title: Readiness to recover in adolescent anorexia nervosa: prediction of hospital admission.
abstract: OBJECTIVE
  To determine if motivation to change in anorexia nervosa during treatment is a predictor of hospitalisation in adolescent patients.
  
  
  METHODS
  The Anorexia Nervosa Stages of Change Questionnaire (ANSOCQ), the Eating Disorders Inventory-2 (EDI-2) and the Beck Depression Inventory (BDI) were administered to a group of 70 anorexia nervosa patients (mean age 15.6 years). They were all receiving treatment at a specialised Eating Disorder Unit and were at different points in the treatment programme. Admission during 6-9 month follow-up was recorded in 63 of these patients who had been admitted to the Unit. The other 7 patients were contacted by phone to determine if they had been hospitalised in another unit during the follow-up period.
  
  
  RESULTS
  Patients who needed hospital admission during follow-up had higher mean scores at first evaluation on some of the EDI-2 scales and on the BDI, lower ANSOCQ scores and were more likely to have been outpatients at first evaluation. In the logistic regression analysis a low ANSOCQ score and being an outpatient at first evaluation were shown to be independent predictors of hospitalisation during follow-up.
  
  
  CONCLUSIONS
  Low motivation to change, depressive symptomatology and some EDI-2 scales are related to the necessity of hospital admission in adolescent patients with anorexia nervosa.
authors.affiliation: Department of Child and Adolescent Psychiatry and Psychology, Hospital Clinic of Barcelona, IDIBAPS, Spain.
authors.forename: L
authors.initials: L
authors.lastname: Ametller
authors.forename: J
authors.initials: J
authors.lastname: Castro
authors.forename: E
authors.initials: E
authors.lastname: Serrano
authors.forename: E
authors.initials: E
authors.lastname: Martínez
authors.forename: J
authors.initials: J
authors.lastname: Toro
mesh_terms: D000293:Adolescent; D000856:Anorexia Nervosa / Q000534:rehabilitation*; D001294:Attitude to Health; D003289:Convalescence; D005260:Female; D005500:Follow-Up Studies; D006760:Hospitalization; D006801:Humans; D008297:Male; D009042:Motivation; D010343:Patient Admission / Q000706:statistics & numerical data*; D011237:Predictive Value of Tests; D011795:Surveys and Questionnaires