Experience of an eating disorders out-patient program in an internal medicine hospital

García-García, Eduardo; Rocha-Velis, Ingrid; Vázquez‐Velázquez, Verónica; Kaufer‐Horwitz, Martha; Reynoso, Ricardo; Méndez, Juan Pablo

doi:10.1007/s40519-013-0073-4

Cited by 4 publications

(2 citation statements)

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“…Garcia-Garcia and colleagues examined 144 patients treated in a 6-month outpatient eating disorder program where patients attended one weekly appointment with either a medical provider, psychotherapist, or dietitian. More than half of the patients achieved remission, with other patients experiencing improvements in other clinical outcomes, such as weight gain (anorexia nervosa) and decreased binging and purging episodes (bulimia nervosa) (Garcia-Garcia et al, 2013). Mitchell and colleagues (2015) conducted a chart review on 235 college students diagnosed with an eating disorder (according to the Diagnostic and Statistical Manual of Mental Disorders [4th ed.…”

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confidence: 99%

An Interpretive Description of Women’s Experience in Coordinated, Multidisciplinary Treatment for an Eating Disorder

Woodruff

Clark

Joy

et al. 2020

Global Qualitative Nursing Research

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Coordinated, multidisciplinary treatment for women with eating disorders is consistently recommended as maximally effective, but few studies have considered the patient experience. This qualitative study examined the experiences of women receiving such care in an outpatient setting. Using an interpretive description methodology, we conducted 12 in-depth interviews with participants who were diagnosed with an eating disorder and were receiving team-based treatment. Patients uniformly advocated for the coordinated, multidisciplinary treatment approach. Analysis of participants’ experiences yielded four categories: relying on the lifeline of communication, supporting autonomy, drawing on individual strengths, and valuing synergy. These findings build on previous research emphasizing the importance of autonomy support and connectedness in the recovery process from an eating disorder. Findings highlight the importance of nurses to support a multidisciplinary care approach to working with this patient population; these women’s voices also support a treatment approach that, despite being widely recommended, is vastly understudied and underutilized.

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Section: Introductionmentioning

confidence: 99%

An Interpretive Description of Women’s Experience in Coordinated, Multidisciplinary Treatment for an Eating Disorder

Woodruff

Clark

Joy

et al. 2020

Global Qualitative Nursing Research

View full text Add to dashboard Cite

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“…23 Data from standard clinical practice reveal that dropout rates have not changed over the course of time, regardless of country or treatment modality, reaching 50% or more for both outpatient and inpatient samples. 24,25 In our program we had 55% dropout rate, 11.2% of which matching early dropouts, a favorable value compared to previous estimates among outpatient eating disorder services of 13 -32%.…”

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confidence: 99%

Treatment of Anorexia Nervosa: The Importance of Disease Progression in the Prognosis

et al. 2017

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RESUMOIntrodução: A anorexia nervosa é uma doença severa, geralmente crónica e potencialmente fatal, de etiologia complexa e caraterizada por restrição alimentar, sobrevalorização da importância do peso corporal e da imagem, medo intenso de ganho ponderal e distorção da imagem corporal. A anorexia nervosa está associada a altas taxas de mortalidade, suicídio e diminuição da qualidade de vida. O nosso objetivo é apresentar um programa de tratamento da anorexia nervosa de um hospital universitário português e determinar o impacto da duração da doença, antes da admissão, no outcome. A nossa hipótese é que pacientes com maior longevidade da doença apresentam piores prognóstico e outcome. Material e Métodos:A amostra incluiu dados de 169 pacientes vistos consecutivamente e pela primeira vez no Centro Hospitalar de São João, entre 2010 e 2015. Realizámos um estudo observacional retrospetivo, que incluiu os dados colhidos na admissão e durante o seguimento.Resultados: Dos doentes inicialmente selecionados, 14,8% alcançaram remissão total, 16% remissão parcial e 14,2% terminaram com exacerbação/estagnação da doença. A taxa de dropout foi 55% durante o nosso período de estudo. Encontrámos diferenças estatisticamente significativas relativamente ao outcome para diferentes tempos de duração da doença (p = 0,007).Discussão: Existem vários fatores frequentemente associados com mau outcome na anorexia nervosa. A interpretação dos resultados foi limitada pela alta taxa de dropouts e falta de critérios de definição consistentes. Conclusão:Os nossos resultados apoiam a ideia de que a duração da doença tem um papel preponderante no outcome e prognóstico da doença.Palavras-chave: Anorexia Nervosa/tratamento; Prognóstico; Progressão da Doença; Resultado do Tratamento ABSTRACT Introduction: Anorexia nervosa is a severe, usually chronic, life-threatening disease of complex etiology characterized by food restriction, overestimation of the importance of body weight and image, intense fear of weight gain and distortion of body image. Anorexia nervosa is associated with high rates of mortality, suicide and decreased quality of life. Our aim is to present an anorexia nervosa treatment program offered in a major university hospital in Portugal, and to determine the impact of illness duration before admission on the outcome. Our hypothesis is that patients with greater disease longevity may have worse prognosis and poorer outcome. Material and Methods:The sample included data from case records of 169 patients seen consecutively and for the first time at Centro Hospitalar São João, between 2010 and 2015. We performed a retrospective observational study which included data collected at admission and from later follow-up years.Results: From the initially selected patients, 14.8% reached total remission, 16% accomplished partial remission and 14.2% ended up with exacerbation/stagnation of the disease. The dropout rate was of 55% throughout our study period. We found significant differences on outcome rates between distinct illness duration grou...

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Faisabilité d’un groupe de psychoéducation dans l’anorexie : une étude ouverte

et al. 2022

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Experience of an eating disorders out-patient program in an internal medicine hospital

Abstract: The outcome of this study compares favorably to previous published data of more intensive programs. These results were obtained having little infrastructure, a low budget and limited human resources, making this a suitable eating disorders program for emerging nations.

Cited by 4 publications

References 35 publications

An Interpretive Description of Women’s Experience in Coordinated, Multidisciplinary Treatment for an Eating Disorder

An Interpretive Description of Women’s Experience in Coordinated, Multidisciplinary Treatment for an Eating Disorder

Treatment of Anorexia Nervosa: The Importance of Disease Progression in the Prognosis

Faisabilité d’un groupe de psychoéducation dans l’anorexie : une étude ouverte

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