How to improve an evidence based practice in the treatment of eating disorders .

 

Submission type

Symposium

Scheduled

Parallel Session VI: Roland Holst kamer, 09-06-2018, 13:00 - 14:30

Kernwoorden

Evidence based, personality, eating disorders

Onderzoeksgebied

Novel (therapeutic) approaches

Beknopte samenvatting van de totale bijdrage

Effects of implementing an in-and outpatient evidence based protocol are shown. Research findings with regard to associated factors of suboptimal weight loss after bariatric surgery as well as personality characteristics associated with obesity are presented. Finally, a new Dutch QoL measurement for eating disorders is presented.

Auteurs

Effectiveness of CBT-E in the inpatient and outpatient setting of a routine treatment center for eating disorders; does implementing CBT-E improve outcome?

Van den Berg, E.M. (Elske)

 

Abstract ID

1070

Submission type

Oral only

Introductie

This study aimed to investigate the feasibility of implementing a mono-methodic, evidence-based treatment protocol throughout multidisciplinairy teams in an in- and outpatient setting of a routine treatment facility. Immediate effects of two treatment programs for adult patients with eating disorders were compared; one being Cognitive behavior therapy-Enhanced (CBT-E), the other one an ecclectic form of treatment, treatment as usual (TAU). The second aim was to determine whether it is possible to resemble effectiveness of original CBT-E studies in a non academic facility where the whole staff was trained as CBT-E therapist and the protocol being applied to the whole patientpopulation

Materiaal en methodes

All referred patients who started and finished treatment between 2012 and 2014 (N= 342) were included in the TAU condition and compared to the CBT-E condition in which all referred patients between 2015 and 2017 (N= 397) were included. Treatment outcome and dropout rates were established

Resultaten

CBT-E seems to improve outcome and to reduce dropout rate.

Conclusie

Implementing a mono-methodic evidence based treatment protocol throughout multidisciplinairy teams improves outcome.

Auteurs

Which factors can be associated with suboptimal weight loss after non-adjustable bariatric surgery? Identifying factors in a post-operative sample

Geerts, M. drs. (Marjolein)

 

Abstract ID

1073

Submission type

Oral only

Introductie

Bariatric surgery (BS) is the most effective long-term treatment for morbid obesity in order to achieve sustainable weight loss. Literature is still inconclusive about which psychological factors are associated with sustainable weight lost after BS. In this study, factors associated with successful weight loss were established.

Materiaal en methodes

140 participants who underwent BS at least 9 months earlier were included Impulsiveness, depressive symptoms and eating disorder symptomatology were compared between successful and suboptimal weight loss. The definition of successful weight loss is having lost more or equal to 50% excess weight loss (%EWL) at the moment of participation.

Resultaten

105 participants fulfilled the criteria for successful weight loss. Several differences between the successful and the suboptimal weight loss group were found; the suboptimal weight loss group scored significantly higher on depression (p=<.001), higher on impulsivity (p=.007), reported more eating disorder symptoms (p<.001) and more avoidant behaviour due to poor body image (p<.001). In the suboptimal weight loss group 40.7% reported loss of control over eating, where in the successful weight loss group 12.7 % reported loss of control over eating (p=<.001).

Conclusie

Post-operative factors as symptoms of depression, impulsivity, eating disorder pathology and avoidant behaviour can be associated with suboptimal weight loss.

Auteurs

Personality traits and personality functioning in obese patients with pathological binge eating

van Riel, L. MD (Laura)

 

Abstract ID

1076

Submission type

Oral only

Introductie

Personality characteristics may have an important contribution to the etiology and prognosis of Binge Eating Disorder (BED). In this study, the relationship between eating disorders, especially BED, personality traits and psychodynamic functioning in obese people was examined.

Materiaal en methodes

We compared treatment seeking obese patients with BED (ClinBED) (n=148) to obese patients with another specified eating disorder (ClinNoBED) (n=112) and these two groups with obese controls (ObCtrl) (n=118) and healthy weight controls (NormCtrl) (n=124). Used measurements were Eating Disorder Examination-Questionnaire (EDE-Q), Temperament and Character Inventory (TCI) and Developmental Profile Inventory (DPI). To test for differences in personality traits and personality functioning one way Anova with posthoc tests were used. To examine the presence of differences between ClinBED en ClinNoBED, t-tests were used.

Resultaten

ObCtrl were more Harm-avoidant and less Self-directed than NormCtrl. In addition, ObCtrl were more vulnerable with regard to psychodynamic functioning. ClinBED were more Harm-avoidant and less Self- directed (TCI) than both NormCtr and ObCtrl. Moreover, they presented more impairments on psychodynamic personality functioning (DPI). Significant differences between ClinBED and ClinNoBED weren't found.

Conclusie

Distinctive differences in personality traits and psychodynamic functioning were found in obese patients with an eating disorder as compared to obese and normal weight controls.

Auteurs

Clinical Impairment Assessment: Psychometric properties of the Dutch translation and normative data for an eating disorder sample and a general female population.

Schlochtermeier, D. MS (Daniela)

 

Abstract ID

1078

Submission type

Oral only

Introductie

The impairment that goes along with having an eating disorder has always been of importance to the patients but only recently became an important subject to research. To be able to measure this impairment the Clinical Impairment Assessment (CIA) has been developed. The aim of this study was to investigate the psychometric properties of the Dutch translation of the CIA. The second aim of this study was to collect normative data for an outpatient and inpatient sample with a broad range of eating disorder diagnoses as well as for the general female population.

Materiaal en methodes

The CIA was administered together with the Eating Disorder Examination-Questionnaire (EDE-Q). 200 women from the general population as well as 300 patients (N=300 outpatient, N=50 inpatient) from a clinical population completed the questionnaires.

Resultaten

Preliminary results indicate that the psychometric properties and normative data of the Dutch translation are in line with those of the original CIA.

Conclusie

It is expected that the Dutch translation of the CIA will be a useful and valid measure for establishing impairment in eating disorder patients.

Auteurs