The outcome of Japanese anorexia nervosa patients treated with an inpatient therapy in an internal medicine unit

Eat Weight Disord. 2012 Mar;17(1):e1-8. doi: 10.3275/8034. Epub 2011 Oct 12.

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.

MeSH terms

  • Adolescent
  • Adult
  • Age Factors
  • Anorexia Nervosa / mortality
  • Anorexia Nervosa / therapy*
  • Body Mass Index
  • Cognitive Behavioral Therapy / methods*
  • Female
  • Follow-Up Studies
  • Hospital Units
  • Humans
  • Inpatients*
  • Internal Medicine
  • Japan / epidemiology
  • Risk Factors
  • Treatment Outcome