Efficacy of a partial hospital programme for adults with eating disorders

Eur Eat Disord Rev. 2018 May;26(3):241-252. doi: 10.1002/erv.2589. Epub 2018 Mar 14.

Abstract

Partial hospital programmes (PHPs) have demonstrated efficacy in the treatment of eating disorders (EDs); however, few programmes have examined long-term outcomes across diagnoses, including subtypes of anorexia nervosa (AN). The present study examined the effectiveness of PHP for adult patients (n = 243) with AN-restricting subtype (n = 79), AN binge/purge subtype (n = 46), and bulimia nervosa (n = 118). These patients tended to have long-standing courses of illness (43%, illness duration >7 years) and high levels of psychiatric comorbidity (92.2%). Patients completed questionnaires at admission, discharge, and follow-up, M (SD) = 11.50 months (5.29). Through follow-up, all diagnoses demonstrated significant improvements in weight, ED psychopathology, and comorbid symptoms, with some exceptions for the AN binge/purge group. In exploratory analyses, 49% of patients met criteria for full or partial remission at discharge and 37% at follow-up. Results provide support for the effectiveness of PHP in improving ED outcomes in a severe sample through longer-term follow-up.

Keywords: day treatment; eating disorders; outcome; partial hospital; treatment.

Publication types

  • Clinical Trial

MeSH terms

  • Adult
  • Anorexia Nervosa* / psychology
  • Anorexia Nervosa* / therapy
  • Binge-Eating Disorder / psychology
  • Binge-Eating Disorder / therapy
  • Body Weight
  • Bulimia Nervosa* / psychology
  • Bulimia Nervosa* / therapy
  • Comorbidity
  • Female
  • Humans
  • Inpatients
  • Male
  • Psychiatric Status Rating Scales / statistics & numerical data
  • Surveys and Questionnaires