Guided Self-Help Treatment for Children and Young People With Eating Disorders: A Proof-Of-Concept Pilot Study

Emily Davey, Rachel Bryant-Waugh, Sophie D Bennett, Nadia Micali, Julian Baudinet, Anna Konstantellou, Sam Clark-Stone, Amelia Green, Roz Shafran

Research output: Contribution to journalArticlepeer-review

Abstract

OBJECTIVE: To conduct a proof-of-concept pilot study of a CBT guided self-help intervention for children and young people with eating disorders.

METHOD: Children and young people were recruited from two outpatient eating disorder services in England. They received a CBT guided self-help intervention consisting of eight modules and weekly support sessions. Clinical outcomes (eating disorder psychopathology and associated impairment, changes in %median BMI, depression, anxiety, and behavioural difficulties) were assessed at baseline and post-intervention (12 weeks). Qualitative data were collected for future intervention refinement.

RESULTS: Six female adolescents (aged 13-17) received the CBT guided self-help intervention. All participants completed a minimum of six modules and six support sessions. Quantitative and qualitative feedback suggested that the intervention was acceptable. From baseline to post-intervention, there was a reduction in eating disorder psychopathology and impairment, along with an increase in %median BMI. Outcomes for depression, anxiety and behavioural difficulties were mixed.

CONCLUSIONS: The CBT guided self-help intervention was feasibly implemented, acceptable to participants, and showed potential to produce clinical benefits. While promising, these findings are preliminary and derived from a small, non-randomised sample of White female adolescents. More rigorous evaluation with a randomised design and a larger, representative sample is warranted.

Original languageEnglish
JournalEuropean Eating Disorders Review
Early online date2 Jan 2025
DOIs
Publication statusE-pub ahead of print - 2 Jan 2025

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