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Mandating weekly weight gain in a day treatment program for eating disorders
Lea Thaler1, Samantha Wilson, Jennifer S Coelho
1Eating Disorders Program, Douglas University Institute, Montreal, Quebec, Canada; Psychiatry Department, McGill University, Montreal, Quebec, Canada.
The International Journal of Eating Disorders
|January 17, 2014
Summary
An external-incentive eating disorder treatment protocol led to higher weight gain than a self-directed approach. Both protocols improved eating disorder and psychiatric symptoms, showing benefits of structured weight restoration in day treatment.
Area of Science:
- Psychiatry
- Clinical Psychology
- Eating Disorders Research
Background:
- Individuals with eating disorders (EDs) often require structured treatment for weight restoration.
- Day treatment programs offer intensive support but can vary in protocol design.
Purpose of the Study:
- To compare treatment outcomes between self-directed and external-incentive based day treatment protocols for individuals with EDs and low body mass index.
- To evaluate the impact of protocol structure on weight gain and symptom improvement.
Main Methods:
- A comparative study involving two day treatment protocols: self-directed (recommended weight gain) and external-incentive (required weight gain).
- Weight outcomes were analyzed for 49 participants in the recommended protocol and 40 in the required protocol.
Main Results:
- Participants in the external-incentive protocol achieved significantly higher post-treatment weight compared to the self-directed protocol group.
- Both treatment groups demonstrated significant improvements in eating disorder and comorbid psychiatric symptoms.
Conclusions:
- An external-incentive component in day treatment protocols can enhance weight restoration for individuals with EDs.
- This protocol adjustment requires no additional financial or human resources, offering a practical enhancement to existing programs.
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