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.

Nazar, B., Gregor, L., Albano, G., Marchica, A., Lo Coco, G., Cardi, V., et al. (2017). Early Response to treatment in Eating Disorders: A Systematic Review and a Diagnostic Test Accuracy Meta-Analysis. EUROPEAN EATING DISORDERS REVIEW, 25(2), 67-79 [10.1002/erv.2495].

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

ALBANO, Gaia;LO COCO, Gianluca;
2017

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.
Settore M-PSI/08 - Psicologia Clinica
Nazar, B., Gregor, L., Albano, G., Marchica, A., Lo Coco, G., Cardi, V., et al. (2017). Early Response to treatment in Eating Disorders: A Systematic Review and a Diagnostic Test Accuracy Meta-Analysis. EUROPEAN EATING DISORDERS REVIEW, 25(2), 67-79 [10.1002/erv.2495].
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Utilizza questo identificativo per citare o creare un link a questo documento: http://hdl.handle.net/10447/225318
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