Integrated enhanced cognitive behavioural (I-CBTE) therapy significantly improves effectiveness of inpatient treatment of anorexia nervosa in real life settings
Plain English summary Outcomes for adults requiring inpatient treatment for anorexia nervosa are poor. The aim of this work was to evaluate a recently introduced Integrated Cognitive Behavioural Therapy (I-CBTE) in Oxford, adapted from a model first developed for inpatients in Italy, compared with a...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
BMC
2022-07-01
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| Series: | Journal of Eating Disorders |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s40337-022-00620-y |
| _version_ | 1797935655847723008 |
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| author | Ali Ibrahim Sharon Ryan David Viljoen Ellen Tutisani Lucy Gardner Lorna Collins Agnes Ayton |
| author_facet | Ali Ibrahim Sharon Ryan David Viljoen Ellen Tutisani Lucy Gardner Lorna Collins Agnes Ayton |
| author_sort | Ali Ibrahim |
| collection | DOAJ |
| description | Plain English summary Outcomes for adults requiring inpatient treatment for anorexia nervosa are poor. The aim of this work was to evaluate a recently introduced Integrated Cognitive Behavioural Therapy (I-CBTE) in Oxford, adapted from a model first developed for inpatients in Italy, compared with alternative inpatient treatment programmes in the UK. I-CBTE is an innovative approach which combines a time limited, planned admission of 13-weeks with the goal of full weight restoration, 7-weeks day treatment and ongoing outpatient CBTE. Treatment as usual includes an eclectic multidisciplinary approach, which is often unplanned and poorly coordinated across the care pathway in routine practice. Between 2017 and 2020, we systematically analysed routinely collected data for patients admitted to 15 specialist units from a population of 3.5million in England. We looked at outcomes between admission and discharge, and at one year follow up. 70% of patients receiving I-CBTE, maintained healthy weight at one year after discharge from hospital (without binging or purging), in contrast with less than 5% of those in alternative programmes that result in partial weight restoration. Readmission rates were 14.3% and ~ 50% respectively. Partial weight restoration resulted in high readmission rates and therefore should be discouraged. Our findings show that continuity and consistency of the I-CBTE approach are fundamental for maintaining good outcomes. |
| first_indexed | 2024-04-10T18:17:31Z |
| format | Article |
| id | doaj.art-face7464022f4b17be641db57208cca4 |
| institution | Directory Open Access Journal |
| issn | 2050-2974 |
| language | English |
| last_indexed | 2024-04-10T18:17:31Z |
| publishDate | 2022-07-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Eating Disorders |
| spelling | doaj.art-face7464022f4b17be641db57208cca42023-02-02T08:18:27ZengBMCJournal of Eating Disorders2050-29742022-07-0110111310.1186/s40337-022-00620-yIntegrated enhanced cognitive behavioural (I-CBTE) therapy significantly improves effectiveness of inpatient treatment of anorexia nervosa in real life settingsAli Ibrahim0Sharon Ryan1David Viljoen2Ellen Tutisani3Lucy Gardner4Lorna Collins5Agnes Ayton6Oxford Health NHS Foundation TrustOxford Health NHS Foundation TrustOxford Health NHS Foundation TrustOxford Health NHS Foundation TrustOxford Health NHS Foundation TrustOxford Health NHS Foundation TrustOxford Health NHS Foundation TrustPlain English summary Outcomes for adults requiring inpatient treatment for anorexia nervosa are poor. The aim of this work was to evaluate a recently introduced Integrated Cognitive Behavioural Therapy (I-CBTE) in Oxford, adapted from a model first developed for inpatients in Italy, compared with alternative inpatient treatment programmes in the UK. I-CBTE is an innovative approach which combines a time limited, planned admission of 13-weeks with the goal of full weight restoration, 7-weeks day treatment and ongoing outpatient CBTE. Treatment as usual includes an eclectic multidisciplinary approach, which is often unplanned and poorly coordinated across the care pathway in routine practice. Between 2017 and 2020, we systematically analysed routinely collected data for patients admitted to 15 specialist units from a population of 3.5million in England. We looked at outcomes between admission and discharge, and at one year follow up. 70% of patients receiving I-CBTE, maintained healthy weight at one year after discharge from hospital (without binging or purging), in contrast with less than 5% of those in alternative programmes that result in partial weight restoration. Readmission rates were 14.3% and ~ 50% respectively. Partial weight restoration resulted in high readmission rates and therefore should be discouraged. Our findings show that continuity and consistency of the I-CBTE approach are fundamental for maintaining good outcomes.https://doi.org/10.1186/s40337-022-00620-yAnorexia nervosaInpatientTreatmentCognitive behavioural therapyLongitudinal cohort study |
| spellingShingle | Ali Ibrahim Sharon Ryan David Viljoen Ellen Tutisani Lucy Gardner Lorna Collins Agnes Ayton Integrated enhanced cognitive behavioural (I-CBTE) therapy significantly improves effectiveness of inpatient treatment of anorexia nervosa in real life settings Journal of Eating Disorders Anorexia nervosa Inpatient Treatment Cognitive behavioural therapy Longitudinal cohort study |
| title | Integrated enhanced cognitive behavioural (I-CBTE) therapy significantly improves effectiveness of inpatient treatment of anorexia nervosa in real life settings |
| title_full | Integrated enhanced cognitive behavioural (I-CBTE) therapy significantly improves effectiveness of inpatient treatment of anorexia nervosa in real life settings |
| title_fullStr | Integrated enhanced cognitive behavioural (I-CBTE) therapy significantly improves effectiveness of inpatient treatment of anorexia nervosa in real life settings |
| title_full_unstemmed | Integrated enhanced cognitive behavioural (I-CBTE) therapy significantly improves effectiveness of inpatient treatment of anorexia nervosa in real life settings |
| title_short | Integrated enhanced cognitive behavioural (I-CBTE) therapy significantly improves effectiveness of inpatient treatment of anorexia nervosa in real life settings |
| title_sort | integrated enhanced cognitive behavioural i cbte therapy significantly improves effectiveness of inpatient treatment of anorexia nervosa in real life settings |
| topic | Anorexia nervosa Inpatient Treatment Cognitive behavioural therapy Longitudinal cohort study |
| url | https://doi.org/10.1186/s40337-022-00620-y |
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