Child and adolescent eating disorder inpatient outcomes

Child and Adolescent Eating Disorder Inpatient Outcomes

Rogers Behavioral Health has more than 20 years of commitment and investment in outcomes studies, with nearly 10,000 of our patients participating. Patients who agree to participate are asked at admission and discharge to complete a series of questionnaires; follow-up calls on progress are made periodically after discharge.

Study findings are used by our treatment teams to examine the effectiveness of our clinical program and to make improvements. The findings are also presented at national and international conferences and published in peer-reviewed medical literature.

Overall, our outcome data consistently have shown that our residential and partial hospitalization treatment centers offer effective treatment, and newer studies under way are demonstrating similar consistency in outcomes for our partial hospital level of outpatient care. In selected programs where we have reached out one year after they leave the program, past patients report that they’ve been able to maintain the gains they made during treatment. With the implementation of our Cerner electronic health record, we are gaining additional understanding of our clinical effectiveness across service lines, levels of care and throughout our system, including our regional network of outpatient centers. With this knowledge, we are gaining insights that contribute to real-time adjustments in care and help us confirm the impact of evidence-based care upon outcomes.

Patients in our eating disorder inpatient units are routinely assessed to monitor treatment progress and care outcomes through the Eating Disorder Examination-Questionnaire. This measure helps us to create individualized treatment plans addressing each person’s unique concerns, assess each patient’s progress in treatment, and evaluate the overall effectiveness of our care. Rogers obtained these self-reported outcomes from 71 child and adolescent patients in our inpatient unit in 2018.

Eating Disorder Examination-Questionnaire (EDE-Q) – Assesses the overall severity of eating disorder symptoms across four unique eating disorder features: restraint, eating concern, shape concern, and weight concern. The scores from each category are combined for an overall score which indicates the severity of the eating disorder. Higher scores indicate greater severity. Scores range from 0 to 6, higher scores indicate greater severity.


  • From December of 2015 until October of 2018, 434 children or adolescents admitted to our inpatient services completed measures at both admission and discharge. 88% were female and the mean age was 15 years (SD=1.80).

  • At time of admission to our inpatient care individuals report frequent eating disorder behaviors, as measured by the EDE-Q (m= 3.19, SD=1.86); at time of discharge, individuals report significantly fewer eating disorder behaviors (m= 2.43, SD=1.71). Utilizing paired sample t-tests we find that these differences are statistically significant at the p< .001. 

Eating Disorder Examination Questionnaire

EDE-Q population norms3

Gender Child and Adolescent Adult
Female 1.61 1.55
Male 0.63 1.04



  1. Fairburn and Beglin, 1994Fairburn, CG and Beglin, SJ. Assessment of eating disorder psychopathology: Interview or self-report questionnaire?. International Journal of Eating Disorders. 1994; 16: 363–370

  2. Endicott J, Nee J, Yang R, et al. Pediatric Quality of Life Enjoyment and Satisfaction Questionnaire (PQ-LES-Q): reliability and validity. J Am Acad Child Adolesc Psychiatry 2006;45:401–7.

  3. Mond, Hay, Rodgers, Owen, & Beumont, 2004, Schaefer, Smith, Leonard, Wetterneck, Smith, Farrell, Riemann, Frederick, Schaumberg, Klump, Anderson, & Thompson, 2018 White, Haycraft, Goodwin, & Meyer, 2013

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