Int J Eat Disord. 2021 Dec 14; doi: 10.1002/eat.23655. Epub 2021 Dec 14.
In-person versus virtual therapy in outpatient eating-disorder treatment: A COVID-19 inspired study.
The International journal of eating disorders
Howard Steiger, Linda Booij, Olivia Crescenzi, Stephanie Oliverio, Ilana Singer, Lea Thaler, Annie St-Hilaire, Mimi Israel
Affiliations
Affiliations
- Eating Disorders Continuum, Douglas Institute, Montreal, Québec, Canada.
- Psychiatry Department, McGill University, Montreal, Québec, Canada.
- Research Centre, Douglas Institute, Montreal, Québec, Canada.
- Department of Psychology, Concordia University, Montreal, Québec, Canada.
- Sainte-Justine Hospital Research Centre, University of Montreal, Montreal, Québec, Canada.
PMID: 34904742
DOI: 10.1002/eat.23655
Abstract
OBJECTIVE: Findings show virtual therapy (conducted using internet-based videoconferencing techniques) to be a viable alternative to in-person therapy for a variety of mental-health problems. COVID-19 social-distancing imperatives required us to substitute virtual interventions for in-person sessions routinely offered in our outpatient eating disorder (ED) program-and afforded us an opportunity to compare the two treatment formats for clinical efficacy.
METHODS: Using self-report assessments, we compared outcomes in a historical sample of 49 adults with heterogeneous EDs (treated in-person over 10-14 weeks in individual and group therapies) to those of 76 patients receiving comparable virtual treatments, at distance, during the COVID-19 outbreak. Linear mixed models were used to study symptom changes over time and to test for differential effects of treatment modality.
RESULTS: Participants in both groups showed similar improvements on eating symptoms, levels of weight gain (in individuals in whom gain was indicated), and satisfaction with services.
DISCUSSION: Our results suggest that short-term clinical outcomes with virtual and in-person ED therapies are comparable, and point to potentials of virtual therapy for situations in which geographical distance or other barriers impede physical access to trained therapists or specialized treatments.
© 2021 Wiley Periodicals LLC.
Keywords: COVID-19; anorexia nervosa; bulimia nervosa; eating disorders; online therapy; pandemic; psychotherapy; virtual therapy
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