Does enhanced cognitive behaviour therapy for eating disorders improve quality of life?
Quality of life (QOL) is the degree of enjoyment and satisfaction experienced in life, and embraces emotional well-being, physical health, economic and living circumstances, and work satisfaction. QOL recovery with eating disorder treatment has received sparse attention, and until now, no study has investigated QOL recovery with enhanced cognitive behaviour therapy (CBT-E). Patients (n = 196) admitted to a specialist eating disorders outpatient programme and receiving CBT-E completed measures of QOL, eating disorder psychopathology, depression, anxiety and self-esteem, before and after treatment. QOL at intake was compared with community norms, and QOL below the norm was predicted from sociodemographic and clinical correlates with logistic regression. Baseline QOL below the norm was associated with depression and anxiety Axis I comorbidity, and severity of depressive symptoms. Predictors of post-treatment QOL were baseline QOL and level of depressive symptoms and self-esteem at post-treatment. CBT-E was associated with gains in QOL over the course of treatment, in addition to eating disorder symptom relief.
Centre for Clinical Interventions, Perth, Western Australia, Australia. hunna.watson@health.wa.gov.au
Hunna J
HJ
Watson
Karina
K
Allen
Anthea
A
Fursland
Susan M
SM
Byrne
Paula R
PR
Nathan
D000293:Adolescent; D000328:Adult; D000704:Analysis of Variance; D001007:Anxiety / Q000150:complications* / Q000175:diagnosis; D015928:Cognitive Behavioral Therapy / Q000379:methods*; D003863:Depression / Q000150:complications* / Q000175:diagnosis; D001068:Feeding and Eating Disorders / Q000523:psychology / Q000628:therapy*; D005260:Female; D006801:Humans; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D011788:Quality of Life; D012649:Self Concept; D011795:Surveys and Questionnaires; D016896:Treatment Outcome