Inpatient versus outpatient care, partial hospitalisation and waiting list for people with eating disorders

Hay, Phillipa; Touyz, Stephen; Claudino, Angélica Medeiros; Lujic, Sanja; Smith, Caroline; Madden, Sloane

doi:10.1002/14651858.cd010827.pub2

Cited by 73 publications

(65 citation statements)

References 63 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…11,12 Evidence-based therapies delivered by an eating disorders-informed clinician are considered most efficacious, and are preferred by people with eating disorders. 12 In addition to specific psychological therapy, treatment needs to address important nutritional, physical and mental health co-morbidities and thus is ideally from a multi-disciplinary team. 12 In addition to specific psychological therapy, treatment needs to address important nutritional, physical and mental health co-morbidities and thus is ideally from a multi-disciplinary team.…”

Section: Management Of Eating Disordersoverviewmentioning

confidence: 99%

“…[9][10][11] People with more severe symptoms, or who are not improving with less restrictive care may be treated in a partial (day) or full hospital specialist programme. 11,12 Evidence-based therapies delivered by an eating disorders-informed clinician are considered most efficacious, and are preferred by people with eating disorders. 12 This approach may also be more cost-effective and reduce hospitalisations.…”

Section: Management Of Eating Disordersoverviewmentioning

confidence: 99%

“…12 This approach may also be more cost-effective and reduce hospitalisations. 12 In addition to specific psychological therapy, treatment needs to address important nutritional, physical and mental health co-morbidities and thus is ideally from a multi-disciplinary team. These teams at a minimum would comprise a psychological therapist and a family doctor.…”

Section: Management Of Eating Disordersoverviewmentioning

confidence: 99%

See 2 more Smart Citations

Current approach to eating disorders: a clinical update

Hay

2020

Internal Medicine Journal

117

View full text Add to dashboard Cite

This article presents current diagnostic conceptualisations of eating disorders, including new disorders such as binge eating disorder (BED) and avoidant/restrictive food intake disorder (ARFID). This is followed by contemporary findings in the epidemiology of eating disorders, their broad sociodemographic distribution and the increases in community prevalence. Advances and the current status of evidence-based treatment and outcomes for the main eating disorders, anorexia nervosa, bulimia nervosa and BED are discussed with focus on first-line psychological therapies. Deficits in knowledge and directions for further research are highlighted, particularly with regard to treatments for BED and ARFID, how to improve treatment engagement and the management of osteopenia.

show abstract

Section: Management Of Eating Disordersoverviewmentioning

confidence: 99%

Section: Management Of Eating Disordersoverviewmentioning

confidence: 99%

Section: Management Of Eating Disordersoverviewmentioning

confidence: 99%

See 1 more Smart Citation

Current approach to eating disorders: a clinical update

Hay

2020

Internal Medicine Journal

117

View full text Add to dashboard Cite

show abstract

“…Outpatient care is recommended by clinical guidelines [3,4] for most of the patients affected by ED [5], including adolescents [6]; whereas for all persons with more severe clinical pictures, little or no differences between specialist inpatient care and active outpatient care (or a combination of both) have been demonstrated [7]. For patients with short illness duration and mild physical symptoms, primary treatment goals are restoring body weight and minimizing cognitive distortions.…”

Section: Introductionmentioning

confidence: 99%

Compulsory treatments in eating disorders: a systematic review and meta-analysis

Atti

Mastellari

Valente³

et al. 2020

Eat Weight Disord

View full text Add to dashboard Cite

Introduction The aims of this systematic review and meta-analysis are to provide a summary of the current literature concerning compulsory treatments in patients with eating disorders (ED) and to understand whether compulsorily and involuntarily treated patients differ in terms of baseline characteristics and treatment outcomes. Methods Relevant articles were identified following the PRISMA guidelines by searching the following terms: “treatment refusal”, “forced feeding”, “compulsory/coercive/involuntary/forced treatment/admission”, “eating disorders”, “feeding and eating disorders”, “anorexia nervosa”, “bulimia nervosa”. Research was restricted to articles concerning humans and published between 1975 and 2020 in English. Results Out of 905 articles retrieved, nine were included for the analyses allowing the comparisons between 242 compulsorily and 738 voluntarily treated patients. Mean body mass index (BMI) was slightly lower in patients compelled to treatments. Mean illness duration, BMI at discharge and BMI variation showed no significant differences between the two groups. Average length of hospitalization was 3 weeks longer among compulsory-treated patients, but this did not result in a higher increase in BMI. No significant risk difference on mortality was estimated (three studies). Conclusions Compulsory treatments are usually intended for patients having worse baseline conditions than voluntary ones. Those patients are unlikely to engage in treatments without being compelled but, after the treatments, albeit with longer hospitalisations, they do achieve similar outcomes. Therefore, we can conclude that forcing patients to treatment is a conceivable option. Level of evidence Level I, systematic review and meta-analysis.

show abstract

“…The restrictive subtype of AN (AN-R) occurs when weight loss is primarily due to diet, fasting and/or excessive exercise and, unlike the AN lowed by outpatient, or partial hospital care). 7 However, programs based on cognitive behavioral treatment, together with family support, seem to be effective and have been recommended in the treatment of adolescents with AN. 8 In addition to inpatient care, additional goals must be completed to facilitate a movement toward full recovery.…”

Section: Introductionmentioning

confidence: 99%

Clinical, Psychopathological, Physical, and Sleep Evolution in Adolescents with Restrictive Anorexia Nervosa Participating in a Day Hospital Program

Martínez-Sánchez¹,

Martínez-García²,

Munguía‐Izquierdo

2020

Psychiatry Investig

View full text Add to dashboard Cite

Objective To analyze the clinical, psychopathological, physical, and sleep-related evolution of adolescents with restricting-type of anorexia nervosa (AN-R) after 10 weeks of a daytime hospital program.Methods Body composition, physical activity and sleep were measured objectively before and after 10 weeks of treatment. In addition, psychopathology and body image disturbances were measured with a self-report questionnaire.Results Fourteen female adolescents with AN-R (14.3±1.6 years old) participated in the study. A significant increase was found in eight of the ten variables for body composition (p<0.05). There were no significant changes in psychopathology, body image disturbances or physical activity. Concerning sleep, a significant, moderately standardized and substantial increase in night latency was found (p=0.002), and there was a significant, small standardized and substantial decrease in night efficiency (p=0.035).Conclusion After 10 weeks of follow-up with adolescent patients with AN-R who attended a day hospital program, there was a positive evolution of body composition. However, with regard to sleep patterns, there was a worsening of latency and night efficiency. Therefore, sleep care should be addressed in acute treatment programs for adolescents with AN-R.

show abstract

Inpatient versus outpatient care, partial hospitalisation and waiting list for people with eating disorders

Cited by 73 publications

References 63 publications

Current approach to eating disorders: a clinical update

Current approach to eating disorders: a clinical update

Compulsory treatments in eating disorders: a systematic review and meta-analysis

Clinical, Psychopathological, Physical, and Sleep Evolution in Adolescents with Restrictive Anorexia Nervosa Participating in a Day Hospital Program

Contact Info

Product

Resources

About