Outcomes of eating disorders: A systematic review of the literature

Berkman, Nancy D; Lohr, Kathleen N; Bulik, Cynthia M.

doi:10.1002/eat.20369

Cited by 489 publications

(378 citation statements)

References 76 publications

(138 reference statements)

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“…The total score is utilized to determine the overall level and stage of RFC (Pre-Contemplation, Contemplation, Preparation, Action, or Maintenance). The total score ranges from 20-100 and the individual stage of change score ranges are: Pre-contemplation (20)(21)(22)(23)(24)(25)(26)(27)(28)(29), Contemplation (30-49), Preparation (50-69), Action (70-89), and Maintenance (90-100). The instrument has demonstrated good internal consistency (0.90) and test-retest reliability (0.89).…”

Section: Methodsmentioning

confidence: 99%

“…Many of the difficulties plaguing research on the course of illness and recovery from AN are due to the immature qualifications and definitions of outcomes. [24][25][26] There are practical implications that stem from such poor definitions. Ambiguous recovery objectives can result in untimely discharge from treatment and poor outcomes.…”

Section: Outcomes Of Anorexia Nervosamentioning

confidence: 99%

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Readiness for change and short‐term outcomes of female adolescents in residential treatment for anorexia nervosa

McHugh

2007

Intl J Eating Disorders

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Objective: To determine if readiness for change (RFC) at admission predicted length of stay (LOS) and short-term outcomes among female adolescents in residential treatment for anorexia nervosa (AN).Method: Using a prospective cohort design to collect data from participants (N 5 65) at admission and discharge, KaplanMeier survival analysis and Cox regression tested whether RFC on admission predicted time in LOS to a favorable short-term outcome-a composite endpoint based on minimum criteria for weight gain, drive for thinness, depression, anxiety, and healthrelated quality of life (HRQOL).Results: Participants with low RFC had a mean survival time to a favorable short-term outcome of 59.4 days compared to 34.1 days for those with high RFC (log rank 5 8.44, df 5 1, p 5 .003). The probability of a favorable short-term outcome was 5.30 times greater for participants with high RFC. Conclusion:Readiness for change is a useful predictor of a favorable short-term outcome and should be considered in the assessment profile of patients with AN. V V C 2007 by Wiley Periodicals, Inc.

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Section: Methodsmentioning

confidence: 99%

Section: Outcomes Of Anorexia Nervosamentioning

confidence: 99%

Readiness for change and short‐term outcomes of female adolescents in residential treatment for anorexia nervosa

McHugh

2007

Intl J Eating Disorders

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“…AN has the highest mortality rate of any psychiatric disorder (Keel et al, 2003;Sullivan, 1995) and is associated with numerous psychological problems, including depression, anxiety, and suicide (Berkman, Lohr, & Bulik, 2007;Birmingham, Su, Hylinsky, Goldner, & Gao, 2005). Yet many questions about the etiology of AN remain (Chavez & Insel, 2007;Stice, 2001).…”

Section: Introductionmentioning

confidence: 99%

Assessing the heritability of anorexia nervosa symptoms using a marginal maximal likelihood approach

et al. 2008

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“…Markowtiz et al (2015) found that the rate of dropout for prolonged exposure therapy was nine times higher among patients with comorbid PTSD and major depressive disorder than in non-depressed patients. Notably, the impact of depression on outcome in PTSD treatment is similar in other disorders, where co-occurring depression has been shown to negatively impact the course of treatment and outcome for social anxiety disorder (Chambless, Tran, & Glass, 1997; Erwin, Heimberg, Juster, & Mindlin, 2002), obsessive–compulsive disorder (Abramowitz, 2004), and eating disorders (Berkman, Lohr, & Bulik, 2007; Löwe et al, 2001). …”

Section: Introductionmentioning

confidence: 91%

Depression as a moderator of STAIR Narrative Therapy for women with post-traumatic stress disorder related to childhood abuse

Cloitre

Garvert

Weiß

2017

European Journal of Psychotraumatology

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Background: Depression among those who have experienced childhood abuse is associated with earlier onset, more persistent and severe symptoms, more frequent relapse, and poorer treatment outcomes across a variety of psychiatric disorders. In addition, individuals with a history of childhood abuse are more likely to develop post-traumatic stress disorder (PTSD) co-occurring with depression. Objective: This study evaluated whether severity of depression moderated the outcome in a PTSD treatment for childhood abuse survivors. Specifically, we assessed whether individuals with significant depression obtained better outcomes when provided with a two-module treatment which included a skills training component with behavioral activation interventions, Skills Training in Affective and Interpersonal Regulation (STAIR) followed by a trauma-focused component, Narrative Therapy, as compared to two control conditions where one component (STAIR or Narrative Therapy) was replaced with Supportive Counseling. Method: Participants were 104 women with PTSD related to childhood abuse. Participants were randomized into three conditions: (1) STAIR plus Narrative Therapy (SNT), (2) STAIR plus Supportive Counseling (SSC), and (3) Supportive Counseling plus Narrative Therapy (SCNT). Clinician-Administered PTSD Scale for DSM-IV (CAPS-IV) PTSD symptom severity was assessed at pre-treatment, post-treatment, and 3 and 6 month follow-up. Results: Participants with severe depression showed superior PTSD symptom reduction following SNT, while those in the other two conditions experienced a loss of improvement after treatment ended. A similar finding was obtained among those with moderate depression, while among those with low levels of depression, outcomes did not differ across the three treatment conditions. Conclusions: Childhood abuse survivors with severe depression obtained superior outcomes in a treatment that combined skills training with trauma-focused work. Skills packages which contain behavioral activation interventions in combination with trauma-focused work may be particularly beneficial for patients with childhood abuse and severe depression.

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Outcomes of eating disorders: A systematic review of the literature

Abstract: The strength of the bodies of literature was moderate for factors associated with AN and BN outcomes and weak for BED.

Cited by 489 publications

References 76 publications

Readiness for change and short‐term outcomes of female adolescents in residential treatment for anorexia nervosa

Readiness for change and short‐term outcomes of female adolescents in residential treatment for anorexia nervosa

Assessing the heritability of anorexia nervosa symptoms using a marginal maximal likelihood approach

Depression as a moderator of STAIR Narrative Therapy for women with post-traumatic stress disorder related to childhood abuse

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