Journal
INTERNATIONAL JOURNAL OF EATING DISORDERS
Volume 48, Issue 7, Pages 919-922Publisher
WILEY
DOI: 10.1002/eat.22414
Keywords
anorexia nervosa; adolescent; early weight gain; outpatient treatment; family-based treatment; treatment optimization; long-term outcomes
Funding
- National Health and Medical Research Council of Australia (NHMRC) [457235]
Ask authors/readers for more resources
ObjectiveTo Identify whether early weight gain in family-based treatment (FBT) predicted greater weight and remission at end of FBT and 12-month follow-up. MethodEighty-two adolescents, with anorexia nervosa, participated in a randomized control trial comparing brief hospitalization for medical stabilization and hospitalization for weight restoration to 90% expected body weight (EBW) (1:1), followed by 20 sessions of FBT. Sixty-nine completed trial protocol. Receiver operating characteristic analyses were conducted investigating whether early weight-gain in FBT predicted outcomes at end of FBT and 12-month follow-up. Participants were analyzed according to their original randomization and as a combined set. Binary logistic regression was used to control for randomization arm effect in combined set analysis. ResultsWeight gain greater than 1.8 kg at FBT Session 4 predicted greater %EBW (99.18 SD=6.93 vs. 92.79 SD=7.74, p<.05) and remission at end of FBT (46% vs. 11%, p<.05) and at 12-month follow-up (64% vs. 36%, p=.05). Binary logistic regression confirmed weight gain greater than 1.8 kg predicted remission (p<.05) while treatment arm randomization did not add significantly to the model. DiscussionEarly weight gain has potential to distinguish likely responders in FBT from those who may need more intensive intervention to achieve remission offering the potential to improve outcomes. (c) 2015 Wiley Periodicals, Inc (Int J Eat Disord 2015; 48:919-922).
Authors
I am an author on this paper
Click your name to claim this paper and add it to your profile.
Reviews
Recommended
No Data Available