July 28, 2010 Jeanne Rust

Dramatic Decrease in Depression Levels

I have never wanted to play the game of outcomes. Statistics can be manipulated and when I hear someone claiming a success rate of 92% at a year, I know it's not true.

However, I promised a team of surveyors from The Commission on Accreditation of Rehabilitation Facilities (CARF) that I would share some of our numbers with our stakeholders, and that includes you!

When a new client enters treatment, we do quite a lot of psychological testing. Two of the most important psychological instruments we administer are the Eating Disorder Inventory-III and the Beck Depression Inventory.

The Eating Disorder Inventory 3 (EDI-III) is the third edition of a test that reports in multiple scales. The test consists of 91 questions answered in terms of frequency of behaviors from "always" to "never". Reports consist of 21 separate scales; three are validity scales, four are eating disorder risk and composite scales, nine are psychological scales, and five are psychological composite scales. Results are presented as percentiles for all, anorexia, bulimia, and EDNOS diagnoses.

For simplicity of reporting, percentiles of two risk scales/composite scores are used, each chosen for broad-based relevancy to Mirasol's program, the Eating Disorder Risk Composite (ERDC) and the Global Psychological Maladjustment Composite (GPMC). In addition, the 9 psychological scales, including Low Self-Esteem (LSE), Personal Alienation (PA), Interpersonal Insecurity (II), Interpersonal Alienation (IA), Interoceptive Deficits (ID), Emotional Dysregulation (ED), Perfectionism (P), Ascetism (A), and Maturity Fears (MF).

These will all be compared for pre- and post-treamtnent scores for the total, anorexic, bulimic, and EDNOS populations.

The information presented in the following chart is based on residents who completed the program during the years of 2007, 2008, 2009, and through June 2010.

You can readily see the differences between the pre-scores and the post-scores. But look at the post scores for EDRC for 2007, then 2008, 2009, and finally 2010. You'll see that the scores progressively get lower – meaning that our patients are getting a lot better!


Eating Disorder Risk Composite (ERDC)
YearPre-TreatmentPost-Treatment
200753.2728.00
200854.0621.50
200949.3513.60
201046.1011.82

Global Psychological Maladjustment Composite (GPMC)
YearPre-TreatmentPost-Treatment
200756.5531.45
200854.4425.21
200949.3518.15
201044.0010.27

Self Esteem
YearPre-TreatmentPost-Treatment
200756.530.6
2008 59.226.6
200947.817.7
201047.415.2

Personal Alienation
YearPre-TreatmentPost-Treatment
200753.631.0
200854.723.6
200953.118.9
201047.614.4

Interpersonal Insecurity
YearPre-TreatmentPost-Treatment
2007451.2432.8
2008454.0434.4
2009446.5427.8
2010440.8414.6

I also wanted to share the pre- and post- test scores for the Beck Depression Inventory. The Beck is one of my favorite tests. It's short and very informative.

Beck Depression Inventory
YearPre-TreatmentPost-Treatment
200734.2618.13
200831.5013.03
200930.427.89
201029.8310.5

The decrease in the levels of depression as evidenced by these scores is dramatic. They display a general trend of improvement of feelings of well-being.

I am happy to send anyone the full EDI-III report who is interested. I invite anyone to phone me with any comments or suggestions. I'm proud of the work our staff is doing – they are truly incredible as is our treatment model!