Date of Award


Document Type


Degree Name

Doctor of Philosophy


School of Education


Counseling Psychology, Ph.D.

First Advisor

Frederick A. Kosinski, Jr.

Second Advisor

Jimmy Kijai

Third Advisor

Nancy Carbonell


Problem . Outcome studies continue to indicate that a substantial proportion of individuals with eating disorders have a dangerously limited response to treatment. Therefore, the purpose of this study was to determine if a Christian cognitive-behavioral-based inpatient hospital that specializes in eating disorders was an effective program for treating eating disorders. Next, this study sought to determine if this inpatient hospital was effective in treating both depression and spiritual distress. Finally, this study examined the relationship between depression and spiritual distress with treatment outcome.

Method . Five hundred and eighty-two patients were admitted to an inpatient hospital between July 1, 1999, and June 30, 2000. Four hundred and fifty-one patients provided useable data. Participants completed the BeckDepression Inventory-II at admission and discharge, the Remuda Ranch Spiritual Inventory at admission and discharge, and the Eating Disorder Inventory-2 at admission, discharge, and 1-year post-discharge.

Results . A multivariate repeated measure analysis of variance indicated that eating disorder symptomatology was significantly reduced. Two separate paired t -tests suggested that mean depression and spiritual distress scores were significantly reduced. Three separate regression analyses provided evidence that depression and spiritual distress significantly accounted for some of the variance in eating disorder symptomatology.

Conclusions . Results indicated that a Christian-based inpatient hospital can be an effective treatment milieu for rducing eating disorder symptomatology, depression, and spiritual distress. Results also provided evidence that depression and spiritual distress are correlated with treatment outcome.

Subject Area

Eating disorders--Treatment--Arizona, Eating disorders--Religious aspects, Depression, Mental--Treatment, Depression, Mental--Religious aspects--Christianity

Files over 3MB may be slow to open. For best results, right-click and select "save as..."