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Predictors of outcome among young adult patients with anorexia nervosa in a randomised controlled trial
Author(s) -
NymanCarlsson Erika,
Birgegård Andreas,
Engström Ingemar,
Gustafsson Sanna Aila,
Nevonen Lauri
Publication year - 2019
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.2630
Subject(s) - psychopathology , anorexia nervosa , eating disorders , psychology , randomized controlled trial , clinical psychology , coping (psychology) , young adult , cognitive behavioral therapy , psychiatry , emotional dysregulation , cognition , medicine , developmental psychology
Objective The prognosis in cases of anorexia nervosa (AN) is unsatisfactory, and it is therefore important to examine pretreatment predictors of outcome. Methods Female AN patients ( N = 74) included in a randomised controlled trial receiving individual cognitive behavioural therapy (CBT) or family‐based treatment (FBT) were included. Predictors of the outcome were explored using pretreatment eating disorder psychopathology. Results In the CBT group, lower levels of emotional dysregulation and greater deficits in identifying and coping with inner states were predictors of weight increase, explaining 37.7% of the variance. In the FBT group, lower interoceptive deficits predicted an increase in weight (explaining 17.7% of the variance), whereas bulimic behaviour (32.4%) and problems with emotional regulation (23.3%) were predictors of increased diagnostic symptoms. Conclusions Bulimic symptoms and the ability to identify and cope with emotional states appear to be important aspects that should be addressed in the treatment of young adult patients with AN.