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Book: Exposure therapy for eating disorders

Becker, Carolyn Black / Farrell, Nicholas R. / Waller, Glenn

(ABCT clinical practice series)

2020

Author's details	Carolyn Black Becker, Nicholas R. Farrell, Glenn Waller
Series title	ABCT clinical practice series
Keywords	Eating disorders/Treatment ; Eating disorders/Psychological aspects
Subject code	616.85260651
Language	English
Size	xii, 248 Seiten, 24 cm
Publisher	Oxford University Press
Publishing place	New York
Publishing country	United States
Document type	Book
HBZ-ID	HT020454188
ISBN	978-0-19-006974-2 ; 0-19-006974-0
Database	Catalogue ZB MED Medicine, Health

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2020 A 642	available for loan (reading room)	Lesesaal EG

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Article ; Online: Atypical anorexia nervosa: A scoping review to determine priorities in research and clinical practice.

Beard, Jessica / Waller, Glenn

European eating disorders review : the journal of the Eating Disorders Association

2024

Abstract: Background: There is currently a limited understanding of the identification, nature, and treatment of Atypical Anorexia Nervosa (AAN). Recent systematic reviews have identified only small numbers of candidate papers, and some areas lack any meaningful ... ...

Abstract	Background: There is currently a limited understanding of the identification, nature, and treatment of Atypical Anorexia Nervosa (AAN). Recent systematic reviews have identified only small numbers of candidate papers, and some areas lack any meaningful review so far - particularly treatment outcomes. A key issue is the lack of clarity in the literature regarding the definition of weight loss criteria. Objectives: This scoping review aimed to determine the nature and extent of our knowledge of AAN, in order to assist in the development of future systematic reviews and meta-analyses, as well as indicating what further research is needed. Method: Following the identification of 6747 records, 317 records using the term AAN or a defined equivalent were identified from six databases, including the 'grey' literature. Results: Of the 317 studies, 111 provided participant characteristics, and only 10 provided discrete treatment outcomes. Each of these subsets of the data are tabulated and supported with supplementary material, so that future systematic reviewers can access this resource. Discussion: The pattern and content of the existing studies allows recommendations to be made regarding future reviews, research and clinical practice. There is a particular need for clear weight/weight loss criteria and adequate interventions.
Language	English
Publishing date	2024-04-09
Publishing country	England
Document type	Journal Article ; Review
ZDB-ID	1159507-3
ISSN	1099-0968 ; 1067-1633 ; 1072-4133
ISSN (online)	1099-0968
ISSN	1067-1633 ; 1072-4133
DOI	10.1002/erv.3092
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Zs.A 3760: Show issues

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Book: Cognitive behavioral therapy for eating disorders

Waller, Glenn

a comprehensive treatment guide

2007

Author's details	Glenn Waller
Keywords	Eating Disorders / therapy ; Cognitive Therapy ; Eating disorders/Treatment ; Eating disorders/Psychological aspects ; Cognitive therapy
Subject code	616.85260651
Language	English
Size	XXIV, 444 S. : Ill., graph. Darst.
Publisher	Cambridge Univ. Press
Publishing place	Cambridge u.a.
Publishing country	Great Britain
Document type	Book
HBZ-ID	HT015032018
ISBN	0-521-67248-1 ; 978-0-521-67248-1
Database	Catalogue ZB MED Medicine, Health

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Shelf mark	Loan status	Location
2007 A 2625	order for loan	Magazin

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Article ; Online: Brief group cognitive-behavioral therapy for bulimia nervosa and binge-eating disorder: A pilot study of feasibility and acceptability.

Moore, Elana / Waller, Glenn

The International journal of eating disorders

2023 Volume 56, Issue 6, Page(s) 1228–1232

Abstract: Objective: Brief cognitive-behavioral therapy for non-underweight eating disorders (CBT-T) has been shown to be clinically useful in non-underweight samples, when delivered one-to-one. This pilot study assessed the acceptance, compliance and feasibility ...

Abstract	Objective: Brief cognitive-behavioral therapy for non-underweight eating disorders (CBT-T) has been shown to be clinically useful in non-underweight samples, when delivered one-to-one. This pilot study assessed the acceptance, compliance and feasibility levels of a group version of CBT-T, which has the potential to enhance patient access. Method: A group CBT-T protocol was developed and piloted in two therapy groups (N = 8). Eating disorder attitudes and behaviors, depression and anxiety were assessed at the beginning and end of treatment. Results: A third of all patients approached accepted the offer of group CBT-T, and entered treatment. Among that group of treatment starters, none were lost to treatment. The therapy was feasible in practical terms, including online delivery. Finally, mean scores on measures suggested improvement in clinical profiles. Discussion: This pilot study demonstrated that a group CBT-T is a feasible intervention for non-underweight eating disorders in adults, with low acceptance but high compliance. Group CBT-T has the potential to reduce demand on services and in turn increase availability of treatment to those with eating disorders. Public significance: The present research contributes to the treatment of non-underweight adults with eating disorders. Group CBT-T was shown to be feasible in this pilot study. It was associated with low acceptance but strong compliance. If supported by further research, group CBT-T has the potential to reduce waitlists, ensure throughput in services, and ultimately improve the lives of many who are affected by eating disorders.
MeSH term(s)	Adult ; Humans ; Binge-Eating Disorder/therapy ; Bulimia Nervosa/therapy ; Pilot Projects ; Feasibility Studies ; Cognitive Behavioral Therapy/methods ; Treatment Outcome
Language	English
Publishing date	2023-03-20
Publishing country	United States
Document type	Journal Article
ZDB-ID	603170-5
ISSN	1098-108X ; 0276-3478
ISSN (online)	1098-108X
ISSN	0276-3478
DOI	10.1002/eat.23935
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Zs.A 1749: Show issues

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Article ; Online: New developments in cognitive-behavioural therapy for eating disorders (CBT-ED).

Mulkens, Sandra / Waller, Glenn

Current opinion in psychiatry

2023 Volume 34, Issue 6, Page(s) 576–583

Abstract: Purpose of review: This review summarizes recent developments in cognitive-behavioural therapy for eating disorders (CBT-ED). More specifically, the past five years were covered, with the latest UK and Dutch guidelines for eating disorders as a starting ...

Abstract	Purpose of review: This review summarizes recent developments in cognitive-behavioural therapy for eating disorders (CBT-ED). More specifically, the past five years were covered, with the latest UK and Dutch guidelines for eating disorders as a starting benchmark, and with special consideration of the past 18 months. Recent findings: The new research can be divided into findings that have: (1) reinforced our existing understanding of CBT-ED's models and impact; (2) advanced our understanding and the utility of CBT-ED, including its application for the 'new' disorder Avoidant/Restrictive Food Intake Disorder (ARFID); (3) suggested new directions, which require further exploration in clinical and research terms. These include learning from the circumstances of the COVID-19 pandemic. Summary: CBT-ED has developed substantially in the past 5 years, with consolidation of its existing evidence base, further support for real-life implementation, extension of methods used, and the development of new approaches for working with younger people - particularly in the form of treatments for ARFID. Over the past 18 months, even more promising changes in delivery occurred in response to the COVID19 pandemic, showing that we can adapt our methods in order to work effectively via remote means. Challenges remain regarding poor outcomes for anorexia nervosa.
MeSH term(s)	COVID-19 ; Cognitive Behavioral Therapy ; Feeding and Eating Disorders/therapy ; Humans ; Pandemics ; SARS-CoV-2
Language	English
Publishing date	2023-09-18
Publishing country	United States
Document type	Journal Article ; Review
ZDB-ID	645162-7
ISSN	1473-6578 ; 0951-7367
ISSN (online)	1473-6578
ISSN	0951-7367
DOI	10.1097/YCO.0000000000000745
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Zs.A 2532: Show issues

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Article ; Online: Experimental analysis of the impact of body comparison on non-clinical women.

Laker, Victoria / Waller, Glenn

Journal of behavior therapy and experimental psychiatry

2022 Volume 76, Page(s) 101725

Abstract: Background and objectives: Two experimental studies examined the impact that body comparison has on women's body satisfaction and self-esteem. The two studies differed in the use of a human comparator or an avatar (non-human) comparator. The independent ...

Abstract	Background and objectives: Two experimental studies examined the impact that body comparison has on women's body satisfaction and self-esteem. The two studies differed in the use of a human comparator or an avatar (non-human) comparator. The independent variables were the type of body comparison (upward, downward and neutral) and the perceived personality of the comparator. Methods: Each study used a within-participant design. Participants compared themselves to images of women or avatars (previously rated as 'attractive', 'neutral' or 'unattractive'), with an accompanying 'positive' or negative' personality descriptor. Participants rated their body satisfaction and self-esteem after each image. Results: Upward comparison resulted in negative effects for the participant compared to downward and neutral conditions, but downward comparison's impact was only found for human images. The described personality of the image had a more complex impact when using human images, but was still relevant for avatars. Limitations: The sample for this study was lacking in diversity. Compliance within the experimental tasks was not strictly monitored. The use of a within-subject design might have allowed some participants to deduce the nature of the study. Conclusions: These findings provide causal evidence for the theorised effects of body comparison on body satisfaction self-esteem. Upward comparison has especially problematic outcomes, even causing negative effects when comparing to a non-human avatar. Downward comparison had positive effects, but only for human images. Furthermore, personality played some moderating role in these outcomes. Social comparison theory needs to be reviewed in light of these findings, and practical implications are discussed.
MeSH term(s)	Body Image ; Female ; Humans ; Personal Satisfaction ; Self Concept
Language	English
Publishing date	2022-02-01
Publishing country	Netherlands
Document type	Journal Article
ZDB-ID	280250-8
ISSN	1873-7943 ; 0005-7916
ISSN (online)	1873-7943
ISSN	0005-7916
DOI	10.1016/j.jbtep.2022.101725
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Zs.B 1021: Show issues

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Article ; Online: Testing a Low-Intensity Single-Session Self-Compassion Intervention for State Body Shame in Adult Women: A Dismantling Randomized Controlled Trial.

Turk, Fidan / Kellett, Stephen / Waller, Glenn

Behavior therapy

2023 Volume 54, Issue 5, Page(s) 916–928

Abstract: State body shame is a risk factor for eating disorders, and self-compassion is emerging as a potentially effective treatment option in such cases. This study tested the efficacy of a brief (15-minute) self-compassion intervention in reducing state body ... ...

Abstract	State body shame is a risk factor for eating disorders, and self-compassion is emerging as a potentially effective treatment option in such cases. This study tested the efficacy of a brief (15-minute) self-compassion intervention in reducing state body shame. Using dismantling trial methodology, participants were randomly allocated to an active compassion condition (n = 23), an inactive control compassion condition (n = 23), or an educational control condition (n = 23). Measures of state body image and state shame were collected pre-intervention, immediately after the intervention, and a day after the intervention. Subjective units of state body shame (SUBS) were intensively measured during each invention. Self-compassion interventions were equally efficacious at protecting against deterioration of state body shame and were effective at reducing state shame compared to the educational control condition, with medium effect sizes (respectively - n
MeSH term(s)	Humans ; Adult ; Female ; Self-Compassion ; Body Image ; Exercise ; Feeding and Eating Disorders ; Shame
Language	English
Publishing date	2023-05-08
Publishing country	England
Document type	Randomized Controlled Trial ; Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	211996-1
ISSN	1878-1888 ; 0005-7894
ISSN (online)	1878-1888
ISSN	0005-7894
DOI	10.1016/j.beth.2023.04.001
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Article ; Online: Therapist factors associated with intent to use exposure therapy: a systematic review and meta-analysis.

Langthorne, Diane / Beard, Jessica / Waller, Glenn

Cognitive behaviour therapy

2023 Volume 52, Issue 4, Page(s) 347–379

Abstract: Exposure therapy is effective but widely underused. Numerous studies indicate therapist factors that might explain this pattern of underuse. This systematic review and meta-analysis synthesised those previous research findings, to identify which ... ...

Abstract	Exposure therapy is effective but widely underused. Numerous studies indicate therapist factors that might explain this pattern of underuse. This systematic review and meta-analysis synthesised those previous research findings, to identify which therapist factors are clearly associated with their intent to use exposure therapy. A systematic review and six random-effects meta-analyses synthesised studies identified in three databases (Scopus, PsychINFO, Web of Science) and through reference lists and citation searches. Most studies relied on a survey design, resulting in weak quality of research. Twenty-six eligible studies were included in the narrative synthesis, (including 5557 participants), while 21 studies yielded sufficient data to enter the meta-analysis. Medium to large pooled effect sizes indicated that therapists with more positive beliefs, a CBT orientation, and training in exposure therapy were significantly more likely to use exposure. Small pooled effect sizes indicated that older and more anxious therapists were less likely to use exposure. Therapist years of experience was not significantly associated with exposure use. There was no evidence of publication bias. Therapist characteristics clearly play a role in the use of exposure therapy, and future clinical and research work is required to address this limitation in the delivery of this effective therapy.
MeSH term(s)	Humans ; Implosive Therapy ; Anxiety ; Narration
Language	English
Publishing date	2023-03-28
Publishing country	England
Document type	Meta-Analysis ; Systematic Review ; Journal Article ; Review
ZDB-ID	2076060-7
ISSN	1651-2316 ; 1650-6073
ISSN (online)	1651-2316
ISSN	1650-6073
DOI	10.1080/16506073.2023.2191824
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Article ; Online: Body image concerns across different sports and sporting levels: A systematic review and meta-analysis.

Burgon, Rachel H / Beard, Jessica / Waller, Glenn

Body image

2023 Volume 46, Page(s) 9–31

Abstract: Mixed findings exist regarding whether athletes have different levels of body image concerns to non-athletes. Such body image concerns have not been reviewed recently, meaning that new findings need to be incorporated into our understanding of the adult ... ...

Abstract	Mixed findings exist regarding whether athletes have different levels of body image concerns to non-athletes. Such body image concerns have not been reviewed recently, meaning that new findings need to be incorporated into our understanding of the adult sporting population. This systematic review and meta-analysis aimed first to characterise body image in adult athletes versus non-athletes, and second to explore whether specific sub-groups of athletes report different body image concerns. Impact of gender and competition level were considered. A systematic search identified 21 relevant papers, mostly rated moderate quality. Following a narrative review, a meta-analysis was conducted to quantify the outcomes. While the narrative synthesis indicated possible differences between types of sport, the meta-analysis demonstrated that athletes in general reported lower body image concerns than non-athletes. In general, athletes had a better body image than non-athletes, with no reliable differences between different type of sport. A combination of prevention and intervention strategies might assist athletes in focusing on the benefits to their body image without encouraging restriction/compensation or overeating. Future research should define comparison groups clearly, along with attending to training background/intensity, external pressures, gender and gender identity.
MeSH term(s)	Adult ; Female ; Humans ; Male ; Body Image/psychology ; Gender Identity ; Sports ; Athletes
Language	English
Publishing date	2023-05-10
Publishing country	Netherlands
Document type	Meta-Analysis ; Systematic Review ; Journal Article ; Review
ZDB-ID	2211449-X
ISSN	1873-6807 ; 1740-1445
ISSN (online)	1873-6807
ISSN	1740-1445
DOI	10.1016/j.bodyim.2023.04.007
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Article ; Online: Brief cognitive behavioural therapy for eating disorders symptomatology among a mixed sample of adolescents and young adults in primary care: A non-randomised feasibility and pilot study.

Hart, Melissa / Hirneth, Stephen / Mendelson, Jane / Jenkins, Laura / Pursey, Kirrilly / Waller, Glenn

European eating disorders review : the journal of the Eating Disorders Association

2024

Abstract: Objective: Brief and accessible therapies for people with an eating disorder is an important health target. Ten-session cognitive behavioural therapy (CBT-T) is a brief treatment evaluated in people with a non-underweight eating disorder. This study ... ...

Abstract	Objective: Brief and accessible therapies for people with an eating disorder is an important health target. Ten-session cognitive behavioural therapy (CBT-T) is a brief treatment evaluated in people with a non-underweight eating disorder. This study aimed to evaluate the feasibility and preliminary effectiveness of CBT-T for young people in primary care. Method: This cohort pilot study used group (adolescents vs. young adults) by time (over four time points) Generalised Linear Mixed Model analysis. Participants included 13-25-year-olds attending an early intervention mental health service, receiving 10 sessions of CBT-T. Feasibility was assessed using recruitment, retention and satisfaction. Eating and other pathology measures were administered at baseline, weeks four and 10, and 12-week follow-up. Results: Of the 63 commencing treatment, 38 completed 10 CBT-T sessions (60%). Most (94%) reported high treatment satisfaction. Significant reductions in eating pathology, depression and stress were found. Age group did not yield differences in CBT-T outcome, with large to very large effect sizes across outcome variables. Anxiety was associated with attrition. Conclusion: This study provides preliminary support for the use of CBT-T in primary care, across adolescence and early adulthood. Findings require replication in other clinical settings and comparison to other clinical approaches and control populations.
Language	English
Publishing date	2024-02-27
Publishing country	England
Document type	Journal Article
ZDB-ID	1159507-3
ISSN	1099-0968 ; 1067-1633 ; 1072-4133
ISSN (online)	1099-0968
ISSN	1067-1633 ; 1072-4133
DOI	10.1002/erv.3075
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