The effectiveness of contingency management in the treatment of patients with anorexia nervosa: A systematic review.
About this resource
Contingency management in stipulating weight gain is routinely used in the treatment of anorexia nervosa, however, empirical investigations concerning its effectiveness have been scarce. This systematic review was conducted according to the PRISMA statement. Of N = 973 hits, 42 full-texts were included in the qualitative synthesis (11 theoretical texts, 19 case reports, 12 descriptive, cohort, and controlled trials). A central topic in the included publications concerns the enhancement of patients' autonomy through participation in the contingency management process. This heightened autonomy is achieved by using contingency contracts. Positive short-term effects on weight gain were shown, whereas follow-up results were heterogeneous. Although contingency contracts are widely used in clinical practice, our systematic review shows that empirical evidence on underlying mechanisms and efficacy is still scarce. Using an explicit treatment contract can enhance patients' motivation, compliance, and autonomy. Clinical practice should see further development including innovative motivation enhancing and conflict dissolving techniques in addressing the pronounced ambivalence often shown by patients with anorexia nervosa.
Mortality in eating disorders: a follow-up study of adult eating disorder patients treated in tertiary care, 1995-2010.
Elevated mortality risk in anorexia nervosa has been established, but less is known about the outcomes of bulimia nervosa and binge eating disorder.Read more
Differences between women with anorexia nervosa and restrained eaters on shape and weight concerns, self-esteem, and depression
OBJECTIVE: The current study examined the relation among shape and weight concerns, domain-specific self-esteem, dietary restraint, and depression.Read more
Moderators of weight gain in the early stages of outpatient cognitive behavioral therapy for adults with anorexia nervosa
Objective: Treatments for anorexia nervosa have relatively low levels of effectiveness.Read more
Genetic variants associated with disordered eating
Objective: Although the genetic contribution to the development of anorexia nervosa (AN) has long been recognized, there has been little progress relative to other psychiatric disorders in identifying specific susceptibility genes.Read more