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Inpatient cognitive behavior therapy for adolescents with anorexia nervosa: immediate and longer-term effects.

Dalle Grave R, Calugi S, El Ghoch M, Conti M, Fairburn CG - Front Psychiatry (2014)

Bottom Line: The aim of the present study was to establish the immediate and longer-term effects of a novel inpatient program for adolescents that was designed to produce enduring change.Twenty-six patients (96%) completed the program.In these patients, there was a substantial improvement in weight, eating disorder features, and general psychopathology that was well maintained at 12-month follow-up.

View Article: PubMed Central - PubMed

Affiliation: Department of Eating and Weight Disorders, Villa Garda Hospital , Garda , Italy.

ABSTRACT

Introduction: Inpatient treatment for anorexia nervosa is often successful in restoring body weight, but a high percentage of patients relapse following discharge. The aim of the present study was to establish the immediate and longer-term effects of a novel inpatient program for adolescents that was designed to produce enduring change.

Method: Twenty-seven consecutive patients with severe anorexia nervosa were admitted to a 20-week inpatient treatment program based on the enhanced cognitive behavior therapy (CBT-E). The patients were assessed before and after hospitalization, and 6 and 12 months later.

Results: Twenty-six patients (96%) completed the program. In these patients, there was a substantial improvement in weight, eating disorder features, and general psychopathology that was well maintained at 12-month follow-up.

Conclusion: These findings suggest that inpatient CBT-E is a promising approach to the treatment of adolescents with severe anorexia nervosa.

No MeSH data available.


Related in: MedlinePlus

Mean body mass index (BMI) centile and eating disorder psychopathology (global EDE) over treatment and 12-month of follow-up among those patients who completed inpatient CBT-E (n = 26).
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Figure 1: Mean body mass index (BMI) centile and eating disorder psychopathology (global EDE) over treatment and 12-month of follow-up among those patients who completed inpatient CBT-E (n = 26).

Mentions: Overall, the changes made in hospital were well maintained (see Table 2 and Figure 1), and the BMI centile was not significantly different from discharge at 12-month follow-up, when 82.6% (19/23) had a BMI centile corresponding at a BMI ≥ 18.5.


Inpatient cognitive behavior therapy for adolescents with anorexia nervosa: immediate and longer-term effects.

Dalle Grave R, Calugi S, El Ghoch M, Conti M, Fairburn CG - Front Psychiatry (2014)

Mean body mass index (BMI) centile and eating disorder psychopathology (global EDE) over treatment and 12-month of follow-up among those patients who completed inpatient CBT-E (n = 26).
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3921605&req=5

Figure 1: Mean body mass index (BMI) centile and eating disorder psychopathology (global EDE) over treatment and 12-month of follow-up among those patients who completed inpatient CBT-E (n = 26).
Mentions: Overall, the changes made in hospital were well maintained (see Table 2 and Figure 1), and the BMI centile was not significantly different from discharge at 12-month follow-up, when 82.6% (19/23) had a BMI centile corresponding at a BMI ≥ 18.5.

Bottom Line: The aim of the present study was to establish the immediate and longer-term effects of a novel inpatient program for adolescents that was designed to produce enduring change.Twenty-six patients (96%) completed the program.In these patients, there was a substantial improvement in weight, eating disorder features, and general psychopathology that was well maintained at 12-month follow-up.

View Article: PubMed Central - PubMed

Affiliation: Department of Eating and Weight Disorders, Villa Garda Hospital , Garda , Italy.

ABSTRACT

Introduction: Inpatient treatment for anorexia nervosa is often successful in restoring body weight, but a high percentage of patients relapse following discharge. The aim of the present study was to establish the immediate and longer-term effects of a novel inpatient program for adolescents that was designed to produce enduring change.

Method: Twenty-seven consecutive patients with severe anorexia nervosa were admitted to a 20-week inpatient treatment program based on the enhanced cognitive behavior therapy (CBT-E). The patients were assessed before and after hospitalization, and 6 and 12 months later.

Results: Twenty-six patients (96%) completed the program. In these patients, there was a substantial improvement in weight, eating disorder features, and general psychopathology that was well maintained at 12-month follow-up.

Conclusion: These findings suggest that inpatient CBT-E is a promising approach to the treatment of adolescents with severe anorexia nervosa.

No MeSH data available.


Related in: MedlinePlus