The outcome of Japanese anorexia nervosa patients treated with an inpatient therapy in an internal medicine unit

被引:13
作者
Amemiya, N. [1 ]
Takii, M.
Hata, T.
Morita, C.
Takakura, S.
Oshikiri, K.
Urabe, H.
Tokunaga, S. [2 ]
Nozaki, T.
Kawai, K.
Sudo, N.
Kubo, C.
机构
[1] Kyushu Univ, Grad Sch Med Sci, Dept Psychosomat Med, Higashi Ku, Fukuoka 8128582, Japan
[2] Kyushu Univ, Grad Sch Med Sci, Dept Prevent Med, Fukuoka 8128582, Japan
关键词
Anorexia nervosa; eating disorder; inpatient therapy; outcome; follow-up; PREDICTORS; FEATURES; WEIGHT;
D O I
10.3275/8034
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
OBJECTIVE: To investigate the outcome of Japanese anorexia nervosa (AN) patients who were treated with the standard Japanese inpatient therapy. METHOD: Of the 88 female AN patients treated with our inpatient therapy between January 1997 and December 2002, 67 (76.1%) who agreed to cooperate in this study were assessed by the Global Clinical Score (GCS) at admission and follow-up, 6.3+/-1.8 years after discharge. Their clinical characteristics at admission and discharge were also examined. RESULTS: Four (6.0%) patients had died before follow-up. BMI was significantly increased during inpatient therapy. At follow-up, excellent, much improved, symptomatic, and poor outcomes on GCS were 57.1%, 14.3%, 14.3% and 14.3%, respectively. Younger age at admission and larger BMI at discharge were significantly associated with a better outcome. DISCUSSION: This study shows the potential for the use of this method for the treatment of AN patients in countries without specialized eating disorder units. (Eat. Weight Disord. 17: e1-e8, 2012). (C) 2012, Editrice Kurtis
引用
收藏
页码:E1 / E8
页数:8
相关论文
共 21 条
[1]  
BARAN SA, 1995, AM J PSYCHIAT, V152, P1070
[2]  
Bell C, 2000, AM J PSYCHIAT, V157, P1
[3]   Anorexia nervosa treatment: A systematic review of randomized controlled trials [J].
Bulik, Cynthia M. ;
Berkman, Nancy D. ;
Brownley, Kimberly A. ;
Sedway, Jan A. ;
Lohr, Kathleen N. .
INTERNATIONAL JOURNAL OF EATING DISORDERS, 2007, 40 (04) :310-320
[4]   Twelve-year course and outcome predictors of anorexia nervosa [J].
Fichter, MM ;
Quadflieg, N ;
Hedlund, S .
INTERNATIONAL JOURNAL OF EATING DISORDERS, 2006, 39 (02) :87-100
[5]  
First M. B., 2016, SCID 5 CV STRUCTURED
[6]  
GARFINKEL PE, 1977, ANOREXIA NERV, P315
[7]  
Garfinkel PE, 1997, CMAJ, V117, P1041
[8]  
Howard WT, 1999, AM J PSYCHIAT, V156, P1697
[9]   THE OUTCOME OF ANOREXIA-NERVOSA - A REAPPRAISAL [J].
HSU, LKG .
PSYCHOLOGICAL MEDICINE, 1988, 18 (04) :807-812
[10]   Treating eating-disorder patients in a managed care environment - Contemporary American issues and a Canadian response [J].
Kaye, WH ;
Kaplan, AS ;
Zucker, ML .
PSYCHIATRIC CLINICS OF NORTH AMERICA, 1996, 19 (04) :793-&