Outcomes of a Day Treatment Program for Eating Disorders Using Clinical and Statistical Significance

Mandating weekly weight gain in a day treatment program for eating disorders

“…Reductions in EDE‐Q scores were seen for all patients, as well as reductions in the frequency of binge eating and vomiting for those who engaged in these behaviors. Our findings parallel others who have shown DTPs to be effective in reducing ED symptoms . Although rates of binge eating and purging remained moderate at the end of treatment, our reductions are in line with the magnitude of reductions found in other studies .…”

“…To evaluate whether or not those in the required weight‐gain protocol had a significantly higher rate of early treatment terminations (i.e., being asked to leave the program due to not meeting weight gain requirements) than did those in the recommended weight gain protocol, a chi‐square analysis was done on the number of individuals who were asked to leave treatment. A total of 14 individuals (35%) under the required weight gain protocol had their treatment terminated early due to lack of weight gain, whereas no patients under the recommended weight gain protocol were asked to leave treatment early [ χ (1) = 20.35, p < .001].…”

“…Intensive day‐hospitalization has been shown to be an effective treatment for individuals with moderate to severe eating‐disorder (ED) symptoms, with relevant studies reporting decreased eating pathology and comorbid psychopathology in day hospitalized adults and adolescents. Statistically significant increases in body mass index (BMI) have also been demonstrated in several day hospital treatments . Furthermore, available longitudinal research has suggested that treatment‐related changes are maintained at follow‐up, with weight gain obtained during day hospital treatment being maintained 6 months after treatment …”

An Evaluation of the Impact of Introducing Compassion Focused Therapy to a Standard Treatment Programme for People with Eating Disorders

“…For this study, the community norm data for the EDE‐Q global score was used (mean = 1.55, SD = 1.21), this gives a cut‐off of 2.76 (Fairburn et al, ; Lundgren, Danoff‐Burg, & Anderson, ). These two steps are used to classify individuals as ‘recovered’ (passed the RCI and the cut‐off), ‘improved’ (passed the RCI but not the cut‐off), ‘undetermined’ (passed the cut‐off but not the RCI; it is possible that this group was below the cut‐off before treatment), ‘unchanged’ (passed neither the RCI nor the cut‐off) and ‘deteriorated’ (passed the RCI in the negative direction) (Ben‐Porath, Wisniewski, & Warren, ).…”

A system of evidenced‐based techniques and collaborative clinical interventions with a chronically ill patient

“…11 It has been shown to benefit patients with binge eating disorder and bulimia nervosa, 12 as well as those with complex EDs. 13 JK and I worked on learning and employing DBT skills in and out of session-mindfulness (to help keep her in the moment when she had recurrent and intrusive thoughts) and distress tolerance-so that she did not engage in eating disorder behaviors while we worked on her trauma-related issues.…”