当前位置: X-MOL 学术Eat. Disord. › 论文详情
Our official English website, www.x-mol.net, welcomes your feedback! (Note: you will need to create a separate account there.)
Predictors of improvement in a family-based partial hospitalization/intensive outpatient program for eating disorders
Eating Disorders ( IF 3.0 ) Pub Date : 2020-03-15 , DOI: 10.1080/10640266.2020.1734410
Kendra J Homan 1, 2 , Susan L Crowley 3 , Renee D Rienecke 4, 5
Affiliation  

ABSTRACT

The efficacy of family-based treatment (FBT) in outpatient settings has led to efforts to incorporate FBT principles into higher levels of care. The present study examined predictors of improvement in an FBT-based partial hospitalization program/intensive outpatient program (PHP/IOP) as measured by the Eating Disorder Examination–Questionnaire. Participants were 113 patients with anorexia nervosa (AN) or eating disorder not otherwise specified (EDNOS) consecutively participating in an FBT-based PHP/IOP. Multilevel modeling was used to investigate predictors for adolescents and young adults separately. Predictors considered included illness duration, previous hospitalization, hospitalization immediately prior to treatment, previous outpatient therapy, hospitalization during treatment, diagnosis, gaining 4 pounds in 4 weeks, and family status as time-invariant variables. Time-varying variables considered included depression symptoms and mothers’/fathers’ ratings of parental self-efficacy and expressed emotion. For adolescents, depression by time and diagnosis by time interactions were statistically significant. At all levels of depression, adolescent patients with AN demonstrated greater reductions in eating disorder symptoms compared to patients with EDNOS. For young adults, depression and gaining 4 pounds in 4 weeks were significant predictors. The relationships for young adults were curvilinear such that, while lower eating disorder symptoms were found during treatment, these gains were not maintained at follow up.



中文翻译:

以家庭为基础的饮食失调部分住院/重症门诊计划改善的预测因素

摘要

以家庭为基础的治疗 (FBT) 在门诊环境中的有效性促使人们努力将 FBT 原则纳入更高水平的护理中。本研究通过饮食失调检查问卷调查了基于 FBT 的部分住院计划/强化门诊计划 (PHP/IOP) 改善的预测因素。参与者是 113 名患有神经性厌食症 (AN) 或未指定饮食障碍 (EDNOS) 的患者,这些患者连续参加了基于 FBT 的 PHP/IOP。多级建模用于分别调查青少年和年轻人的预测因素。考虑的预测因素包括疾病持续时间、既往住院、治疗前即刻住院、既往门诊治疗、治疗期间住院、诊断、4 周内增重 4 磅、和家庭状况作为时不变变量。考虑的时变变量包括抑郁症状和母亲/父亲对父母自我效能和情绪表达的评级。对于青少年,按时间划分的抑郁和按时间交互的诊断具有统计学意义。在所有水平的抑郁症中,与 EDNOS 患者相比,患有 AN 的青少年患者的进食障碍症状减轻更多。对于年轻人来说,抑郁和 4 周内体重增加 4 磅是重要的预测因素。年轻人的关系是曲线的,因此,虽然在治疗期间发现了较低的饮食失调症状,但在后续行动中并未保持这些进展。考虑的时变变量包括抑郁症状和母亲/父亲对父母自我效能和情绪表达的评级。对于青少年,按时间划分的抑郁和按时间交互的诊断具有统计学意义。在所有水平的抑郁症中,与 EDNOS 患者相比,患有 AN 的青少年患者的进食障碍症状减轻更多。对于年轻人来说,抑郁和 4 周内体重增加 4 磅是重要的预测因素。年轻人的关系是曲线的,因此,虽然在治疗期间发现了较低的进食障碍症状,但在随访中并未保持这些进展。考虑的时变变量包括抑郁症状和母亲/父亲对父母自我效能和情绪表达的评级。对于青少年,按时间划分的抑郁和按时间交互的诊断具有统计学意义。在所有水平的抑郁症中,与 EDNOS 患者相比,患有 AN 的青少年患者的进食障碍症状减轻更多。对于年轻人来说,抑郁和 4 周内体重增加 4 磅是重要的预测因素。年轻人的关系是曲线的,因此,虽然在治疗期间发现了较低的饮食失调症状,但在后续行动中并未保持这些进展。与 EDNOS 患者相比,患有 AN 的青少年患者的进食障碍症状减轻更多。对于年轻人来说,抑郁和 4 周内体重增加 4 磅是重要的预测因素。年轻人的关系是曲线的,因此,虽然在治疗期间发现了较低的饮食失调症状,但在后续行动中并未保持这些进展。与 EDNOS 患者相比,患有 AN 的青少年患者的进食障碍症状减轻更多。对于年轻人来说,抑郁和 4 周内体重增加 4 磅是重要的预测因素。年轻人的关系是曲线的,因此,虽然在治疗期间发现了较低的饮食失调症状,但在后续行动中并未保持这些进展。

更新日期:2020-03-15
down
wechat
bug