Development, applicability and effects of a pilot program of group cognitive-behavioral therapy in Brazilian adolescents with anorexia nervosa

Authors

  • Paula Pegado Universidade de São Paulo. Institute of Psychiatry. Department of Psychiatry
  • Felipe Alckmin-Carvalho Universidade de São Paulo. Institute of Psychology. Clinical Psychology Program
  • Danielle Leme Universidade de São Paulo. Institute of Psychiatry. Department of Psychiatry
  • Francisca Carneiro Universidade de São Paulo. Institute of Psychiatry. Department of Psychiatry
  • Patrícia Kypriotis Universidade de São Paulo. Institute of Psychiatry. Department of Psychiatry
  • Priscila Camacho Universidade de São Paulo. Institute of Psychiatry. Department of Psychiatry
  • Bacy Fleitlich-Bilyk Universidade de São Paulo. Institute of Psychiatry. Department of Psychiatry

DOI:

https://doi.org/10.1590/acp.v45i3.152983

Keywords:

Anorexia nervosa, cognitive therapy, adolescents, group therapy

Abstract

Background: Most of the clinical trials involving cognitive-behavioral therapy (CBT) for the treatment of anorexia nervosa (AN) used the individual therapy format, and few have been dedicated to adapting and assessing the effects of the group format. Objectives: To assess the applicability and effects of a group CBT program for Brazilian adolescents with AN. Methods: Open clinical trial with 22 patients with AN divided into an intervention group – IG (n = 11; CBT, psychiatry, nutrition and family psychoeducation-6 months) and a control group – CG (n = 11; psychiatry, nutrition and family psychoeducation-6 months). Data collected at baseline, at the end of groups and six months after the completion were: weight, height, body mass index and Eating Disorder Examination Questionnaire (EDE-Q) used to assess the severity of AN symptoms. Results: Baseline homogeneous groups, with 91% adherence in the IG vs. 54% in the CG (p = 0.05). Participants in both groups regained weight and decreased symptoms of eating disorders at the end of groups. Comparing the EDE-Q scores IG presented a statistically significant difference in the restraint subscale of the EDE-Q between the end-of-group and the follow-up (p = 0.01). Discussion: Group CBT program produced positive effects and was applicable in Brazilian adolescents with AN as an adjuvant to multidisciplinary treatment.

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Published

2018-12-19

Issue

Vol. 45 No. 3 (2018)

Section

Original Articles

License

Once accepted for publication, the manuscript becomes permanent property of the Archives of Clinical Psychiatry. This copyright transfer subsumes exclusive and unlimited entitlement of the Archives of Clinical Psychiatry to publish and distribute the full contents of articles in whichever publishing medium, including press and electronic media, in Brazil and abroad.

Manuscripts are accepted with the understanding that the Editor and the editorial staff have the right to make revisions aimed at greater conciseness, clarity, and conformity with Journal style, of course without changing its content.

How to Cite

Development, applicability and effects of a pilot program of group cognitive-behavioral therapy in Brazilian adolescents with anorexia nervosa. (2018). Archives of Clinical Psychiatry, 45(3), 57-60. https://doi.org/10.1590/acp.v45i3.152983