title: 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.
  
  
  METHODS
  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.
  
  
  CONCLUSIONS
  Dissociation may be an important moderator of psychotherapy and treatment success, as already suggested by previous studies on non-eating-related disorders.
authors: Cognitive Psychotherapy Clinical Centre, 50144, Florence, Italy.
authors: Carmelo
authors: C
authors: La Mela
authors: Marzio
authors: M
authors: Maglietta
authors: Stefano
authors: S
authors: Lucarelli
authors: Sara
authors: S
authors: Mori
authors: Sandra
authors: S
authors: Sassaroli
mesh_terms: D000328:Adult; D015928:Cognitive Behavioral Therapy; D004213:Dissociative Disorders / Q000150:complications / Q000523:psychology*; D001068:Feeding and Eating Disorders / Q000523:psychology / Q000628:therapy*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010045:Outpatients; D010554:Personality Disorders / Q000150:complications / Q000523:psychology*; D011379:Prognosis; D012649:Self Concept; D016896:Treatment Outcome