Pathways to Recovery: development and evaluation of a cognitive–behavioural therapy in-patient treatment programme for adults with anorexia nervosa

Abstract

Aims and methodA cognitive–behavioural therapy in-patient treatment model for adults with severe anorexia nervosa was developed and evaluated, and outcomes were compared with the previous treatment model and other published outcomes from similar settings.ResultsThis study showed the Pathways to Recovery outcomes were positive in terms of improvements in body mass index and psychopathology.Clinical implicationsAdults with anorexia nervosa can achieve good outcomes despite longer illness duration and comorbidities.Declaration of interestA.B., A.C. and L.H. work at The Retreat where the Pathways to Recovery were developed.

The clinical effectiveness and cost-effectiveness of a ‘stepping into day treatment’ approach versus inpatient treatment as usual for anorexia nervosa in adult specialist eating disorder services (DAISIES trial): a study protocol of a randomised controlled multi-centre open-label parallel group non-inferiority trial

“…Length of stay ranged from 32 to 182 days, with most programmes offering treatment for 10-16 weeks, and a recent metaanalytic review found a mean length of stay of 86.3 days [13]. For inpatient treatment, 15 adult inpatient cohorts (n = 2100) from different countries (USA/Canada, Australia/New Zealand, Germany, Italy, UK) reported mean admission BMIs ranging from 13.9 to 16.3 kg/m 2 [26][27][28][29][30][31][32][33][34][35][36][37][38][39][40][41][42] and a meta-analysis reported a mean length of stay of 105.6 days across Europe and 49.1 days across USA [13]. A recent audit from the Quality Network for Eating Disorders in the UK, which included data submitted from all adult inpatient eating disorder services in England (n = 30) and two in Scotland (out of four adult inpatient eating disorder services), reported the mean length of stay for inpatient treatment as 116 days [43].…”