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Is there an optimal length of psychological treatment for eating disorder pathology?

Bell, C; Waller, G; Shafran, RL; Delgadillo, J; (2017) Is there an optimal length of psychological treatment for eating disorder pathology? International Journal of Eating Disorders , 50 (6) pp. 687-692. 10.1002/eat.22660. Green open access

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Abstract

Treatment guidelines for eating disorders (ED) are unclear about the optimal length of psychological care. We aimed to investigate associations between treatment duration and changes in ED pathology. Data for 164 outpatients accessing psychological interventions for ED were analyzed using MANOVA. We tested associations between number of therapy sessions and pre-post treatment changes in clinical outcomes (EDE-Q global scores, binge eating, purging); adjusting for baseline measures, diagnoses, and treatment type. Secondary analyses included rapid response variables in the above outcomes by treatment session eight. Partial correlations between treatment duration and BMI changes (adjusting for intake BMI) were examined for anorexia nervosa cases. Treatment duration was not significantly associated with changes in ED outcomes after adjusting for rapid response. BMI change (weight regain) was not correlated with treatment duration in anorexia nervosa cases. Rapid response was associated with better EDE-Q outcomes, but not with changes in binge eating or purging behaviors. ED outcomes are unrelated to treatment duration; rapid response is a useful prognostic indicator for treatment planning.

Type: Article
Title: Is there an optimal length of psychological treatment for eating disorder pathology?
Open access status: An open access version is available from UCL Discovery
DOI: 10.1002/eat.22660
Publisher version: http://dx.doi.org/10.1002/eat.22660
Language: English
Additional information: © 2017 Wiley Periodicals, Inc. This is the peer reviewed version of the following article: Bell, C; Waller, G; Shafran, RL; Delgadillo, J; (2017) Is there an optimal length of psychological treatment for eating disorder pathology? International Journal of Eating Disorders, which has been published in final form at 10.1002/eat.22660. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving.
Keywords: Anorexia nervosa, bulimia nervosa, eating disorders, psychological therapy
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > UCL GOS Institute of Child Health
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > UCL GOS Institute of Child Health > Population, Policy and Practice Dept
URI: https://discovery-pp.ucl.ac.uk/id/eprint/1537294
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