A multi-centre cohort study of short term outcomes of hospital treatment for anorexia nervosa in the UK

BMC Psychiatry

Research Article

Nicky Boughton¹  Linette Whitehead¹  Elizabeth Goddard²  Simone Raenker²  Rebecca Hibbs²  Ulrike Schmidt²  Janet Treasure²  Laura Salerno³  Jon Arcelus⁴  Ken Goss⁵  Sonu Sharma⁶  Kim Moore⁷  David Robertson⁸  Christa Schreiber-Kounine⁹  Frances Connan^1,10  Bert Laszlo^1,11  Saeidi S^1,12  John Morgan^1,12 

[1] Cotswold House Eating Disorders Service, Oxford Health NHS Foundation Trust, Oxford, UK;Department of Psychological Medicine, Section of Eating Disorders, King’s College London, Institute of Psychiatry, London, UK;Department of Psychology, University of Palermo, Palermo, Italy;Eating Disorders Service, Brandon Unit, Leicestershire Partnership NHS Trust, Leicester, UK;Eating Disorders Service, Coventry and Warwickshire NHS Partnership Trust, Coventry, UK;Eating Disorders Service, The Priory Hospital Cheadle Royal, Manchester, UK;Kinver Centre, Eating Disorders, South Staffordshire and Shropshire NHS Foundation Trust, Staffordshire, UK;National Centre for Mental Health, Birmingham and Solihull Mental Health NHS Foundation Trust, Birmingham, UK;STEPS Eating Disorders Unit, Avon and Wiltshire Partnership Mental Health NHS Trust, Bristol, UK;Vincent Square Eating Disorders Service, Central and North West London NHS Foundation Trust, London, UK;Wonford House Hospital, Devon Partnership NHS Trust, Exeter, UK;Yorkshire Centre for Eating Disorders, Leeds and St George’s University of London, Leeds, UK;

关键词: Eating disorders;    Anorexia Nervosa;    Inpatients;    Treatment response;    Predictors;    Treatment;   

DOI  :  10.1186/1471-244X-13-287

 received in 2013-02-22, accepted in 2013-07-15,  发布年份 2013

来源: Springer

【 摘 要 】

ndIndividual, family and service level characteristics and outcomes are described for adult and adolescent patients receiving specialist inpatient or day patient treatment for anorexia nervosa (AN). Potential predictors of treatment outcome are explored.MethodAdmission and discharge data were collected from patients admitted at 14 UK hospital treatment units for AN over a period of three years (adult units N = 12; adolescent N = 2) (patients N = 177).ResultsOne hundred and seventy-seven patients with a severe and enduring illness with wide functional impairment took part in the study. Following inpatient care, physical improvement was moderate/good with a large increase in BMI, although most patients continued to have a clinical level of eating disorder symptoms at discharge. The potentially modifiable predictors of outcome included confidence to change, social functioning and carer expressed emotion and control.ConclusionsOverall, the response to inpatient treatment was modest particularly in the group with a severe enduring form of illness. Adolescents had a better response. Although inpatient treatment produces an improvement in physical health there was less improvement in other eating disorder and mood symptoms. As predicted by the carer interpersonal maintenance model, carer behaviour may influence the response to inpatient care, as may improved social functioning and confidence to change.

【 授权许可】

CC BY   
© Goddard et al.; licensee BioMed Central Ltd. 2013