Combining day treatment and outpatient treatment for eating disorders: findings from a naturalistic setting.
Adult
Ambulatory Care
/ methods
Anorexia Nervosa
/ psychology
Binge-Eating Disorder
/ psychology
Bulimia Nervosa
/ psychology
Cognitive Behavioral Therapy
/ methods
Day Care, Medical
/ methods
Delivery of Health Care
Feeding and Eating Disorders
/ psychology
Female
Humans
Male
Meals
Psychotherapy, Group
Treatment Outcome
Young Adult
Day treatment
Eating disorders
Naturalistic study
Journal
Eating and weight disorders : EWD
ISSN: 1590-1262
Titre abrégé: Eat Weight Disord
Pays: Germany
ID NLM: 9707113
Informations de publication
Date de publication:
Apr 2020
Apr 2020
Historique:
received:
17
10
2018
accepted:
16
01
2019
pubmed:
2
2
2019
medline:
5
1
2021
entrez:
2
2
2019
Statut:
ppublish
Résumé
Day treatment programs for individuals with eating disorders (ED) have been the subject of research and are promoted as an alternative to inpatient treatment due to their therapeutic and economic advantages, but have not regularly been implemented in regular care. We investigated the long-term effectiveness of a transdiagnostic combined eating disorder treatment program which consisted of an 8-week day treatment phase followed by an average of 19 sessions of outpatient treatment over an average of 39 weeks in a naturalistic setting. We accepted 148 patients with different diagnoses of eating disorders into our combined treatment program. We assessed weight, behavioral eating disorder symptoms and eating disorder related cognitions and attitudes at the beginning and the end of the day treatment phase and after 6, 12 and 26 months. Over the course of the 8-week day treatment phase, patients with initial binge eating, purging and/or fasting behavior reduced these symptoms by 91%, 90% and, 86%. Patients who were underweight at baseline gained on average 1.05 BMI points (d = 0.76). In addition, eating disorder related cognitions and attitudes of all patients significantly improved with large effect sizes (d = 1.12). On average, all improvements remained stable during the follow-up period. Our findings add to the existing studies on day treatment and support previously found encouraging effects of treatment programs that combine day treatment and consecutive outpatient treatment for eating disorders. Level III, longitudinal cohort study.
Sections du résumé
BACKGROUND
BACKGROUND
Day treatment programs for individuals with eating disorders (ED) have been the subject of research and are promoted as an alternative to inpatient treatment due to their therapeutic and economic advantages, but have not regularly been implemented in regular care.
PURPOSE
OBJECTIVE
We investigated the long-term effectiveness of a transdiagnostic combined eating disorder treatment program which consisted of an 8-week day treatment phase followed by an average of 19 sessions of outpatient treatment over an average of 39 weeks in a naturalistic setting.
METHODS
METHODS
We accepted 148 patients with different diagnoses of eating disorders into our combined treatment program. We assessed weight, behavioral eating disorder symptoms and eating disorder related cognitions and attitudes at the beginning and the end of the day treatment phase and after 6, 12 and 26 months.
RESULTS
RESULTS
Over the course of the 8-week day treatment phase, patients with initial binge eating, purging and/or fasting behavior reduced these symptoms by 91%, 90% and, 86%. Patients who were underweight at baseline gained on average 1.05 BMI points (d = 0.76). In addition, eating disorder related cognitions and attitudes of all patients significantly improved with large effect sizes (d = 1.12). On average, all improvements remained stable during the follow-up period.
CONCLUSIONS
CONCLUSIONS
Our findings add to the existing studies on day treatment and support previously found encouraging effects of treatment programs that combine day treatment and consecutive outpatient treatment for eating disorders.
LEVEL OF EVIDENCE
METHODS
Level III, longitudinal cohort study.
Identifiants
pubmed: 30706362
doi: 10.1007/s40519-019-00643-6
pii: 10.1007/s40519-019-00643-6
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
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