Table 16 Group cognitive behavioural therapy for children and adolescents with Anorexia Nervosa
From: Canadian practice guidelines for the treatment of children and adolescents with eating disorders
| Certainty assessment | Impact | Certainty | Importance | ||||||
|---|---|---|---|---|---|---|---|---|---|
| № of studies | Study design | Risk of bias | Inconsistency | Indirectness | Imprecision | Other considerations | |||
| Weight (assessed with: kg) Psychological Symptoms of ED (assessed with: EDE) | |||||||||
| 1 | Case Control | serious a | not serious | not serious | not serious | none | This controlled study involved 11 adolescents in the CBT group condition compared to 11 adolescents in the treatment as usual condition. CBT group involved 24 sessions (90 min each) over a six-month period. There were no significant differences in terms of weight at the end of treatment. | ⨁◯◯◯ VERY LOW | CRITICAL |
| serious a | not serious | not serious | not serious | none | Significant difference on the EDE subscale of Restraint (0.56 vs. 0.70 - clinical significance questionable). | ⨁◯◯◯ VERY LOW | CRITICAL | ||
| Weight (assessed with: BMI) Psychological Symptoms of ED (assessed with: EDE) | |||||||||
| 1 | Case Series | very serious a,b | not serious | not serious | not serious | none | Case series of 29 adolescent females (22 AN-R, 7 AN-BP). No control group. 40 sessions of group CBT over 40 weeks. Weight (BMI) improved pre to post treatment. EDE restraint and EDE weight concern improved Pre to Post treatment. | ⨁◯◯◯ VERY LOW | CRITICAL |