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Efficacy of a partial hospital programme for adults with eating disorders
Author(s) -
Brown Tiffany A.,
Cusack Anne,
Anderson Leslie K.,
Trim Julie,
Nakamura Tiffany,
Trunko Mary Ellen,
Kaye Walter H.
Publication year - 2018
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.2589
Subject(s) - eating disorders , bulimia nervosa , anorexia nervosa , comorbidity , psychopathology , binge eating , psychiatry , medicine , anorexia , partial hospitalization , medical diagnosis , psychology , pediatrics , mental health , pathology
Partial hospital programmes (PHPs) have demonstrated efficacy in the treatment of eating disorders (EDs); however, few programmes have examined long‐term outcomes across diagnoses, including subtypes of anorexia nervosa (AN). The present study examined the effectiveness of PHP for adult patients ( n = 243) with AN‐restricting subtype ( n = 79), AN binge/purge subtype ( n = 46), and bulimia nervosa ( n = 118). These patients tended to have long‐standing courses of illness (43%, illness duration >7 years) and high levels of psychiatric comorbidity (92.2%). Patients completed questionnaires at admission, discharge, and follow‐up, M ( SD ) = 11.50 months (5.29). Through follow‐up, all diagnoses demonstrated significant improvements in weight, ED psychopathology, and comorbid symptoms, with some exceptions for the AN binge/purge group. In exploratory analyses, 49% of patients met criteria for full or partial remission at discharge and 37% at follow‐up. Results provide support for the effectiveness of PHP in improving ED outcomes in a severe sample through longer‐term follow‐up.