A 1-year follow-up of a multi-center treatment trial of adults with anorexia nervosa

Jessica Yu, W. Stewart Agras, K. A. Halmi, S. Crow, J. Mitchell, S. W. Bryson

Research output: Contribution to journalArticle

9 Citations (Scopus)

Abstract

OBJECTIVE: To examine maintenance of recovery following treatment in an adult anorexia nervosa (AN) population. METHOD: One year follow-up of a randomized clinical trial with 122 participants treated with: cognitive behavioral therapy (CBT), drug therapy (fluoxetine), or a combination (CBT+fluoxetine) for 12 months. Participants were assessed at baseline, end of treatment, and follow-up. The primary outcomes were weight and the global scores from the Eating Disorder Examination (EDE) separately and combined. RESULTS: Fifty-two participants completed the follow-up. Mean weight increased from end of treatment to follow-up. Seventy-five percent (75%) of those weight recovered at end of treatment maintained this recovery at follow-up. Recovery of eating disorder psychopathology was stable from end of treatment to follow-up, with 40% of participants with a global EDE score within normal range. Using the most stringent criteria for recovery, only 21% of the completer sample was recovered. DISCUSSION: The findings suggest that while adults with AN improve with treatment and maintain these improvements during follow-up, the majority is not recovered. Additionally, further research is needed to understand barriers to treatment and assessment completion.

Original languageEnglish (US)
JournalEating and Weight Disorders
Volume16
Issue number3
DOIs
StatePublished - Jan 1 2011

Fingerprint

Anorexia Nervosa
Fluoxetine
Cognitive Therapy
Weights and Measures
Therapeutics
Psychopathology
Reference Values
Randomized Controlled Trials
Maintenance
Drug Therapy
Research
Population
Feeding and Eating Disorders

Keywords

  • Adult anorexia
  • Eating disorders examination
  • Follow-up
  • Maintenance
  • Percent ideal body weight
  • Recovery

Cite this

A 1-year follow-up of a multi-center treatment trial of adults with anorexia nervosa. / Yu, Jessica; Stewart Agras, W.; Halmi, K. A.; Crow, S.; Mitchell, J.; Bryson, S. W.

In: Eating and Weight Disorders, Vol. 16, No. 3, 01.01.2011.

Research output: Contribution to journalArticle

Yu, Jessica ; Stewart Agras, W. ; Halmi, K. A. ; Crow, S. ; Mitchell, J. ; Bryson, S. W. / A 1-year follow-up of a multi-center treatment trial of adults with anorexia nervosa. In: Eating and Weight Disorders. 2011 ; Vol. 16, No. 3.
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