{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,26]],"date-time":"2026-03-26T14:12:28Z","timestamp":1774534348138,"version":"3.50.1"},"reference-count":17,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2019,3,4]],"date-time":"2019-03-04T00:00:00Z","timestamp":1551657600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Eating Disorders"],"published-print":{"date-parts":[[2019,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>While family\u2010based treatment (FBT) is the leading psychological therapy for adolescents with eating disorders, it is not universally effective or suitable. This study considered the effectiveness of cognitive\u2010behavioral therapy for eating disorders (CBT\u2010ED) in adolescent cases where FBT was not fully effective or where it was not applicable to the individual case.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>A transdiagnostic case series of 54 adolescents with eating disorders (52% with anorexia nervosa; 31% with atypical anorexia nervosa) were offered CBT\u2010ED following previous treatment using FBT or following FBT being judged inappropriate. Pre\u2010post outcomes were assessed using standardized measures of eating attitudes and clinical impairment, and weight change was measured for the patients with anorexia nervosa.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The rate of attrition was similar to that found in other CBT\u2010ED studies (38.9% of patients who started CBT\u2010ED; 59.3% of those offered CBT\u2010ED). The patients showed positive outcomes on all measures, regardless of whether they had previously been treated with FBT. Effect sizes were moderate to large. Severity and duration of the eating disorder were unrelated to outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>CBT\u2010ED merits consideration as a second\u2010line approach for adolescents with eating disorders when FBT has not been effective or could not be applied. There is no evidence that previous failure to benefit from FBT impairs outcome from subsequent CBT\u2010ED, and severity and duration of the eating disorder did not influence outcome. Treatment matching for adolescents with eating disorders might consider the role of previous treatment outcomes and family availability in determining optimum treatment strategies for individuals.<\/jats:p><\/jats:sec>","DOI":"10.1002\/eat.23067","type":"journal-article","created":{"date-parts":[[2019,3,4]],"date-time":"2019-03-04T12:44:16Z","timestamp":1551703456000},"page":"538-542","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":26,"title":["Optimizing treatment outcomes in adolescents with eating disorders: The potential role of cognitive behavioral therapy"],"prefix":"10.1002","volume":"52","author":[{"given":"Mirin","family":"Craig","sequence":"first","affiliation":[{"name":"Connect Eating Disorders Team CAMHS, Specialist Children's Services, NHS Greater Glasgow and Clyde  Glasgow Scotland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joanne","family":"Waine","sequence":"additional","affiliation":[{"name":"Tertiary Eating Disorders Service NHS Lanarkshire  Glasgow Scotland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Scott","family":"Wilson","sequence":"additional","affiliation":[{"name":"Specialist Children's Services NHS Greater Glasgow and Clyde  Glasgow Scotland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7794-9546","authenticated-orcid":false,"given":"Glenn","family":"Waller","sequence":"additional","affiliation":[{"name":"Department of Psychology University of Sheffield  Sheffield United Kingdom"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2019,3,4]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.brat.2011.01.006"},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40337-015-0057-z"},{"key":"e_1_2_5_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.brat.2016.11.006"},{"key":"e_1_2_5_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.brat.2012.09.008"},{"key":"e_1_2_5_6_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyt.2014.00014"},{"key":"e_1_2_5_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.brat.2015.07.014"},{"key":"e_1_2_5_8_1","volume-title":"Cognitive behavior therapy and eating disorders","author":"Fairburn C. 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