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01-06-2010 | Original Paper

Outcomes of a Day Treatment Program for Eating Disorders Using Clinical and Statistical Significance

Authors: Denise D. Ben-Porath, Lucene Wisniewski, Mark Warren

Published in: Journal of Contemporary Psychotherapy | Issue 2/2010

Abstract

The present study was designed to evaluate the outcomes of a day treatment program for 55 eating disordered (ED) patients using clinical and statistical significance testing. Results indicated a statistically significant reduction on all eating disordered outcomes. With respect to clinical significance testing, analysis of these data indicated that the majority of the individuals in the day treatment program made clinically significant and reliable change by the termination of treatment on all eating disorder measures. However, considerably less patients improved to such a point that they were asymptomatic. The importance of combining clinical significance testing with traditional significance testing is discussed.

RCI Computational Formula for Individual Data (Jacobson and Truax 1991); \( {\text{RCI}} = x_{\text{pre}} - x_{\text{post}} /S_{\text{diff}} \) , \( S_{\text{diff}} = \left( {2({\text{SE}})^{2} } \right)^{ \, 1/2} ;\quad \quad {\text{SE = SD}}_{\text{pre}} (1 - r_{\text{ xx}} )^{1/2} . \)

Abramowitz, J. S. (1998). Does cognitive-behavioral therapy cure obsessive-compulsive disorder? A meta-analytic evaluation of clinical significance. Behavior Therapy, 29(2), 339–355.CrossRef

American Psychiatric Association Work Group on Eating Disorders. (2000). Practice guideline for the treatment of patients with eating disorders. American Journal of Psychiatry, 157, 1–39.

Beck, A. T., Steer, R. A., & Brown, G. K. (1996). Manual for Beck depression inventory-II. San-Antonio, TX: Psychological Corporation.

Becker-Stoll, F., & Gerlinghoff, M. (2004). The impact of a four-month day treatment program on alexithymia in eating disorders. European Eating Disorders Review, 12(3), 159–163.CrossRef

Fairburn, C. G., & Beglin, S. J. (1994). The assessment of eating disorders: Interview or self-report questionnaire? International Journal of Eating Disorders, 16, 363–370.PubMed

Garner, D. M. (1991). The eating disorder inventory-II. Professional manual. Odesa (FA): Psychological Assessment Resources.

Garner, D. M., Olmsted, M. P., Polivy, J., & Garfinkel, P. E. (1984). Comparison between weight-preoccupied women and anorexia nervosa. Psychosomatic Medicine, 46(3), 255–266.PubMed

Gerlinghoff, M., Backmund, H., & Franzen, U. (1998). Evaluation of a day treatment programme for eating disorders. European Eating Disorders Review, 6, 96–106.CrossRef

Jacobson, N. S., & Truax, P. (1991). Clinical significance: A statistical approach to defining meaningful change in psychotherapy research. Journal of Consulting and Clinical Psychology, 59, 12–19.CrossRefPubMed

Kachele, H., Kordy, H., & Richard, M. (2001). Therapy amount and outcome of inpatient psychodynamic treatment of eating disorders in Germany: Data from a multicenter study. Psychotherapy Research, 11(3), 239–257.

Kahn, C., & Pike, K. M. (2001). In search of predictors of dropout from inpatient treatment for anorexia nervosa. International Journal of Eating Disorders, 30(3), 237–244.CrossRefPubMed

Kaplan, A. S., & Olmsted, M. P. (1997). Partial hospitalization. In D. M. Garner & P. E. Garfinkel (Eds.), Handbook of treatment for eating disorders.

Kendall, P. C. (Ed.) (1999). Clinical significance [Special Section]. Journal of Consulting and Clinical Psychology, 67, 283–339.

Kong, S. (2005). Day treatment programme for patients with eating disorders: Randomized controlled trial. Journal of Advanced Nursing, 51, 5–14.CrossRefPubMed

LaGreca, A. M. (2005). Editorial. Journal of Consulting and Clinical Psychology, 73, 3–5.CrossRef

Luce, K. H., & Crowther, J. H. (1999). The reliability of the Eating Disorder Examination—Self-Report Questionnaire Version (EDE-Q). International Journal of Eating Disorders, 25(3), 349–351.CrossRefPubMed

Lundgren, J. D., Danoff-Burg, S., & Anderson, D. A. (2004). Cognitive-behavioral therapy for bulimia nervosa: An empirical analysis of clinical significance. International Journal of Eating Disorders, 35, 262–274.CrossRefPubMed

Manara, F., Manara, A., & Todisco, P. (2005). Correlation between psychometric and biological parameters in anorexic and bulimic patients during and after and intensive day hospital treatment. Eating and Weight Disorders, 10(4), 236–244.PubMed

Mehran, F., Leonard, T., & Samuel-Lajeunesse, B. (1999). Anorexia nervosa: Changes in the perception of femininity, figure, diet, and clothing concepts with inpatient treatment. European Eating Disorders Review, 7(2), 111–120.CrossRef

Ogrodniczuk, J. S., & Steinberg, P. (2005). A renewed interest in day treatment. Canadian Journal of Psychiatry, 50(1), 77.

Olmstead, M. P., Kaplan, A. S., & Rockert, W. (2003). Relative efficacy of a 4-day versus a 5-day hospital program. International Journal of Eating Disorders, 34, 441–449.CrossRef

Piran, N., Langdon, L., Kaplan, A., & Garfinkel, P. E. (1989). Evaluation of a day hospital program for eating disorders. International Journal of Eating Disorders, 8, 511–521.CrossRef

Solenberger, S. E. (2001). Exercise and eating disorders: A 3-year inpatient hospital record analysis. Eating Behaviors, 2(2), 151–168.CrossRefPubMed

Thornton, C., Beumont, P., & Touyz, S. (2002). The Australian experience of day programs for patients with eating disorders. International Journal of Eating Disorders, 25, 227–231.

Wisniewski, L., & Ben-Porath, D. (2005). Telephone coaching with eating disordered clients: Clinical Guidelines using the DBT Model. European Eating Disorders Review, 13, 344–350.CrossRef

Wisniewski, L., & Kelly, E. (2003). Can DBT be used to effectively treat eating disorders? Cognitive and Behavioral Practice, 10, 131–138.CrossRef

Zeeck, A., Herzog, T., & Hartmann, A. (2004). Day clinic or inpatient care for severe bulimia nervosa? European Eating Disorders Review, 12, 79–86.CrossRef

Zipfel, S., Reas, D. L., Thornton, C., Olmsted, M. P., Williamson, D. A., Gerlinghoff, M., et al. (2002). Day hospitalization programs for eating disorders: A systematic review of the literature. International Journal of Eating Disorders, 31, 105–117.CrossRefPubMed

Title: Outcomes of a Day Treatment Program for Eating Disorders Using Clinical and Statistical Significance
Authors: Denise D. Ben-Porath
Lucene Wisniewski
Mark Warren
Publication date: 01-06-2010
Publisher: Springer US
Published in: Journal of Contemporary Psychotherapy / Issue 2/2010
Print ISSN: 0022-0116
Electronic ISSN: 1573-3564
DOI: https://doi.org/10.1007/s10879-009-9125-5

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Outcomes of a Day Treatment Program for Eating Disorders Using Clinical and Statistical Significance

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