Cost-effectiveness analysis of a hospital-based cognitive-behavioral treatment program for eating disorders

Williamson, Donald A.; Thaw, Jean M.; Varnado-Sullivan, Paula J.

doi:10.1016/s0005-7894(01)80031-9

Cited by 42 publications

(39 citation statements)

References 22 publications

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“…This remission rate is comparable to results of previous studies on Williamson et al (2001), the current study used a conservative criterion for remission and included patients with severe symptoms. The results of the short-term evaluation are comparable to those of the initial evaluation of the TCE reported by Gerlinghoff and colleagues (1998).…”

Section: Discussionsupporting

confidence: 85%

Effectiveness of day hospital treatment for anorexia nervosa and bulimia nervosa

Fittig

Jacobi

Backmund³

et al. 2008

Euro Eating Disorders Rev

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The aim of this observational study was to examine the short-term effectiveness of a structured, largely manualised day hospital treatment, as well as the stability of short-term effects in patients with anorexia nervosa (AN) and bulimia nervosa (BN). Eighty-three patients, 47 with AN and 36 with BN, were assessed at pre-treatment, at the end of the day hospital treatment and at follow-up approximately one year after post-treatment. Outcome measures were body mass index (BMI), disturbed eating attitudes and behaviours assessed by the Eating Disorder Inventory (EDI), frequency of bingeing and purging, and general psychopathology assessed by the Symptom Checklist-90 (SCL-90). At the end of the day hospital treatment, significant improvements could be found on all outcome variables (frequency of binge eating/vomiting/laxative abuse, BMI and core EDI-subscales 'drive for thinness'/'bulimia'/'body dissatisfaction'). Effect sizes were generally large (.74 > d < 2.44). The effects were maintained or improved until follow-up (18 months). At follow-up, 40.2% of AN patients and 40.4% of BN patients could be classified as remitted. General psychopathological impairment was also significantly reduced at post-treatment and maintained until follow-up. The results demonstrate both the short-term effectiveness and long-term stability of day hospital treatment in a large sample of patients with anorexia and BN.

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Section: Discussionsupporting

confidence: 85%

Effectiveness of day hospital treatment for anorexia nervosa and bulimia nervosa

Fittig

Jacobi

Backmund³

et al. 2008

Euro Eating Disorders Rev

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“…After a mean of 14 to 15 weeks of treatment, the majority of patients made clinically significant changes on psychological measures and 64% were weight restored, but only 13% were abstinent from bingeing and 28% were abstinent from vomiting (Ben-Porath et al, 2010). Clinically significant improvements have also been reported for the Our Lady of the Lake Program in the United States (Williamson, Thaw, & Varnado-Sullivan, 2001), for the Oxford Eating Disorder Service (Peake, Kimbert, & Whitehead, 2005) and in a preliminary report of day treatment for adolescents with anorexia nervosa in Australia (Goldstein et al, 2011).…”

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confidence: 85%

Efficacy and intensity of day hospital treatment for eating disorders

Olmsted

McFarlane

Trottier

et al. 2013

Psychotherapy Research

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The purpose of the study was to compare the effectiveness of 4-day versus 5-day day hospital (DH) treatment and to document effectiveness based on a large sample size. Participants were 801 patients, diagnosed with an eating disorder, who participated in DH treatment from 1985 to 2009. The study followed a sequential cohort ABA design. Higher intensity DH was associated with higher rates of abstinence from bingeing and vomiting and larger improvements in depression and body dissatisfaction. Higher intensity DH provided no consistent advantage in rates of weight restoration or improvement on other indices of psychological functioning. These findings suggest that the optimal intensity of treatment may vary depending on treatment goals, but 5-day DH is recommended for eating disorders.

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“…In recent years, day treatment or partialday hospitalization has been promoted as the alternative to traditional inpatient treatment for eating disorders (Zipfel et al, 2002). Although this approach may be equally effective and less expensive (Williamson, Thaw, & Varnado-Sullivan, 2001), no controlled trial has been published yet. The same applies to nonhospital residential treatment in a home-like setting (Bean & Weltzin, 2001).…”

Section: What Kind Of Inpatient Setting?mentioning

confidence: 99%

The place of inpatient care in the treatment of anorexia nervosa: Questions to be answered

Vandereycken

2003

Intl J Eating Disorders

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Cost-effectiveness analysis of a hospital-based cognitive-behavioral treatment program for eating disorders

Cited by 42 publications

References 22 publications

Effectiveness of day hospital treatment for anorexia nervosa and bulimia nervosa

Effectiveness of day hospital treatment for anorexia nervosa and bulimia nervosa

Efficacy and intensity of day hospital treatment for eating disorders

The place of inpatient care in the treatment of anorexia nervosa: Questions to be answered

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