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饮食障碍部分住院和强化门诊治疗结果的调节因素。

Moderators of treatment outcomes in a partial hospitalization and intensive outpatient program for eating disorders.

机构信息

a Department of Psychiatry and Behavioral Sciences , Northwestern University, Feinberg School of Medicine , IL , Chicago , USA.

b Department of Preventative Medicine, Division of Biostatistics , Northwestern University, Feinberg School of Medicine , IL , Chicago , USA.

出版信息

Eat Disord. 2019 May-Jun;27(3):305-320. doi: 10.1080/10640266.2018.1512302. Epub 2018 Sep 11.

Abstract

Eating disorders cause a number of severely impairing symptoms that may require more intensive intervention that is available through outpatient therapy services. The PHP/IOP level of care may be an effective mode of treatment in these cases, but few studies have examined overall outcomes or treatment moderators for this level of care. Using a large sample from a PHP/IOP specifically designed for the treatment of eating disorders, the current study examines a variety of symptoms (eating disorder severity, quality of life, depression, etc.) from admission to discharge, as well as potential moderators of treatment, including demographic and clinical factors. Overall, the PHP/IOP level of care was found to improve treatment outcomes. Age, race, gender, and depression were found to moderate the change in quality of life and functional impairment. Additionally, patients diagnosed with anorexia nervosa had significantly lowered quality of life and greater eating disorder symptomatology than all other diagnoses. The results of this study can help to inform clinical practice and help guide in treatment decisions at the partial hospitalization level of care.

摘要

进食障碍会引起一系列严重的症状,可能需要更密集的干预,而这些干预可以通过门诊治疗服务提供。在这些情况下,PHP/IOP 护理水平可能是一种有效的治疗模式,但很少有研究检查过这种护理水平的总体结果或治疗调节因素。本研究使用了一个专门设计用于治疗进食障碍的 PHP/IOP 的大样本,从入院到出院检查了各种症状(进食障碍严重程度、生活质量、抑郁等),以及治疗的潜在调节因素,包括人口统计学和临床因素。总体而言,PHP/IOP 护理水平被发现改善了治疗效果。年龄、种族、性别和抑郁被发现调节了生活质量和功能障碍的变化。此外,与所有其他诊断相比,被诊断为神经性厌食症的患者生活质量显著降低,进食障碍症状更为严重。这项研究的结果可以帮助为临床实践提供信息,并有助于在部分住院治疗水平的治疗决策中提供指导。

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