From: Canadian practice guidelines for the treatment of children and adolescents with eating disorders
Certainty assessment | Impact | Certainty | Importance | ||||||
---|---|---|---|---|---|---|---|---|---|
№ of studies | Study design | Risk of bias | Inconsistency | Indirectness | Imprecision | Other considerations | |||
Weight Change (assessed with: Pre-post BMI), Change in frequency of bingeing and purging (assessed with: Pre-post frequency of binge/purge symptoms), Change in EDE-Q (assessed with: Pre-post EDE-Q) | |||||||||
1 | Case Series | very serious a | not serious | not serious | not serious | none | Study included 35 adolescent females. Criteria for referral/admission to the program was not reported. BMI did not change. At admission mean BMI was 26.3 (SD 2.34) and at discharge mean BMI was 24.9 (SD 2.87) (p 0.68). LOS 77.18 days. | ⨁◯◯◯ VERY LOW | IMPORTANT |
very serious a | not serious | not serious | serious b | none | Study included 35 adolescent females. LOS 77.18 days. B/P symptoms monitored via self-report on EDE-Q reported as monthly frequency of these symptoms. At admission the mean frequency of objective bingeing was 4.03 (SD 6.69) and at discharge it was 1.43 (SD 3.66) (p = 0.04). At admission the self-reported (ie EDE-Q) mean frequency of purging was 10.82 (SD 11.57) and at discharge it was 3.51 (SD 2.26) (p = 0.005). | ⨁◯◯◯ VERY LOW | CRITICAL | ||
very serious a | not serious | not serious | not serious | none | EDE-Q global, shape and weight concerns decreased significantly pre-post (p 0.001–0.002). Restraint and eating concerns scores were unchanged at end of treatment. | ⨁◯◯◯ VERY LOW | IMPORTANT |