Management of eating disorders for people with higher weight: clinical practice guideline

Table 7 Recommendations for the management of eating disorders for people with higher weight: psychological therapy for children and adolescents

Recommendation	Level of evidence
Psychological treatment for an eating disorder should be offered as first-line treatment approach	A
Family-based treatment (FBT) should be considered as first-line treatment for children and adolescents with bulimia nervosa and anorexia nervosa*	B
Other psychological treatments with evidence such as adolescent focused therapy (AFT) and CBT for an eating disorder should be considered as second-line treatment options in children and adolescents with anorexia nervosa* (AFT, CBT) or with bulimia nervosa (CBT)	B
Other psychological treatments with evidence such as cognitive behaviour therapy (CBT) for an eating disorder should be considered as second-line treatment options in children and adolescents with bulimia nervosa	B
Children and adolescents with higher weight should be offered a first line evidence-based treatment approach for eating disorders as those who do not have higher weight	C
Other feeding or eating disorder (OSFED), unspecified feeding or eating disorder (UFED) or subsyndromal eating disorders should be treated with treatment recommended for the most similar disorder	C

NHMRC grades range: A. Body of evidence can be trusted to guide practice e.g., meta-analyses of randomised controlled trials (RCTs) low risk of bias; B. Body of evidence can be trusted to guide practice in most situations (RCTs or other controlled studies, low risk of bias); C. Body of evidence provides some support for recommendation(s) but care should be taken in its application (moderate risk of bias in trails); and D. Body of evidence is weak and recommendation must be applied with caution (high risk of bias in trails). Full criteria in Additional file 1: Appendix C

ISSN: 2050-2974