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Inpatient treatment has no impact on the core thoughts and perceptions in adolescents with anorexia nervosa.
Early Interv Psychiatry. 2017 06; 11(3):200-207.EI

Abstract

AIM

Examine changes in core perceptions and thoughts during the weight restoration phase of inpatient treatment for adolescents with anorexia nervosa.

METHOD

Forty-four adolescents with anorexia nervosa consecutively admitted (2009-2012) to an inpatient paediatric-psychiatric unit specializing in eating disorders. The programme consisted of a complete inpatient intervention combining weight restoration by structured supervised meals with individual and group cognitive-behavioural therapy, parental training/family intervention and educational activities, followed by a half-way day-treatment weight-stabilizing phase and progressive reintroduction to the community. The study focused on changes from hospital admission to discharge in patients' responses to self-report questionnaires on eating disorder symptoms, depression, anxiety and suicidal ideation.

RESULTS

No significant changes in core anorexic thoughts and perceptions as Body dissatisfaction, Drive for thinness, Weight concern and Shape concern were noted. However, a reduction in the general severity of eating disorder symptoms (including Restraint and Eating concern) was observed, mainly related to the treatment structure. Levels of depression significantly decreased but remained within pathological range. We also found a concerning increase in suicidal ideation not correlated with a concomitant increase in depressive symptomatology.

CONCLUSIONS

Inpatient treatment of anorexia nervosa in adolescents does not significantly modify core anorexic thoughts and perceptions. This may explain the high relapse rates. Changes in core beliefs may be crucial for recovery and prevention of relapse in anorexia nervosa at this critical age. This study may have clinical implications for the development of better treatment strategies to target the gap between disturbed thoughts and distorted perceptions - the core aspects of anorexia nervosa and physical recovery during and after the weight restoration phase.

Authors+Show Affiliations

Child and Adolescent Psychiatric Unit, Schneider Children's Medical Center of Israel, Petach Tikva, Israel. Feinberg Child Study Center, Schneider Children's Medical Center of Israel, Petach Tikva, Israel. Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel.Child and Adolescent Psychiatric Unit, Schneider Children's Medical Center of Israel, Petach Tikva, Israel. Feinberg Child Study Center, Schneider Children's Medical Center of Israel, Petach Tikva, Israel. School of Psychology, The Interdisciplinary Center (IDC), Herzliya, Israel.School of Psychology, The Interdisciplinary Center (IDC), Herzliya, Israel.Child and Adolescent Psychiatric Unit, Schneider Children's Medical Center of Israel, Petach Tikva, Israel.Child and Adolescent Psychiatric Unit, Schneider Children's Medical Center of Israel, Petach Tikva, Israel. Feinberg Child Study Center, Schneider Children's Medical Center of Israel, Petach Tikva, Israel.

Pub Type(s)

Clinical Trial
Journal Article

Language

eng

PubMed ID

25808049

Citation

Fennig, Silvana, et al. "Inpatient Treatment Has No Impact On the Core Thoughts and Perceptions in Adolescents With Anorexia Nervosa." Early Intervention in Psychiatry, vol. 11, no. 3, 2017, pp. 200-207.
Fennig S, Brunstein Klomek A, Shahar B, et al. Inpatient treatment has no impact on the core thoughts and perceptions in adolescents with anorexia nervosa. Early Interv Psychiatry. 2017;11(3):200-207.
Fennig, S., Brunstein Klomek, A., Shahar, B., Sarel-Michnik, Z., & Hadas, A. (2017). Inpatient treatment has no impact on the core thoughts and perceptions in adolescents with anorexia nervosa. Early Intervention in Psychiatry, 11(3), 200-207. https://doi.org/10.1111/eip.12234
Fennig S, et al. Inpatient Treatment Has No Impact On the Core Thoughts and Perceptions in Adolescents With Anorexia Nervosa. Early Interv Psychiatry. 2017;11(3):200-207. PubMed PMID: 25808049.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Inpatient treatment has no impact on the core thoughts and perceptions in adolescents with anorexia nervosa. AU - Fennig,Silvana, AU - Brunstein Klomek,Anat, AU - Shahar,Ben, AU - Sarel-Michnik,Zohar, AU - Hadas,Arie, Y1 - 2015/03/24/ PY - 2014/12/08/received PY - 2015/02/16/accepted PY - 2015/3/27/pubmed PY - 2018/9/12/medline PY - 2015/3/27/entrez KW - adolescent KW - anorexia nervosa KW - core symptom and perception KW - inpatient SP - 200 EP - 207 JF - Early intervention in psychiatry JO - Early Interv Psychiatry VL - 11 IS - 3 N2 - AIM: Examine changes in core perceptions and thoughts during the weight restoration phase of inpatient treatment for adolescents with anorexia nervosa. METHOD: Forty-four adolescents with anorexia nervosa consecutively admitted (2009-2012) to an inpatient paediatric-psychiatric unit specializing in eating disorders. The programme consisted of a complete inpatient intervention combining weight restoration by structured supervised meals with individual and group cognitive-behavioural therapy, parental training/family intervention and educational activities, followed by a half-way day-treatment weight-stabilizing phase and progressive reintroduction to the community. The study focused on changes from hospital admission to discharge in patients' responses to self-report questionnaires on eating disorder symptoms, depression, anxiety and suicidal ideation. RESULTS: No significant changes in core anorexic thoughts and perceptions as Body dissatisfaction, Drive for thinness, Weight concern and Shape concern were noted. However, a reduction in the general severity of eating disorder symptoms (including Restraint and Eating concern) was observed, mainly related to the treatment structure. Levels of depression significantly decreased but remained within pathological range. We also found a concerning increase in suicidal ideation not correlated with a concomitant increase in depressive symptomatology. CONCLUSIONS: Inpatient treatment of anorexia nervosa in adolescents does not significantly modify core anorexic thoughts and perceptions. This may explain the high relapse rates. Changes in core beliefs may be crucial for recovery and prevention of relapse in anorexia nervosa at this critical age. This study may have clinical implications for the development of better treatment strategies to target the gap between disturbed thoughts and distorted perceptions - the core aspects of anorexia nervosa and physical recovery during and after the weight restoration phase. SN - 1751-7893 UR - https://www.unboundmedicine.com/medline/citation/25808049/Inpatient_treatment_has_no_impact_on_the_core_thoughts_and_perceptions_in_adolescents_with_anorexia_nervosa_ L2 - https://doi.org/10.1111/eip.12234 DB - PRIME DP - Unbound Medicine ER -