Inpatient Treatment for Adolescents with Anorexia Nervosa: Clinical Significance and Predictors of Treatment Outcome

2015 ◽  
Vol 24 (3) ◽  
pp. 214-222 ◽  
Author(s):  
Sandra Schlegl ◽  
Alice Diedrich ◽  
Christina Neumayr ◽  
Markus Fumi ◽  
Silke Naab ◽  
...  
Keyword(s):  
Anorexia Nervosa ◽  
Treatment Outcome ◽  
Clinical Significance ◽  
Inpatient Treatment

An examination of the role of autonomous versus controlled motivation in predicting inpatient treatment outcome for anorexia nervosa

2016 ◽  
Vol 49 (6) ◽  
pp. 626-629 ◽  
Author(s):  
Lea Thaler ◽  
Mimi Israel ◽  
Juliana Mazanek Antunes ◽  
Sabina Sarin ◽  
David C. Zuroff ◽  
...  
Keyword(s):  
Anorexia Nervosa ◽  
Treatment Outcome ◽  
Inpatient Treatment ◽  
Controlled Motivation

scholarly journals Early within-person weight gain and variability during inpatient treatment for anorexia nervosa: Age-dependent effects on treatment outcome

2021 ◽  
Author(s):  
David R. Kolar ◽  
Adrian Meule ◽  
Silke Naab ◽  
Ulrich Voderholzer
Keyword(s):  
Anorexia Nervosa ◽  
Treatment Outcome ◽  
Weight Gain ◽  
Body Dissatisfaction ◽  
Inpatient Treatment ◽  
Average Weight ◽  
Drive For Thinness ◽  
Early Weight Gain ◽  
Age Dependent ◽  
Weight Restoration

Background: Early weight gain during inpatient treatment for anorexia nervosa (AN) is an important predictor of overall treatment outcome. However, weight gain is a dynamic process characterized by within-person variability that may also be age-dependent. Therefore, we examined whether age moderates the effect of within-person weight gain and variability on treatment outcome.Methods: Within-person level estimates of N = 2881 underweight adolescents and adults with AN for daily average weight gain (linear slope) and variability (root mean squared errors) were obtained using random-effects modelling. Linear and logistic regression analyses at the between-person level were calculated to assess their effects on weight, core eating disorder psychopathology and weight restoration. Results: Higher weight gain during the first two weeks of inpatient treatment predicted higher discharge weight, lower drive for thinness and lower body dissatisfaction at discharge, but was not associated with changes in bulimic symptoms. Moreover, higher early weight gain predicted a higher probability of weight restoration at discharge. Moderation analyses revealed that younger age was significantly associated with a stronger effect of early weight gain on weight, drive for thinness and body dissatisfaction at discharge, but was not associated with a higher likelihood of weight restoration. Weight variability was not associated with any treatment outcome. Conclusion: Age moderated the effect of early weight gain on treatment outcome, with larger effects for younger patients. Weight variability did not substantially influence treatment outcome across age and should be of lesser clinical concern during early inpatient treatment when patients gain weight on average.

scholarly journals Motivation to Change in the Course of a Pilot Study of a Step-Down Treatment Approach of Inpatient and Anorexia Nervosa-Specific Home Treatment and Its Effects on Treatment Outcome

2021 ◽  
Vol 12 ◽  
Author(s):  
Kathrin Sophie Heider ◽  
Astrid Dempfle ◽  
Sophie Altdorf ◽  
Beate Herpertz-Dahlmann ◽  
Brigitte Dahmen
Keyword(s):  
Anorexia Nervosa ◽  
Treatment Outcome ◽  
Inpatient Treatment ◽  
Treatment Approach ◽  
Illness Severity ◽  
Home Treatment ◽  
Motivation To Change ◽  
Sum Score ◽  
Step Down

Introduction: Anorexia nervosa (AN) is a serious mental disorder that typically manifests in adolescence. Motivation to change is an important predictor for treatment outcome in adolescent AN, even though its development over the often long therapeutic process, with transitions between treatment settings, has not yet been studied. In this pilot study, the course of motivation to change and its effect on treatment outcome were investigated over the course of a step-down treatment approach during a 12-month observation period.Methods: Twenty-one adolescents admitted to inpatient treatment because of AN received multidisciplinary home treatment (HoT) with several weekly visits after short inpatient stabilization. Eating disorder (ED-)specific cognitive [Eating Disorder Inventory 2 (EDI-2) subscales] and physical [% expected body weight (%EBW)] illness severity and motivation to change [Anorexia Nervosa Stages of Change Questionnaire (ANSOCQ)] were assessed at the time of admission, discharge from hospital, at the end of HoT, and at a 12-month follow-up. Changes in motivation over time and its relationship with treatment outcome were investigated.Results: Mean motivation to change improved significantly over the course of treatment from the contemplation stage [2nd stage, mean ANSOCQ sum score 47.26 (SD 17.60)] at admission to the action stage [4th stage, mean ANSOCQ sum score 77.64 (SD 18.97)] at the end of HoT (p < 0.001) and remained stable during the follow-up period. At each assessment, higher motivation to change was significantly correlated with lower ED-specific cognitive illness severity (Spearman ρs: −0.53 to −0.77, all p < 0.05). Only pretreatment motivation to change significantly predicted ED-specific cognitive illness severity after the first inpatient treatment phase when taking prior illness severity into account.Conclusions: Motivation to change is an important aspect of treatment success in adolescent AN, especially in the early phase of treatment. In addition, home treatment contributed significantly to a higher motivation. Further longitudinal research into how motivation to change in adolescent patients with AN is related to outcome in this often severe and enduring disease and into targeted therapeutic strategies and interventions that reliably enhance the motivation to change in adolescent patients with AN seems promising.

scholarly journals Specialized inpatient treatment of adult anorexia nervosa: effectiveness and clinical significance of changes

2014 ◽  
Vol 14 (1) ◽  
Author(s):  
Sandra Schlegl ◽  
Norbert Quadflieg ◽  
Bernd Löwe ◽  
Ulrich Cuntz ◽  
Ulrich Voderholzer
Keyword(s):  
Anorexia Nervosa ◽  
Clinical Significance ◽  
Inpatient Treatment

Body dissatisfaction moderates weight curves in the inpatient treatment of Anorexia Nervosa

2009 ◽  
Vol 43 (8) ◽  
pp. 694-700 ◽  
Author(s):  
Kristof Vansteelandt ◽  
Guido Pieters ◽  
Johan Vanderlinden ◽  
Michel Probst
Keyword(s):  
Anorexia Nervosa ◽  
Body Dissatisfaction ◽  
Inpatient Treatment

Dropout from inpatient treatment for anorexia nervosa: Critical review of the literature

2009 ◽  
Vol 42 (7) ◽  
pp. 636-647 ◽  
Author(s):  
Jenny Wallier ◽  
Sarah Vibert ◽  
Sylvie Berthoz ◽  
Caroline Huas ◽  
Tamara Hubert ◽  
...  
Keyword(s):  
Anorexia Nervosa ◽  
Critical Review ◽  
Inpatient Treatment ◽  
Review Of The Literature
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