Demographics and Outcomes of Patients With Eating Disorders Treated in Residential Care.
adolescent
adult
anorexia
bulimia
eating disorder
outcome
residential treatment
Journal
Frontiers in psychology
ISSN: 1664-1078
Titre abrégé: Front Psychol
Pays: Switzerland
ID NLM: 101550902
Informations de publication
Date de publication:
2019
2019
Historique:
received:
30
09
2019
accepted:
16
12
2019
entrez:
4
2
2020
pubmed:
6
2
2020
medline:
6
2
2020
Statut:
epublish
Résumé
The use of residential eating disorder (ED) treatment has grown dramatically in the United States, yet there has been minimal evaluation of treatment outcomes. Thus, outcome data on weight restoration, purging behaviors, and/or Global Assessment of Functioning (GAF) for 1,421 patients treated over an 8-year period in residential ED programs are described. Results suggest that, (1) for patients who needed weight restoration upon admission, adolescent and adult patients gained 2.0 and 2.1 lb/week, respectively; (2) of patients who reported purge behavior the month before admission, 89.1% were able to completely cease purging while in treatment; (3) although improvement of approximately 10 mean GAF points was made during treatment, patients were still quite impaired at discharge; and (4) mean length of stay was 12 days longer for adolescents than adults, and 10-15 days longer for patients diagnosed with anorexia compared to bulimia or ED Not Otherwise Specified (EDNOS), respectively. Other demographic statistics and additional analyses are presented. Limitations include the high variance of purging data and reliance on self- and parent-report for admission data. The data on the 1,421 patients, which represents 96% of all patients treated during the study period, more than doubles the number of residential ED patients with outcome in the literature.
Identifiants
pubmed: 32010027
doi: 10.3389/fpsyg.2019.02985
pmc: PMC6978748
doi:
Types de publication
Journal Article
Langues
eng
Pagination
2985Informations de copyright
Copyright © 2020 Fisher, Henretty, Cox, Feinstein, Fornari, Moskowitz, Schneider, Levine, Malizio and Fishbein.
Références
Int J Eat Disord. 2006 Nov;39(7):550-5
pubmed: 16791851
Eat Behav. 2003 Nov;4(4):385-97
pubmed: 15000964
Eat Disord. 2011 Mar-Apr;19(2):117-31
pubmed: 21360363
Eat Weight Disord. 2010 Sep;15(3):e127-35
pubmed: 21150248
Int J Eat Disord. 2010 Apr;43(3):195-204
pubmed: 20186717
J Adolesc Health. 2011 Dec;49(6):594-600
pubmed: 22098769
Int J Eat Disord. 2007 Nov;40(7):602-12
pubmed: 17610253
Int J Eat Disord. 2008 Jan;41(1):29-36
pubmed: 17647278
Int J Eat Disord. 1997 Dec;22(4):339-60
pubmed: 9356884
Psychiatr Serv. 2016 Jun 1;67(6):664-6
pubmed: 26974513
Eur Eat Disord Rev. 2010 Sep-Oct;18(5):367-75
pubmed: 20564303
Nutr J. 2011 Jan 24;10:9
pubmed: 21261939
BMJ Open. 2013 May 28;3(5):null
pubmed: 23793681
Int J Eat Disord. 2012 Mar;45(2):155-78
pubmed: 22287383
Int J Eat Disord. 2006 Jul;39(5):434-42
pubmed: 16528698
Eat Disord. 2016 May-Jun;24(3):224-39
pubmed: 26214231
Eur Eat Disord Rev. 2016 Jul;24(4):263-76
pubmed: 27062687
Am J Psychiatry. 2002 Aug;159(8):1284-93
pubmed: 12153817
J Addict Dis. 2004;23(2):83-94
pubmed: 15132344