scholarly journals Post-hospitalization Daycare Treatment for Adolescents With Eating Disorders

2021 ◽  
Vol 12 ◽  
Author(s):  
Liron Litmanovich-Cohen ◽  
Amit Yaroslavsky ◽  
Liron Roni Halevy-Yosef ◽  
Tal Shilton ◽  
Adi Enoch-Levy ◽  
...  
Keyword(s):  
Eating Disorders ◽  
Social Functioning ◽  
Inpatient Treatment ◽  
Semistructured Interview ◽  
Normal Range ◽  
Post Discharge ◽  
Menstrual Cycles ◽  
Self Rating ◽  
Remission Criteria

Background: There are several possible facilities for the treatment of eating disorders (EDs). Specifically, there is the issue of the use of specialized daycare and ambulatory services over inpatient settings and the place of daycare programs following inpatient treatment.Aim: We sought to examine the contribution of post-hospitalization daycare program to the treatment of adolescents hospitalized with an ED.Methods: We assessed 61 female adolescents hospitalized with an ED. All but three were diagnosed with clinical or subthreshold anorexia nervosa (AN). Three were diagnosed with bulimia nervosa. Thirty-seven patients continued with a post-hospitalization daycare program for at least 5 months, whereas 24 did not enter or were enrolled in the program for <5 months. Patients completed on admission to, and discharge from, inpatient treatment self-rating questionnaires assessing ED-related symptoms, body-related attitudes and behaviors, and depression and anxiety. Social functioning was assessed 1 year from discharge using open-ended questions. One-year ED outcome was evaluated according to the patients' body mass index (BMI) and according to composite remission criteria, assessed with a standardized semistructured interview. To be remitted from an ED, patients were required to maintain a stable weight, to have regular menstrual cycles, and not to engage in binging, purging, and restricting behaviors for at least eight consecutive weeks before their assessment.Results: BMI was within normal range at follow-up, whether completing or not completing daycare treatment, and around 75% of the patients had menstrual cycles. By contrast, when using comprehensive composite remission criteria, less than a quarter of former inpatients not entering/not completing daycare program achieved remission vs. almost a half of the completers. In addition, a greater percentage of completers continued with psychotherapy following discharge. Fifty percent of both groups showed good post-discharge social functioning. No between-group differences were found in the BMI and the scores of the self-rating questionnaires at admission to, and discharge from, inpatient treatment.Conclusion: Adolescent females with EDs can maintain a normal-range BMI from discharge to 1-year follow-up, even if not completing daycare treatment. By contrast, completion of a post-hospitalization daycare program may improve the 1-year follow-up ED-related outcome of former ED inpatients.

Inpatient treatment for eating disorders: Outcome at discharge and 3-month follow-up

2003 ◽  
Vol 4 (4) ◽  
pp. 385-397 ◽  
Author(s):  
Michael R Lowe ◽  
William N Davis ◽  
Rachel A Annunziato ◽  
Dara L Lucks
Keyword(s):  
Eating Disorders ◽  
Inpatient Treatment

Adults with chronic eating disorders. Two-year follow-up after inpatient treatment

2005 ◽  
Vol 13 (4) ◽  
pp. 255-263 ◽  
Author(s):  
Øyvind Rø ◽  
Egil W. Martinsen ◽  
Asle Hoffart ◽  
Harold Sexton ◽  
Jan H. Rosenvinge
Keyword(s):  
Eating Disorders ◽  
Inpatient Treatment

scholarly journals The outcome at follow-up after inpatient eating disorder treatment: a naturalistic study

2020 ◽  
Vol 8 (1) ◽  
Author(s):  
Marit Danielsen ◽  
Sigrid Bjørnelv ◽  
Siri Weider ◽  
Tor Åge Myklebust ◽  
Henrik Lundh ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Eating Disorders ◽  
Treatment Outcome ◽  
Eating Disorder ◽  
Body Mass ◽  
Inpatient Treatment ◽  
Symptom Improvement ◽  
Eating Disorder Symptoms ◽  
Significant Symptom

Abstract Background Patients with eating disorders may experience a severe and enduring course of illness. Treatment outcome for patients provided with inpatient treatment is reported as poor. Research to date has not provided consistent results for predictors of treatment outcome. The aims of the study were to investigate rates of remission at follow-up after inpatient treatment, symptom change from admission to follow-up, and predictors of treatment outcome. Methods The follow-up sample consisted of 150 female adult former patients (69.4% of all eligible female patients) with eating disorders. Mean age at admission was 21.7 (SD = 4.9) years. Diagnostic distribution: 66% (n = 99) anorexia nervosa, 21.3% (n = 32) bulimia nervosa and 12.7% (n = 19) other specified feeding or eating disorder, including binge eating. Data were collected at admission, discharge and follow-up (mean 2.7 (SD = 1.9) years). Definition of remission was based on the EDE-Q Global score, body mass index and binge/purge behavior. Paired T-tests were performed to investigate change over time. Univariate and multivariate logistic regressions were estimated to investigate predictors of remission. Results At follow-up, 35.2% of the participants were classified as in remission. Significant symptom reduction (in all patients) (p <  0.001) and significant increase in body mass index (BMI) (in underweight participants at admission) (p <  0.001) was found. Increased BMI (p <  0.05), the level of core eating disorder symptoms at admission (p <  0.01) and reduced core eating disorder symptoms (p <  0.01) during inpatient treatment were found significant predictors of outcome in the multivariate model. Conclusions All participants had an eating disorder requiring inpatient treatment. Approximately one-third of all participants could be classified as in remission at follow-up. However, most participants experienced significant symptom improvement during inpatient treatment and the improvements were sustained at follow-up. Increased probability of remission at follow-up was indicated by lower core ED symptoms at admission for all patients, raised BMI during admission for patients with AN, and reduced core ED symptoms during inpatient treatment for all patients. This finding contributes important information and highlights the importance of targeting these core symptoms in transdiagnostic treatment programs.

The course of illness following inpatient treatment of adults with longstanding eating disorders: A 5-year follow-up

2008 ◽  
Vol 41 (3) ◽  
pp. 224-232 ◽  
Author(s):  
KariAnne R. Vrabel ◽  
Jan H. Rosenvinge ◽  
Asle Hoffart ◽  
Egil W. Martinsen ◽  
Øyvind Rø
Keyword(s):  
Eating Disorders ◽  
Inpatient Treatment ◽  
Course Of Illness

Inpatient Treatment for Eating Disorders Interview Guide

2019 ◽  
Author(s):  
Alexandra R. Davidson ◽  
Sarah Braham ◽  
Lauren Dasey ◽  
Dianne P. Reidlinger
Keyword(s):  
Eating Disorders ◽  
Inpatient Treatment ◽  
Interview Guide

Post Discharge Clinically Overt Venous Thromboembolism in Orthopaedic Surgery Patients with Negative Venography -an Overview Analysis

1996 ◽  
Vol 76 (06) ◽  
pp. 0887-0892 ◽  
Author(s):  
Serena Ricotta ◽  
Alfonso lorio ◽  
Pasquale Parise ◽  
Giuseppe G Nenci ◽  
Giancarlo Agnelli
Keyword(s):  
Venous Thromboembolism ◽  
Orthopaedic Surgery ◽  
Diagnostic Methods ◽  
Future Research ◽  
Post Discharge ◽  
Pharmacological Prophylaxis ◽  
Vein Thrombosis ◽  
Overview Analysis ◽  
Major Orthopaedic Surgery

SummaryA high incidence of post-discharge venous thromboembolism in orthopaedic surgery patients has been recently reported drawing further attention to the unresolved issue of the optimal duration of the pharmacological prophylaxis. We performed an overview analysis in order to evaluate the incidence of late occurring clinically overt venous thromboembolism in major orthopaedic surgery patients discharged from the hospital with a negative venography and without further pharmacological prophylaxis. We selected the studies published from January 1974 to December 1995 on the prophylaxis of venous thromboembolism after major orthopaedic surgery fulfilling the following criteria: 1) adoption of pharmacological prophylaxis, 2) performing of a bilateral venography before discharge, 3) interruption of pharmacological prophylaxis at discharge in patients with negative venography, and 4) post-discharge follow-up of the patients for at least four weeks. Out of 31 identified studies, 13 fulfilled the overview criteria. The total number of evaluated patients was 4120. An adequate venography was obtained in 3469 patients (84.1%). In the 2361 patients with negative venography (68.1%), 30 episodes of symptomatic venous thromboembolism after hospital discharge were reported with a resulting cumulative incidence of 1.27% (95% C.I. 0.82-1.72) and a weighted mean incidence of 1.52% (95% C.I. 1.05-1.95). Six cases of pulmonary embolism were reported. Our overview showed a low incidence of clinically overt venous thromboembolism at follow-up in major orthopaedic surgery patients discharged with negative venography. Extending pharmacological prophylaxis in these patients does not appear to be justified. Venous thrombi leading to hospital re-admission are likely to be present but asymptomatic at the time of discharge. Future research should be directed toward improving the accuracy of non invasive diagnostic methods in order to replace venography in the screening of asymptomatic post-operative deep vein thrombosis.

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