Matthew J Hamilton1, Hunna J Watson2, Sarah J Egan3, Kimberley J Hoiles4, Emily Harper5, Julie McCormack5, Chloe Shu4, David A Forbes6. 1. Eating Disorders Program, Specialized Child and Adolescent Mental Health Service, Child and Adolescent Health Service, Perth, Australia; School of Psychology and Speech Pathology, Division of Health Sciences, Curtin University, Perth, Australia. Electronic address: Matthew.Hamilton2@health.wa.gov.au. 2. Eating Disorders Program, Specialized Child and Adolescent Mental Health Service, Child and Adolescent Health Service, Perth, Australia; School of Psychology and Speech Pathology, Division of Health Sciences, Curtin University, Perth, Australia; School of Paediatrics and Child Health, Faculty of Medicine, Dentistry and Health Sciences, The University of Western Australia, Perth, Australia. 3. School of Psychology and Speech Pathology, Division of Health Sciences, Curtin University, Perth, Australia. 4. Eating Disorders Program, Specialized Child and Adolescent Mental Health Service, Child and Adolescent Health Service, Perth, Australia; School of Psychology and Speech Pathology, Division of Health Sciences, Curtin University, Perth, Australia. 5. Eating Disorders Program, Specialized Child and Adolescent Mental Health Service, Child and Adolescent Health Service, Perth, Australia. 6. Eating Disorders Program, Specialized Child and Adolescent Mental Health Service, Child and Adolescent Health Service, Perth, Australia; School of Paediatrics and Child Health, Faculty of Medicine, Dentistry and Health Sciences, The University of Western Australia, Perth, Australia.
Abstract
OBJECTIVE: To examine the prevalence and importance of psychological, behavioural, and situational correlates of impending psychiatric inpatient admissions in children and adolescents with eating disorders. METHOD: The sample consisted of 285 patients (8-17 years, M = 14.4, SD = 1.49) with DSM-5 eating disorders assessed between 2006 and 2013 from the Helping to Outline Pediatric Eating Disorders (HOPE) Project. The sample was split into two groups, those with (n = 38) and without (n = 247) impending psychiatric admission; Discriminant function analysis was used to examine correlates. RESULTS: The prevalence of impending psychiatric admission was 13.3%. Suicidal ideation provided the greatest discriminating power, followed by eating pathology, depressive symptoms, anxiety, multiple methods of weight control, binge eating, and family functioning. CONCLUSIONS: Earlier recognition of comorbid symptoms in eating disorders in the community may reduce the number of young people with eating disorders who present needing critical psychiatric care.
OBJECTIVE: To examine the prevalence and importance of psychological, behavioural, and situational correlates of impending psychiatric inpatient admissions in children and adolescents with eating disorders. METHOD: The sample consisted of 285 patients (8-17 years, M = 14.4, SD = 1.49) with DSM-5 eating disorders assessed between 2006 and 2013 from the Helping to Outline Pediatric Eating Disorders (HOPE) Project. The sample was split into two groups, those with (n = 38) and without (n = 247) impending psychiatric admission; Discriminant function analysis was used to examine correlates. RESULTS: The prevalence of impending psychiatric admission was 13.3%. Suicidal ideation provided the greatest discriminating power, followed by eating pathology, depressive symptoms, anxiety, multiple methods of weight control, binge eating, and family functioning. CONCLUSIONS: Earlier recognition of comorbid symptoms in eating disorders in the community may reduce the number of young people with eating disorders who present needing critical psychiatric care.