Investigating the use of patient progress feedback in outpatient treatment for eating disorders

Prudence Jean Hepple

Research output: ThesisDoctoral Thesis

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[Truncated] Although psychotherapy is designed to elicit positive outcomes, a significant minority of patients who seek therapy will deteriorate over the course of treatment. For eating disorders specifically, treatment outcomes are especially worrisome, considering the life-threatening nature of these disorders. Fortunately, one means of enhancing treatment effectiveness is to routinely monitor patient progress using statistical methods over the course of treatment. Statistical methods are superior to clinical judgments at identifying patients who may be at risk of deteriorating during treatment; thus, clinicians can use statistical methods to be more readily alerted to patient deterioration, and subsequently modify the course of treatment for a more positive outcome.

Although studies have demonstrated that statistical outcome monitoring can enhance psychotherapeutic outcomes, less attention has been paid to the use of such outcome monitoring in eating disorder treatment, despite the serious nature of these disorders. Therefore, this thesis considers the application of outcome monitoring in individual outpatient eating disorder treatment – enhanced cognitive behavioural therapy (CBT-E). The primary aim of this thesis was to investigate whether providing eating disorder symptom-specific feedback to both therapists and patients can be beneficial for eating disorder treatment outcomes. The thesis sought to achieve this aim through the use of both quantitative and qualitative investigations.
Original languageEnglish
QualificationDoctor of Philosophy
Awarding Institution
  • The University of Western Australia
  • Allen, Karina, Supervisor
  • Byrne, Susan, Supervisor
  • Fursland, Anthea, Supervisor, External person
Thesis sponsors
Award date22 Jan 2019
Publication statusUnpublished - 2018


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