TY - JOUR
T1 - The outcome of treatment for anorexia nervosa inpatients who required urgent hospitalization
AU - Kawai, Keisuke
AU - Yamashita, Sakino
AU - Komaki, Gen
AU - Shimizu, Miki
AU - Nakashima, Megumi
AU - Etou, Samami
AU - Takakura, Shu
AU - Takii, Masato
AU - Kubo, Chiharu
AU - Sudo, Nobuyuki
N1 - Funding Information:
This work was supported by a Grant-in-Aid for Scientific Research 23590884 (to KK) from the Ministry of Education, Culture, Sports, Science and Technology. We thank Ms. Miyuki Ito for her secretarial assistance and the nursing staff of Kyushu University Hospital for their assistance in patient care.
Publisher Copyright:
© 2014 Kawai et al.; licensee BioMed Central Ltd.
PY - 2014/3/9
Y1 - 2014/3/9
N2 - Background: This study was done to determine which psychosocial factors are related to the urgent hospitalization of anorexia nervosa patients (AN) due to extremely poor physical condition and to evaluate their outcome after inpatient treatment. Methods: 133 hospitalized AN patients were classified into an urgent hospitalization (n = 24) or a planned hospitalization (n = 109) group. Multiple regression analysis was done of clinical features, body mass index (BMI), psychological tests [The Minnesota Multiphasic Personality Inventory (MMPI), alexithymia, relationship with parents, and the Eating Disorder Inventory (EDI)]. The effectiveness of treatment was prospectively determined two years after discharge by the Global Clinical Score (GCS). The hospitalized weight gain and the frequency of outpatient visits were evaluated. Results: Of the factors assessed, only BMI at admission was related to the necessity of urgent hospitalization (β = - 1.063, P = 0.00). The urgent group had significantly more weight loss after discharge and poorer social adaptation on the GCS, even when the patient had a sufficient increase in body weight during inpatient treatment and an equivalent number of outpatient consultations. Conclusion: None of the parameters of the psychosocial tests studied were significantly different between the groups. The outcome of the urgent group was poor. Two years after discharge they had difficulty maintaining weight and continued to have poor social adaptation.
AB - Background: This study was done to determine which psychosocial factors are related to the urgent hospitalization of anorexia nervosa patients (AN) due to extremely poor physical condition and to evaluate their outcome after inpatient treatment. Methods: 133 hospitalized AN patients were classified into an urgent hospitalization (n = 24) or a planned hospitalization (n = 109) group. Multiple regression analysis was done of clinical features, body mass index (BMI), psychological tests [The Minnesota Multiphasic Personality Inventory (MMPI), alexithymia, relationship with parents, and the Eating Disorder Inventory (EDI)]. The effectiveness of treatment was prospectively determined two years after discharge by the Global Clinical Score (GCS). The hospitalized weight gain and the frequency of outpatient visits were evaluated. Results: Of the factors assessed, only BMI at admission was related to the necessity of urgent hospitalization (β = - 1.063, P = 0.00). The urgent group had significantly more weight loss after discharge and poorer social adaptation on the GCS, even when the patient had a sufficient increase in body weight during inpatient treatment and an equivalent number of outpatient consultations. Conclusion: None of the parameters of the psychosocial tests studied were significantly different between the groups. The outcome of the urgent group was poor. Two years after discharge they had difficulty maintaining weight and continued to have poor social adaptation.
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U2 - 10.1186/1751-0759-8-20
DO - 10.1186/1751-0759-8-20
M3 - Article
AN - SCOPUS:84907045763
SN - 1751-0759
VL - 8
JO - BioPsychoSocial Medicine
JF - BioPsychoSocial Medicine
IS - 1
M1 - 20
ER -
