Emotion Regulation Difficulties During and After Partial Hospitalization Treatment Across Eating Disorders

Brown, Tiffany A.; Cusack, Anne; Berner, Laura A.; Anderson, Leslie K.; Nakamura, Tiffany; Gomez, Lauren; Trim, Julie; Chen, Joanna Y.; Kaye, Walter H.

doi:10.1016/j.beth.2019.07.002

Cited by 30 publications

(19 citation statements)

References 35 publications

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“…In addition, this datum is in line with earlier studies on poor reliability of duration of illness as a proxy for clinical severity of AN (46)(47)(48). Patients with RA-AN were more frequently diagnosed with BP-AN (and, relatedly, reported a higher bulimia score on the EDI-2), in line with data showing patients with BP-AN as poor responders (49) and being more susceptible to relapse after treatment (44). Although the groups did not differ in psychiatric comorbidity, thus, supporting an intertwined relationship between AN and anxiety and depression (50), such symptomatologies were more pronounced in the RA-AN group than in the non-RA-AN group.…”

Section: Discussionsupporting

confidence: 84%

Rehospitalization and “Revolving Door” in Anorexia Nervosa: Are There Any Predictors of Time to Readmission?

et al. 2021

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Objective: Anorexia nervosa (AN) is a severe psychiatric illness with multifactorial etiology and unsatisfactory treatment outcomes. Hospitalization is required for a substantial number of patients, and readmission (RA) commonly occurs. Some individuals need multiple hospitalizations sometimes over a short amount of time, thus, delineating the “revolving door” (RD) phenomenon. However, very little is known about readmissions and their frequency in AN. Therefore, we aimed to longitudinally investigate readmissions in AN in order to: (a) characterize patients with AN who need readmission (i.e., RA-AN), sometimes rapidly (RD-AN); (b) ascertain differences between RA-AN and non-RA-AN groups during baseline hospitalization; (c) investigate as to whether clinical or psychometric parameters worsened on RA; and (d) analyze predictors of time-to-readmission in AN.Methods: A total of 170 inpatients with AN were enrolled at their baseline hospitalization; all their subsequent rehospitalizations were recorded with a longitudinal design by which each patient has been observed for 3 years. Patients were classified as RD-AN if requiring a readmission <12 months since last discharge. Clinical characteristics were measured upon admission and discharge for each hospitalization, and at all time points, patients completed questionnaires assessing eating and general psychopathology, and body shape concerns.Results: Sixty-seven patients (39.4%) needed at least one readmission and 62 (92.5% of RA-AN) reported RD. Compared with non-RA-AN, those with RA-AN were younger, reported a shorter duration of illness, and were more frequently diagnosed with AN-BP. Also, greater severity of anxious and depressive symptoms and body shape concerns emerged in the RA-AN group. The outcome of baseline hospitalization did not differ between groups, and only depressive symptoms worsened at readmission. Shorter duration of AN and low weight gain during baseline hospitalization predicted early readmission but did not survive statistical control. In contrast, high scores on drive for thinness upon baseline hospital entry robustly predicted a shorter time to readmission even after statistical control.Discussion: Individuals with AN who require readmission do so over a short period notwithstanding a positive treatment outcome during their baseline hospitalization. Shorter time-to-readmission can be predicted mostly in case of marked drive for thinness and poor weight gain at baseline hospital admission.

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Section: Discussionsupporting

confidence: 84%

Rehospitalization and “Revolving Door” in Anorexia Nervosa: Are There Any Predictors of Time to Readmission?

et al. 2021

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“…Furthermore, the results signified the mediating role of ER in the relationship between procrastination, PWB, and LS in the elderly. These results were consistent with those of previous studies (Castell, Lluch, Ribas, Borràs & Moltó, 2017;Beutel et al, 2016;Brown et al, 2020;Ocal, 2016;Perry et al, 2019). The participation of the elderly as a group full of experience at the community level is declining; the active presence of the elderly in the heart of society is also reduced.…”

Section: Discussionsupporting

confidence: 92%

“…Concurrently, they feel independent and in control of the environment and live more purposefully (Chen et al, 2018). CER can be a significant determining factor in the health and QoL among individuals (Brown et al, 2020). The effectiveness of ER training on the QoL of the elderly can be explained by considering that ER helps individuals with managing emotions after experiencing stressful events (Perry et al, 2019).…”

Section: Discussionmentioning

confidence: 99%

Mediation Role of Emotion Regulation Between Procrastination, Psychological Wellbeing, and Life Satisfaction in the Elderly

Nouri

Asheghi

et al. 2021

PCP

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Objective: Successful and healthy aging is the most critical outcome and policy of decisions in the elderly population. Paying attention to the elderly as well as their life satisfaction and wellbeing can be beneficial for this stratum. Among the influencing characteristics of successful aging and life satisfaction in the elderly is their ability to having active social relationships and feeling useful. Accordingly, the ability to regulate emotions can affect wellbeing and life satisfaction and reduce procrastination in the elderly. Therefore, the present study aimed to investigate the relationship between procrastination, Psychological Wellbeing (PWB), and Life Satisfaction (LS) mediated by Emotion Regulation (ER) in the elderly. Methods: The study participants included 260 elderly in Tehran City, Iran, who were selected by convenience sampling method. The research tools included the Satisfaction With Life Scale (SWLS), Ryff’s Psychological Wellbeing (PWB) Scale, the Tuckman Procrastination Scale (TPS), and the Emotion Regulation Questionnaire (ERQ). Results: The obtained results signified the mediating role of ER in the direct and indirect relationship between procrastination and LS, and enhanced PWB in the explored elderly. Structural equation modeling analyses data demonstrated the fit of the proposed model. Conclusion: Solutions can be provided to reduce procrastination and increase offer skills in the elderly; accordingly, their LS and PWB could be improved by practical training and holding workshops in this respect.

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“…There are a limited number of studies to date that have examined DBT-PH programs, with preliminary results suggesting some efficacy for these programs (Brown et al, 2020;Ritschel et al, 2012;Yen et al, 2009). Currently, there are no data examining a single program's outcomes over the course of several years.…”

Section: Purpose Of Present Studymentioning

confidence: 99%

“…Literature on DBT-informed PH programs is also scarce, with some studies examining combined CBT and DBT (Beard et al, 2017) and another examining client attitudes towards DBT, CBT, and Acceptance and Commitment Therapy (ACT; Kuckertz et al, 2020). In terms of DBT specific PH programs, there is some preliminary evidence that DBT can be an effective treatment when utilized in this setting, specifically for individuals with BPD (Lenz & Del Conte, 2018) and eating disorders (Brown et al, 2020). Furthermore, a brief, DBT-informed PH program (6.5 h a day for approximately 5 days) may help decrease hopelessness, depression, dissociation, and anger expression in women with BPD (Yen et al, 2009).…”

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confidence: 99%

Applying adherent DBT Principles to treatment in a partial hospital setting: An analysis over 5‐years of outcomes from intake to discharge

et al. 2021

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Objectives: A small number of studies to date have examined Partial Hospital (PH) that utilize a Dialectical Behavior Therapy (DBT) model. Preliminary findings suggest DBT PH programs can be effective in various symptom reduction. Methods: This study examined clinically relevant outcomes and included a heterogeneous clinical sample over a fiveyear period. Specifically, the present study assessed pre-post data to examine changes in symptoms of depression, anxiety, hopelessness, and overall degree of suffering from intake to discharge in a DBT PH. Results: Findings showed symptom reduction from intake to discharge for depression, anxiety, hopelessness, and suffering for all 5 years. This DBT PH program was successful at reducing various symptoms in a sample of psychiatric patients. Conclusion: Clinicians might consider the advantages of placing patients in PH programs versus an inpatient stay or consider utilizing DBT-informed PH programs after an inpatient hospitalization as a form of step-down care.

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Emotion Regulation Difficulties During and After Partial Hospitalization Treatment Across Eating Disorders

Cited by 30 publications

References 35 publications

Rehospitalization and “Revolving Door” in Anorexia Nervosa: Are There Any Predictors of Time to Readmission?

Rehospitalization and “Revolving Door” in Anorexia Nervosa: Are There Any Predictors of Time to Readmission?

Mediation Role of Emotion Regulation Between Procrastination, Psychological Wellbeing, and Life Satisfaction in the Elderly

Applying adherent DBT Principles to treatment in a partial hospital setting: An analysis over 5‐years of outcomes from intake to discharge

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