Level of family involvement as a predictor of outcome in eating disorder patients with and without provisional PTSD during residential treatment.

IF 3 3区医学 Q2 PSYCHIATRY Eating Disorders Pub Date : 2025-02-04 DOI:10.1080/10640266.2025.2460290

Timothy D Brewerton, Giulia Suro, Ismael Gavidia, Molly M Perlman

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引用次数: 0

Abstract

Objective: Family involvement (FI) in the treatment of eating disorders (EDs) is critical for children/adolescents, yet its role during residential treatment (RT) in adults is uncharted. PTSD may play a role in influencing FI but is also unexplored.

Method: We examined the role of FI in 2786 ED patients (89% F) admitted to RT with and without provisional PTSD. At discharge, staff rated the degree of FI as follows: 1) Not at all; 2) Slightly/somewhat; 3) Very much/extremely. Changes in ED, depression, anxiety, PTSD, and quality of life measures from admission to discharge were examined via multivariate analyses of covariance using degree of FI as an independent variable and age, gender, admission BMI, age of ED onset, and baseline symptom levels as covariates.

Results: Patients with the highest FI were the youngest, had the lowest BMIs and the oldest ages of ED onset. Rates of provisional PTSD were greatest in individuals with no FI and least in those with the highest FI. Those with no FI did significantly worse on all measures than those with higher levels of FI.

Conclusion: FI is an important component in ED treatment of adults in RT and is especially needed in patients with PTSD.

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目的：家庭参与（FI）在饮食失调（ED）治疗中对儿童/青少年至关重要，但其在成人住院治疗（RT）中的作用尚不明确。创伤后应激障碍（PTSD）可能会对 FI 产生影响，但这一问题也尚未得到研究：我们研究了 2,786 名接受住院治疗的急诊科患者（89% 女性）的 FI 作用，这些患者有的患有创伤后应激障碍，有的则没有。出院时，工作人员将 FI 的程度评定如下：1）完全没有；2）轻微/有点；3）非常/极度。以 FI 程度为自变量，年龄、性别、入院体重指数、ED 发病年龄和基线症状水平为协变量，通过多变量协方差分析研究了从入院到出院期间 ED、抑郁、焦虑、创伤后应激障碍和生活质量指标的变化：FI程度最高的患者年龄最小，体重指数最低，ED发病年龄最大。无 FI 患者的临时创伤后应激障碍发生率最高，而 FI 最高的患者的临时创伤后应激障碍发生率最低。与FI水平较高的人相比，没有FI的人在所有指标上的表现都要差得多：FI 是 RT 成人 ED 治疗的重要组成部分，创伤后应激障碍患者尤其需要。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Eating Disorders PSYCHIATRY-PSYCHOLOGY

CiteScore

7.70

自引率

9.10%

发文量

期刊介绍： Eating Disorders is contemporary and wide ranging, and takes a fundamentally practical, humanistic, compassionate view of clients and their presenting problems. You’ll find a multidisciplinary perspective on clinical issues and prevention research that considers the essential cultural, social, familial, and personal elements that not only foster eating-related problems, but also furnish clues that facilitate the most effective possible therapies and treatment approaches.