Citation

Meguerditchian C, Samuelian-Massat C, Valero R, Begu-Le Corroller A, Fromont I, Mancini J, Sparrow JD, Poinso F, Vialettes B. e-SPEN 2010; 5(1): e40-e44.

Copyright

(Copyright © 2010)

DOI

10.1016/j.eclnm.2010.01.002

PMID

unavailable

Abstract

Background & aims: Outcomes of anorexia nervosa in patients meeting criteria for hospitalization were compared to those treated as outpatients.

METHODS: A questionnaire on the quality of recovery was completed by 143 patients. Groups were defined according to indication for hospitalization during the first 6 months of care (inpatient treatment: n = 46, ambulatory treatment: n = 97).

RESULTS: At intake, inpatients were characterized by lower BMI, and by higher prevalence of restrictive forms of the disease and prior suicide attempts. After 5 year follow-up, outcomes were similar in inpatients and outpatients respectively for BMI (18.4 vs. 19.2 kg/m2), frequency of BMI normalization (45.7 vs. 49%), self reports of feeling "completely cured" (21% in both), educational attainment and professional functioning. Amenorrhea was more frequent in inpatients (21.7% vs. 8.2%). Inpatients also more frequently continued under medical supervision at the time of this study.

CONCLUSIONS: Despite a more severe initial presentation, patients requiring hospitalization at entry exhibited outcomes comparable to outpatients, although requiring longer care. © 2010 European Society for Clinical Nutrition and Metabolism.

Language: en

Keywords

adolescent; adult; human; female; Hospitalization; Treatment; suicide attempt; Prognosis; hospitalization; anorexia nervosa; treatment outcome; Anorexia nervosa; outpatient; article; comparative study; major clinical study; vomiting; self report; hospital patient; body weight; body mass; structured questionnaire; amenorrhea; treatment duration; weight control; nutritional assessment