Efficacy of a partial hospital programme for adults with eating disorders
Abstract
Partial hospital programmes (PHPs) have demonstrated efficacy in the treatment of eating disorders (EDs); however, few programmes have examined long-term outcomes across diagnoses, including subtypes of anorexia nervosa (AN). The present study examined the effectiveness of PHP for adult patients (n = 243) with AN-restricting subtype (n = 79), AN binge/purge subtype (n = 46), and bulimia nervosa (n = 118). These patients tended to have long-standing courses of illness (43%, illness duration >7 years) and high levels of psychiatric comorbidity (92.2%). Patients completed questionnaires at admission, discharge, and follow-up, M (SD) = 11.50 months (5.29). Through follow-up, all diagnoses demonstrated significant improvements in weight, ED psychopathology, and comorbid symptoms, with some exceptions for the AN binge/purge group. In exploratory analyses, 49% of patients met criteria for full or partial remission at discharge and 37% at follow-up. Results provide support for the effectiveness of PHP in improving ED outcomes in a severe sample through longer-term follow-up.
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Improvements early in eating disorder treatment indicate better prognosis.
“Because improvements early in ED treatment indicate better prognosis (Brown et al., 2018; Chang et al., 2021)”
From Early reduction in anxiety sensitivity predicts greater reduction in disordered eating and trait anxiety during treatment for bulimia nervosa. (2024) · cites this paper as Brown et al., 2018
The results are consistent with previous research demonstrating that eating disorder treatment can reduce anxiety at the trait level.
“Our results are consistent with previous research demonstrating that ED treatment can reduce anxiety at the trait level (Brown et al., 2018).”
From Early reduction in anxiety sensitivity predicts greater reduction in disordered eating and trait anxiety during treatment for bulimia nervosa. (2024) · cites this paper as Brown et al., 2018
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Intolerance of Uncertainty and Eating Disorder Symptoms Over the Course of Intensive Treatment
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- Authors
- Brown, T. A., Cusack, A., Anderson, L. K., Trim, J., Nakamura, T., Trunko, M. E., & Kaye, W. H.
- Affiliations
- University of California San Diego (US)
- Corresponding author
- Kaye, Walter H.
- Venue
- European Eating Disorders Review
- Publisher
- Wiley
- Published
- 2018-03-14
- Volume
- 26
- Issue
- 3
- Pages
- 241-252
- ISSN
- 1072-4133 (ISSN-L)
- 1099-0968
- OpenAlex
- W2790558481
- Cited by
- 66
- References
- 14
- Citations by year
- 2026: 4 · 2025: 12 · 2024: 8 · 2023: 7 · 2022: 8 · 2021: 7 · 2020: 15 · 2019: 4 · 2018: 1
- FWCI
- 7.92
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- European Eating Disorders Review (publishedVersion)
- PubMed (publishedVersion)
- Funders
- University of California, San Diego
- Topics
- Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
- Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
- Health Sciences › Medicine › Psychiatry and Mental health › Child Nutrition and Feeding Issues
- Keywords
- eating disorders, anorexia nervosa, bulimia nervosa, long-term outcomes, remission, psychiatric comorbidity, weight gain, adult patients
- MeSH terms
- Adult, Anorexia Nervosa, Body Weight, Female, Humans, Inpatients, Male, Psychiatric Status Rating Scales, Surveys and Questionnaires, Comorbidity, Bulimia Nervosa, Binge-Eating Disorder
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