Files and links (1)
Published, Version of Record (VoR)CC BY V4.0, Open
Journal article
The Renfrew Unified Treatment for Eating Disorders and Comorbidity: Long-Term Effects of an Evidence-Based Practice Implementation in Residential Treatment
Frontiers in psychiatry, v 12, pp 641601-641601
05 Mar 2021
PMID: 33746797
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Background: The Renfrew Unified Treatment for Eating Disorders and Comorbidity (UT) is a transdiagnostic, emotion-focused treatment adapted for use in residential group treatment. This study examined the effect of UT implementation across five years of treatment delivery.
Methods: Data were collected by questionnaire at admission, discharge (DC), and 6-month follow-up (6MFU). Patient outcomes were measured by the Eating Disorder Examination-Questionnaire, Center for Epidemiologic Studies-Depression Scale, Brief Experiential Avoidance Questionnaire (BEAQ), Anxiety Sensitivity Index, and Southampton Mindfulness Scale. Data were analyzed for N = 345 patients treated with treatment-as-usual (TAU), and N = 2,763 treated with the UT in subsequent years.
Results: Results from multilevel models demonstrated a significant interaction between implementation status (TAU vs. UT) and time, both linear and quadratic, for the depression, experiential avoidance, anxiety sensitivity, and mindfulness variables. Patients treated with the UT showed more improvement in these variables on average, as well as more rebound between DC and 6MFU. Results from multilevel models examining eating disorder outcome showed no significant difference between the TAU and UT for the full sample, but a significant three-way interaction indicated that the UT produced more improvement in the EDE-Q relative to the TAU particularly for patients who entered treatment with high levels of experiential avoidance (BEAQ score).
Conclusion: This long-term study of a transdiagnostic, evidence-based treatment in residential care for eating disorders and comorbidity suggests implementation was associated with beneficial effects on depression and emotion function outcomes, as well as eating disorder severity for patients with high levels of baseline emotion regulation problems. These effects did not appear to diminish in the 5 years following initial implementation.
Metrics
Details
- Title
- The Renfrew Unified Treatment for Eating Disorders and Comorbidity: Long-Term Effects of an Evidence-Based Practice Implementation in Residential Treatment
- Creators
- Heather Thompson-Brenner - The Renfrew Center, Coconut Creek, FL, United States.Simar Singh - Drexel UniversityTaylor Gardner - The Renfrew Center, Coconut Creek, FL, United States.Gayle E. Brooks - The Renfrew Center, Coconut Creek, FL, United States.Melanie T. Smith - The Renfrew Center, Coconut Creek, FL, United States.Michael R. Lowe - Drexel UniversityJames F. Boswell - University at Albany, State University of New York
- Publication Details
- Frontiers in psychiatry, v 12, pp 641601-641601
- Publisher
- Frontiers Media Sa
- Number of pages
- 14
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Psychological and Brain Sciences (Psychology)
- Web of Science ID
- WOS:000630194700001
- Scopus ID
- 2-s2.0-85102870094
- Other Identifier
- 991019169582504721
UN Sustainable Development Goals (SDGs)
This publication has contributed to the advancement of the following goals:
InCites Highlights
Data related to this publication, from InCites Benchmarking & Analytics tool:
- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Psychiatry