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Response to Enhanced Cognitive Behavioural Therapy in an Adolescent with Anorexia Nervosa

  • Felicity A. Cowdrey (a1) and Jennifer Davis (a2)


Background: Few studies have examined the acceptability and usefulness of enhanced cognitive behavioural therapy (CBT-E) for adolescents with eating disorders (EDs). Aim: To investigate whether CBT-E was an acceptable and efficacious treatment for an adolescent presenting to a routine clinical service with an ED. Method: Daily self-monitoring records were completed during a baseline (A) and intervention (B) phase in addition to routine outcome measures. Results: There were reductions in both ED behaviours and “feeling fat”, and increases in weight after 11 CBT-E sessions. Progress was only partially maintained at 8-month follow-up. Conclusion: CBT-E may be an acceptable and useful intervention for adolescents with EDs.


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Reprint requests to Felicity Cowdrey, Clinical Psychology Unit and Research Centre, University of Bath, Bath BA2 7AY, UK. E-mail:


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Dalle Grave, R., Calugi, S., Doll, H. A. and Fairburn, C. G. (2013). Enhanced cognitive behaviour therapy for adolescents with anorexia nervosa: an alternative to family therapy? Behaviour Research and Therapy, 51, R9R12.
Fairburn, C. G. (2008). Cognitive Behavior Therapy and Eating Disorders. New York: The Guilford Press.
Fairburn, C. G. and Cooper, Z. (2011). Eating disorders, DSM–5 and clinical reality. The British Journal of Psychiatry, 198, 810.
Fairburn, C.G., Cooper, Z. and Shafran, R. (2003). Cognitive behaviour therapy for eating disorders: a “transdiagnostic” theory and treatment. Behaviour Research and Therapy, 41, 509–28.
Lock, J., Agras, W.S., Le Grange, D., Couturier, J., Safer, D. and Bryson, S.W. (2013). Do end of treatment assessments predict outcome at follow-up in eating disorders? International Journal of Eating Disorders, 46, 771778.
Raykos, B.C., Watson, H.J., Fursland, A., Byrne, S.M. and Nathan, P. (2013). Prognostic value of rapid response to enhanced cognitive behavioral therapy in a routine clinic sample of eating disorder outpatients. International Journal of Eating Disorders, 46, 764770.
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Behavioural and Cognitive Psychotherapy
  • ISSN: 1352-4658
  • EISSN: 1469-1833
  • URL: /core/journals/behavioural-and-cognitive-psychotherapy
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Response to Enhanced Cognitive Behavioural Therapy in an Adolescent with Anorexia Nervosa

  • Felicity A. Cowdrey (a1) and Jennifer Davis (a2)
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