Naturalistic study of course, effectiveness, and predictors of outcome among female adolescents in residential treatment for eating disorders

被引：21

作者：

Delinsky, S. S. ^{[1
,2
,3
]}

St Germain, S. A. ^{[1
,4
]}

Thomas, J. J. ^{[1
,2
,3
]}

Craigen, K. Ellison ^{[1
,5
]}

Fagley, W. H. ^{[1
,6
]}

Weigel, T. J. ^{[1
,3
]}

Levendusky, P. ^{[1
,3
]}

Becker, A. E. ^{[2
,3
,7
]}

机构：

[1] McLean Hosp, Klarman Eating Disorders Ctr, Belmont, MA 02478 USA

[2] Massachusetts Gen Hosp, Dept Psychiat, Eating Disorders Clin & Res Program, Boston, MA 02114 USA

[3] Harvard Univ, Sch Med, Dept Psychiat, Boston, MA 02115 USA

[4] Harvard Univ, Dept Psychol, Cambridge, MA 02138 USA

[5] Fairleigh Dickinson Univ, Dept Psychol, Teaneck, NJ USA

[6] Germaine Lawrence Sch, Arlington, MA USA

[7] Harvard Univ, Sch Med, Dept Global Hlth & Social Med, Boston, MA USA

来源：

EATING AND WEIGHT DISORDERS-STUDIES ON ANOREXIA BULIMIA AND OBESITY | 2010年 / 15卷 / 03期

关键词：

Eating disorders; outcome; naturalistic residential treatment; adolescents; ANOREXIA-NERVOSA; INPATIENT TREATMENT; HOSPITALIZATION; QUESTIONNAIRE; READINESS; INTERVIEW;

D O I：

10.1007/BF03325292

中图分类号：

R749 [精神病学];

学科分类号：

100205 ;

摘要：

Few empirical data address naturalistic outcomes of residential eating disorder (ED) treatment. Study aims were to evaluate course, effectiveness, and predictors of outcome in a residential treatment program. We evaluated 80 consecutively admitted female adolescents with the SCID-IV. Primary outcomes were treatment completion, subsequent readmission, clinical global impressions, and changes in body weight. Mean length of stay was 51 days, and 80% of patients were discharged according to treatment plans. Mean expected body weight (EBW) for AN patients increased from 80% to 91%. Patients reported significant improvements in ED symptoms, depression, and quality of life. Low admission %EBW and previous psychiatric hospitalizations were associated with premature termination. Overall, findings support that residential treatment is largely acceptable to patients, and that residential care may provide an opportunity for substantive therapeutic gains. (Eating Weight Disord. 15:e127-e135,2010). (C) 2010, Editrice Kurds

引用

页码：E127 / E135

页数：9

共 30 条

[1]

Bean P, 2001, Eat Weight Disord, V6, P197

[2]

Beck A.T., 1996, Manual for the BDI-II, DOI DOI 10.1037/T00742-000

[3]

CDC Growth Charts, 2000, ADV DA

[4] The cost-effectiveness of anorexia nervosa treatment [J].

Crow, SJ ;

Nyman, JA .

INTERNATIONAL JOURNAL OF EATING DISORDERS, 2004, 35 (02) :155-160

[5]

ENDICOTT J, 1993, PSYCHOPHARMACOL BULL, V29, P321

[6]

FAIRBURN CG, 1994, INT J EAT DISORDER, V16, P363

[7] The severity and status of eating disorder NOS: Implications for DSM-V [J].

Fairburn, Christopher G. ;

Cooper, Zafra ;

Bohn, Kristin ;

O'Connor, Marianne E. ;

Doll, Helen A. ;

Palmer, Robert L. .

BEHAVIOUR RESEARCH AND THERAPY, 2007, 45 (08) :1705-1715

[8]

First M.B., 2001, Structured Clinical Interview for DSM-IV Axis I Disorders

[9] Residential treatment for eating disorders [J].

Frisch, Maria J. ;

Herzog, David B. ;

Franko, Debra L. .

INTERNATIONAL JOURNAL OF EATING DISORDERS, 2006, 39 (05) :434-442

[10] Tracking readiness and motivation for change in individuals with eating disorders over the course of treatment [J].

Geller, J ;

Zaitsoff, SL ;

Srikameswaran, S .

COGNITIVE THERAPY AND RESEARCH, 2005, 29 (05) :611-625

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