Thesis
Examining differences in treatment outcomes and engagement for binge eating by socioeconomic status
Master of Science (M.S.), Drexel University
Jun 2024
DOI:
https://doi.org/10.17918/00010595
Abstract
Socioeconomic status (SES) is a pertinent factor when exploring treatment outcomes and engagement. However, the impact of SES in behavioral treatments (BTs) for binge-spectrum eating disorders (BSEDs) has been less explored. The present study aimed to explore differences between SES groups in BT outcomes and engagement. A treatment-seeking sample of 256 adults with BSEDs (M age = 44.1 ± 14.5 years, 68.8% White, 85.5% female) participated in a randomized clinical trial, receiving 16 sessions of BT for BSEDs. A summary score of SES, including several SES-related dimensions (i.e., income, education, occupation, and food insecurity) was first calculated and then dichotomized into either a higher or lower SES group. Treatment outcome measures included eating disorder pathology, loss of control (LOC) eating episode frequency, and remission. Treatment engagement was defined by the average quality of self-monitoring and behavioral homework during treatment, treatment length, and dropout. SES significantly differed in rates of treatment dropout (X2 = 25.17, p < .001), such that 46% of those in the lower SES group dropped out of treatment while the higher SES group had a dropout rate of 8%. Results did not reveal any other statistically significant differences between SES groups when testing other measures of treatment outcomes or engagement. Overall, these findings suggest that BTs may be reasonable approaches among patients in lower SES groups, but work is needed to identify methods by which to prevent dropout in lower SES groups. Future research is warranted and potential directions are discussed.
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Details
- Title
- Examining differences in treatment outcomes and engagement for binge eating by socioeconomic status
- Creators
- Alyssa Giannone
- Contributors
- Adrienne S. Juarascio (Advisor)
- Awarding Institution
- Drexel University
- Degree Awarded
- Master of Science (M.S.)
- Publisher
- Drexel University; Philadelphia, Pennsylvania
- Number of pages
- iv, 19 pages
- Resource Type
- Thesis
- Language
- English
- Academic Unit
- Psychological and Brain Sciences (Psychology); College of Arts and Sciences; Drexel University
- Other Identifier
- 991021890211504721