TY - JOUR
T1 - Implications of the changing use of hospitalization to treat anorexia nervosa
AU - Willer, Molly G
AU - Thuras, Paul
AU - Crow, Scott J.
PY - 2005/12
Y1 - 2005/12
N2 - Objective: This study sought to compare inpatient hospitalization practices for treating anorexia nervosa at two time periods and to assess whether differences in practices affected treatment outcome. Method: Hospital charts were examined for all patients with a diagnosis of anorexia nervosa and a body mass index ≤17.5 kg/m2 at admission who were admitted to a university hospital during 1975-1980 (early) or 1990-1995 (later). Results: The "later cohort" had significantly higher admission and discharge body mass indexes, shorter lengths of stay, higher rates of weight gain, and more readmissions. Predictors of rehospitalization for the later cohort were increased length of stay, prior hospitalizations, and more rapid weight gain. Conclusions: This study suggests that the use of hospitalization to treat anorexia nervosa has changed over time and is associated with increased rates of readmission.
AB - Objective: This study sought to compare inpatient hospitalization practices for treating anorexia nervosa at two time periods and to assess whether differences in practices affected treatment outcome. Method: Hospital charts were examined for all patients with a diagnosis of anorexia nervosa and a body mass index ≤17.5 kg/m2 at admission who were admitted to a university hospital during 1975-1980 (early) or 1990-1995 (later). Results: The "later cohort" had significantly higher admission and discharge body mass indexes, shorter lengths of stay, higher rates of weight gain, and more readmissions. Predictors of rehospitalization for the later cohort were increased length of stay, prior hospitalizations, and more rapid weight gain. Conclusions: This study suggests that the use of hospitalization to treat anorexia nervosa has changed over time and is associated with increased rates of readmission.
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U2 - 10.1176/appi.ajp.162.12.2374
DO - 10.1176/appi.ajp.162.12.2374
M3 - Article
C2 - 16330603
AN - SCOPUS:28444433412
SN - 0002-953X
VL - 162
SP - 2374
EP - 2376
JO - American Journal of Psychiatry
JF - American Journal of Psychiatry
IS - 12
ER -