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Pretreatment outcome indicators in an eating disorder outpatient group: the effects of self-esteem, personality disorders and dissociation.

Abstract：

OBJECTIVE:The prognosis for eating disorders (ED) is unsatisfactory, and the literature about outcome indicators is controversial. The present study evaluates the roles of self-esteem, personality disorders (PD), and dissociation as outcome predictors. METHOD:Fifty-seven ED outpatients were recruited from a population beginning a Cognitive Behavioral Therapy-Enhanced (CBT-E) treatment. All patients received the Structured Clinical Interview for DSM-IV Axis I (SCID-I), the Structured Clinical Interview for DSM-IV Axis II (SCID-II), and completed the Eating Disorder Examination Questionnaire (EDE-Q), the Dissociation Questionnaire (DIS-Q), and the Rosenberg Self-Esteem Scale (RSES). One month after the end of treatment, recovery was evaluated as meeting the DSM-IV criteria for EDs. RESULTS:A small group of patients recovered (42.2%). Low self-esteem and dissociation results correlated with a negative outcome. DISCUSSION:Dissociation may be an important moderator of psychotherapy and treatment success, as already suggested by previous studies on non-eating-related disorders.

journal_name

Compr Psychiatry

journal_title

Comprehensive psychiatry

authors

La Mela C,Maglietta M,Lucarelli S,Mori S,Sassaroli S

doi

10.1016/j.comppsych.2013.03.024

subject

Has Abstract

pub_date

2013-10-01 00:00:00

pages

933-42

issue

7

eissn

0010-440X

issn

1532-8384

pii

S0010-440X(13)00084-9

journal_volume

54

pub_type

杂志文章

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