Pilot outcomes from a multidisciplinary telehealth versus in-person intensive outpatient program for eating disorders during versus before the Covid-19 pandemic.
Covid-19
eating disorder
intensive outpatient programs
telehealth
virtual treatment
Journal
The International journal of eating disorders
ISSN: 1098-108X
Titre abrégé: Int J Eat Disord
Pays: United States
ID NLM: 8111226
Informations de publication
Date de publication:
09 2021
09 2021
Historique:
revised:
02
07
2021
received:
19
04
2021
accepted:
02
07
2021
pubmed:
11
7
2021
medline:
15
9
2021
entrez:
10
7
2021
Statut:
ppublish
Résumé
Eating disorders (EDs) are serious mental illnesses with high rates of mortality, morbidity, and personal and societal costs. Onset of the Covid-19 pandemic led to increased ED diagnoses in the general public, as well as worsening of ED symptoms in those with an existing ED diagnosis. Heightened prevalence and severity of EDs during the pandemic is complicated by the fact that traditional modes of ED care (specialty intensive treatment provided by a multidisciplinary team) have been difficult to access during the pandemic. The current between-groups study (N = 93 ED) tested a multidisciplinary intensive outpatient program (IOP) delivered via in-person (pre-pandemic; n = 60) and virtually via telehealth (during the pandemic; n = 33). We found no differences in outcomes via delivery mode, such that regardless of in-person versus telehealth programming, ED symptoms, depression, and perfectionism significantly decreased and body mass index significantly increased. Our findings suggest that a multi-disciplinary telehealth ED IOP program is feasible and has comparable outcomes to in-person IOP treatment. These findings have implications for treatment beyond the pandemic, suggesting that adoption of telehealth IOPs is warranted. Such delivery modes of intensive treatments for EDs could be expanded to reach underserved populations, especially in rural areas where treatment is often difficult to access.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
1672-1679Subventions
Organisme : Behavioral Wellness Clinic
Informations de copyright
© 2021 Wiley Periodicals LLC.
Références
Blalock, D. V., Le Grange, D., Johnson, C., Duffy, A., Manwaring, J., Tallent, C. N., … Rienecke, R. D. (2020). Pilot assessment of a virtual intensive outpatient program for adults with eating disorders. European Eating Disorders Review, 28, 789-795. https://doi.org/10.1002/erv.2785
Beck, A. T., Steer, R. A., & Brown, G. K. (1996). Beck depression inventory (BDI-II) (Vol. 10, p. s15327752jpa6703_13). London, England: Pearson.
Berkman, N. D., Lohr, K. N., & Bulik, C. M. (2007). Outcomes of eating disorders: A systematic review of the literature. International Journal of Eating Disorders, 40, 293-309. https://doi.org/10.1002/eat.20369
Fairburn, C. G., & Beglin, S. J. (1994). Assessment of eating disorders: Interview or self-report questionnaire? International Journal of Eating Disorders, 16, 363-370. https://doi.org/10.1002/1098-108X(199412)16:4<363::AID-EAT2260160405>3.0.CO;2-%23
Fairburn, C. G., & Cooper, Z. (1993). The eating disorder examination. In C. G. Fairburn & G. T. Wilson (Eds.), Binge eating: Nature, assessment, and treatment (12th ed., pp. 317-360). England: Guilford Press.
Fitzsimmons-Craft, E. E., Taylor, C. B., Graham, A. K., Sadeh-Sharvit, S., Balantekin, K. N., Eichen, D. M., … Wilfley, D. E. (2020). Effectiveness of a digital cognitive behavior therapy-guided self-help intervention for eating disorders in college women: A cluster randomized clinical trial. JAMA Network Open, 3, e2015633-e2015633. https://doi.org/10.1001/jamanetworkopen.2020.15633
Frost, R. O., Marten, P., Lahart, C., & Rosenblate, R. (1990). The dimensions of perfectionism. Cognitive Therapy and Research, 14, 449-468. https://doi.org/10.1007/BF01172967
Halmi, K. A. (2009). Salient components of a comprehensive service for eating disorders. World Psychiatry, 8, 150. https://doi.org/10.1002/j.2051-5545.2009.tb00235.x
Johnson, C., Weiner, K., Marx, R., O'Melia, A. M., Mehler, P. S., & Pikus, C. (2017). Which major disciplines are typically members of the treatment team for eating disorders? What are the common psychologically based therapies that are evidence-based treatments for eating disorders? Is there any way to know whether an eating disorder professional. Eating Disorders: A Guide to Medical Care and Complications, 1, 56.
Keel, P. K., & Brown, T. A. (2010). Update on course and outcome in eating disorders. International Journal of Eating Disorders, 43, 195-204. https://doi.org/10.1002/eat.20810
Luce, K. H., & Crowther, J. H. (1999). The reliability of the eating disorder examination-Self-report questionnaire version (EDE-Q). International Journal of Eating Disorders, 25, 349-351. https://doi.org/10.1002/(SICI)1098-108X(199904)25:3<349::AID-EAT15>3.0.CO;2-M
Matheson, B., Bohon, C., & Lock, J. (2020). Family-based treatment via videoconference: Clinical recommendations for treatment providers during COVID-19 and beyond. International Journal of Eating Disorders, 53(7), 1142-1154. https://doi.org/10.1002/eat.23326
Meule, A., Richard, A., Schnepper, R., Reichenberger, J., Georgii, C., Naab, S., … Blechert, J. (2019). Emotion regulation and emotional eating in anorexia nervosa and bulimia nervosa. Eating Disorders, 1-17. https://doi.org/10.1080/10640266.2019.1642036.
Mond, J. M., Hay, P. J., Rodgers, B., Owen, C., & Beumont, P. J. V. (2004). Validity of the eating disorder examination questionnaire (EDE-Q) in screening for eating disorders in community samples. Behaviour Research and Therapy, 42, 551-567. https://doi.org/10.1016/S0005-7967(03)00161-X
Mond, J. M., Hay, P. J., Rodgers, B., & Owen, C. (2006). Eating Disorder Examination Questionnaire (EDE-Q): Norms for young adult women. Behaviour Research and Therapy, 44(1), 53-62. https://doi.org/10.1016/j.brat.2004.12.003.
Noordenbos, G., Oldenhave, A., Muschter, J., & Terpstra, N. (2002). Characteristics and treatment of patients with chronic eating disorders. Eating Disorders, 10, 15-29. https://doi.org/10.1080/106402602753573531
Peterson, C. B., Crosby, R. D., Wonderlich, S. A., Joiner, T., Crow, S. J., Mitchell, J. E., … Le Grange, D. (2007). Psychometric properties of the eating disorder examination-questionnaire: Factor structure and internal consistency. International Journal of Eating Disorders, 40(4), 386-389.
Pillipou, A., Meyer, D., Neill, E., Tan, E. J., Toh, W. L., Van Rheenen, T. E., & Rossell, S. L. (2020). Eating and exercise behaviors in eating disorders and the general population during the COVID-19 pandemic in Australia: Initial results from the COLLATE project. International Journal of Eating Disorders, 53, 1158-1165. https://doi.org/10.1002/eat.23317
Rodgers, R. F., Lombardo, C., Cerolini, S., Franko, D. L., Omori, M., Fuller-Tyszkiewicz, M., … Guillaume, S. (2020). The impact of the COVID-19 pandemic on eating disorder risk and symptoms. International Journal of Eating Disorders, 53, 1166-1170. https://doi.org/10.1002/eat.23318
Schlegl, A., Maier, J., Meule, A., & Voderholzer, U. (2020). Eating disorders in times of the COVID-19 pandemic results from an online survey of patients with anorexia nervosa. International Journal of Eating Disorders, 53, 1791-1800. https://doi-org.echo.louisville.edu/10.1002/eat.23374
Steer, R. A., Ball, R., Ranieri, W. F., & Beck, A. T. (1997). Further evidence for the construct validity of the Beck depression inventory-II with psychiatric outpatients. Psychological Reports, 80, 443-446. https://doi.org/10.2466/pr0.1997.80.2.443
Stewart, T. M., & Williamson, D. A. (2004). Multidisciplinary treatment of eating disorders-Part 1: Structure and costs of treatment. Behavior Modification, 28, 812-830. https://doi.org/10.1177/0145445503259855
Taylor, C. B., Fitzsimmons-Craft, E. E., & Graham, A. K. (2020). Digital technology can revolutionize mental health services delivery: The COVID-19 crisis as a catalyst for change. International Journal of Eating Disorders, 53, 1155-1157. https://doi.org/10.1002/eat.23300
Thompson, C., & Park, S. (2016). Barriers to access and utilization of eating disorder treatment among women. Archives of Women's Mental Health, 19, 753-760. https://doi.org/10.1007/s00737-016-0618-4
Treat, T. A., McCabe, E. B., Gaskill, J. A., & Marcus, M. D. (2008). Treatment of anorexia nervosa in a specialty care continuum. International Journal of Eating Disorders, 41(6), 564-572.
Walsh, J. M., Wheat, M. E., & Freund, K. (2000). Detection, evaluation, and treatment of eating disorders. Journal of General Internal Medicine, 15, 577-590. https://doi.org/10.1046/j.1525-1497.2000.02439.x
Wang, Y. P., & Gorenstein, C. (2013). Psychometric properties of the Beck depression inventory-II: A comprehensive review. Brazilian Journal of Psychiatry, 35, 416-431. https://doi.org/10.1590/1516-4446-2012-1048
Weissman, R. S., Bauer, S., & Thomas, J. J. (2020). Access to evidence-based care for eating disorders during the COVID-19 crisis. International Journal of Eating Disorders, 53, 639-646. https://doi.org/10.1002/eat.23279
Whaibeh, E., Mahmoud, H., & Naal, H. (2020). Telemental health in the context of a pandemic: The COVID-19 experience. Current Treatment Options in Psychiatry, 7(2), 198-202.
Wood, S. M., White, K., Peebles, R., Pickel, J., Alausa, M., Mehringer, J., & Dowshen, N. (2020). Outcomes of a rapid adolescent telehealth scale-up during the COVID-19 pandemic. Journal of Adolescent Health, 67(2), 172-178.