Inpatient treatment and anorexia nervosa outcomes

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• 作者：C. Meguerditchian ; C. Samuelian-Massat ; R. Valé ; ro ; A. Begu-Le Corroller ; I. Fromont ; J. Mancini ; J.D. Sparrow ; F. Poinso ; B. Vialettes
• 关键词：Anorexia nervosa ; Hospitalization ; Treatment ; Prognosis
• 刊名：e-SPEN, the European e-Journal of Clinical Nutrition and Metabolism
• 出版年：2010
• 出版时间：February 2010
• 年：2010
• 卷：5
• 期：1
• 页码：e40-e44
• 全文大小：133 K

文摘

Summary

Background & aims

Outcomes of anorexia nervosa in patients meeting criteria for hospitalization were compared to those treated as outpatients.

Methods

A questionnaire on the quality of recovery was completed by 143 patients. Groups were defined according to indication for hospitalization during the first 6 months of care (inpatient treatment: n = 46, ambulatory treatment: n = 97).

Results

At intake, inpatients were characterized by lower BMI, and by higher prevalence of restrictive forms of the disease and prior suicide attempts. After 5 year follow-up, outcomes were similar in inpatients and outpatients respectively for BMI (18.4 vs. 19.2 kg/m²), frequency of BMI normalization (45.7 vs. 49 % ), self reports of feeling “completely cured” (21 % in both), educational attainment and professional functioning. Amenorrhea was more frequent in inpatients (21.7 % vs. 8.2 % ). Inpatients also more frequently continued under medical supervision at the time of this study.

Conclusions

Despite a more severe initial presentation, patients requiring hospitalization at entry exhibited outcomes comparable to outpatients, although requiring longer care.