This study was designed to investigate the impact of initial Body Mass Index (BMI) and motivation for recovery on a 12-week day therapy programme for Eating Disorders. Outcome was assessed by changes in eating disorder symptomology, mood and self-esteem. A battery of assessment questionnaires was given to 34 eating disorder clients on admission to and completion of the programme. This study found that BMI at admission did not affect treatment outcome directly. Only patient self-rated motivation directly affected treatment outcome with more highly motivated clients making more significant changes to their eating disorder symptomology across the programme. However, motivation, BMI and duration of illness influenced how likely a patient was to complete the 12 weeks and completion of the programme had a direct effect on eating disorder symptomology, mood and self-esteem. BMI and motivation can therefore be seen to indirectly effect the outcome of treatment via the ability to complete the programme.
This qualitative study used a semi-structured interview to explore whether user perspective on quality of life changed following a 12 week day therapy programme for eating disorders. Thematic analysis was used to explore emergent themes. The most significant finding was the difference between the trajectories of the completers and the non-completers of the day programme. Whilst completers and non-completers were similar at the start of the programme, completers moved through aspiration to actual change in the quality of their lives, whereas non-completers were unable to take their aspiration through to action. One possible explanation for the findings is that motivation may be an important intermediate variable, with completers of the programme being more motivated to improve not only their symptoms but also the quality of their lives more generally.
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