{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T07:46:58Z","timestamp":1791532018352,"version":"4.3.4"},"reference-count":36,"publisher":"Cambridge University Press (CUP)","issue":"2","license":[{"start":{"date-parts":[[2018,8,2]],"date-time":"2018-08-02T00:00:00Z","timestamp":1533168000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Behav. Cogn. Psychother."],"published-print":{"date-parts":[[2019,3]]},"abstract":"<jats:p><jats:bold>Background:<\/jats:bold> Underweight eating disorders (EDs) are notoriously difficult to treat, although a growing evidence base suggests that outpatient cognitive behaviour therapy for EDs (CBT-ED) can be effective for a large proportion of individuals. <jats:bold>Aims:<\/jats:bold> To investigate the effectiveness of CBT-ED for underweight EDs in a \u2018real-world\u2019 settings. <jats:bold>Method:<\/jats:bold> Sixty-three adults with underweight EDs (anorexia nervosa or atypical anorexia nervosa) began outpatient CBT-ED in a National Health Service setting. <jats:bold>Results:<\/jats:bold> Fifty-four per cent completed treatment, for whom significant changes were observed on measures of ED symptoms, psychological distress and psychosocial impairment. There was also a large effect on body weight at end-of-treatment. <jats:bold>Conclusions:<\/jats:bold> The results suggest that good outcomes can be achieved by the majority of those who complete treatment, although treatment non-completion remains a significant barrier to recovery. Future studies should focus on improving treatment retention, as evidence suggests that CBT-ED in \u2018real-world\u2019 settings is effective.<\/jats:p>","DOI":"10.1017\/s1352465818000449","type":"journal-article","created":{"date-parts":[[2018,8,2]],"date-time":"2018-08-02T09:24:20Z","timestamp":1533201860000},"page":"217-229","source":"Crossref","is-referenced-by-count":16,"title":["Outpatient CBT for Underweight Patients with Eating Disorders: Effectiveness Within a National Health Service (NHS) Eating Disorders Service"],"prefix":"10.1017","volume":"47","author":[{"given":"Paul E.","family":"Jenkins","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ceri","family":"Morgan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Catherine","family":"Houlihan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2018,8,2]]},"reference":[{"key":"S1352465818000449_ref033","doi-asserted-by":"publisher","DOI":"10.1016\/j.brat.2011.12.006"},{"key":"S1352465818000449_ref032","doi-asserted-by":"publisher","DOI":"10.1016\/S0272-7358(98)00012-9"},{"key":"S1352465818000449_ref031","doi-asserted-by":"publisher","DOI":"10.1002\/eat.22411"},{"key":"S1352465818000449_ref029","doi-asserted-by":"publisher","DOI":"10.1080\/10640266.2016.1269558"},{"key":"S1352465818000449_ref027","doi-asserted-by":"publisher","DOI":"10.1016\/j.brat.2009.07.003"},{"key":"S1352465818000449_ref023","doi-asserted-by":"publisher","DOI":"10.1002\/eat.20373"},{"key":"S1352465818000449_ref021","doi-asserted-by":"publisher","DOI":"10.1037\/ccp0000245"},{"key":"S1352465818000449_ref014","doi-asserted-by":"publisher","DOI":"10.1146\/annurev.psych.58.110405.085530"},{"key":"S1352465818000449_ref013","first-page":"171","volume-title":"Eating Disorders and Obesity: A Comprehensive Handbook","author":"Fairburn","year":"2002"},{"key":"S1352465818000449_ref011","doi-asserted-by":"publisher","DOI":"10.1016\/j.brat.2012.09.010"},{"key":"S1352465818000449_ref010","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ajp.2008.08040608"},{"key":"S1352465818000449_ref009","first-page":"309","volume-title":"Cognitive Behaviour Therapy and Eating Disorders","author":"Fairburn","year":"2008"},{"key":"S1352465818000449_ref008","volume-title":"Cognitive Behavior Therapy and Eating Disorders","author":"Fairburn","year":"2008"},{"key":"S1352465818000449_ref007","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291717001349"},{"key":"S1352465818000449_ref006","doi-asserted-by":"publisher","DOI":"10.1016\/j.brat.2011.01.006"},{"key":"S1352465818000449_ref015","doi-asserted-by":"publisher","DOI":"10.1001\/archpsyc.62.7.776"},{"key":"S1352465818000449_ref003","doi-asserted-by":"publisher","DOI":"10.1002\/eat.22660"},{"key":"S1352465818000449_ref037","unstructured":"World Health Organization (WHO) (2016). 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