Table 60 CBT-based day treatment 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 | |||
Change in Weight (assessed with: Pre/post measures of weight) | |||||||||
1 | Case Series | serious a | not serious | not serious | serious b | none | One study, including 42 patients. Unclear reasons for patients being referred to the program. Mean duration of illness prior to admission to this program was 2.40 years (SD = 2.02). LOS in Day Treatment was a mean of 22.2 weeks (range 0–52 weeks). Patients gained weight, with a mean increase of 5.37 kg or BMI increase of 1.87 kg/m over the course of treatment. It was noted the increase in weight was correlated with the number of months in program (0.23, p < 0.01), EDI-DT (− 4.90, p < 0.001), EDI-BD (− 3.56, p < 0.001) and Motivational Stages of Change (6.15, p < 0.001). Of note only 38 completed 2 months, 25 completed 4 months and 9 completed 6 months -- unclear how many were discharged due to improved clinical presentation vs deterioration or inability to meet program requirements. | ⨁◯◯◯ VERY LOW | CRITICAL |