Cochrane · systematic review · CD003909

Individual psychological therapy in the outpatient treatment of adults with anorexia nervosa

Hay, PJ, Claudino, AM, Touyz, S, et al. · Cochrane Database of Systematic Reviews · 2015 · Cochrane Library

Common Mental DisordersAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
15
current version
GRADE rated
15
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 10 · 66.7%Low 4 · 26.7%Moderate 1 · 6.7%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

Individual psychological therapy versus treatment as usual in adults with anorexia nervosa

Population: Adults and older adolescents with anorexia nervosa
3 questions
OutcomeEffectEvidenceStatus / GRADE
Weight
Individual psychological therapy vs treatment
no estimate extracted1 study · 30 participantsVery low
Downgraded: risk of bias
Recovery not achieved according to Morgan and Russell narrow categories or similar at end of 1 year FPT treatment ‐ FPT versus TAU
Individual psychological therapy vs treatment
RR 0.7 [0.51, 0.97]1 study · 40 participantsVery low
Downgraded: risk of bias
Recovery not achieved according to Morgan and Russell narrow categories or similar at end of 1 year
Individual psychological therapy vs treatment
RR 0.78 [0.61, 1]2 studies · 71 participantsVery low
Downgraded: risk of bias

Individual psychological therapy compared to a control therapy in the outpatient treatment of adults with anorexia nervosa

Population: Adults and older adolescents with anorexia nervosa
8 questions
OutcomeEffectEvidenceStatus / GRADE
Weight
Individual psychological therapy vs a control therapy
no estimate extracted2 studies · 197 participantsLow
Downgraded: risk of bias
Weight
Individual psychological therapy vs a control therapy
no estimate extracted1 study · 35 participantsVery low
Downgraded: risk of bias
Weight
Individual psychological therapy vs a control therapy
no estimate extracted1 study · 71 participantsVery low
Downgraded: risk of bias
Weight
Individual psychological therapy vs a control therapy
no estimate extracted1 study · 162 participantsLow
Downgraded: risk of bias
Weight
Individual psychological therapy vs a control therapy
no estimate extracted1 study · 37 participantsVery low
Downgraded: risk of bias
Recovery according to Morgan and Russell narrow categories or similar ‐ CBT versus SSCM (Global outcome rated 3 or 4) at end of treatment periods
Individual psychological therapy vs a control therapy
RR 1.56 [0.83, 2.95]1 study · 37 participantsVery low
Downgraded: risk of bias
Recovery not achieved according to Morgan and Russell narrow categories or similar ‐ FPDT versus Optimised TAU at end of treatment periods
Individual psychological therapy vs a control therapy
RR 0.57 [0.28, 1.17]1 study · 94 participantsModerate
Downgraded: risk of bias
Recovery not achieved according to Morgan and Russell narrow categories or similar ‐ IPT versus SSCM at end of treatment periods
Individual psychological therapy vs a control therapy
RR 2.07 [1.17, 3.67]1 study · 37 participantsVery low
Downgraded: risk of bias

Individual psychological therapy versus another individual psychological therapy in the outpatient treatment of adults with anorexia nervosa.

Population: Adults and older adolescents with anorexia nervosa
4 questions
OutcomeEffectEvidenceStatus / GRADE
Weight
Individual psychological therapy vs another individual psychological therapy
no estimate extracted2 studies · 200 participantsLow
Downgraded: risk of bias
Weight
Individual psychological therapy vs another individual psychological therapy
no estimate extracted1 study · 46 participantsVery low
Downgraded: risk of bias
Recovery not achieved according to Morgan and Russell narrow categories or similar ‐ CBT versus IPT or FPDT at end of treatment periods
Individual psychological therapy vs another individual psychological therapy
RR 0.8 [0.59, 1.08]2 studies · 156 participantsLow
Downgraded: risk of bias
Recovery not achieved according to Morgan and Russell narrow categories or similar ‐ Cognitive orientation therapy (COT) versus self psychology (SP) both with nutritional counselling) at end of treatment periods
Individual psychological therapy vs another individual psychological therapy
RR 2.97 [1.04, 8.48]1 study · 13 participantsVery low
Downgraded: risk of bias