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Does Enhanced Cognitive Behaviour Therapy for Eating Disorders Improve Quality of Life?
Author(s) -
Watson Hunna J.,
Allen Karina,
Fursland Anthea,
Byrne Susan M.,
Nathan Paula R.
Publication year - 2012
Publication title -
european eating disorders review
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.511
H-Index - 67
eISSN - 1099-0968
pISSN - 1072-4133
DOI - 10.1002/erv.2186
Subject(s) - eating disorders , quality of life (healthcare) , anxiety , psychopathology , clinical psychology , comorbidity , depression (economics) , psychiatry , cognitive behavioral therapy , psychology , logistic regression , life satisfaction , cognition , mental health , medicine , psychotherapist , economics , macroeconomics
Quality of life (QOL) is the degree of enjoyment and satisfaction experienced in life, and embraces emotional well‐being, physical health, economic and living circumstances, and work satisfaction. QOL recovery with eating disorder treatment has received sparse attention, and until now, no study has investigated QOL recovery with enhanced cognitive behaviour therapy (CBT‐E). Patients ( n = 196) admitted to a specialist eating disorders outpatient programme and receiving CBT‐E completed measures of QOL, eating disorder psychopathology, depression, anxiety and self‐esteem, before and after treatment. QOL at intake was compared with community norms, and QOL below the norm was predicted from sociodemographic and clinical correlates with logistic regression. Baseline QOL below the norm was associated with depression and anxiety Axis I comorbidity, and severity of depressive symptoms. Predictors of post‐treatment QOL were baseline QOL and level of depressive symptoms and self‐esteem at post‐treatment. CBT‐E was associated with gains in QOL over the course of treatment, in addition to eating disorder symptom relief. Copyright © 2012 John Wiley & Sons, Ltd and Eating Disorders Association.