title: Effectiveness of a multimodal inpatient treatment for adolescents with anorexia nervosa in comparison with adults: an analysis of a specialized inpatient setting : treatment of adolescent and adult anorexics.
abstract: OBJECTIVE
  There is evidence for an increased prevalence and an earlier onset of anorexia nervosa (AN) in adolescents. Early specialized treatment may improve prognosis and decrease the risk of a chronic course. The current study evaluates the effectiveness of a multimodal inpatient treatment for adolescent AN patients treated in a highly specialized eating disorder unit for adults.
  
  
  METHODS
  177 adolescents and 1,064 adult patients were included. The evaluation focused on eating behavior, depressive symptoms and general psychopathology.
  
  
  RESULTS
  All measured variables decreased significantly in both groups during inpatient treatment. No differences were found concerning weight gain, improvement of global eating disorder symptomatology as well as depressive symptoms. However, adults showed a higher psychological distress and in this regard also a greater improvement.
  
  
  CONCLUSIONS
  Results indicate that treating adolescent AN patients in a highly specialized eating disorder unit for adults can be an effective treatment setting for these patients.
authors.affiliation: Schoen Clinic Roseneck, Am Roseneck 6, 83209, Prien, Germany.
authors.forename: Silke
authors.initials: S
authors.lastname: Naab
authors.forename: Sandra
authors.initials: S
authors.lastname: Schlegl
authors.forename: Alexander
authors.initials: A
authors.lastname: Korte
authors.forename: Joerg
authors.initials: J
authors.lastname: Heuser
authors.forename: Markus
authors.initials: M
authors.lastname: Fumi
authors.forename: Manfred
authors.initials: M
authors.lastname: Fichter
authors.forename: Ulrich
authors.initials: U
authors.lastname: Cuntz
authors.forename: Ulrich
authors.initials: U
authors.lastname: Voderholzer
mesh_terms: D000293:Adolescent; D000328:Adult; D000367:Age Factors; D000368:Aged; D000856:Anorexia Nervosa / Q000188:drug therapy / Q000523:psychology / Q000628:therapy*; D000928:Antidepressive Agents / Q000627:therapeutic use*; D014150:Antipsychotic Agents / Q000627:therapeutic use*; D001828:Body Image; D015928:Cognitive Behavioral Therapy / Q000379:methods*; D003131:Combined Modality Therapy; D003863:Depression / Q000188:drug therapy / Q000523:psychology / Q000628:therapy*; D005260:Female; D006801:Humans; D007297:Inpatients; D008297:Male; D008875:Middle Aged; D011615:Psychotherapy, Group / Q000379:methods; D012114:Residential Treatment / Q000379:methods*; D016896:Treatment Outcome; D055815:Young Adult
chemical_list: D000928:Antidepressive Agents; D014150:Antipsychotic Agents