Examination of a day programme for eating disorders: impact on 3-month follow-up by psychiatric comorbidity

Australas Psychiatry. 2020 Apr;28(2):148-152. doi: 10.1177/1039856219871873. Epub 2019 Sep 16.

Abstract

Objective: The two aims of this preliminary investigation were to use a case series design to examine outcomes of a day programme (DP) for eating disorders and to investigate whether the presence of baseline psychiatric comorbidities moderated outcomes 3 months after discharge.

Method: Linear mixed modelling was used to investigate changes over time in the 91 participants who had commenced the DP by April 2019; 87 (96%) female, 61 (67%) with a DSM-5 diagnosis of anorexia nervosa.

Results: Six of our seven outcome variables (dietary restraint; concern over weight, eating and shape; clinical impairment; and psychological distress) showed moderate to large effect size improvements from baseline to follow-up. Generally, improvement declined somewhat at follow-up from discharge, with a pattern of results suggesting this decline was less where there was comorbidity at baseline.

Conclusions: These results suggest that a DP effectively reduces eating disorder psychopathology regardless of the presence of psychiatric comorbidity.

Keywords: comorbidity; day programme; eating disorders; follow-up; outcomes.

MeSH terms

  • Adolescent
  • Adult
  • Anorexia Nervosa / psychology
  • Anorexia Nervosa / therapy*
  • Comorbidity
  • Day Care, Medical*
  • Female
  • Follow-Up Studies
  • Humans
  • Linear Models
  • Male
  • Mental Disorders / diagnosis
  • Mental Disorders / psychology
  • Mental Disorders / therapy
  • Psychotherapy, Group*
  • Young Adult