Treatment of eating disorders: A systematic meta-review of meta-analyses and network meta-analyses
MONTELEONE, A.M., F. Pellegrino, G. Croatto, M. Carfagno, A. Hilbert, J. Treasure, T. Wade, C. Bulik, S. Zipfel, P. Hay, U. Schmidt, G. Castellini, A. Favaro, F. Fernandez-Aranda, J. Il Shin, U. Voderholzer, V. Ricca, D. Moretti, D. Busatta, G. Abbate-Daga, F. Ciullini, G. Cascino, F. Monaco, C.U. C...
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| Published in | Neuroscience and biobehavioral reviews Vol. 142; p. 104857 |
|---|---|
| Main Authors | , , , , , , , , , , , , , , , , , , , , , , , , |
| Format | Journal Article |
| Language | English |
| Published |
United States
Elsevier Ltd
01.11.2022
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| Subjects | |
| Online Access | Get full text |
| ISSN | 0149-7634 1873-7528 1873-7528 |
| DOI | 10.1016/j.neubiorev.2022.104857 |
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| Abstract | MONTELEONE, A.M., F. Pellegrino, G. Croatto, M. Carfagno, A. Hilbert, J. Treasure, T. Wade, C. Bulik, S. Zipfel, P. Hay, U. Schmidt, G. Castellini, A. Favaro, F. Fernandez-Aranda, J. Il Shin, U. Voderholzer, V. Ricca, D. Moretti, D. Busatta, G. Abbate-Daga, F. Ciullini, G. Cascino, F. Monaco, C.U. Correll and M. Solmi. Treatment of Eating Disorders: a systematic meta-review of meta-analyses and network meta-analyses. NEUROSCI BIOBEHAV REV 21(1) XXX-XXX, 2022.- Treatment efficacy for eating disorders (EDs) is modest and guidelines differ. We summarized findings/quality of (network) meta-analyses (N)MA of randomized controlled trials (RCTs) in EDs. Systematic meta-review ((N)MA of RCTs, ED, active/inactive control), using (anorexia or bulimia or eating disorder) AND (meta-analy*) in PubMed/PsycINFO/Cochrane database up to December 15th, 2020. Standardized mean difference, odds/risk ratio vs control were summarized at end of treatment and follow-up. Interventions involving family (family-based therapy, FBT) outperformed active control in adults/adolescents with anorexia nervosa (AN), and in adolescents with bulimia nervosa (BN). In adults with BN, individual cognitive behavioural therapy (CBT)-ED had the broadest efficacy versus active control; also, antidepressants outperformed active. In mixed age groups with binge-eating disorder (BED), psychotherapy, and lisdexamfetamine outperformed active control. Antidepressants, stimulants outperformed placebo, despite lower acceptability, as did CBT-ED versus waitlist/no treatment. Family-based therapy is effective in AN and BN (adolescents). CBT-ED has the largest efficacy in BN (adults), followed by antidepressants, as well as psychotherapy in BED (mixed). Medications have short-term efficacy in BED (adults).
•Family interventions were the most effective in anorexia nervosa, proving also beneficial in adolescents with bulimia nervosa.•In adults with bulimia nervosa, cognitive behavioural therapy showed the broadest efficacy, followed by antidepressants.•For binge eating disorder, psychotherapy was beneficial, as well as antidepressants and stimulants.•There is urgent need of novel treatments particularly in anorexia nervosa. |
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| AbstractList | MONTELEONE, A.M., F. Pellegrino, G. Croatto, M. Carfagno, A. Hilbert, J. Treasure, T. Wade, C. Bulik, S. Zipfel, P. Hay, U. Schmidt, G. Castellini, A. Favaro, F. Fernandez-Aranda, J. Il Shin, U. Voderholzer, V. Ricca, D. Moretti, D. Busatta, G. Abbate-Daga, F. Ciullini, G. Cascino, F. Monaco, C.U. Correll and M. Solmi. Treatment of Eating Disorders: a systematic meta-review of meta-analyses and network meta-analyses. NEUROSCI BIOBEHAV REV 21(1) XXX-XXX, 2022.- Treatment efficacy for eating disorders (EDs) is modest and guidelines differ. We summarized findings/quality of (network) meta-analyses (N)MA of randomized controlled trials (RCTs) in EDs. Systematic meta-review ((N)MA of RCTs, ED, active/inactive control), using (anorexia or bulimia or eating disorder) AND (meta-analy*) in PubMed/PsycINFO/Cochrane database up to December 15th, 2020. Standardized mean difference, odds/risk ratio vs control were summarized at end of treatment and follow-up. Interventions involving family (family-based therapy, FBT) outperformed active control in adults/adolescents with anorexia nervosa (AN), and in adolescents with bulimia nervosa (BN). In adults with BN, individual cognitive behavioural therapy (CBT)-ED had the broadest efficacy versus active control; also, antidepressants outperformed active. In mixed age groups with binge-eating disorder (BED), psychotherapy, and lisdexamfetamine outperformed active control. Antidepressants, stimulants outperformed placebo, despite lower acceptability, as did CBT-ED versus waitlist/no treatment. Family-based therapy is effective in AN and BN (adolescents). CBT-ED has the largest efficacy in BN (adults), followed by antidepressants, as well as psychotherapy in BED (mixed). Medications have short-term efficacy in BED (adults).MONTELEONE, A.M., F. Pellegrino, G. Croatto, M. Carfagno, A. Hilbert, J. Treasure, T. Wade, C. Bulik, S. Zipfel, P. Hay, U. Schmidt, G. Castellini, A. Favaro, F. Fernandez-Aranda, J. Il Shin, U. Voderholzer, V. Ricca, D. Moretti, D. Busatta, G. Abbate-Daga, F. Ciullini, G. Cascino, F. Monaco, C.U. Correll and M. Solmi. Treatment of Eating Disorders: a systematic meta-review of meta-analyses and network meta-analyses. NEUROSCI BIOBEHAV REV 21(1) XXX-XXX, 2022.- Treatment efficacy for eating disorders (EDs) is modest and guidelines differ. We summarized findings/quality of (network) meta-analyses (N)MA of randomized controlled trials (RCTs) in EDs. Systematic meta-review ((N)MA of RCTs, ED, active/inactive control), using (anorexia or bulimia or eating disorder) AND (meta-analy*) in PubMed/PsycINFO/Cochrane database up to December 15th, 2020. Standardized mean difference, odds/risk ratio vs control were summarized at end of treatment and follow-up. Interventions involving family (family-based therapy, FBT) outperformed active control in adults/adolescents with anorexia nervosa (AN), and in adolescents with bulimia nervosa (BN). In adults with BN, individual cognitive behavioural therapy (CBT)-ED had the broadest efficacy versus active control; also, antidepressants outperformed active. In mixed age groups with binge-eating disorder (BED), psychotherapy, and lisdexamfetamine outperformed active control. Antidepressants, stimulants outperformed placebo, despite lower acceptability, as did CBT-ED versus waitlist/no treatment. Family-based therapy is effective in AN and BN (adolescents). CBT-ED has the largest efficacy in BN (adults), followed by antidepressants, as well as psychotherapy in BED (mixed). Medications have short-term efficacy in BED (adults). MONTELEONE, A.M., F. Pellegrino, G. Croatto, M. Carfagno, A. Hilbert, J. Treasure, T. Wade, C. Bulik, S. Zipfel, P. Hay, U. Schmidt, G. Castellini, A. Favaro, F. Fernandez-Aranda, J. Il Shin, U. Voderholzer, V. Ricca, D. Moretti, D. Busatta, G. Abbate-Daga, F. Ciullini, G. Cascino, F. Monaco, C.U. Correll and M. Solmi. Treatment of Eating Disorders: a systematic meta-review of meta-analyses and network meta-analyses. NEUROSCI BIOBEHAV REV 21(1) XXX-XXX, 2022.- Treatment efficacy for eating disorders (EDs) is modest and guidelines differ. We summarized findings/quality of (network) meta-analyses (N)MA of randomized controlled trials (RCTs) in EDs. Systematic meta-review ((N)MA of RCTs, ED, active/inactive control), using (anorexia or bulimia or eating disorder) AND (meta-analy*) in PubMed/PsycINFO/Cochrane database up to December 15th, 2020. Standardized mean difference, odds/risk ratio vs control were summarized at end of treatment and follow-up. Interventions involving family (family-based therapy, FBT) outperformed active control in adults/adolescents with anorexia nervosa (AN), and in adolescents with bulimia nervosa (BN). In adults with BN, individual cognitive behavioural therapy (CBT)-ED had the broadest efficacy versus active control; also, antidepressants outperformed active. In mixed age groups with binge-eating disorder (BED), psychotherapy, and lisdexamfetamine outperformed active control. Antidepressants, stimulants outperformed placebo, despite lower acceptability, as did CBT-ED versus waitlist/no treatment. Family-based therapy is effective in AN and BN (adolescents). CBT-ED has the largest efficacy in BN (adults), followed by antidepressants, as well as psychotherapy in BED (mixed). Medications have short-term efficacy in BED (adults). •Family interventions were the most effective in anorexia nervosa, proving also beneficial in adolescents with bulimia nervosa.•In adults with bulimia nervosa, cognitive behavioural therapy showed the broadest efficacy, followed by antidepressants.•For binge eating disorder, psychotherapy was beneficial, as well as antidepressants and stimulants.•There is urgent need of novel treatments particularly in anorexia nervosa. MONTELEONE, A.M., F. Pellegrino, G. Croatto, M. Carfagno, A. Hilbert, J. Treasure, T. Wade, C. Bulik, S. Zipfel, P. Hay, U. Schmidt, G. Castellini, A. Favaro, F. Fernandez-Aranda, J. Il Shin, U. Voderholzer, V. Ricca, D. Moretti, D. Busatta, G. Abbate-Daga, F. Ciullini, G. Cascino, F. Monaco, C.U. Correll and M. Solmi. Treatment of Eating Disorders: a systematic meta-review of meta-analyses and network meta-analyses. NEUROSCI BIOBEHAV REV 21(1) XXX-XXX, 2022.- Treatment efficacy for eating disorders (EDs) is modest and guidelines differ. We summarized findings/quality of (network) meta-analyses (N)MA of randomized controlled trials (RCTs) in EDs. Systematic meta-review ((N)MA of RCTs, ED, active/inactive control), using (anorexia or bulimia or eating disorder) AND (meta-analy*) in PubMed/PsycINFO/Cochrane database up to December 15th, 2020. Standardized mean difference, odds/risk ratio vs control were summarized at end of treatment and follow-up. Interventions involving family (family-based therapy, FBT) outperformed active control in adults/adolescents with anorexia nervosa (AN), and in adolescents with bulimia nervosa (BN). In adults with BN, individual cognitive behavioural therapy (CBT)-ED had the broadest efficacy versus active control; also, antidepressants outperformed active. In mixed age groups with binge-eating disorder (BED), psychotherapy, and lisdexamfetamine outperformed active control. Antidepressants, stimulants outperformed placebo, despite lower acceptability, as did CBT-ED versus waitlist/no treatment. Family-based therapy is effective in AN and BN (adolescents). CBT-ED has the largest efficacy in BN (adults), followed by antidepressants, as well as psychotherapy in BED (mixed). Medications have short-term efficacy in BED (adults). |
| ArticleNumber | 104857 |
| Author | Treasure, Janet Favaro, Angela Carfagno, Marco Fernandez-Aranda, Fernando Schmidt, Ulrike Il Shin, Jae Castellini, Giovanni Bulik, Cynthia M. Busatta, Daniele Monteleone, Alessio Maria Pellegrino, Francesca Zipfel, Stephan Monaco, Francesco Wade, Tracey Abbate-Daga, Giovanni Correll, Christoph U. Croatto, Giovanni Ciullini, Filippo Ricca, Valdo Voderholzer, Ulrich Hilbert, Anja Cascino, Giammarco Hay, Phillipa Moretti, Davide Solmi, Marco |
| AuthorAffiliation | 7 Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden 19 Department of General Psychology, University of Padova, Padova, Italy 21 Department of Mental Health, Asl Salerno, Salerno, Italy 3 Integrated Research and Treatment Center AdiposityDiseases, Behavioral Medicine Research Unit, Department of Psychosomatic Medicine and Psychotherapy, University of Leipzig Medical Center, Leipzig, Germany 5 Órama Institute for Mental Health and Well-Being, the Blackbird Initiative, Flinders University, South Australia, Australia 25 Department of Child and Adolescent Psychiatry, Charité Universitätsmedizin, Berlin, Germany 22 Department of Psychiatry, Zucker Hillside Hospital, Northwell Health, Glen Oaks, NY, USA 17 Clinic for Psychiatry and Psychotherapy, University Hospital of Munich, Munich, Germany 6 Department of Psychiatry, University of North Carolina at Chapel Hill, Chapel Hill, USA 8 Department of Nutrition, University of North Carolina at Chapel Hill, Chape |
| AuthorAffiliation_xml | – name: 26 Department of Psychiatry, University of Ottawa, Ottawa, Ontario, Canada – name: 25 Department of Child and Adolescent Psychiatry, Charité Universitätsmedizin, Berlin, Germany – name: 24 Center for Psychiatric Neuroscience, Feinstein Institute for Medical Research, Manhasset, NY, USA – name: 20 Department of Medicine, Surgery and Dentistry ‘Scuola Medica Salernitana’, Section of Neurosciences, University of Salerno, Salerno, Italy – name: 16 Clinic for Psychiatry and Psychotherapy, University Hospital Freiburg, Freiburg, Germany – name: 12 Psychiatry Unit, Department of Neurological and Psychiatric Sciences, University of Florence, Florence, Italy – name: 14 Department of Pediatrics, Yonsei University College of Medicine, Seoul, Republic of Korea – name: 18 Eating Disorders Center for Treatment and Research, Department of Neuroscience, University of Turin, Turin, Italy – name: 13 Department of Psychiatry, Bellvitge University Hospital-IDIBELL and CIBERobn, ISCIII, Barcelona, Spain – name: 17 Clinic for Psychiatry and Psychotherapy, University Hospital of Munich, Munich, Germany – name: 3 Integrated Research and Treatment Center AdiposityDiseases, Behavioral Medicine Research Unit, Department of Psychosomatic Medicine and Psychotherapy, University of Leipzig Medical Center, Leipzig, Germany – name: 15 Schoen Clinic Roseneck, Prien am Chiemsee, Germany – name: 5 Órama Institute for Mental Health and Well-Being, the Blackbird Initiative, Flinders University, South Australia, Australia – name: 22 Department of Psychiatry, Zucker Hillside Hospital, Northwell Health, Glen Oaks, NY, USA – name: 11 Translational Health Research Institute, School of Medicine, Western Sydney University – name: 4 King’s College London, Department of Psychological Medicine, Institute of Psychiatry, Psychology and Neuroscience, London, UK – name: 9 Department of Psychosomatic Medicine and Psychotherapy, University Medical Hospital Tuebingen Germany – name: 23 Department of Psychiatry and Molecular Medicine, Zucker School of Medicine at Hofstra/Northwell, Hempstead, NY, USA – name: 2 Neurosciences Department, University of Padua, Padua, Italy – name: 21 Department of Mental Health, Asl Salerno, Salerno, Italy – name: 7 Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden – name: 1 Department of Psychiatry, University of Campania L. Vanvitelli, Naples, Italy – name: 8 Department of Nutrition, University of North Carolina at Chapel Hill, Chapel Hill, USA – name: 28 Ottawa Hospital Research Institute, University of Ottawa, Ottawa, Ontario, Canada – name: 19 Department of General Psychology, University of Padova, Padova, Italy – name: 29 Department of Child and Adolescent Psychiatry, Charité Universitätsmedizin, Berlin, Germany – name: 27 Department of Mental Health, The Ottawa Hospital, Ottawa, Ontario, Canada – name: 6 Department of Psychiatry, University of North Carolina at Chapel Hill, Chapel Hill, USA – name: 10 Centre of Excellence for Eating Disorders Tuebingen (KOMET) |
| Author_xml | – sequence: 1 givenname: Alessio Maria surname: Monteleone fullname: Monteleone, Alessio Maria email: alessiomaria.monteleone@unicampania.it organization: Department of Psychiatry, University of Campania L. Vanvitelli, Naples, Italy – sequence: 2 givenname: Francesca surname: Pellegrino fullname: Pellegrino, Francesca organization: Department of Psychiatry, University of Campania L. Vanvitelli, Naples, Italy – sequence: 3 givenname: Giovanni surname: Croatto fullname: Croatto, Giovanni organization: Neurosciences Department, University of Padua, Padua, Italy – sequence: 4 givenname: Marco surname: Carfagno fullname: Carfagno, Marco organization: Department of Psychiatry, University of Campania L. Vanvitelli, Naples, Italy – sequence: 5 givenname: Anja surname: Hilbert fullname: Hilbert, Anja organization: Integrated Research and Treatment Center AdiposityDiseases, Behavioral Medicine Research Unit, Department of Psychosomatic Medicine and Psychotherapy, University of Leipzig Medical Center, Leipzig, Germany – sequence: 6 givenname: Janet surname: Treasure fullname: Treasure, Janet organization: King's College London, Department of Psychological Medicine, Institute of Psychiatry, Psychology and Neuroscience, London, UK – sequence: 7 givenname: Tracey surname: Wade fullname: Wade, Tracey organization: Flinders Institute for Mental Health and Well-Being, the Blackbird Initiative, Flinders University, South Australia, Australia – sequence: 8 givenname: Cynthia M. surname: Bulik fullname: Bulik, Cynthia M. organization: Department of Psychiatry, University of North Carolina at Chapel Hill, Chapel Hill, USA – sequence: 9 givenname: Stephan surname: Zipfel fullname: Zipfel, Stephan organization: Department of Psychosomatic Medicine and Psychotherapy, University Medical Hospital, Tuebingen, Germany – sequence: 10 givenname: Phillipa surname: Hay fullname: Hay, Phillipa organization: Translational Health Research Institute, School of Medicine, Western Sydney University, Australia – sequence: 11 givenname: Ulrike surname: Schmidt fullname: Schmidt, Ulrike organization: King's College London, Department of Psychological Medicine, Institute of Psychiatry, Psychology and Neuroscience, London, UK – sequence: 12 givenname: Giovanni surname: Castellini fullname: Castellini, Giovanni organization: Psychiatry Unit, Department of Health Sciences, University of Florence, Florence, Italy – sequence: 13 givenname: Angela surname: Favaro fullname: Favaro, Angela organization: Neurosciences Department, University of Padua, Padua, Italy – sequence: 14 givenname: Fernando surname: Fernandez-Aranda fullname: Fernandez-Aranda, Fernando organization: Department of Psychiatry, Bellvitge University Hospital-IDIBELL and CIBERobn, ISCIII, Barcelona, Spain – sequence: 15 givenname: Jae surname: Il Shin fullname: Il Shin, Jae organization: Department of Pediatrics, Yonsei University College of Medicine, Seoul, Republic of Korea – sequence: 16 givenname: Ulrich surname: Voderholzer fullname: Voderholzer, Ulrich organization: Schoen Clinic Roseneck, Prien am Chiemsee, Germany – sequence: 17 givenname: Valdo surname: Ricca fullname: Ricca, Valdo organization: Psychiatry Unit, Department of Health Sciences, University of Florence, Florence, Italy – sequence: 18 givenname: Davide surname: Moretti fullname: Moretti, Davide organization: Psychiatry Unit, Department of Health Sciences, University of Florence, Florence, Italy – sequence: 19 givenname: Daniele surname: Busatta fullname: Busatta, Daniele organization: Psychiatry Unit, Department of Health Sciences, University of Florence, Florence, Italy – sequence: 20 givenname: Giovanni surname: Abbate-Daga fullname: Abbate-Daga, Giovanni organization: Eating Disorders Center for Treatment and Research, Department of Neuroscience, University of Turin, Turin, Italy – sequence: 21 givenname: Filippo surname: Ciullini fullname: Ciullini, Filippo organization: Department of General Psychology, University of Padova, Padova, Italy – sequence: 22 givenname: Giammarco surname: Cascino fullname: Cascino, Giammarco organization: Department of Medicine, Surgery and Dentistry 'Scuola Medica Salernitana', Section of Neurosciences, University of Salerno, Salerno, Italy – sequence: 23 givenname: Francesco surname: Monaco fullname: Monaco, Francesco organization: Department of Mental Health, Asl Salerno, Salerno, Italy – sequence: 24 givenname: Christoph U. surname: Correll fullname: Correll, Christoph U. organization: Department of Psychiatry, Zucker Hillside Hospital, Northwell Health, Glen Oaks, NY, USA – sequence: 25 givenname: Marco surname: Solmi fullname: Solmi, Marco organization: Department of Psychiatry, University of Ottawa, Ottawa, Ontario, Canada |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/36084848$$D View this record in MEDLINE/PubMed http://kipublications.ki.se/Default.aspx?queryparsed=id:150808384$$DView record from Swedish Publication Index |
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| Title | Treatment of eating disorders: A systematic meta-review of meta-analyses and network meta-analyses |
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