Evaluation of a day treatment programme for eating disorders

Abstract

A day hospital treatment programme is described for eating disordered patients who would otherwise require inpatient treatment. The characteristics at presentation of 106 consecutive patients are described. Of patients completing the programme, 65 could be recruited for the outcome study. At presentation, 26 per cent ful®lled DSM-IV criteria for anorexia nervosa, 65 per cent for bulimia nervosa and 9 per cent had an eating disorder not otherwise speci®ed. The average length of treatment of all patients was 13 weeks. There was signi®cant weight gain among the anorectic patients and a signi®cant decrease in the average number of binges among the bulimic patients. Statistically signi®cant improvements over time for psychological, sexual and socioeconomic adjustment were also obtained. *

Efficacy and intensity of day hospital treatment for eating disorders

“…DH treatment is typically associated with large improvements. After 16 weeks of treatment in The Treatment Center for Eating Disorders in Munich, Germany, body mass index (BMI) for patients with anorexia nervosa (AN) increased an average of 3 points and bingeing and vomiting were significantly reduced for BN patients (Fittig, Jacobi, Backmund, Gerlinghoff, & Wittchen, 2008;Gerlinghoff, Backmund, & Franzen, 1998). Improvements were generally maintained at 18-month follow-up and 51% of AN-restricting, 29% of AN-binge/purge and 40% of BN treatment completers were classified as being in remission at follow-up (Fittig et al, 2008).…”

Assessing the Impact on Patient Health of Attending a Day Treatment Programme for Eating Disorders

“…The results showed that BMI increased or remained stable in the majority of patients which is in line with the significant improvements in BMI reported in comparable investigations (Gerlinghoff et al, 1998;Robinson, 2003). Furthermore, in all psychological measures and associated subscales, the majority were found to improve between admission and discharge, with more than three quarters of patients making improvements on the BDI score, SEDS total score and the anorexic dietary cognitions subscale.…”

Handbook of Evidence-Based Therapies for Children and Adolescents

“…Across both conditions, 63% of cases were classified as recovered. Gerlinghoff et al (1998) followed 65 patients out of 106 who had begun day treatment between 6 and 33 months earlier. Patients were primarily adults, diagnosed at baseline with AN, BN, and EDNOS.…”