Effekte stationärer Psychotherapie auf Essstörungssymptomatik, gesundheitsbezogene Lebensqualität und personale Ressourcen bei Anorexia und Bulimia nervosa

Tagay, Sefik; Düllmann, Sonja; Schlegl, Sandra; Mewes, Ricarda; Repic, Nevena; Hampke, Christian; Brähler, Elmar; Gerlach, Gabriele; Senf, Wolfgang

doi:10.1055/s-0031-1275669

Cited by 10 publications

(4 citation statements)

References 25 publications

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“…Previous studies showed that BMI change during inpatient treatment was predicted by inpatient treatment duration, weight or BMI at admission, age at admission, age of onset, duration of illness, educational status, ineffectiveness and motivation to change (Collin, Power, Karatzias, Grierson, & Yellowlees, 2010;Hillen, Dempfle, Seitz, Herpertz-Dahlmann, & Bühren, 2015;Kästner et al, 2015). Predictors of changes in ED symptoms (EDI-2 and EDE-Q) were ED symptoms at admission, depression, motivation, self-efficacy, patients distress, expressed emotion, impulse regulation, social quality of life, social insecurity, education and perceived psychological control in fathers (Delinsky et al, 2010;Goddard et al, 2013;Schlegl, Quadflieg, Löwe, Cuntz, & Voderholzer, 2014;Tagay et al, 2011;Wade, Frayne, Edwards, Robertson, & Gilchrist, 2009).…”

Section: Introductionmentioning

confidence: 99%

Inpatient Treatment for Adolescents with Anorexia Nervosa: Clinical Significance and Predictors of Treatment Outcome

Schlegl

Diedrich

Neumayr

et al. 2015

Euro Eating Disorders Rev

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This study evaluated the clinical significance as well as predictors of outcome for adolescents with severe anorexia nervosa (AN) treated in an inpatient setting. Body mass index (BMI), eating disorder (ED) symptoms [Eating Disorder Inventory-2 (EDI-2)], general psychopathology and depression were assessed in 238 patients at admission and discharge. BMI increased from 14.8 + 1.2 to 17.3 + 1.4 kg/m(2). Almost a fourth (23.6%) of the patients showed reliable changes, and 44.7% showed clinically significant changes (EDI-2). BMI change did not significantly differ between those with reliable or clinically significant change or no reliable change in EDI-2. Length of stay, depression and body dissatisfaction were negative predictors of a clinically significant change. Inpatient treatment is effective in about two thirds of adolescents with AN and should be considered when outpatient treatment fails. About one third of patients showed significant weight gain, but did not improve regarding overall ED symptomatology. Future studies should focus on treatment strategies for non-responders.

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Section: Introductionmentioning

confidence: 99%

Inpatient Treatment for Adolescents with Anorexia Nervosa: Clinical Significance and Predictors of Treatment Outcome

Schlegl

Diedrich

Neumayr

et al. 2015

Euro Eating Disorders Rev

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“…However, this measure is also relatively independent of the clinical relevance of results [14]. Authors such as Long et al [15], Rø et al [16], Tagay et al [17], Zeeck et al [18] and Goddard et al [19] reported small to high effect sizes of inpatient treatment for anorexia nervosa depending on the outcome measure.…”

Section: Introductionmentioning

confidence: 99%

Specialized inpatient treatment of adult anorexia nervosa: effectiveness and clinical significance of changes

et al. 2014

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BackgroundPrevious studies have predominantly evaluated the effectiveness of inpatient treatment for anorexia nervosa at the group level. The aim of this study was to evaluate treatment outcomes at an individual level based on the clinical significance of improvement. Patients’ treatment outcomes were classified into four groups: deteriorated, unchanged, reliably improved and clinically significantly improved. Furthermore, the study set out to explore predictors of clinically significant changes in eating disorder psychopathology.MethodsA total of 435 inpatients were assessed at admission and at discharge on the following measures: body-mass-index, eating disorder symptoms, general psychopathology, depression and motivation for change.Results20.0-32.0% of patients showed reliable changes and 34.1-55.3% showed clinically significant changes in the various outcome measures. Between 23.0% and 34.5% remained unchanged and between 1.7% and 3.0% deteriorated. Motivation for change and depressive symptoms were identified as positive predictors of clinically significant changes in eating disorder psychopathology, whereas body dissatisfaction, impulse regulation, social insecurity and education were negative predictors.ConclusionsDespite high rates of reliable and clinically significant changes following intensive inpatient treatment, about one third of anorexia nervosa patients showed no significant response to treatment. Future studies should focus on the identification of non-responders as well as on the development of treatment strategies for these patients.Electronic supplementary materialThe online version of this article (doi:10.1186/s12888-014-0258-z) contains supplementary material, which is available to authorized users.

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“…Bei 25 % zeigten sich weitergehende Verbesserungen und bei weiteren 25 % hatte sich die Symptomatik nach Therapieende wieder verschlechtert. In einer naturalistischen Studie bei den Essstörungsdiagnosen AN und BN des stationären Settings und einem multimodalen Behandlungsvorgehen von Tagay et al [ 10 ] konnten mittlere bis hohe Prä/Post-Eff ektstärken in der Essstörungssymptomatik mittels des Eating Disorder Inventory (EDI) ermittelt werden. Die Autoren führten jedoch keine Follow-up-Erhebungen durch, sodass keine Aussagen zu den längerfristigen Eff ekten im naturalistischen Setting gemacht werden können.…”

Section: Längerfristige Eff Ekte Einer Essstörungsspezifi Schen Kvt Iunclassified

Längerfristige Effekte einer essstörungsspezifischen KVT im naturalistischen Setting

Schnicker

Legenbauer

Hiller

2012

Psychother Psych Med

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The efficacy of cognitive-behavioral therapy (CBT) for adults with eating disorders has been shown in several naturalistic studies. In contrast studies showing longer-term effects in naturalistic outpatient treatment are still lacking. Therefore 99 female patients with the primary DSM-IV diagnosis of an eating disorder were considered in this analysis. Longer-term duration outcome data exist for 53,5% (n=53). EDE-Q, BDI and BSI were used as outcome measures and were given to patients at the beginning, the end and 18 month after the end of treatment. The effect sizes remained fairly steady throughout follow-up. Also the response rates remained the same on average (63,6%), whereupon 25% lost their status of response and 22,7% showed spontaneous remission during long-term evaluation. Although the average longer-term effect sizes of CBT in an outpatient routine health-care service were maintained throughout follow-up, one fourth of the females developed symptomatology again.

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Effekte stationärer Psychotherapie auf Essstörungssymptomatik, gesundheitsbezogene Lebensqualität und personale Ressourcen bei Anorexia und Bulimia nervosa

Cited by 10 publications

References 25 publications

Inpatient Treatment for Adolescents with Anorexia Nervosa: Clinical Significance and Predictors of Treatment Outcome

Inpatient Treatment for Adolescents with Anorexia Nervosa: Clinical Significance and Predictors of Treatment Outcome

Specialized inpatient treatment of adult anorexia nervosa: effectiveness and clinical significance of changes

Längerfristige Effekte einer essstörungsspezifischen KVT im naturalistischen Setting

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