Nonresponder anorectic patients after 6 months of multimodal treatment: predictors of outcome.
Currently the therapy of anorexia nervosa is a relevant clinical problem. The percentage of patients who respond to short-term pharmacotherapy and psychotherapy is still low and the condition often leads to chronic pathology or death. The present study aims to determine outcome predictors beyond personality traits, eating psychopathology, or particular clinical features. Forty patients with restricter type anorexia nervosa were tested, at T0 and after 180 days, with psychometric tests and clinical evaluation instruments. Patients were then divided into two groups. One group included patients who showed relevant clinical improvement; the other included not-yet-improved patients. A lower Novelty Seeking, higher levels of Ascetism and Maturity Fears characterised the not-yet-improved group. Correlation showed evidence of diverse bonds between personality and psychopathology in the improved and not-yet-improved groups. The psychopathology of non-yet-improved patients seemed to be more linked to their temperamental features, whereas improved patients seemed to be more influenced by their character. Different levels of psychological functioning can be expressed. The present data suggest focusing pharmacotherapy and psychotherapy, even family counseling, with a progression more strictly related to the current personality functioning level and psychopathology of each patient.
Fassino
S
S
Department of Neurosciences, Psychiatry Section, Service for Eating Disorders, Turin University, V. Cherasco 11, 10126, Turin, Italy. www.fassino@molinette.uniyo.it
Abbate Daga
G
G
Amianto
F
F
Leombruni
P
P
Garzaro
L
L
Rovera
G G
GG
D000293:Adolescent; D000328:Adult; D000856:Anorexia Nervosa / Q000523:psychology* / Q000628:therapy*; D003131:Combined Modality Therapy; D005260:Female; D006801:Humans; D010551:Personality; D011379:Prognosis; D011569:Psychiatric Status Rating Scales; D011599:Psychopathology; D017211:Treatment Failure