Predictors of weight maintenance after hospital discharge in adolescent anorexia nervosa

Objective: To analyze variables that predict weight maintenance in adolescent anorexia nervosa. Method: The Eating Attitudes Test, the Beck Depression Inventory, the Leyton Obsessional Inventory, the State and Trait Anxiety Inventory, and the Anorexia Nervosa Stages of Change Questionnaire were admi...

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Veröffentlicht in:The International journal of eating disorders 2007-03, Vol.40 (2), p.129-135
Hauptverfasser: Castro-Fornieles, J, Casula, V, Saura, B, Martinez, E, Lazaro, L, Vila, M, Plana, M.T, Toro, J
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container_end_page 135
container_issue 2
container_start_page 129
container_title The International journal of eating disorders
container_volume 40
creator Castro-Fornieles, J
Casula, V
Saura, B
Martinez, E
Lazaro, L
Vila, M
Plana, M.T
Toro, J
description Objective: To analyze variables that predict weight maintenance in adolescent anorexia nervosa. Method: The Eating Attitudes Test, the Beck Depression Inventory, the Leyton Obsessional Inventory, the State and Trait Anxiety Inventory, and the Anorexia Nervosa Stages of Change Questionnaire were administered to 49 anorexia nervosa patients (mean age 14.3 years, SD 1.7) consecutively admitted to an eating disorder unit. They were evaluated at admission, at discharge, and after nine months follow-up. Results: At discharge, patients had improved in body mass index (p < .001), eating attitudes (p = .002), depressive symptomatology (p = .001), and motivation to change (p < .001). Patients with good weight maintenance at follow-up had higher body mass index (p = .017) at admission, lower abnormal eating attitudes (p = .035), depressive symptomatology (p = .026), and higher motivation to change (p = .004) at discharge. Logistic regression analysis showed a high motivation to change at discharge and a high body mass index at admission to be predictors of weight maintenance. Conclusion: High motivation to change, low abnormal eating attitudes, depressive symptomatology at discharge, and high body mass index at admission are associated with weight maintenance in adolescent anorexia nervosa.
doi_str_mv 10.1002/eat.20340
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Method: The Eating Attitudes Test, the Beck Depression Inventory, the Leyton Obsessional Inventory, the State and Trait Anxiety Inventory, and the Anorexia Nervosa Stages of Change Questionnaire were administered to 49 anorexia nervosa patients (mean age 14.3 years, SD 1.7) consecutively admitted to an eating disorder unit. They were evaluated at admission, at discharge, and after nine months follow-up. Results: At discharge, patients had improved in body mass index (p &lt; .001), eating attitudes (p = .002), depressive symptomatology (p = .001), and motivation to change (p &lt; .001). Patients with good weight maintenance at follow-up had higher body mass index (p = .017) at admission, lower abnormal eating attitudes (p = .035), depressive symptomatology (p = .026), and higher motivation to change (p = .004) at discharge. Logistic regression analysis showed a high motivation to change at discharge and a high body mass index at admission to be predictors of weight maintenance. Conclusion: High motivation to change, low abnormal eating attitudes, depressive symptomatology at discharge, and high body mass index at admission are associated with weight maintenance in adolescent anorexia nervosa.</description><identifier>ISSN: 0276-3478</identifier><identifier>EISSN: 1098-108X</identifier><identifier>DOI: 10.1002/eat.20340</identifier><identifier>PMID: 17080450</identifier><identifier>CODEN: INDIDJ</identifier><language>eng</language><publisher>Hoboken: Wiley Subscription Services, Inc., A Wiley Company</publisher><subject>Adolescent ; adolescent nutrition ; adolescents ; Adult and adolescent clinical studies ; Anorexia ; Anorexia nervosa ; Anorexia Nervosa - psychology ; Anorexia Nervosa - therapy ; attitudes and opinions ; behavior modification ; Behavior Therapy ; Biological and medical sciences ; Body Mass Index ; Body Weight ; Child ; child nutrition ; children ; cohort studies ; Combined Modality Therapy ; depression ; Depression - psychology ; Depression - therapy ; Eating behavior disorders ; Eating disorders ; Female ; Follow-Up Studies ; hospitals ; Humans ; Male ; Medical sciences ; Motivation ; motivation to change ; patient compliance ; Patient Discharge ; Personality Inventory ; prediction ; Prognosis ; Psychiatry ; Psychology. Psychoanalysis. Psychiatry ; Psychopathology. Psychiatry ; questionnaires ; Teenagers ; therapeutics ; Weight control ; weight maintenance</subject><ispartof>The International journal of eating disorders, 2007-03, Vol.40 (2), p.129-135</ispartof><rights>Copyright © 2006 Wiley Periodicals, Inc.</rights><rights>2007 INIST-CNRS</rights><rights>2006 by Wiley Periodicals, Inc.</rights><rights>Copyright Wiley Periodicals Inc. 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J. Eat. Disord</addtitle><description>Objective: To analyze variables that predict weight maintenance in adolescent anorexia nervosa. Method: The Eating Attitudes Test, the Beck Depression Inventory, the Leyton Obsessional Inventory, the State and Trait Anxiety Inventory, and the Anorexia Nervosa Stages of Change Questionnaire were administered to 49 anorexia nervosa patients (mean age 14.3 years, SD 1.7) consecutively admitted to an eating disorder unit. They were evaluated at admission, at discharge, and after nine months follow-up. Results: At discharge, patients had improved in body mass index (p &lt; .001), eating attitudes (p = .002), depressive symptomatology (p = .001), and motivation to change (p &lt; .001). Patients with good weight maintenance at follow-up had higher body mass index (p = .017) at admission, lower abnormal eating attitudes (p = .035), depressive symptomatology (p = .026), and higher motivation to change (p = .004) at discharge. Logistic regression analysis showed a high motivation to change at discharge and a high body mass index at admission to be predictors of weight maintenance. 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Psychiatry</subject><subject>questionnaires</subject><subject>Teenagers</subject><subject>therapeutics</subject><subject>Weight control</subject><subject>weight maintenance</subject><issn>0276-3478</issn><issn>1098-108X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2007</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp10E1v00AQBmALgWgoHPgDYFUCiYPb2Q9n18eqKg1SKUUE2ttqvB4nWxxv2HVo--_Z4EAlJE5zeWbm1ZtlLxkcMgB-RDgcchASHmUTBpUuGOjrx9kEuJoWQiq9lz2L8QYApgLKp9keU6BBljDJri8DNc4OPsTct_ktucVyyFfo-oF67C3l2A4U8qWPazdglzcu2iWGBeWuz7HxHUVL_ZBj7wPdOcx7Cj99xOfZkxa7SC92cz-bvz-dn8yK809nH06OzwsrJYeiRgmqkZxKUUOtobJU8yk2UNdtpXnDZSOUnQqs0FLbNtoKEGWtRSlrwWuxn70dz66D_7GhOJhVCkhdhz35TTQKOAfJdYIH_8Abvwl9imY4Y6k1Jbfo3Yhs8DEGas06uBWGe8PAbKs2qWrzu-pkX-0ObuoVNQ9y120Cb3YAo8WuDalOFx-cLlO4avv0aHS3rqP7_380p8fzP6-LccPFge7-bmD4bqZKqNJcXZyZj1f64vPlt5mZJf969C16g4uQUnz9woEJAFUKppT4BeeUrfo</recordid><startdate>200703</startdate><enddate>200703</enddate><creator>Castro-Fornieles, J</creator><creator>Casula, V</creator><creator>Saura, B</creator><creator>Martinez, E</creator><creator>Lazaro, L</creator><creator>Vila, M</creator><creator>Plana, M.T</creator><creator>Toro, J</creator><general>Wiley Subscription Services, Inc., A Wiley Company</general><general>Wiley</general><general>Wiley Subscription Services, Inc</general><scope>FBQ</scope><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7TS</scope><scope>K9.</scope><scope>7X8</scope></search><sort><creationdate>200703</creationdate><title>Predictors of weight maintenance after hospital discharge in adolescent anorexia nervosa</title><author>Castro-Fornieles, J ; Casula, V ; Saura, B ; Martinez, E ; Lazaro, L ; Vila, M ; Plana, M.T ; Toro, J</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4420-ba407d42e53b0b809ceb26ad0bbf982d24d37c63a9aceffd8c3035b8354b32b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2007</creationdate><topic>Adolescent</topic><topic>adolescent nutrition</topic><topic>adolescents</topic><topic>Adult and adolescent clinical studies</topic><topic>Anorexia</topic><topic>Anorexia nervosa</topic><topic>Anorexia Nervosa - psychology</topic><topic>Anorexia Nervosa - therapy</topic><topic>attitudes and opinions</topic><topic>behavior modification</topic><topic>Behavior Therapy</topic><topic>Biological and medical sciences</topic><topic>Body Mass Index</topic><topic>Body Weight</topic><topic>Child</topic><topic>child nutrition</topic><topic>children</topic><topic>cohort studies</topic><topic>Combined Modality Therapy</topic><topic>depression</topic><topic>Depression - psychology</topic><topic>Depression - therapy</topic><topic>Eating behavior disorders</topic><topic>Eating disorders</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>hospitals</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Motivation</topic><topic>motivation to change</topic><topic>patient compliance</topic><topic>Patient Discharge</topic><topic>Personality Inventory</topic><topic>prediction</topic><topic>Prognosis</topic><topic>Psychiatry</topic><topic>Psychology. 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Patients with good weight maintenance at follow-up had higher body mass index (p = .017) at admission, lower abnormal eating attitudes (p = .035), depressive symptomatology (p = .026), and higher motivation to change (p = .004) at discharge. Logistic regression analysis showed a high motivation to change at discharge and a high body mass index at admission to be predictors of weight maintenance. Conclusion: High motivation to change, low abnormal eating attitudes, depressive symptomatology at discharge, and high body mass index at admission are associated with weight maintenance in adolescent anorexia nervosa.</abstract><cop>Hoboken</cop><pub>Wiley Subscription Services, Inc., A Wiley Company</pub><pmid>17080450</pmid><doi>10.1002/eat.20340</doi><tpages>7</tpages></addata></record>
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subjects Adolescent
adolescent nutrition
adolescents
Adult and adolescent clinical studies
Anorexia
Anorexia nervosa
Anorexia Nervosa - psychology
Anorexia Nervosa - therapy
attitudes and opinions
behavior modification
Behavior Therapy
Biological and medical sciences
Body Mass Index
Body Weight
Child
child nutrition
children
cohort studies
Combined Modality Therapy
depression
Depression - psychology
Depression - therapy
Eating behavior disorders
Eating disorders
Female
Follow-Up Studies
hospitals
Humans
Male
Medical sciences
Motivation
motivation to change
patient compliance
Patient Discharge
Personality Inventory
prediction
Prognosis
Psychiatry
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
questionnaires
Teenagers
therapeutics
Weight control
weight maintenance
title Predictors of weight maintenance after hospital discharge in adolescent anorexia nervosa
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