Short-term outcome of anorexia nervosa in adolescents after inpatient treatment: a prospective study.
The current study describes the short-term outcome of adolescent inpatient population suffering from anorexia nervosa (AN) and analyzes the clinical predictors of poor outcome in these patients. Fifty-seven female AN patients (mean = 15.8, SD = 1.3) admitted for inpatient treatment to a specialized eating disorder unit at a university medical center were reassessed 1 year after being discharged. Assessments were made at the beginning and at the end of the inpatient treatment as well as at the 1-year follow-up. Self-rating data and expert-rating interview data were obtained. Adequate data for 55 (96.5%) cases allowed for the assignment of an outcome category. A total of 28.1% of the patients' cases showed a good outcome, meaning the patients fully recovered, and 8.8% had an intermediate outcome, and 59.6% of the patients' cases had a poor outcome. Significant predictors of poor outcome included the patient's BMI at the beginning of the treatment as well as psychiatric comorbidity, and purging behavior. Adolescent AN is a severe disorder with a poor outcome in a substantial amount of adolescents.
Salbach-Andrae
Harriet
H
Department of Child and Adolescent Psychiatry, Psychosomatic Medicine and Psychotherapy, Charité-Universitätsmedizin Berlin, Berlin 13353, Germany. harriet.salbach@charite.de
Schneider
Nora
N
Seifert
Katja
K
Pfeiffer
Ernst
E
Lenz
Klaus
K
Lehmkuhl
Ulrike
U
Korte
Alexander
A
D000293:Adolescent; D000856:Anorexia Nervosa / Q000628:therapy*; D001828:Body Image; D015992:Body Mass Index; D002648:Child; D015928:Cognitive Behavioral Therapy; D005196:Family Therapy; D005260:Female; D006760:Hospitalization; D006801:Humans; D018579:Patient Selection; D011446:Prospective Studies; D012044:Regression Analysis; D012307:Risk Factors; D012647:Self-Assessment; D012720:Severity of Illness Index; D011795:Surveys and Questionnaires; D016896:Treatment Outcome