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Published VersionCC BY-NC-ND V4.0, Open Access
Journal article
Residential versus day program treatment for eating disorders: A comparison of post-treatment outcomes and predictors
Journal of Affective Disorders, Vol.371, pp.177-186
2025
PMID: 39577499
Abstract
Both residential and day programs for eating disorders provide options for a step-up from standard outpatient care. However, there have not been any direct comparisons of their effectiveness and limited research on predictors of better outcomes from either setting. This study aimed to compare clinical outcomes and predictors from a transdiagnostic residential and day program for eating disorders. Measures of eating disorder symptoms, body mass index (BMI), anxiety, and depression were completed by 106 participants (n = 82 residential, n = 24 day program) at pre-treatment, after four weeks, and at discharge. Greater improvement from pre- to post-treatment was evident from residential, compared to day program, treatment (all ps
.005, medium effect sizes). After accounting for age, baseline BMI, and treatment duration, lower baseline eating disorder symptoms (β = 0.84, p < .001) and greater early change in eating disorder symptoms (β = −0.88, p < .001) each predicted less severe eating psychopathology at discharge. Longer treatment duration predicted better post-treatment outcomes for the day program, but was less predictive of residential outcomes (β = 0.64, p < .001). Post-treatment outcomes were not predicted by age or baseline BMI, anxiety, or depression. As symptom severity did not differ at baseline, results support residential treatment over day programs for individuals with more severe eating disorder presentations. Future research should examine whether day programs are equally effective as residential treatment at lower baseline symptom severity and compare residential care with more intensive settings such as inpatient services.
Details
- Title
- Residential versus day program treatment for eating disorders: A comparison of post-treatment outcomes and predictors
- Authors
- Sinead Day (Corresponding Author) - Western Sydney UniversityDeborah Mitchison - University of Technology SydneyHaider Mannan - Western Sydney UniversityW. Kathy Tannous - Western Sydney UniversityJanet Conti - Western Sydney UniversityAmanda Dearden - Queensland Eating Disorder Service (Australia)Aunty Kerrie Doyle - Western Sydney UniversityKatherine Gill - FND Australia Support Services Inc (Australia)Amy Hannigan - Queensland Eating Disorder Service (Australia)Catherine Houlihan - University of the Sunshine Coast, Queensland, School of Health - PsychologyLucie Ramjan - Western Sydney UniversityRebekah Rankin - Western Sydney UniversityNatalie Valentine - Wandi Nerida (Mooloolah Valley, Australia)Phillipa Hay - Western Sydney University
- Publication details
- Journal of Affective Disorders, Vol.371, pp.177-186
- Publisher
- Elsevier BV
- Date published
- 2025
- DOI
- 10.1016/j.jad.2024.11.054
- ISSN
- 1573-2517; 0165-0327
- PMID
- 39577499
- Copyright note
- © 2024 The Authors. Published by Elsevier B.V. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/bync-nd/4.0/).
- Data Availability
- Data available on request due to privacy/ethical restrictions.
- Grant note
- Sinead Day and Rebekah Rankin are supported by the Research Training scholarship at Western Sydney University, which is co-funded by the Butterfly Foundation. Sinead Day and Rebekah Rankin are also supported by the Digital Health Cooperative Research Centre (DHCRC) scholarship for higher degree research.
- Organisation Unit
- School of Health - Psychology
- Language
- English
- Record Identifier
- 991089697802621
- Output Type
- Journal article
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