Early Response to treatment in Eating Disorders: A Systematic Review and a Diagnostic Test Accuracy Meta-Analysis

Gaia Albano, Gianluca Lo Coco, Bruno Palazzo Nazar, Gaia Albano, Louise Kathrine Gregor, Janet Treasure

Risultato della ricerca: Articlepeer review

33 Citazioni (Scopus)

Abstract

Objective: Early response to eating disorders treatment is thought to predict a later favourable outcome. A systematic review of the literature and meta-analyses examined the robustness of this concept. Method: The criteria used across studies to define early response were summarised following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Diagnostic Test Accuracy methodology was used to estimate the size of the effect. Results: Findings from 24 studies were synthesized and data from 14 studies were included in the meta-analysis. In Anorexia Nervosa, the odds ratio of early response predicting remission was 4.85(95%CI: 2.94–8.01) and the summary Area Under the Curve (AUC) =.77. In Bulimia Nervosa, the odds ratio was 2.75(95%CI:1.24–6.09) and AUC =.67. For Binge Eating Disorder, the odds ratio was 5.01(95%CI: 3.38–7.42) and AUC =.71. Conclusion: Early behaviour change accurately predicts later symptom remission for Anorexia Nervosa and Binge Eating Disorder but there is less predictive accuracy for Bulimia Nervosa. Copyright © 2016 John Wiley & Sons, Ltd and Eating Disorders Association.
Lingua originaleEnglish
pagine (da-a)67-79
Numero di pagine13
RivistaEuropean Eating Disorders Review
Volume25
Stato di pubblicazionePublished - 2017

All Science Journal Classification (ASJC) codes

  • Clinical Psychology
  • Psychiatry and Mental health

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