Document Detail


Readiness for change and short-term outcomes of female adolescents in residential treatment for anorexia nervosa.
MedLine Citation:
PMID:  17610253     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To determine if readiness for change (RFC) at admission predicted length of stay (LOS) and short-term outcomes among female adolescents in residential treatment for anorexia nervosa (AN).
METHOD: Using a prospective cohort design to collect data from participants (N = 65) at admission and discharge, Kaplan-Meier survival analysis and Cox regression tested whether RFC on admission predicted time in LOS to a favorable short-term outcome--a composite endpoint based on minimum criteria for weight gain, drive for thinness, depression, anxiety, and health-related quality of life (HRQOL).
RESULTS: Participants with low RFC had a mean survival time to a favorable short-term outcome of 59.4 days compared to 34.1 days for those with high RFC (log rank = 8.44, df = 1, p = .003). The probability of a favorable short-term outcome was 5.30 times greater for participants with high RFC.
CONCLUSION: Readiness for change is a useful predictor of a favorable short-term outcome and should be considered in the assessment profile of patients with AN.
Authors:
Matthew D McHugh
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural    
Journal Detail:
Title:  The International journal of eating disorders     Volume:  40     ISSN:  0276-3478     ISO Abbreviation:  Int J Eat Disord     Publication Date:  2007 Nov 
Date Detail:
Created Date:  2007-10-08     Completed Date:  2008-01-22     Revised Date:  2014-09-15    
Medline Journal Info:
Nlm Unique ID:  8111226     Medline TA:  Int J Eat Disord     Country:  United States    
Other Details:
Languages:  eng     Pagination:  602-12     Citation Subset:  IM    
Copyright Information:
(c) 2007 by Wiley Periodicals, Inc.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Anorexia Nervosa / psychology,  therapy*
Female
Hospitalization
Humans
Kaplan-Meier Estimate
Length of Stay
Models, Psychological
Motivation*
Philadelphia
Proportional Hazards Models
Treatment Outcome
Weight Gain
Grant Support
ID/Acronym/Agency:
P30 NR 005043/NR/NINR NIH HHS; P30 NR005043/NR/NINR NIH HHS; T32 NR 007104/NR/NINR NIH HHS; T32 NR007104/NR/NINR NIH HHS; T32 NR007104-08/NR/NINR NIH HHS

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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