Evidence map›Paper›PMID 42249491›Full record

ReviewJournal of eating disorders2026

The effects of waiting time for outpatient psychotherapeutic interventions on patient-reported outcomes in adolescents and adults with eating disorders: a systematic review and meta-analysis.

Marike Kranes, Pauline S Münchenberg, Carmen Thomas, Ricarda S Schulz, Alessandro Campione, Anika Kreutzberg

Abstract readReview
In one paragraph

Review in Journal of eating disorders, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

6 authors.

Marike KranesCharité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin, Germany.ORCID http://orcid.org/0009-0008-7393-4062
Pauline S MünchenbergInstitute of Public Health, Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin, Germany.ORCID http://orcid.org/0000-0002-6184-2995
Carmen ThomasInstitute of Public Health, Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin, Germany.ORCID http://orcid.org/0009-0001-1444-5161
Ricarda S SchulzInstitute of Public Health, Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin, Germany.ORCID http://orcid.org/0009-0006-9725-7620
Alessandro CampioneDepartment of Health Care Management, Technische Universität Berlin, Berlin, Germany.ORCID http://orcid.org/0009-0004-9162-9433
Anika KreutzbergDepartment of Health Care Management, Technische Universität Berlin, Berlin, Germany. anika.kreutzberg@tu-berlin.de.ORCID http://orcid.org/0000-0001-9279-6509

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo assess the effects of waiting time for outpatient psychotherapeutic interventions on patient-reported outcomes in adolescents and adults with eating disorders.

methodMEDLINE, Embase, APA PsycInfo, CENTRAL and BASE were searched on 12 August 2025. Quantitative studies of adolescents (≥ 10 years) and adults with eating disorders that examined waitlist conditions prior to outpatient psychotherapeutic interventions and measured eating disorder pathology with the Children's Eating Attitudes Test (chEAT) or Eating Disorder Examination-Questionnaire (EDE-Q) were eligible. Risk of bias was assessed using the RoB 2 and ROBINS-I tools. A within-group random-effects meta-analysis was performed assessing pre-post change scores of the EDE-Q Global Score (primary analysis) and EDE-Q subscales (secondary analyses). A full protocol has been pre-registered on PROSPERO (registration number: CRD420251090691).

resultsNine waitlist-controlled studies (total n = 647, waitlisted n = 283) including adult participants with bulimia nervosa, binge-eating disorder and 'eating disorder not otherwise specified' met our eligibility criteria. Eight studies (waitlisted n = 273) were included in the meta-analysis. Participants entered the waiting period with high EDE-Q Global Scores, ranging from 3.08 to 4.65 across studies. The pooled pre-post effect estimate was Hedges' g = - 0.17 (95% CI - 0.30 to - 0.05), indicating a negligible reduction in eating disorder pathology. Certainty of evidence was rated as moderate, given the high risk of bias across studies. DISCUSSION: Based on our results, waiting in waitlist control groups represents a period during which substantial eating disorder pathology and associated distress persist without therapeutic intervention. Further research is needed to better understand the effects of waiting time for regular eating disorder treatment outside a study setting.

Indexed as

AccessAnorexia nervosaBinge-eating disorderBulimia nervosaOther specified feeding or eating disorderOutpatient psychotherapyPatient-reported outcomesTreatment delayWaiting timeWaitlist control groups

Identifiers

PMID42249491
PMCPMC13248287

What Socratic holds

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Registered trials

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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.