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Journal of Eating Disorders

, 2:2

First Online: 13 January 2014Received: 09 September 2013Accepted: 10 December 2013DOI: 10.1186-2050-2974-2-2

Cite this article as: Kelly, A.C. & Carter, J.C. J Eat Disord 2014 2: 2. doi:10.1186-2050-2974-2-2


BackgroundIndividuals with Anorexia Nervosa AN are renowned for their poor short- and long-term treatment outcomes. To gain more insight into the reasons for these poor outcomes, the present study compared patients with AN-R restrictive subtype, AN-BP binge-purge subtype, bulimia nervosa BN, and eating disorder not otherwise specified EDNOS over 12 weeks of specialized eating disorders treatment.

Eighty-nine patients completed the Eating Disorder Examination- Questionnaire EDE-Q and various measures of psychosocial functioning at baseline, and again after weeks 3, 6, 9, and 12 of treatment.

ResultsMultilevel modeling revealed that, over the 12 weeks, patients with AN-BP and AN-R had slower improvements in global eating disorder pathology, shape concerns, and self-compassion than those with EDNOS and BN. Patients with AN-BP had slower improvements in shame, social safeness i.e., feelings of warmth in one’s relationships, and received social support compared to those with AN-R, BN, and EDNOS.

ConclusionsThese findings support the need for more effective and comprehensive clinical interventions for patients with AN and especially AN-BP. Results also highlight not-yet studied processes that might contribute to the poor outcomes AN patients often face during and after treatment.

KeywordsAnorexia nervosa Transdiagnostic Treatment process Treatment outcome Change trajectories Self-compassion Received social support Shame Social safeness Electronic supplementary materialThe online version of this article doi:10.1186-2050-2974-2-2 contains supplementary material, which is available to authorized users.

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Autor: Allison C Kelly - Jacqueline C Carter


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