Enhanced cognitive behavioral therapy for adolescents with anorexia nervosa: Outcomes and predictors of change in a real‐world setting

2019 ◽  
Vol 52 (9) ◽  
pp. 1042-1046 ◽  
Author(s):  
Riccardo Dalle Grave ◽  
Massimiliano Sartirana ◽  
Simona Calugi
Keyword(s):  
Anorexia Nervosa ◽  
Cognitive Behavioral Therapy ◽  
Real World ◽  
Behavioral Therapy ◽  
Cognitive Behavioral ◽  
Real World Setting ◽  
Predictors Of Change

scholarly journals Blended Care-Cognitive Behavioral Therapy for Depression and Anxiety in Real-World Settings: Pragmatic Retrospective Study (Preprint)

2020 ◽  
Author(s):  
Anita Lungu ◽  
Janie Jihee Jun ◽  
Okhtay Azarmanesh ◽  
Yan Leykin ◽  
Connie E-Jean Chen
Keyword(s):  
Cognitive Behavioral Therapy ◽  
Real World ◽  
Behavioral Therapy ◽  
Anxiety Symptoms ◽  
Cognitive Behavioral ◽  
Depression And Anxiety ◽  
Symptoms Of Depression ◽  
Care Intervention ◽  
Blended Care ◽  
Over Time

BACKGROUND The past few decades saw considerable advances in research and dissemination of evidence-based psychotherapies, yet available treatment resources are not able to meet the high need for care for individuals suffering from depression or anxiety. Blended care psychotherapy, which combines the strengths of therapist-led and internet interventions, can narrow this gap and be clinically effective and efficient, but has rarely been evaluated outside of controlled research settings. OBJECTIVE This study evaluated the effectiveness of a blended care intervention (video-based cognitive behavior therapy and internet intervention) under real-world conditions. METHODS This is a pragmatic retrospective cohort analysis of 385 participants with clinical range depression and/or anxiety symptoms at baseline, measured using Patient Health Questionnaire-9 (PHQ-9) and Generalized Anxiety Disorder-7 (GAD-7), who enrolled in blended care psychotherapy treatment. Participants resided in the United States and had access to the blended care intervention as a mental health benefit offered through their employers. Levels of depression and anxiety were tracked throughout treatment. Hierarchical linear modeling was used to examine the change in symptoms over time. The effects of age, gender, and providers on participants’ symptom change trajectories were also evaluated. Paired sample t-tests were also conducted, and rates of positive clinical change and clinically significant improvement were calculated. RESULTS The average depression and anxiety symptoms at 6 weeks after the start of treatment were 5.94 and 6.57, respectively. There were significant linear effects of time on both symptoms of depression and anxiety (β=–.49, <i>P</i>&lt;.001 and β=–.64, <i>P</i>&lt;.001). The quadratic effect was also significant for both symptoms of depression and anxiety (β=.04, P&lt;.001 for both), suggesting a decelerated decrease in symptoms over time. Approximately 73% (n=283) of all 385 participants demonstrated reliable improvement, and 83% (n=319) recovered on either the PHQ-9 or GAD-7 measures. Large effect sizes were observed on both symptoms of depression (Cohen d=1.08) and of anxiety (d=1.33). CONCLUSIONS Video blended care cognitive behavioral therapy interventions can be effective and efficient in treating symptoms of depression and anxiety in real-world conditions. Future research should investigate the differential and interactive contribution of the therapist-led and digital components of care to patient outcomes to optimize care.

scholarly journals Interoceptive Processes in Anorexia Nervosa in the Time Course of Cognitive-Behavioral Therapy: A Pilot Study

2016 ◽  
Vol 7 ◽  
Author(s):  
Dana Fischer ◽  
Götz Berberich ◽  
Michael Zaudig ◽  
Till Krauseneck ◽  
Sarah Weiss ◽  
...  
Keyword(s):  
Anorexia Nervosa ◽  
Pilot Study ◽  
Cognitive Behavioral Therapy ◽  
Time Course ◽  
Behavioral Therapy ◽  
Cognitive Behavioral

scholarly journals Exposure utilization and completion of cognitive behavioral therapy for PTSD in a “real world” clinical practice

2005 ◽  
Vol 18 (6) ◽  
pp. 637-645 ◽  
Author(s):  
Claudia Zayfert ◽  
Jason C. DeViva ◽  
Carolyn B. Becker ◽  
Julie L. Pike ◽  
Karen L. Gillock ◽  
...  
Keyword(s):  
Clinical Practice ◽  
Cognitive Behavioral Therapy ◽  
Real World ◽  
Behavioral Therapy ◽  
Cognitive Behavioral

Cognitive Behavioral Therapy for Anorexia Nervosa: An Update

2015 ◽  
Vol 18 (1) ◽  
Author(s):  
Riccardo Dalle Grave ◽  
Marwan El Ghoch ◽  
Massimiliano Sartirana ◽  
Simona Calugi
Keyword(s):  
Anorexia Nervosa ◽  
Cognitive Behavioral Therapy ◽  
Behavioral Therapy ◽  
Cognitive Behavioral
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