Acute Treatment Outcomes and Family Functioning of Children and Adolescents Diagnosed with Anorexia Nervosa

Show full item record

Title: Acute Treatment Outcomes and Family Functioning of Children and Adolescents Diagnosed with Anorexia Nervosa
Author: Hetrick, Maryann O.
Abstract: Recent studies have suggested that there is a relationship between treatment outcomes and baseline factors related to family functioning and specific eating disorder symptoms . However , these relationships have not been studied extensively within a pediatric population hospitalized for treatment . Therefore , it is unknown whether these relationships exist within an acutely ill population and whether these baseline characteristics improve significantly immediately following acute hospitalization . Given these limitations , the aims of the present study were to identify aspects of family functioning and eating cognitions and attitudes at admission that predict outcome at discharge , and evaluate what aspects of family functioning and eating cognitions and attitudes improve during an acute treatment period . The sample consisted of 41 patients diagnosed with anorexia nervosa or eating disorder not otherwise specified between the ages of 10 and 17 years . At admission , all patients were administered a structured clinical interview to obtain valid psychiatric diagnoses . Additionally , patients completed self -report measures of eating cognitions , eating attitudes , and family functioning ; while parents completed a self -report measure of family functioning . Families also participated in a standardized clinician -rated observational measure of family functioning . All measures were re -administered at discharge , and the patient's body mass index (BMI ) at admission and discharge were obtained from the medical record . The attrition rate from intake to discharge for this study was 26 .8 % . Overall , it appeared that parents and patients perceived their families to be healthy at intake , with little improvements noted over the course of treatment . However , standardized observations characterized these families as being affectively avoidant . Additionally , parental perception of adaptive family functioning at intake was predictive of outcome based upon the unit psychiatrist's assessment , and patient perception of healthy familial Expressiveness at intake was predictive of outcome based upon pathological eating attitudes . BMI and eating attitudes based upon eating behavior during treatment improved significantly over the course of treatment . However , patients continued to endorse unhealthy eating cognitions at discharge . These results suggest that weight restoration and pathological eating behavior are the first symptoms to improve during an aggressive treatment period , and psychological symptoms may require a longer period of treatment to remit .
URI: http : / /hdl .handle .net /2152 .5 /332
Date: 2006-08-11

Citation

Acute Treatment Outcomes and Family Functioning of Children and Adolescents Diagnosed with Anorexia Nervosa. Graduate School of Biomedical Sciences. Available electronically from http : / /hdl .handle .net /2152 .5 /332 .

Files in this item

Files Size Format View
hetrickmaryann.pdf 881.1Kb application/pdf View/Open

This item appears in the following Collection(s)

Show full item record

Search DSpace

Advanced Search

Browse