Adar Avnon1,2, Naomi Orkaby3, Arik Hadas4, Uri Berger5, Anat Brunstein Klomek6,7, Silvana Fennig8,9. 1. Child and Adolescent Psychiatric Department, Schneider Children's Medical Center, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer Sheva, Israel. 2. Joyce and Irving Goldman Medical School, Ben-Gurion University of the Negev, Beer Sheva, Israel. 3. Child and Adolescent Psychiatric Department, Schneider Children's Medical Center of Israel, Academic College of Tel-Aviv Yafo, Tel Aviv, Israel. 4. Child and Adolescent Psychiatric Department, Schneider Children Medical Center of Israel and Brill's Mental Health Center, Tel Aviv, Israel. 5. Department of Psychology and The Leslie and Susan Gonda (Goldschmied) Multidisciplinary Brain Research Center, Bar-Ilan University, 52900, Ramat-Gan, Israel. 6. Child and Adolescent Psychiatric Department, Schneider Children's Medical Center of Israel, 14 Kaplan Street, P. O. Box 559, 49202, Petach Tikvah, Israel. 7. School of Psychology, Interdisciplinary Center (IDC), Herzliya, Israel. 8. Child and Adolescent Psychiatric Department, Schneider Children's Medical Center of Israel, 14 Kaplan Street, P. O. Box 559, 49202, Petach Tikvah, Israel. silvanafen@gmail.com. 9. Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel. silvanafen@gmail.com.
Abstract
OBJECTIVE: To investigate the predictive value of weight restoration trajectories for relapse within the first year after discharge from inpatient treatment among adolescents with AN. METHODS: Forty four inpatient adolescents (5 boys, 39 girls) aged 11-18 (M 14.85, SD 1.87) diagnosed with anorexia were assessed at admission and discharge from a general hospital inpatient ward. Re-hospitalizations within 1 year of discharge were recorded. Factors assessed included 1/BMI at admission, 2/BMI at discharge, 3/percent from target weight (PFTW) at discharge, 4/length of hospitalization, and 5/a weight restoration trajectory measuring weight drops during inpatient weight restoration (rates of negative cubic variation in body weight (NCV). RESULTS: Logistic regression indicated that negative cubic variation rates (NCV) predicted re-hospitalization. PFTW was found only marginally significant. CONCLUSION: Variations in weight restoration during inpatient treatment may be used to identify patients at risk for relapse. NCV can alert clinicians to initiate early relapse prevention interventions before discharge. Level of Evidence Level III, cohort study.
OBJECTIVE: To investigate the predictive value of weight restoration trajectories for relapse within the first year after discharge from inpatient treatment among adolescents with AN. METHODS: Forty four inpatient adolescents (5 boys, 39 girls) aged 11-18 (M 14.85, SD 1.87) diagnosed with anorexia were assessed at admission and discharge from a general hospital inpatient ward. Re-hospitalizations within 1 year of discharge were recorded. Factors assessed included 1/BMI at admission, 2/BMI at discharge, 3/percent from target weight (PFTW) at discharge, 4/length of hospitalization, and 5/a weight restoration trajectory measuring weight drops during inpatient weight restoration (rates of negative cubic variation in body weight (NCV). RESULTS: Logistic regression indicated that negative cubic variation rates (NCV) predicted re-hospitalization. PFTW was found only marginally significant. CONCLUSION: Variations in weight restoration during inpatient treatment may be used to identify patients at risk for relapse. NCV can alert clinicians to initiate early relapse prevention interventions before discharge. Level of Evidence Level III, cohort study.
Authors: G Gross; J D Russell; P J Beumont; S W Touyz; P Roach; A Aslani; R D Hansen; B J Allen Journal: Ann N Y Acad Sci Date: 2000-05 Impact factor: 5.691
Authors: Jacqueline C Carter; Kimberley B Mercer-Lynn; Sarah Jane Norwood; Carmen V Bewell-Weiss; Ross D Crosby; D Blake Woodside; Marion P Olmsted Journal: Psychiatry Res Date: 2012-05-31 Impact factor: 3.222