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Impulsive behaviors and clinical outcomes following a flexible intensive inpatient treatment for eating disorders: findings from an observational study
by
Todisco, Patrizia
, Tozzi, Federica
, Meneguzzo, Paolo
, Antoniades, Athos
, Vogazianos, Paris
, Garolla, Alice
in
Addictive behaviors
/ Anorexia
/ Behavior modification
/ Body image
/ Bulimia
/ Clinical outcomes
/ Cognitive behavioral therapy
/ Comorbidity
/ Drug abuse
/ Eating disorders
/ Impulsivity
/ Intervention
/ Medicine
/ Medicine & Public Health
/ Mental disorders
/ Obesity
/ Observational studies
/ Original Article
/ Psychiatry
/ Psychopathology
/ Self image
/ Weight control
2021
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Impulsive behaviors and clinical outcomes following a flexible intensive inpatient treatment for eating disorders: findings from an observational study
by
Todisco, Patrizia
, Tozzi, Federica
, Meneguzzo, Paolo
, Antoniades, Athos
, Vogazianos, Paris
, Garolla, Alice
in
Addictive behaviors
/ Anorexia
/ Behavior modification
/ Body image
/ Bulimia
/ Clinical outcomes
/ Cognitive behavioral therapy
/ Comorbidity
/ Drug abuse
/ Eating disorders
/ Impulsivity
/ Intervention
/ Medicine
/ Medicine & Public Health
/ Mental disorders
/ Obesity
/ Observational studies
/ Original Article
/ Psychiatry
/ Psychopathology
/ Self image
/ Weight control
2021
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Impulsive behaviors and clinical outcomes following a flexible intensive inpatient treatment for eating disorders: findings from an observational study
by
Todisco, Patrizia
, Tozzi, Federica
, Meneguzzo, Paolo
, Antoniades, Athos
, Vogazianos, Paris
, Garolla, Alice
in
Addictive behaviors
/ Anorexia
/ Behavior modification
/ Body image
/ Bulimia
/ Clinical outcomes
/ Cognitive behavioral therapy
/ Comorbidity
/ Drug abuse
/ Eating disorders
/ Impulsivity
/ Intervention
/ Medicine
/ Medicine & Public Health
/ Mental disorders
/ Obesity
/ Observational studies
/ Original Article
/ Psychiatry
/ Psychopathology
/ Self image
/ Weight control
2021
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Impulsive behaviors and clinical outcomes following a flexible intensive inpatient treatment for eating disorders: findings from an observational study
Journal Article
Impulsive behaviors and clinical outcomes following a flexible intensive inpatient treatment for eating disorders: findings from an observational study
2021
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Overview
Purpose
The aim of the study was to assess the differences between impulsive and non-impulsive patients in response to a multidisciplinary intensive inpatient treatment for eating disorders (EDs).
Methods
320 patients with EDs were consecutively recruited in an eating disorders unit (EDU). They were assessed by clinical interviews and self-reported questionnaires. The treatment was characterized by a patient-centric approach and included both an intensive and comprehensive standardized multidisciplinary program based on cognitive–behavioral therapy and a flexible and personalized component according to the needs and the history of each patient.
Results
Impulsive ED patients showed greater improvement in specific psychopathological areas, in particular: interpersonal sensitivity of Symptom Checklist-90 (SCL-90) (
p
= 0.007); Eating Disorder Examination Questionnaire (EDE-Q) Global Score (
p
= 0.009), EDE-Q eating concern (
p
< 0.001) and EDE-Q shape concern (
p
= 0.025). The two groups also showed a different pattern on the Body Uneasiness Test, with impulsive patients uniquely showing improvement on Global Severity Index (
p
= 0.006), body image concern (
p
= 0.008), compulsive self monitoring (
p
= 0.002), and weight phobia (
p
= 0.037).
Discussion
Results support the hypothesis that patients with impulsive behaviors might benefit from treatments characterized by a standardized cognitive behavioral therapy implemented by third-wave interventions according to each patient’s clinical profile. Personalized treatment approaches could be an answer to the complexity of ED, addressing individual psychopathology. Further studies are needed to confirm these preliminary findings.
Level of Evidence
III, cohort or case-control analytic studies.
Publisher
Springer International Publishing,Springer Nature B.V
Subject
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