We investigated differential treatment effects on specific eating disorder (ED) indicators to enhance conclusions about treatment efficacy. Profile Analysis via Multidimensional Scaling, which identifies core profiles in a population and interprets person profiles with core profile information, was utilized to identify core profiles from a sample of 5,177 patients who were repeatedly measured with the ED inventory-2 at admission and at discharge. To assess differential treatment effects for individual ED indicators, we compared the core profiles at admission with those at discharge. Three core profiles were identified and labeled as High Body Dissatisfaction with Low Bulimia (Core Profile 1), High Interoceptive Awareness with Low Body Dissatisfaction (Core Profile 2), and High Ineffectiveness with Low Bulimia (Core Profile 3). Treatment had the greatest effects on Core Profile 2. The patients whose profile patterns were similar to that of Core Profiles 1 and 2 were positively related with weight gain. However, treatment was least on Core Profile 3, and the patients whose profile patterns were like that of Core Profile 3 were negatively related with weight gain. In conclusion, those patients who fit Core Profile 3 may benefit from different treatment modalities than those that are standard in inpatient settings.
|International Journal of Methods in Psychiatric Research
|Published - Jun 2018
- eating disorders
- profile analysis via multidimensional scaling (PAMS)
- the bootstrapping method
- treatment efficacy