Impact of hospitalisation on the outcome of adolescent anorexia nervosa
Impact of hospitalisation on the outcome of adolescent anorexia nervosa
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DOI：
10.1192/bjp.176.2.138
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发表时间：
2000-02-01
影响因子：
10.5
通讯作者：
Elvins, R
中科院分区：
文献类型：
--
作者：
Gowers, SG;Weetman, J;Elvins, R
背景由于缺乏青少年神经性厌食症治疗的对照试验，住院治疗的效益和成本尚未建立。目的是澄清青少年神经性厌食症的一系列表现特征、接受的治疗和中长期结局之间的关系。方法对75例DSM-III- R神经性厌食症患者的一系列表现变量进行了评估：青少年服务，包括摩根-罗素全球评估评分。随访2-7年，根据可靠的方法对结局进行评定。结果75例中有2例在随访时死亡。72个国家的充分数据使其能够分配一个结果类别。21名接受住院治疗的患者的预后明显比51名从未入院的患者差。多因素分析表明，入院是不良outcome.Conclusions住院的好处和成本需要进一步调查的主要预测因素。最好是随机对照试验。住院治疗的负面影响在研究中被忽视。
Background Owing to the lack of controlled trials of treatment setting in adolescent anorexia nervosa, the benefits and costs of in-patient treatment are not established.Aims To clarify the relationship between a range of presenting feature;, treatment received and medium- to longterm outcome in adolescent anorexia nervosa.Method A range of presenting variables were rated for 75 cases of DSM-III- R anorexia nervosa at presentation: to an adolescent service, including the Morgan - Russell Global Assessment Score. Cases were followed up at 2-7 years and outcome rated according to reliable methods. Setting of treatment received was also recorded.Results Two out of 75 cases had died by the time of follow-up. Adequate data for 72 enabled an outcome category to be assigned. The 21 who had received inpatient treatment had a significantly worse outcome than the 51 never admitted tc hospital. Multivariate analysis suggests admission to be the major predictor of poor outcome.Conclusions The benefits and costs of admission to hospital require further investigation. ideally in a randomised controlled trial. The negative consequences of in-patient treatment are neglected in research.Declaration of interest None.