Cognitive Behaviour Therapy for Eating Disorders: Treatment Attrition and Clinician Experiences of Delivery

Hewitt, Chloe (2024) Cognitive Behaviour Therapy for Eating Disorders: Treatment Attrition and Clinician Experiences of Delivery. Doctoral thesis, University of East Anglia.

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Abstract

Objective: This Thesis Portfolio1 aims to explore cognitive behaviour therapy for
eating disorders, particularly in relation to attrition rates and clinician experience.

Design: The Thesis Portfolio consists of the following: 1) an introduction to the key topics of relevance, 2) a systematic review and meta-analysis of attrition rate from cognitive behaviour therapy for eating disorders in routine clinical settings, 3) a bridging chapter, 4) an empirical research project presenting a qualitative investigation of clinicians’ experiences of delivering Cognitive Behaviour Therapy Ten (CBT-T), 5) an additional methodology chapter providing further information about the methodology of the empirical research project, and 6) a discussion and critical evaluation of both papers.

Results: The systematic review and meta-analysis found attrition rates from cognitive behaviour therapy for eating disorders to be high. Attrition rate varied by diagnosis and cognitive behaviour therapy type, with patient age and eating disorder severity found to moderate attrition rates. The empirical research project presents three themes and 10 subthemes identified from thematic analysis of the data which describe clinicians’ overall experiences of delivering CBT-T.

Conclusion: The Thesis Portfolio reports research which is the first to provide an estimate of attrition from cognitive behaviour therapy for eating disorders in routine clinical settings, and to investigate clinicians’ experiences of delivering CBT-T. The systematic review and meta-analysis provides an insight into factors found to moderate attrition rates. The empirical research project highlights positive elements of delivering CBT-T, and areas of training and the treatment protocol that clinicians feel are underspecified. Practical and research implications are outlined and discussed, with consideration given to the impact of the implementation of these.

Item Type:	Thesis (Doctoral)
Faculty \ School:	Faculty of Medicine and Health Sciences > Norwich Medical School
Depositing User:	Kitty Laine
Date Deposited:	11 Nov 2024 15:56
Last Modified:	11 Nov 2024 15:56
URI:	https://ueaeprints.uea.ac.uk/id/eprint/97614
DOI:

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