Treatment for eating disorders is typically delivered on a continuum of care, starting with outpatient treatment, and moving on to intensive outpatient, day treatment or partial residential, residential and inpatient hospitalisation (Anzai, Lindsey-Dudley, & Bidwell, 2002).
Recommended treatment approaches vary depending on disorder and age group, but focus on family-based therapy with adolescents and cognitive behavioural therapy approaches with adults (Hay et al., 2014 National Institute for Health and Care Excellence, 2017). Eating disorders are one of the 12 leading causes of hospitalisation due to mental health issues in Australia (Deloitte Access Economics, 2012), and are associated with high levels of treatment dropout (DeJong, Broadbent, & Schmidt, 2012), relapse (Khalsa, Portnoff, McCurdy-McKinnon, & Feusner, 2017) and mortality (Fichter & Quadflieg, 2016). Future research should include controlled studies that evaluate specific theoretical approaches and program elements, include long-term follow-up, and compare residential care to other treatment settings.Įating disorders are complex mental illnesses associated with a high level of impairment and significant socio-economic costs (Filion & Haines, 2015).
While residential care was associated with consistently positive outcomes, the variability in program characteristics and poor quality of research designs prevent firm conclusions from being drawn about their efficacy. Eight studies reported outcomes at some interval after discharge, with largely positive outcomes. All studies reported improvements in most outcomes at discharge, including changes in eating disorders psychopathology, weight, depression, anxiety and quality of life. Most took an eclectic approach to treatment, integrating elements from several different techniques without a unifying theoretical framework. Nineteen open-label studies reporting changes between admission and discharge were included in this review. Peer-reviewed studies published in the last 20 years were identified through a systematic search of the electronic databases PubMed and Cochrane Library. A secondary goal was to identify treatment elements and patient characteristics that predicted a greater response to treatment. We reviewed outcomes of residential treatment for eating disorders across all diagnoses, age groups and genders. Residential centres for the treatment of eating disorders are becoming increasingly common, yet data following residential care are scarce.
0 kommentar(er)
