Feedback versus no feedback to improve patient outcome in group psychotherapy for eating disorders (F-EAT): A randomized clinical trial.

Annika Helgadóttir Davidsen, Mette Waaddegaard, Stig Bernt Poulsen, Marianne Engelbrecht Lau


Background: A high rate of dropout in the treatment of eating disorders calls for ways to improve treatment attendance. Research indicates that
continuous feedback on patient improvement and the therapeutic alliance reduces the number of dropouts and increases patient outcome. There
are, however, only three published randomized trials on the effect of feedback on the treatment of eating disorders showing inconclusive results,
and there are no randomized trials on the effect of feedback in group therapy.
Objective: The current randomized clinical trial aims to investigate the impact of continuous feedback on adherence and outcome in group psychotherapy.
Methods/design: The trial is set up in a randomized design for outpatients diagnosed with bulimia nervosa, binge eating disorder, or eating disorder
not otherwise specified (DSM-IV). They are allocated 1:1 to the experimental group: Standard treatment (systemic and narrative group psychotherapy)
with feedback intervention using the Outcome Rating Scale (ORS) and Group Session Rating Scale (GSRS), or the control group: Standard treatment
only. The primary outcome is rate of attendance. Secondary outcome is severity of eating disorder symptoms. Exploratory outcomes are level
of psychological and social functioning and suicide or self-harm. This is measured with the Outcome Rating Scale, Symptom Check List, WHO-Five
Well-being Index, Sheehan Disability Scale and a modified version of the Self-Harm Inventory.
Results: 159 patients were included in the trial and their post treatment assessment is completed. The design and preliminary results will be presented.
Publikationsdato23 sep. 2015
StatusUdgivet - 23 sep. 2015
BegivenhedNordic Congress of Psychiatry 2015 - Copenhagen, Danmark
Varighed: 20 sep. 201523 sep. 2015


KonferenceNordic Congress of Psychiatry 2015