Intensive day programme treatment for severe anorexia nervosa – the Leicester experience

Birchall, Helen; Palmer, Robert L.; Waine, Joanne; Gadsby, Kathy; Gatward, Nick

doi:10.1192/pb.26.9.334

Cited by 19 publications

(10 citation statements)

References 2 publications

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“…The idea of the treatment plan with different zones derives from the day‐care treatment for AN at Leicester General Hospital in Leicester, UK (Birchall et al . 2002).…”

Section: Methodsmentioning

confidence: 99%

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Self‐esteem in patients treated for anorexia nervosa

Karpowicz¹,

Skärsäter

Nevonen

2009

Int J Mental Health Nurs

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Anorexia nervosa (AN) mainly affects girls or women between 13 and 45 years of age. According to previous studies, one of the reasons for the desire to be thin is low self-esteem. The purpose of the study was to examine the self-esteem of 38 female patients with AN between 16 and 25 years of age, before and after 3 months of treatment at a specialist ward for eating disorders in Göteborg, Sweden. A quantitative pre- and post-assessment based on two self-rating questionnaires, the Rosenberg Self-Esteem Scale (RSE-S) and three subscales (weight phobia, body dissatisfaction, and ineffectiveness) of Eating Disorder Inventory-2 (EDI-2), together with body mass index (BMI), were used in the study, which was conducted between June 2005 and March 2008. The results reveal that self-esteem, BMI, weight phobia, and body dissatisfaction improved significantly between pre- and post-treatment. The RSE-S and EDI-2 ineffectiveness correlate highly with one another, which lends support to convergent validity, and the internal consistency was high for both the RSE-S and EDI-2 ineffectiveness. The results indicate that the treatment was effective, as both patients' self-esteem and BMI increased after completed treatment, which was the primary goal of the treatment at this ward. Future studies should focus on follow up and the way self-esteem manifests itself at different points in time within an individual.

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“…The idea of the treatment plan with different zones derives from the day‐care treatment for AN at Leicester General Hospital in Leicester, UK (Birchall et al . 2002).…”

Section: Methodsmentioning

confidence: 99%

“…The idea of the treatment plan with different zones derives from the day-care treatment for AN at Leicester General Hospital in Leicester, UK (Birchall et al 2002). The treatment model at the Stockholm Centre for Eating Disorders in Sweden has also inspired parts of the treatment programme.…”

Section: Treatment Modelmentioning

confidence: 99%

Self‐esteem in patients treated for anorexia nervosa

Karpowicz¹,

Skärsäter

Nevonen

2009

Int J Mental Health Nurs

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“…They have also demonstrated comparable or superior outcomes when compared to inpatient (IP) and outpatient (OP) treatment (Kong, 2005;Zeeck, Herzog, & Hartmann, 2004 concluded that DP programmes are able to achieve cognitive and behavioural changes in patients with eating disorders across treatment (Zipfel et al, 2002). Significant reductions in bingeing and purging behaviour in bulimia nervosa (BN) has consistently been reported (Fittig, Jacobi, Backmund, Gerlinghoff, & Wittchen, 2008;Gerlinghoff et al, 1998;Peake, Limbert, & Whitehead, 2005;Piran, Langdon, Kaplan, & Garfinkel, 1989a;Thornton, Beumont, & Touyz, 2002), as well as weight gain for patients with anorexia nervosa (AN) (Birchall, Palmer, Waine, Gadsby, & Gatward, 2002;Piran, Langdon, Kaplan, & Garfinkel, 1989a;Fittig et al, 2008) and in underweight BN patients (Guarda & Heinberg, 1999;Peake et al, 2005). Improvements in disturbed cognitions towards eating, weight and shape have also been found across DP treatment.…”

Section: Introductionmentioning

confidence: 95%

An evaluation of the effectiveness and short‐term stability of an innovative Australian day patient programme for eating disorders

Willinge

Touyz

Thornton

2010

Euro Eating Disorders Rev

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There is a dearth of literature evaluating day patient treatment for eating disorders based upon the targeted goals of treatment, to conclude that day patient programmes are effective. This study aimed to explore the effectiveness of an innovative day patient programme by examining whether the seven key treatment goals improved across treatment and were maintained 3 months after discharge. Of the 58 participants who completed measures assessing BMI, eating disorder cognitions, behaviours, core beliefs, readiness to change, quality of life and perpetuating factors at admission, discharge and follow-up, 44 completed the day programme with 14 non-completers. The results demonstrated that all seven treatment goals improved across treatment and the improvements were maintained or further improved at 3 month follow-up. The results are discussed in context of the published day patient programme literature with implications for future research to maximise optimal treatment outcomes from day patient treatment.

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“…Alongside hospital programs, a number of specialized day patient treatments for AN have been developed for adults and older adolescent patients (Birchell, Palmer, Waite, Gadsby, & Gatward, 2002;Gerlinghoff, Backmund, & Franzen, 1998;Robinson, 2003;Zipfel et al, 2000). Usually, day programs run 4 to 7 days per week and consist of supervised meals, a variety of therapeutic groups and sometimes concurrent individual therapy (Olmsted, 2002).…”

Section: Inpatient Program Care and Residential Carementioning

confidence: 99%

Effective interventions for adolescents with anorexia nervosa

Lock

Gowers

2005

Journal of Mental Health

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Background: Anorexia Nervosa (AN) is a serious psychiatric illness with both psychological and medical sequelae that usually onsets during adolescence. The illness presents formidable challenges to clinicians. Despite these facts, there are few treatments studies for the adolescent age group. Aims: This report provides a critical review of the most common treatments and the empirical support for them for adolescent AN. Method: Clinical and research literature was reviewed to identify empirically supported treatments with an emphasis on identifying pertinent randomized controlled trials. However, relevant clinically oriented reports and consensus clinical guidelines were also included when other systematic research was unavailable in order to provide a more comprehensive view of current treatment strategies for adolescents with AN. Results: There are only five randomized clinical trials specifically addressing treatment for adolescent AN. Only 207 subjects were enrolled in these studies with an average cell size of about 20 subjects. Data from these trials suggest that family therapy wherein parents re-feed their adolescent offspring is effective for AN in this age group. However, other treatment approaches (e.g. individual therapy, group therapy, hospitalization, medication) have not been sufficiently or systematically studied. Conclusions: Family therapy based on parental re-feeding is an effective approach for adolescent AN. However, the superiority of family therapy over other types of interventions has not been sufficiently demonstrated. There is an urgent need to conduct treatment research in this area to guide clinical care for this vulnerable population.

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Intensive day programme treatment for severe anorexia nervosa – the Leicester experience

Cited by 19 publications

References 2 publications

Self‐esteem in patients treated for anorexia nervosa

Self‐esteem in patients treated for anorexia nervosa

An evaluation of the effectiveness and short‐term stability of an innovative Australian day patient programme for eating disorders

Effective interventions for adolescents with anorexia nervosa

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