title: Day Hospital Treatment for Anorexia Nervosa: A 12-Month Follow-up Study.
abstract: Day hospitals (DHs) represent a treatment option for anorexia nervosa (AN), a mental disorder that is difficult to treat and has no evidence-based treatments available. We aimed to determine the effectiveness of a DH treatment that was specifically focused on the emotions of severe AN patients. Body mass index and eating psychopathology were the primary outcome measures. Fifty-six adult patients with AN were assessed upon admission, at the end of treatment (EOT) and at a 12-month follow-up evaluation (T18) using Eating Disorders Inventory-2, Beck Depression Inventory, Hamilton Rating Scale for Anxiety and Brief Social Phobia Scale. All participants received a multidisciplinary treatment programme that focused on psychodynamic psychotherapy. Seventy-eight per cent of participants reported positive outcomes at EOT and 68% at T18. Moreover, 82.1% and 65.4% of long-standing patients showed positive outcomes at EOT and T18, respectively. All measures of psychopathology were significantly improved at EOT and were maintained at follow-up. Our DH was effective at treating severe AN patients; however, further investigations of the processes of change are warranted.
authors.affiliation: Eating Disorders Center, Department of Neuroscience, University of Turin, Turin, Italy.
authors.forename: Giovanni
authors.initials: G
authors.lastname: Abbate-Daga
authors.affiliation: Eating Disorders Center, Department of Neuroscience, University of Turin, Turin, Italy.
authors.forename: Enrica
authors.initials: E
authors.lastname: Marzola
authors.affiliation: Eating Disorders Center, Department of Neuroscience, University of Turin, Turin, Italy.
authors.forename: Carlotta
authors.initials: C
authors.lastname: De-Bacco
authors.affiliation: Eating Disorders Center, Department of Neuroscience, University of Turin, Turin, Italy.
authors.forename: Sara
authors.initials: S
authors.lastname: Buzzichelli
authors.affiliation: Eating Disorders Center, Department of Neuroscience, University of Turin, Turin, Italy.
authors.forename: Annalisa
authors.initials: A
authors.lastname: Brustolin
authors.affiliation: Eating Disorders Center, Department of Neuroscience, University of Turin, Turin, Italy.
authors.forename: Stefania
authors.initials: S
authors.lastname: Campisi
authors.affiliation: Eating Disorders Center, Department of Neuroscience, University of Turin, Turin, Italy.
authors.forename: Federico
authors.initials: F
authors.lastname: Amianto
authors.affiliation: Department of Clinical and Biological Sciences, University of Turin, Turin, Italy.
authors.forename: Giuseppe
authors.initials: G
authors.lastname: Migliaretti
authors.affiliation: Eating Disorders Center, Department of Neuroscience, University of Turin, Turin, Italy.
authors.forename: Secondo
authors.initials: S
authors.lastname: Fassino
mesh_terms: D000328:Adult; D000856:Anorexia Nervosa / Q000523:psychology / Q000628:therapy*; D001007:Anxiety / Q000628:therapy; D015992:Body Mass Index; D003631:Day Care, Medical; D005260:Female; D005500:Follow-Up Studies; D006760:Hospitalization; D006801:Humans; D008297:Male; D008875:Middle Aged; D010555:Personality Inventory; D011569:Psychiatric Status Rating Scales; D011599:Psychopathology; D064889:Psychotherapy, Psychodynamic / Q000379:methods*; D012720:Severity of Illness Index; D016896:Treatment Outcome
keywords: anorexia nervosa; day hospital; eating disorders; outcome