|Beitragstitel||Predictors of Treatment Outcome in Patients with Eating Disorders|
Patients with severe eating disorders are offered a multimodal in-patient/day clinic treatment. We explored possible predictors of treatment outcome.
436 patients were assessed at the beginning and at the end of treatment with the SF36, BSCL, HADS, and EDI-2. The assessment at the beginning included also the IIP-D, PSSI and FAPK.
48.3% reached a good treatment outcome (Total score of the EDI at the end of treatment below the 70th percentile) 24.3% got worse. 27.4% of the patients showed an improvement of the Total EDI score.
The following factors were significant (p<.05) positive predictors of a good outcome:
Living in more urban area. Having high scores in the “Emotional Role Functioning” scale of the SF36 and in the “Relation to Reality” scale of the FAPK,
The following factors were significant (p<.05) negative predictors of a good outcome:
Having high scores in the “Drive for Thinness”, “Ineffectiveness” und “Impulse Regulation” scales of the EDI-2, high scores in the “Anxiety” scale of the HADS, high score in the “Depression” scale of the BSCL, high Total Score of the IIP-D and high scores in the “Spontaneous - Borderline” trait of the PSSI.
Patients with eating disorders tended to have a better outcome if they showed less psychopathology at the beginning. The data supports the strategy to initiate an intensive treatment early in the course of an eating disorder and not to wait until the psychopathology gets worse.