Fewell Laura K, Levinson Cheri A, Stark Lynn
McCallum Place Eating Disorder Centers, 231 W. Lockwood Ave, St. Louis, MO, 63119, USA.
Department of Psychiatry, Washington University in St. Louis, St. Louis, MO, 63130, USA.
Eat Weight Disord. 2017 Jun;22(2):291-301. doi: 10.1007/s40519-016-0357-6. Epub 2017 Mar 7.
This retrospective study explores depression, worry, psychosocial functioning, and change in body mass index (BMI) as predictors of eating disorder (ED) symptomatology and BMI at discharge and 1-year follow-up from a residential and partial hospitalization ED treatment center. Participants were 423 male and female patients receiving treatment at an ED treatment center. Results indicate significant improvement in ED symptomatology, psychological impairment, and change in BMI (in patients with anorexia nervosa) at treatment discharge and follow-up compared to treatment admission (ps < 0.001). Depression and worry predicted ED symptomatology and psychological impairment at discharge (ps < 0.05). Depression, worry, and psychosocial functioning predicted ED symptomatology and psychological impairment at 1-year follow-up (ps < 0.001). Change in BMI was not a significant predictor of outcome. Depression, worry, and psychosocial functioning each play a role in treatment outcomes and may help clarify who might benefit from treatment. Clinicians in ED treatment centers should consider these as areas of focus for improved outcomes.
这项回顾性研究探讨了抑郁、担忧、心理社会功能以及体重指数(BMI)的变化,将其作为饮食失调(ED)症状以及在一家住院及部分住院的ED治疗中心出院时和1年随访时BMI的预测因素。参与者为423名在ED治疗中心接受治疗的男性和女性患者。结果表明,与治疗入院时相比,在治疗出院时和随访时,ED症状、心理损伤以及BMI的变化(神经性厌食症患者)有显著改善(p值<0.001)。抑郁和担忧可预测出院时的ED症状和心理损伤(p值<0.05)。抑郁、担忧和心理社会功能可预测1年随访时的ED症状和心理损伤(p值<0.001)。BMI的变化不是结果的显著预测因素。抑郁、担忧和心理社会功能在治疗结果中均发挥作用,可能有助于明确谁可能从治疗中获益。ED治疗中心的临床医生应将这些作为改善治疗结果的重点领域。