Perceived Occupational Performance in Youth with Eating Disorders: Treatment-Related Changes

Can J Occup Ther. 2020 Dec;87(5):423-430. doi: 10.1177/0008417420953229. Epub 2020 Sep 10.

Abstract

Background.: This study examined changes in performance and satisfaction with self-identified occupational performance goals during a specialized day treatment admission in children and adolescents with eating disorders. Weight-related outcomes for underweight youth were also examined.

Methods.: A total of 63 youth participated in the study, with admission and discharge data on ratings of self-identified occupational performance goals (measured with the Canadian Occupational Performance Measure) available for 42 participants.

Findings.: Significant improvements were found in ratings of satisfaction and performance with self-identified goals over the course of treatment. The program was also effective in supporting weight restoration for underweight youth, with a large effect size observed.

Implications.: A symptom-focused day treatment program for paediatric eating disorders led to improvements in perceived occupational performance. Collaborating with youth to develop self-identified goals in the context of eating disorders treatment can foster autonomy and potentially improve treatment engagement.

Keywords: Eating disorders; Occupational performance; Paediatric; Pédiatrie; Rendement occupationnel; Résultat de l’intervention; Treatment outcome; Troubles alimentaires.

MeSH terms

  • Adolescent
  • Canada
  • Child
  • Feeding and Eating Disorders / psychology*
  • Feeding and Eating Disorders / rehabilitation*
  • Female
  • Humans
  • Male
  • Occupational Therapy / methods*
  • Patient Satisfaction / statistics & numerical data*
  • Rehabilitation / methods*
  • Self Concept*
  • Treatment Outcome
  • Weight Gain*