Evidence map›Paper›PMID 32021688›Full record

ReviewJournal of eating disorders2020

Canadian practice guidelines for the treatment of children and adolescents with eating disorders.

Jennifer Couturier, Leanna Isserlin, Mark Norris, Wendy Spettigue, Melissa Brouwers, Melissa Kimber, Gail McVey, Cheryl Webb, Sheri Findlay, Neera Bhatnagar and 21 more

Open access · goldAbstract readReview
In one paragraph

Review in Journal of eating disorders, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 119 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
119citing papers in PubMed, 7 pooled it
11.1field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

119 citing papers in PubMed, 7 syntheses or guidelines pooled it, 214 citations in OpenAlex.

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  14. Sibling Involvement and Documentation in Pediatric Eating Disorder Care.The International journal of eating disorders · 2026
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59 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

31 authors at 12 institutions in 1 country.

Jennifer Couturier1McMaster University, Hamilton, Canada.ORCID 0000-0003-3218-0168
Leanna Isserlin2University of Ottawa, Ottawa, Canada.
Mark Norris2University of Ottawa, Ottawa, Canada.
Wendy Spettigue2University of Ottawa, Ottawa, Canada.
Melissa Brouwers2University of Ottawa, Ottawa, Canada.
Melissa Kimber1McMaster University, Hamilton, Canada.
Gail McVey3University of Toronto, Toronto, Canada.
Cheryl Webb1McMaster University, Hamilton, Canada.
Sheri Findlay1McMaster University, Hamilton, Canada.
Neera Bhatnagar1McMaster University, Hamilton, Canada.
Natasha Snelgrove1McMaster University, Hamilton, Canada.
Amanda Ritsma1McMaster University, Hamilton, Canada.
Wendy PreskowNational Initiative for Eating Disorders, Toronto, Canada.
Catherine MillerCanadian Mental Health Association - Waterloo, Wellington, Dufferin, Kitchener, Canada.
Jennifer Coelho6The Univeristy of British Columbia, Vancouver, Canada.
Ahmed Boachie3University of Toronto, Toronto, Canada.
Cathleen Steinegger3University of Toronto, Toronto, Canada.
Rachel LoewenPatient advocate, Woodstock, Canada.
Techiya LoewenParent advocate, Woodstock, Canada.
Elizabeth WaiteParent advocate, Woodstock, Canada.
Catherine Ford9Ontario Ministry of Health and Long-Term Care, Toronto, Canada.
Kerry Bourret10St. Joseph's Care Group - Thunder Bay, Thunder Bay, Canada.
Joanne Gusella11Dalhousie University, Halifax, Canada.
Josie Geller6The Univeristy of British Columbia, Vancouver, Canada.
Adele LaFrance12Laurentian University, Sudbury, Canada.
Anick LeClerc13McMaster Children's Hospital, Hamilton, Canada.
Jennifer ScarboroughCanadian Mental Health Association - Waterloo, Wellington, Dufferin, Kitchener, Canada.
Seena Grewal3University of Toronto, Toronto, Canada.
Monique Jericho14University of Calgary, Calgary, Canada.
Gina Dimitropoulos14University of Calgary, Calgary, Canada.
David Pilon11Dalhousie University, Halifax, Canada.
McMaster University · CAUniversity of Ottawa · CAUniversity of Toronto · CACanadian Mental Health Association · CADalhousie University · CAUniversity of British Columbia · CAUniversity of Calgary · CAVitamin D Society · CALaurentian University · CAMcMaster Children's Hospital · CAMinistry of Health and Long Term Care · CASt. Joseph's Care Group · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesEating disorders are common and serious conditions affecting up to 4% of the population. The mortality rate is high. Despite the seriousness and prevalence of eating disorders in children and adolescents, no Canadian practice guidelines exist to facilitate treatment decisions. This leaves clinicians without any guidance as to which treatment they should use. Our objective was to produce such a guideline.

methodsUsing systematic review, the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) system, and the assembly of a panel of diverse stakeholders from across the country, we developed high quality treatment guidelines that are focused on interventions for children and adolescents with eating disorders.

resultsStrong recommendations were supported specifically in favour of Family-Based Treatment, and more generally in terms of least intensive treatment environment. Weak recommendations in favour of Multi-Family Therapy, Cognitive Behavioural Therapy, Adolescent Focused Psychotherapy, adjunctive Yoga and atypical antipsychotics were confirmed.

conclusionsSeveral gaps for future work were identified including enhanced research efforts on new primary and adjunctive treatments in order to address severe eating disorders and complex co-morbidities.

Indexed as

AdolescentAnorexia nervosaAvoidant/restrictive food intake disorderBulimia nervosaGuidelines

Identifiers

PMID32021688
PMCPMC6995106
OpenAlexW3003924712

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.