Abstract:
OBJECTIVE:Elucidation of clinically relevant subtypes has been proposed as a means of advancing treatment research, but classifying anorexia nervosa (AN) patients into restricting and binge-eating/purging types has demonstrated limited predictive validity. This study aimed to evaluate whether an approach to classifying eating disorder patients on the basis of comorbid personality psychopathology has utility in predicting treatment response and readmission in patients with AN. METHOD:Data were collected from 154 AN patients (M [SD] age = 25.6[9.4] years; 95.5% female; 96.8% Caucasian) at admission, discharge, and 3 months postdischarge from intensive treatment. Latent profile analysis of personality traits assessed at admission was performed to classify participants into personality subtypes, which were then used to predict outcomes at discharge and risk of readmission. RESULTS:The best fitting model identified 3 personality subtypes (undercontrolled, overcontrolled, low psychopathology) that contributed significantly to multivariate models predicting study outcomes. Undercontrolled patients were more likely to have a poor outcome at discharge than overcontrolled (OR = 3.56, p = .01) and low psychopathology patients (OR = 11.23, p < .001). Undercontrolled patients also had a greater risk of discharge against medical advice (HR = 2.08, p = .02) and readmission than overcontrolled patients (HR = 3.76, p = .009). Binge-eating/purging versus restricting subtypes did not predict discharge against medical advice or readmission in the multivariate models. CONCLUSIONS:Findings support the clinical utility of personality subtypes in AN. Future work is needed to identify mechanisms that explain diminished treatment response in undercontrolled patients and to develop interventions for this high-risk group.
journal_name
J Consult Clin Psycholjournal_title
Journal of consulting and clinical psychologyauthors
Wildes JE,Marcus MD,Crosby RD,Ringham RM,Dapelo MM,Gaskill JA,Forbush KTdoi
10.1037/a0024597subject
Has Abstractpub_date
2011-10-01 00:00:00pages
665-74issue
5eissn
0022-006Xissn
1939-2117pii
2011-15042-001journal_volume
79pub_type
杂志文章abstract:OBJECTIVE:Patients with major depressive disorder (MDD) and a comorbid personality disorder (PD) have been found to exhibit relatively poor outcomes in cognitive therapy (CT) and other treatments. Adaptations of CT focusing heavily on patients' core beliefs have yielded promising findings in the treatment of PD. Howeve...
journal_title:Journal of consulting and clinical psychology
pub_type: 杂志文章,随机对照试验
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更新日期:2016-04-01 00:00:00
abstract:OBJECTIVE:The failure of offenders to complete psychological treatment can pose significant concerns, including increased risk for recidivism. Although a large literature identifying predictors of offender treatment attrition has accumulated, there has yet to be a comprehensive quantitative review. METHOD:A meta-analy...
journal_title:Journal of consulting and clinical psychology
pub_type: 杂志文章,meta分析
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abstract::Weight losses and psychological well-being were examined at 30 months in 69 men and 61 women initially treated with behavior therapy as a function of (a) initial weight loss and (b) weight-loss goals. Initial weight losses were positively, not negatively, related to weight loss at 30 months. Weight loss goals did not ...
journal_title:Journal of consulting and clinical psychology
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abstract::A total of 116 clients with a range of subsyndromal depression received 3 therapy sessions: 2 sessions 1 week apart followed by a 3rd session 3 months later (the 2 + 1 model). Clients were stratified for severity on the Beck Depression Inventory (BDI) as stressed, subclinical, or low-level clinically depressed. In a 2...
journal_title:Journal of consulting and clinical psychology
pub_type: 临床试验,杂志文章,随机对照试验
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journal_title:Journal of consulting and clinical psychology
pub_type: 临床试验,杂志文章,随机对照试验
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journal_title:Journal of consulting and clinical psychology
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journal_title:Journal of consulting and clinical psychology
pub_type: 杂志文章,随机对照试验
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journal_title:Journal of consulting and clinical psychology
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journal_title:Journal of consulting and clinical psychology
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journal_title:Journal of consulting and clinical psychology
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abstract::Smokers (N = 3,030) were randomized to receive 1 of 3 interventions: (a) a self-help quit kit, (b) a quit kit plus 1 telephone counseling session, or (c) a quit kit plus up to 6 telephone counseling sessions, scheduled according to relapse probability. Both counseling groups achieved significantly higher abstinence ra...
journal_title:Journal of consulting and clinical psychology
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journal_title:Journal of consulting and clinical psychology
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journal_title:Journal of consulting and clinical psychology
pub_type: 杂志文章
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journal_title:Journal of consulting and clinical psychology
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journal_title:Journal of consulting and clinical psychology
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journal_title:Journal of consulting and clinical psychology
pub_type: 临床试验,杂志文章
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