期刊
INTERNATIONAL JOURNAL OF EATING DISORDERS
卷 54, 期 7, 页码 1099-1105出版社
WILEY
DOI: 10.1002/eat.23514
关键词
adults; day treatment programs; eating disorders; outpatient treatment; psychotherapy; scoping review; stepped care
Outpatient care and day treatment programs are common and effective treatments for adults with eating disorders, but studies suggest that they have similar treatment effects and outpatient care is more cost-effective. Despite international guidelines recommending the use of DTPs as a higher level of care in a stepped care model, there is currently a lack of research on this topic.
Outpatient care (e.g., individual, group, or self-help therapies) and day treatment programs (DTPs) are common and effective treatments for adults with eating disorders. Compared to outpatient care, DTPs have additional expenses and could have unintended iatrogenic effects (e.g., may create an overly protective environment that undermines self-efficacy). However, these potential downsides may be offset if DTPs are shown to have advantages over outpatient care. To explore this question, our team conducted a scoping review that aimed to synthesize the existing body of adult eating disorder literature (a) comparing outcomes for DTPs to outpatient care, and (b) examining the use of DTPs as a higher level of care in a stepped care model. Only four studies met the predefined search criteria. The limited results suggest that the treatments have similar effects and that outpatient care is more cost-effective. Furthermore, no studies explored the use of DTPs as a higher level of care in a stepped care model (despite international guidelines recommending this approach). Given the clear dearth of literature on this clinically relevant topic, we have provided specific avenues for further research.
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