» Articles » PMID: 21997338

The Outcome of Japanese Anorexia Nervosa Patients Treated with an Inpatient Therapy in an Internal Medicine Unit

Overview
Publisher Springer
Date 2011 Oct 15
PMID 21997338
Citations 7
Authors
Affiliations
Soon will be listed here.
Abstract

Objective: To investigate the outcome of Japanese anorexia nervosa (AN) patients who were treated with the standard Japanese inpatient therapy.

Method: Of the 88 female AN patients treated with our inpatient therapy between January 1997 and December 2002, 67 (76.1%) who agreed to cooperate in this study were assessed by the Global Clinical Score (GCS) at admission and follow-up, 6.3±1.8 years after discharge. Their clinical characteristics at admission and discharge were also examined.

Results: Four (6.0%) patients had died before follow-up. BMI was significantly increased during inpatient therapy. At follow-up, excellent, much improved, symptomatic, and poor outcomes on GCS were 57.1%, 14.3%, 14.3% and 14.3%, respectively. Younger age at admission and larger BMI at discharge were significantly associated with a better outcome.

Discussion: This study shows the potential for the use of this method for the treatment of AN patients in countries without specialized eating disorder units.

Citing Articles

Long-Term Outcome and Mortality in Adolescent Girls 8 Years After Treatment for Anorexia Nervosa.

Quadflieg N, Naab S, Fichter M, Voderholzer U Int J Eat Disord. 2024; 57(12):2497-2503.

PMID: 39333037 PMC: 11629067. DOI: 10.1002/eat.24299.


Effects of integrated hospital treatment on the default mode, salience, and frontal-parietal networks in anorexia nervosa: A longitudinal resting-state functional magnetic resonance imaging study.

Gondo M, Kawai K, Moriguchi Y, Hiwatashi A, Takakura S, Yoshihara K PLoS One. 2023; 18(5):e0283318.

PMID: 37253028 PMC: 10228763. DOI: 10.1371/journal.pone.0283318.


Anorexia nervosa, conduct disorder, and the juvenile justice system: a case of applying traditional treatment modalities in a non-traditional setting.

Robinovitz M, Montalto G, Afzal K, Lichtor S, Palepu S, Oaklander D Biopsychosoc Med. 2021; 15(1):26.

PMID: 34922570 PMC: 8684194. DOI: 10.1186/s13030-021-00227-w.


Very long chain fatty acids are an important marker of nutritional status in patients with anorexia nervosa: a case control study.

Shimizu M, Kawai K, Yamashita M, Shoji M, Takakura S, Hata T Biopsychosoc Med. 2020; 14:14.

PMID: 32695219 PMC: 7368782. DOI: 10.1186/s13030-020-00186-8.


Impact of a new medical network system on the efficiency of treatment for eating disorders in Japan: a retrospective observational study.

Moriya J, Kayano M, Yoshiuchi K Biopsychosoc Med. 2017; 11:27.

PMID: 29026437 PMC: 5623064. DOI: 10.1186/s13030-017-0113-9.


References
1.
Murase T, Johnson F . Naikan, Morita, and Western psychotherapy. Arch Gen Psychiatry. 1974; 31(1):121-8. DOI: 10.1001/archpsyc.1974.01760130091016. View

2.
Nozoe S, Soejima Y, Yoshioka M, Naruo T, Masuda A, Nagai N . Clinical features of patients with anorexia nervosa: assessment of factors influencing the duration of in-patient treatment. J Psychosom Res. 1995; 39(3):271-81. DOI: 10.1016/0022-3999(94)00141-q. View

3.
Fichter M, Quadflieg N, Hedlund S . Twelve-year course and outcome predictors of anorexia nervosa. Int J Eat Disord. 2005; 39(2):87-100. DOI: 10.1002/eat.20215. View

4.
Kaye W, Kaplan A, Zucker M . Treating eating-disorder patients in a managed care environment. Contemporary American issues and Canadian response. Psychiatr Clin North Am. 1996; 19(4):793-810. DOI: 10.1016/s0193-953x(05)70382-8. View

5.
Berkman N, Lohr K, Bulik C . Outcomes of eating disorders: a systematic review of the literature. Int J Eat Disord. 2007; 40(4):293-309. DOI: 10.1002/eat.20369. View