title: A multi-centre cohort study of short term outcomes of hospital treatment for anorexia nervosa in the UK.
abstract: BACKGROUND
  Individual, family and service level characteristics and outcomes are described for adult and adolescent patients receiving specialist inpatient or day patient treatment for anorexia nervosa (AN). Potential predictors of treatment outcome are explored.
  
  
  METHODS
  Admission and discharge data were collected from patients admitted at 14 UK hospital treatment units for AN over a period of three years (adult units N = 12; adolescent N = 2) (patients N = 177).
  
  
  RESULTS
  One hundred and seventy-seven patients with a severe and enduring illness with wide functional impairment took part in the study. Following inpatient care, physical improvement was moderate/good with a large increase in BMI, although most patients continued to have a clinical level of eating disorder symptoms at discharge. The potentially modifiable predictors of outcome included confidence to change, social functioning and carer expressed emotion and control.
  
  
  CONCLUSIONS
  Overall, the response to inpatient treatment was modest particularly in the group with a severe enduring form of illness. Adolescents had a better response. Although inpatient treatment produces an improvement in physical health there was less improvement in other eating disorder and mood symptoms. As predicted by the carer interpersonal maintenance model, carer behaviour may influence the response to inpatient care, as may improved social functioning and confidence to change.
authors.forename: Elizabeth
authors.initials: E
authors.lastname: Goddard
authors.forename: Rebecca
authors.initials: R
authors.lastname: Hibbs
authors.forename: Simone
authors.initials: S
authors.lastname: Raenker
authors.forename: Laura
authors.initials: L
authors.lastname: Salerno
authors.forename: Jon
authors.initials: J
authors.lastname: Arcelus
authors.forename: Nicky
authors.initials: N
authors.lastname: Boughton
authors.forename: Frances
authors.initials: F
authors.lastname: Connan
authors.forename: Ken
authors.initials: K
authors.lastname: Goss
authors.forename: Bert
authors.initials: B
authors.lastname: Laszlo
authors.forename: John
authors.initials: J
authors.lastname: Morgan
authors.forename: Kim
authors.initials: K
authors.lastname: Moore
authors.forename: David
authors.initials: D
authors.lastname: Robertson
authors.forename: Saeidi
authors.initials: S
authors.lastname: S
authors.forename: Christa
authors.initials: C
authors.lastname: Schreiber-Kounine
authors.forename: Sonu
authors.initials: S
authors.lastname: Sharma
authors.forename: Linette
authors.initials: L
authors.lastname: Whitehead
authors.forename: Ulrike
authors.initials: U
authors.lastname: Schmidt
authors.forename: Janet
authors.initials: J
authors.lastname: Treasure
mesh_terms: D000293:Adolescent; D000328:Adult; D000856:Anorexia Nervosa / Q000453:epidemiology / Q000523:psychology / Q000628:therapy*; D015331:Cohort Studies; D001068:Feeding and Eating Disorders / Q000628:therapy; D005260:Female; D006760:Hospitalization / Q000706:statistics & numerical data*; D006801:Humans; D007297:Inpatients / Q000706:statistics & numerical data*; D008297:Male; D017060:Patient Satisfaction; D012649:Self Concept; D016896:Treatment Outcome; D006113:United Kingdom