Treatment responses of inpatient eating disorder women with and without co-occurring obsessive-compulsive disorder.
We analyzed the influence of co-occurring obsessive-compulsive disorder (OCD) on response to eating disorder (ED) treatment among 2,971 female inpatients. We assessed treatment response using Eating Disorder Inventory-2 and DSM-IV ED criteria. Multivariate analyses included sociodemographics, illness severity, and co-occurring Axis I/II diagnoses. ED inpatients with OCD had greater ED severity than those without OCD. However, no differences occurred in short- and intermediate-term ED outcomes. Patients with and without OCD evidenced the same degree of change in EDI-2 scores admission-to-discharge and discharge-to-one-year; and 93% of patients both with and without OCD no longer evidenced a DSM-IV ED diagnosis one-year post-discharge. Results suggest that with co-occurring OCD treated using evidence-based interventions ED inpatients with and without OCD may have similar prognoses.
Cumella
Edward J
EJ
Remuda Ranch Programs for Eating Disorders, Wickenburg, Arizona, USA. Edward.cumella@remudaranch.com
Kally
Zina
Z
Wall
A David
AD
D000293:Adolescent; D000328:Adult; D002648:Child; D039721:Diagnostic and Statistical Manual of Mental Disorders; D001068:Feeding and Eating Disorders / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D005260:Female; D006801:Humans; D007297:Inpatients; D016015:Logistic Models; D008875:Middle Aged; D015999:Multivariate Analysis; D009771:Obsessive-Compulsive Disorder / Q000150:complications* / Q000628:therapy; D010351:Patient Discharge; D012189:Retrospective Studies; D012959:Socioeconomic Factors; D016896:Treatment Outcome