The Treatment Setting for Eating Disorders: Day Patient Treatment

Willinge, Amy; Thornton, Charlene; Touyz, Stephen

doi:10.1002/9781118328910.ch24

Cited by 3 publications

(3 citation statements)

References 62 publications

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“…Similarly, Willinge et al (2012) focus on the purpose and performance of DTPs for eating disorders, but do not include a comprehensive comparison of outcome data. This review aims to address these gaps by comparing, evaluating and synthesizing published outcome data in relation to the effectiveness of adult DTPs in changing attitudes and behaviour, improving psychological functioning and facilitating weight restoration among patients with eating disorders.…”

Section: Current Studymentioning

confidence: 99%

“…More recent reviews (Abbate-Daga et al, 2009;Lammers et al, 2007) have included a larger number of centres, but have restricted their focus to comparisons of treatment approach and structure and neglected to assess outcomes. Similarly, Willinge et al (2012) focus on the purpose and performance of DTPs for eating disorders, but do not include a comprehensive comparison of outcome data. This review aims to address these gaps by comparing, evaluating and synthesizing published outcome data in relation to the effectiveness of adult DTPs in changing attitudes and behaviour, improving psychological functioning and facilitating weight restoration among patients with eating disorders.…”

Section: Current Studymentioning

confidence: 99%

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Effectiveness of adult day treatment for eating disorders

Hepburn

Wilson

2014

Mental Health Review Journal

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Purpose -The purpose of this paper is to assess the effectiveness o f day treatment programmes for adults with eating disorders by comparing, evaluating and synthesizing published pre-and post-treatment outcomes. Design/methodology/approach -A systematic review was undertaken of publications containing quantitative outcome data relating to weight restoration among underweight patients, reduction in binge and purge/vomit symptoms, decrease in eating disorder psychopathology and improvement in psychological functioning. Findings -This systematic review o f pre-and post-treatment outcomes from 15 studies revealed large effect sizes relating to increase in Body Mass Index (BMI), reduction in symptoms and decrease in depression. Medium effect sizes were observed for improvement in self-esteem and reduction in anxiety and medium-large effect sizes were generally observed for attitude-change, although a small effect size was identified for perfectionism. Practical implications -This systematic review indicates that day treatment for adults is effective inincreasing BMI among underweight patients, reducing binge, purge/vomit symptoms and eating disorder psychopathology and improving psychological functioning. Further research is required to investigate whether gains are cost-effective and sustainable over the longer term, and how day treatment programmes can improve outcomes for patients who are vulnerable to non-response and drop-out. Originality/value To date, reviews o f day treatment for adults with eating disorders have focused upon comparisons o f treatment approach and structure and neglected to assess outcomes. Therefore this review fills a gap in existing literature

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Section: Current Studymentioning

confidence: 99%

Section: Current Studymentioning

confidence: 99%

Effectiveness of adult day treatment for eating disorders

Hepburn

Wilson

2014

Mental Health Review Journal

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“…Although PHPs share the goals of normalization of weight, normalization of eating behaviour and identification and resolution of ED behaviours, PHP protocols vary widely amongst different treatment centres and include distinct and diverse therapeutic approaches (Willinge, Thornton, Olmsted, & Touyz, 2012). Of the PHP studies we reviewed, two (Goddard et al, 2013;Herpertz-Dahlmann et al, 2014) were multicentre studies and did not provide information regarding their clinical content.…”

Section: Partial Hospitalization Programmesmentioning

confidence: 99%

A Narrative Review of Outcome Studies for Residential and Partial Hospital‐based Treatment of Eating Disorders

Friedman

Ramirez

Murray

et al. 2016

Euro Eating Disorders Rev

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Individual psychological therapy in the outpatient treatment of adults with anorexia nervosa

Hay

Claudino

Touyz

et al. 2015

Cochrane Database of Systematic Reviews

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There was a suggestion in one trial that focal psychodynamic therapy might be superior to TAU, but this is in the context of TAU performing poorly. An alternative control condition of dietary advice alone appeared to be unacceptable, but again this is based on just one trial. Owing to the risk of bias and limitations of studies, notably small sample sizes, we can draw no specific conclusions about the effects of specific individual psychological therapies for anorexia nervosa in adults or older adolescents. Larger RCTs of longer treatment duration and follow-up are needed.

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The Treatment Setting for Eating Disorders: Day Patient Treatment

Cited by 3 publications

References 62 publications

Effectiveness of adult day treatment for eating disorders

Effectiveness of adult day treatment for eating disorders

A Narrative Review of Outcome Studies for Residential and Partial Hospital‐based Treatment of Eating Disorders

Individual psychological therapy in the outpatient treatment of adults with anorexia nervosa

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