 6 months 12 months | • Outpatient • DBT (ST) plus MFT • m = 22.2 days (6 sessions ST á 45 min per week for 8 weeks) | EDE-Q global score, frequency of binge-purge behaviours, weight gain, BMI | Significant reduction in EDE-Q scores; significant increase in BMI, no changes in binge-purge behaviours; at 1-year follow-up full restoration in 64% of completers in menstruation and weight |
Mazzeo et al. (2016) [38] | • Female only • Age 13–17 years (m = 15.4 ± 1.73) • BED/LOC (n = 45) | 35.7% | EOT | • Outpatient • LIBER8 vs.2BFit • 8–12 sessions over 3 months | EDE-Q subscales and global score, EAH-C, EES-C | LIBER8: significant changes in EDE-Q subscales Eating and Shape Concern, Restraint and Global Score and on the EAH Negative Affect Scale. 2Bfit: significant reductions on all EDE-Q subscales and the Global Score and on the AAF and DEP subscales of the EES-C |
Murray et al. (2015) [48] | • Female only • Age 14–17 years • (m = 15.7 ± 1.11 years) • BN (n = 40) | 12.5% | EOT | • Day-care/Outpatient • DBT elements plus FBT • m = 77.2 days | EDE-Q subscales and global score, DERS subscales and global score, frequency of binge-purge behaviours, secretive eating frequency, BMI | Significant reductions in EDE-Q subscales Shape and Weight Concern and Global Score, significant reduction in DERS scale “access to emotion regulation strategies” and in frequency of binge episodes, purging and covert eating |
Peterson et al. (2019) [49] | • Female only • Age 13–18 years • (m = 15.3 ± 1.64 years) • AN-R (n = 11), AN-BP (n = 2), AAN (n = 4), EDNOS (n = 1) | 33.3% | EOT | • Outpatient • DBT (ST) plus FBT • 6 months | EDE-Q subscales and global score, CDI2, DBT-WCCL subscales, EBW, diary card | Significant reductions in EDE-Q subscale Restraint and Global Score, significant increase in adaptive skills and reduction in dysfunctional coping strategies measured with DBT-WCCL, significant reduction in CDI-2 and in OBE, significant increase in EBW |
Salbach et al. (2007) [50] | • Female only • Age years (m = 16.0 ± 1.6 years) • AN-R (n = 17), AN-BP (n = 6), BN n = (8) | 3.2% | EOT | • Inpatient • 12 weeks | EDI-2, SIAB-EX (frequency of binge-purge behaviours), SCL-90-R (depression scale and GSI), BMI | Significant reductions on all EDI-2 subscales except perfectionism, on SIAB domains frequency of binging and purging, avoiding calories, fasting, excessive sports, and use of laxatives; BMI increase in the AN group |
Salbach-Andrae et al. (2008) [51] | • Female only • Age 12–18 years (m = 16.5 ± 1.0) • AN-R (n = 4), AN-BP (n = 2), BN (n = 6) | 7% | EOT | • Outpatient • • 25 weeks | EDI-2, SIAB-EX (frequency of binge-purge behaviours), SCL-90-R (GSI), BMI | AN patients: at EOT 4 restricting type and 1 purging type fully remitted; significant increase BMI BN patients: at EOT 3 patient with BN fully remitted, 2 EDNOS, and 1 dropout Overall: significant reductions in all EDI subscales, food restriction, vomiting and binging, and GSI |
Salbach-Andrae et al. (2009) [52] | • Female only • Age 12–21 years (m = 16.9 ± 1.7) • AN-R (n = 26), AN-BP (n = 11), BN (n = 13) | 10% | EOT | • Outpatient • DBT vs. CBT vs. WCG • 25 weeks for CBT and DBT, 12 weeks for WCG | SIAB-EX (binge-purge behaviours, calorie restriction), EDI-2, GSI (SCL-90-R), BMI | at EOT 42.1% of CBT group, 37.5% of DBT group, and all patients of WCG still fulfilled eating disorder criteria CBT and DBT comparable improvements in calorie avoidance, meal frequency, current psychological distress and BMI |
Schneider, et al. (2010) [50] | • Female only • Age 12.7–18.6 years (m = 16.3 ± 1.3) • AN-R (n = 27), AN-BP (n = 6), BN (n = 8) | 18% | EOT | • Inpatient • DBT • m = 12 weeks | EDI-2, SIAB-EX (frequency of binge-purge behaviours, calorie restriction, irregular eating), GSI (SCL-90-R), BMI | At EOT 21 AN-R patients, 4 AN-BP patients, and 7 BN patients were fully remitted, Significant improvements in EDI-2 scales Drive for Thinness, Bulimia, Maturity Fears, and Interoceptive Awareness; significant improvements on SIAB domains frequency of binging and purging, avoiding calories, fasting, excessive sports; significant BMI increase |
Timko et al. (2015) [53] | • 89% female, 11% male • Age 12–18 years (m = 14.0 ± 1.58) • AN/subthreshold AN (n = 47) | 14.9% | EOT | • Outpatient • ASFT • 20 sessions over 24 weeks | EDE, BMI, remission status DERS (Non-Acceptance subscale), AFQ-Y, ABOS, AAQ, FamQ (Criticism and Emotional Over-involvement scale) | Significant weight increase and significant reduction on all EDE scales, remission full (48%), partial (29.8%) or none (21.3%), significant increase in parental acceptance (AAQ-2) |