Intensive inpatient treatment for bulimia nervosa: Statistical and clinical significance of symptom changes

Diedrich, Alice; Schlegl, Sandra; Greetfeld, Martin; Fumi, Markus; Voderholzer, Ulrich

doi:10.1080/10503307.2016.1210834

Cited by 14 publications

(16 citation statements)

References 80 publications

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“…At all times, they had free access to a cafeteria, supermarket, and lavatories. The treatment approach was in detail described by Diedrich et al ().…”

Section: Methodsmentioning

confidence: 63%

“…The present paper is based on data of consecutively admitted patients of the Schoen Clinic Roseneck, a large clinic in Southern Germany specialized in the treatment of eating disorders. A detailed description of the sample, instruments, and treatment procedures is published elsewhere (Diedrich, Schlegl, Greetfeld, Fumi, & Voderholzer, ). Participants were inpatients who met the following criteria: (1) treatment between January 2009 and October 2014, (2) International Statistical Classification of Diseases and Related Health Problems, 10th revision diagnosis of BN ( F 50.2 , F 50.3 ), (3) BMI at admission at least 17.5, (4) age of 18 years or older, and (5) female gender.…”

Section: Methodsmentioning

confidence: 99%

“…The present study is an extension of the study by Diedrich et al (). Using reliable change indices (RCIs; Jacobson, Follette, & Revenstorf, ) with EDI‐2 scores at admission and discharge, the patients were grouped into four groups according to the criteria proposed by Jacobson and Truax ().…”

Section: Methodsmentioning

confidence: 99%

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Weight Suppression But Not Symptom Improvement Predicts Weight Gain During Inpatient Treatment for Bulimia Nervosa

Heßler

Diedrich

Greetfeld

et al. 2017

Euro Eating Disorders Rev

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“…At all times, they had free access to a cafeteria, supermarket, and lavatories. The treatment approach was in detail described by Diedrich et al ().…”

Section: Methodsmentioning

confidence: 63%

Section: Methodsmentioning

confidence: 99%

See 1 more Smart Citation

Weight Suppression But Not Symptom Improvement Predicts Weight Gain During Inpatient Treatment for Bulimia Nervosa

Heßler

Diedrich

Greetfeld

et al. 2017

Euro Eating Disorders Rev

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“…Moreover, in an intensive inpatient program for EDs, patients who did not make clinically significant improvements were more likely to have a comorbid borderline PD than those who had more successful treatment outcomes. 8 Taken together, these findings demonstrate an important synergistic relationship between EDs, PDs, and other psychopathology that significantly influences treatment and outcomes.…”

mentioning

confidence: 77%

Personality Disorders and Psychological Functioning Among Latina Women with Eating Disorders

Minnick

Cachelin

Durvasula

2017

Behavioral Medicine

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Little is known about personality disorders (PD) and comorbidities amongst Latinas with eating disorders (ED). The dysregulation and chronicity of PDs can complicate and augment the symptomatology of EDs. This set of analyses provide a preliminary examination of PD and psychopathology in a sample of Latina women with ED. Participants (N=34) were administered the Structured Clinical Interview for the DSM, Eating Disorders Examination, and Millon Clinical Multiaxial Inventory-III to assess personality pathology, and questionnaires (BDI-II and BSI) to assess psychological functioning. Results indicated the most common clinically significant trait in the sample was Depressive personality (50% of the sample had a score of 75 or higher on this trait). For BN and BED, Avoidant (41%) and Depressive (65%) personalities, respectively, were the most common clinically significant traits. Anxiety disorders were the most common psychiatric diagnoses, and 52.9% of the sample reported both clinically significant PD traits and other major psychopathology. There were no significant differences between the BED and BN groups on prevalence of PD traits and psychopathology. This pilot study highlights the need for further examination of PD and psychopathology in Latinas with ED. Unlike previous research with White women, we found no differences on PD and psychopathology between BED and BN, and the most prevalent PDs among Latinas were different than White women. Personality and psychological functioning should be assessed in all patients with ED, with ongoing research focused on identifying patterns in understudied groups such as Latinas, a practice that may improve treatment for this underserved population.

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“…It was multimodal and included individual (once or twice a week for 50 min) and group sessions (manualized ED-specific group, general group, social competence training, therapy kitchen, sports therapy, art therapy). Therapists were trained in CBT and participated in supervisions (Diedrich, Schlegl, Greetfeld, Fumi, & Voderholzer, 2018;Schlegl, Quadflieg, Löwe, Cuntz, & Voderholzer, 2014). Patients with severe alcohol/drug-related disorders or acute psychosis were excluded from admission to the hospital.…”

Section: Participantsmentioning

confidence: 99%

Long‐term outcomes in treated males with anorexia nervosa and bulimia nervosa—A prospective, gender‐matched study

Strobel

Quadflieg

Naab

et al. 2019

Intl J Eating Disorders

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Objective We report on the long‐term outcome of males compared to females treated for anorexia nervosa (AN) or bulimia nervosa (BN). Methods A total of 119 males with AN and 60 males with BN were reassessed 5.8 ± 4.6 and 7.5 ± 5.9 years (respectively) after treatment and compared to matched female patients. Results At follow‐up, males with AN had a higher body weight than females. For AN, remission rates (40% males vs. 41% females) did not differ at follow‐up. And at follow‐up, more males (34%) than females (19%) had an eating disorder not otherwise specified (ED‐NOS; p < .01). At follow‐up of AN, there was no binge‐eating disorder (BED) and obesity was rare. For BN, remission rates (44% males vs. 50% females) and frequency of AN, BN, BED and ED‐NOS did not differ at follow‐up. Males with AN scored lower than females at follow‐up on most subscales of the Eating Disorder Inventory (EDI) and on somatization, obsessive–compulsive symptoms, and depression (Brief Symptom Inventory). Males with BN scored lower than females with BN on perfectionism and higher on interpersonal distrust (EDI) at follow‐up. Discussion Results from the scarce literature on males with ED are inconclusive regarding longer term outcome. In the present study, males with AN showed a slightly better outcome than females. In BN, outcome was about the same in males and females. According to our study, existing treatment is equally effective in both males and females. Additional research on the need of gender‐specific diagnosis and therapy is required.

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Intensive inpatient treatment for bulimia nervosa: Statistical and clinical significance of symptom changes

Cited by 14 publications

References 80 publications

Weight Suppression But Not Symptom Improvement Predicts Weight Gain During Inpatient Treatment for Bulimia Nervosa

Weight Suppression But Not Symptom Improvement Predicts Weight Gain During Inpatient Treatment for Bulimia Nervosa

Personality Disorders and Psychological Functioning Among Latina Women with Eating Disorders

Long‐term outcomes in treated males with anorexia nervosa and bulimia nervosa—A prospective, gender‐matched study

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