A 10-year follow-up study of completers versus dropouts following treatment with an integrated cognitive-behavioral group therapy for eating disorders
Abstract Background Cognitive-behavioral therapy (CBT) has been recommended for the treatment of eating disorders, and group therapy is known to have certain advantages over individual therapy. The aim of the current study was to compare the 10-year prognosis of patients who completed integrated gro...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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BMC
2017-11-01
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| Series: | Journal of Eating Disorders |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s40337-017-0182-y |
| _version_ | 1811173786847805440 |
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| author | Yuri Okamoto Yoshie Miyake Ichie Nagasawa Kazuhiro Shishida |
| author_facet | Yuri Okamoto Yoshie Miyake Ichie Nagasawa Kazuhiro Shishida |
| author_sort | Yuri Okamoto |
| collection | DOAJ |
| description | Abstract Background Cognitive-behavioral therapy (CBT) has been recommended for the treatment of eating disorders, and group therapy is known to have certain advantages over individual therapy. The aim of the current study was to compare the 10-year prognosis of patients who completed integrated group CBT with those who dropped out and to examine the effect of completion of group CBT on the prognosis. Methods The participants were 65 adult patients with eating disorders. All patients were women and Japanese. The average age (19–37) of the patients was 25.1 ± 3.8 years, and the average body mass index (BMI) was 17.7 ± 2.0. We conducted integrated group CBT with the patients and compared eating disorder symptoms, mood states, coping styles, and self-esteem before and after therapy. Furthermore, we compared clinical features and the 10-year prognosis of patients who completed the treatment and those who dropped out. Results After 10 sessions of group therapy, Eating Attitudes Test scores, Profile of Mood States depression scores, and Coping Inventory for Stressful Situations emotion-oriented scores decreased, while Rosenberg’s Self-Esteem Scale scores increased. Regarding the results of the 10-year follow up, the completer group had more patients with a good prognosis. In contrast, the dropout group had more patients with a poor prognosis. Conclusions Those who completed the integrated group CBT had a good prognosis. Group therapy gives the patients an opportunity to form peer relationships, and helps them to develop communication and socialization skills. Furthermore, in the group therapy sessions, the patients develop self-awareness by listening to other members of the group and they also develop interpersonal relationships. This effect may be temporary, but experience of group therapy may provide hope for the patient and increase the chance of the patient continuing treatment. Trial registration Retrospectively registered in University Hospital Medical Information Network in Japan: No. 000028868 (May 19th, 2017). |
| first_indexed | 2024-04-10T17:52:40Z |
| format | Article |
| id | doaj.art-2a28334298f7440c8e4ca18c9a0a5265 |
| institution | Directory Open Access Journal |
| issn | 2050-2974 |
| language | English |
| last_indexed | 2024-04-10T17:52:40Z |
| publishDate | 2017-11-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Eating Disorders |
| spelling | doaj.art-2a28334298f7440c8e4ca18c9a0a52652023-02-02T19:56:09ZengBMCJournal of Eating Disorders2050-29742017-11-01511910.1186/s40337-017-0182-yA 10-year follow-up study of completers versus dropouts following treatment with an integrated cognitive-behavioral group therapy for eating disordersYuri Okamoto0Yoshie Miyake1Ichie Nagasawa2Kazuhiro Shishida3Health Service Center, Hiroshima UniversityHealth Service Center, Hiroshima UniversityHealth Service Center, Hiroshima UniversityDepartment of Psychiatry and Neurosciences, Hiroshima UniversityAbstract Background Cognitive-behavioral therapy (CBT) has been recommended for the treatment of eating disorders, and group therapy is known to have certain advantages over individual therapy. The aim of the current study was to compare the 10-year prognosis of patients who completed integrated group CBT with those who dropped out and to examine the effect of completion of group CBT on the prognosis. Methods The participants were 65 adult patients with eating disorders. All patients were women and Japanese. The average age (19–37) of the patients was 25.1 ± 3.8 years, and the average body mass index (BMI) was 17.7 ± 2.0. We conducted integrated group CBT with the patients and compared eating disorder symptoms, mood states, coping styles, and self-esteem before and after therapy. Furthermore, we compared clinical features and the 10-year prognosis of patients who completed the treatment and those who dropped out. Results After 10 sessions of group therapy, Eating Attitudes Test scores, Profile of Mood States depression scores, and Coping Inventory for Stressful Situations emotion-oriented scores decreased, while Rosenberg’s Self-Esteem Scale scores increased. Regarding the results of the 10-year follow up, the completer group had more patients with a good prognosis. In contrast, the dropout group had more patients with a poor prognosis. Conclusions Those who completed the integrated group CBT had a good prognosis. Group therapy gives the patients an opportunity to form peer relationships, and helps them to develop communication and socialization skills. Furthermore, in the group therapy sessions, the patients develop self-awareness by listening to other members of the group and they also develop interpersonal relationships. This effect may be temporary, but experience of group therapy may provide hope for the patient and increase the chance of the patient continuing treatment. Trial registration Retrospectively registered in University Hospital Medical Information Network in Japan: No. 000028868 (May 19th, 2017).http://link.springer.com/article/10.1186/s40337-017-0182-yEating disorderCognitive-behavioral therapyGroup therapyPrognosisDepressive symptomsCoping |
| spellingShingle | Yuri Okamoto Yoshie Miyake Ichie Nagasawa Kazuhiro Shishida A 10-year follow-up study of completers versus dropouts following treatment with an integrated cognitive-behavioral group therapy for eating disorders Journal of Eating Disorders Eating disorder Cognitive-behavioral therapy Group therapy Prognosis Depressive symptoms Coping |
| title | A 10-year follow-up study of completers versus dropouts following treatment with an integrated cognitive-behavioral group therapy for eating disorders |
| title_full | A 10-year follow-up study of completers versus dropouts following treatment with an integrated cognitive-behavioral group therapy for eating disorders |
| title_fullStr | A 10-year follow-up study of completers versus dropouts following treatment with an integrated cognitive-behavioral group therapy for eating disorders |
| title_full_unstemmed | A 10-year follow-up study of completers versus dropouts following treatment with an integrated cognitive-behavioral group therapy for eating disorders |
| title_short | A 10-year follow-up study of completers versus dropouts following treatment with an integrated cognitive-behavioral group therapy for eating disorders |
| title_sort | 10 year follow up study of completers versus dropouts following treatment with an integrated cognitive behavioral group therapy for eating disorders |
| topic | Eating disorder Cognitive-behavioral therapy Group therapy Prognosis Depressive symptoms Coping |
| url | http://link.springer.com/article/10.1186/s40337-017-0182-y |
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