Eating disorder subtypes differ in their rates of psychosocial improvement over treatment

Journal of Eating Disorders

Jacqueline C Carter¹  Allison C Kelly² 

[1] Department of Psychology, Memorial University of Newfoundland, St. John’s, NL A1B 3X9, Canada;Department of Psychology, University of Waterloo, Waterloo, ON N2L 3G1, Canada

关键词: Social safeness;    Shame;    Received social support;    Self-compassion;    Change trajectories;    Treatment outcome;    Treatment process;    Transdiagnostic;    Anorexia nervosa;   

Others  :  801044
DOI  :  10.1186/2050-2974-2-2

 received in 2013-09-09, accepted in 2013-12-10,  发布年份 2014

【 摘 要 】

Background

Individuals with Anorexia Nervosa (AN) are renowned for their poor short- and long-term treatment outcomes. To gain more insight into the reasons for these poor outcomes, the present study compared patients with AN-R (restrictive subtype), AN-BP (binge-purge subtype), bulimia nervosa (BN), and eating disorder not otherwise specified (EDNOS) over 12 weeks of specialized eating disorders treatment.

Eighty-nine patients completed the Eating Disorder Examination- Questionnaire (EDE-Q) and various measures of psychosocial functioning at baseline, and again after weeks 3, 6, 9, and 12 of treatment.

Results

Multilevel modeling revealed that, over the 12 weeks, patients with AN-BP and AN-R had slower improvements in global eating disorder pathology, shape concerns, and self-compassion than those with EDNOS and BN. Patients with AN-BP had slower improvements in shame, social safeness (i.e., feelings of warmth in one’s relationships), and received social support compared to those with AN-R, BN, and EDNOS.

Conclusions

These findings support the need for more effective and comprehensive clinical interventions for patients with AN and especially AN-BP. Results also highlight not-yet studied processes that might contribute to the poor outcomes AN patients often face during and after treatment.

【 授权许可】

   
2014 Kelly and Carter; licensee BioMed Central Ltd.

【 图 表 】

Figure 1.

Figure 2.

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