The effectiveness of, and predictors of response to, inpatient treatment of anorexia nervosa

Abstract

Adults suffering from anorexia nervosa improved significantly with a specialist programme delivered in an inpatient setting. Future research should investigate the potential role of factors other than obvious demographic and clinical history variables in determining treatment outcome.

Predictors of Outcome in Inpatients with Anorexia Nervosa: A Prospective Multi-Center Study

“…Consistent with earlier results, we found the treatment duration to be the strongest predictor [1,4]. This result is not surprising considering the use of therapeutic weight contracts; however, it is important for ongoing discussions of reducing treatment durations.…”

“…Our analysis of the factors influencing adult inpatient BMI gain identified previously unknown factors and explained a considerably higher amount of variance compared with the only previous related study (60 vs. 41%) [4]. Consistent with earlier results, we found the treatment duration to be the strongest predictor [1,4].…”

“…However, only one study predicted adult inpatient BMI gain using a comprehensive set of potential predictors [4]. This study found that BMI gain depended solely on the therapy duration.…”

Patients’ perspective on inpatient treatment for eating disorders: A mixed-methods study of satisfaction, experience of care and perceived helpfulness of components of treatment

“…Conversely perceptions that feelings are invalidated are associated with drop out [20,23,24]. Research demonstrates that outcomes of, and satisfaction with inpatient treatment for AN are variable [25] with minority of patients finding treatment 'extremely helpful' [7]. While weight may be restored, psychological symptoms remain and repeated readmission is common [7,[26][27][28].…”

Histórias de Sucesso de Profissionais da Saúde no Tratamento dos Transtornos Alimentares

“…Ainda que adolescentes e adultos diagnosticados com AN e BN obtenham melhora significativa com tratamento ambulatorial, muitos desafios se apresentam, especialmente com a alta taxa de abandono de pacientes do tratamento (Collin, Power, Karatzias, Grierson & Yellowlees, 2010) e taxa de proximadamente 20 a 30% das pessoas atendidas que não respondem bem ao tratamento (National Health Service, 2010). Alguns autores creditam esses fatos às características de personalidade dos pacientes com TA, que apresentariam resistência à aceitação do diagnóstico (Konstantakopoulos, Tchanturia, Surguladze & Davi, 2011).…”