Effective treatment of eating disorders: Results at multiple sites
Abstract
We report the results of a study based on 1,428 patients with eating disorders treated at 6 clinics. These patients were consecutively referred over 18 years and used inpatient and outpatient treatment. The subjects were diagnosed with anorexia nervosa, bulimia nervosa, or an eating disorder not otherwise specified. Patients practiced a normal eating pattern with computerized feedback technology, they were supplied with external heat, their physical activity was reduced, and their social habits restored to allow them to return to their normal life. The estimated rate of remission for this therapy was 75% after a median of 12.5 months of treatment. A competing event such as the termination of insurance coverage, or failure of the treatment, interfered with outcomes in 16% of the patients, and the other patients remained in treatment. Of those who went in remission, the estimated rate of relapse was 10% over 5 years of follow-up and there was no mortality. These data replicate the outcomes reported in our previous studies and they compare favorably with the poor long-term remission rates, the high rate of relapse, and the high mortality rate reported with standard treatments for eating disorders.
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Standard eating disorder treatment is associated with suboptimal results.
“Meanwhile, standard ED treatment is associated with suboptimal results, possibly because existing treatments sometimes fail to recognize impulsivity as part of the eating pathology [232,233].”
From Separating the Signal from the Noise: How Psychiatric Diagnoses Can Help Discern Food Addiction from Dietary Restraint (2020) · cites this paper as [232]
Existing eating disorder treatments sometimes fail to recognize impulsivity as part of the eating pathology.
“Meanwhile, standard ED treatment is associated with suboptimal results, possibly because existing treatments sometimes fail to recognize impulsivity as part of the eating pathology [232,233].”
From Separating the Signal from the Noise: How Psychiatric Diagnoses Can Help Discern Food Addiction from Dietary Restraint (2020) · cites this paper as [232]
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The importance of the hypothalamo-pituitary-adrenal axis as a therapeutic target in anorexia nervosa
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Self-citationLanglet, B. S., Fagerberg, P., Glossner, A., & Ioakimidis, I. (2017) · PLoS ONE · doi:10.1371/journal.pone.0182172 · Cited by 14 · see citing works
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SMITH, L. L. (2023) · Frontiers in Behavioral Neuroscience · doi:10.3389/fnbeh.2023.1243572 · Cited by 2 · see citing works
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Restricted Temporal Access to Food and Anorexia: Modeling Systems
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How to Treat Food Addiction from a Nutritional Perspective: Consideration of Diet and Abstinence
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Restricted Temporal Access to Food and Anorexia: Modelling Systems
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Possible Dysregulation of Orexin and Dopamine Systems in Anorexia Nervosa
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Depressive and Anxiety Symptoms in the Outcome of Eating Disorders: 8-Year
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Fat Thoughts and Fat Content Do Not Affect Eating Behavior in Women
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Self-citationResponse: Commentary: Control of Body Weight by Eating Behavior in Children
Södersten, P., Zandian, M., & Bergh, C. E. K. (2016) · Frontiers in Pediatrics · doi:10.3389/fped.2016.00017
Self-citationCommentary: Control of Body Weight by Eating Behavior in Children
Kuo, T. (2016) · Frontiers in Pediatrics · doi:10.3389/fped.2016.00014
Recovery From Eating Disorders: Expanded Evidence From a New Treatment
Blumberg, M. S. (2014)
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Brown, R. F., & Thorsteinsson, E. (2019) · Springer eBooks · doi:10.1007/978-3-030-32545-9_9
Birmingham, C. L. (2024) · Springer eBooks · doi:10.1007/978-3-031-55637-1_5
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Mars, M., Higgs, S., Hermsen, S., Frost, J., & Hermans, R. C. J. (2018) · OSF Preprints (OSF Preprints)
Role of the endocannabinoid system in exercise motivation
Redon, B. (2021) · theses.fr (ABES) · doi:10.70675/844c9d99zd3c6z4550z97a6zebab239b226c
- Authors
- Bergh, C., Callmar, M., Danemar, S., Hölcke, M., Isberg, S., Leon, M., Lindgren, J., Lundqvist, Å., Niinimaa, M., Olofsson, B., Palmberg, K., Pettersson, A., Zandian, M., Åsberg, K., Brodin, U., Maletz, L., Court, J., Iafeta, I., Björnström, M., Glantz, C., Kjäll, L., Rönnskog, P., Sjöberg, J., & Södersten, P.
- Affiliations
- Pomerado Hospital (US)
- Danderyds sjukhus (SE)
- Karolinska Institutet (SE)
- Venue
- Behavioral Neuroscience
- Published
- 2013
- Volume
- 127
- Issue
- 6
- Pages
- 878-889
- ISSN
- 0735-7044 (ISSN-L)
- 1939-0084
- OpenAlex
- W2122767856
- Cited by
- 68
- References
- 106
- Citations by year
- 2026: 2 · 2025: 3 · 2024: 2 · 2023: 4 · 2022: 2 · 2021: 5 · 2020: 10 · 2019: 10 · 2018: 6 · 2017: 6 · 2016: 6 · 2015: 6 · 2014: 6
- FWCI
- 6.67
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Behavioral Neuroscience (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Stockholm County Council
- Region Västra Götaland
- County Council of Värmland
- Medibank Private
- BUPA
- HBA
- MHN
- Magellan
- Aetna
- 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, eating disorder not otherwise specified, physical activity reduction, social habits, remission, relapse, treatment outcomes, long-term follow-up, competing events
- MeSH terms
- Adolescent, Adult, Anorexia Nervosa, Feeding and Eating Disorders, Feeding Behavior, Follow-Up Studies, Humans, Male, Recurrence, Treatment Outcome, Bulimia Nervosa, Young Adult
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