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      Inpatients with severe-enduring anorexia nervosa: Understanding the “enduringness” specifier

      research-article
      , , , *
      European Psychiatry
      Cambridge University Press
      eating disorders, hospitalization, quality of life, severe-enduring, stages of change

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          Abstract

          Background

          Despite the need for a common definition of severe and enduring anorexia nervosa (SE-AN) with the overarching goal to optimize treatments, this definition still is being debated. Therefore, in this study we conducted an in-depth investigation of the history of AN and its clinical outcomes on inpatients with AN to ascertain the eventual “profiles” for individuals with varying durations of the illness (DOI).

          Methods

          We recruited 169 inpatients with AN, grouping them according to DOI: <3 years (short duration, SD-AN); 3–6.99 years (medium duration, MD-AN); and ≥7 years (long duration, LD-AN). We then performed a self-report and interview-based investigation of AN history, clinical data, eating, and general psychopathology, including personality, premorbid traits, stage of change, and quality of life. We measured the clinical outcomes for hospitalization as well.

          Results

          The majority of the measures did not differ across groups. Those with LD-AN were older and diagnosed mostly with the binge-purging AN subtype, failed more previous AN-related treatments, reported a lower lifetime body mass index, and trended toward a younger age at onset when compared to the other groups. All patients responded equally well to hospitalization, but patients with SD-AN improved less in drive for thinness and body-related concerns.

          Conclusions

          We did not find the “enduringness” of AN to be a specifier of severity. Hospitalization was effective for those with LD-AN and MD-AN, while interventions for the core cognitive aspects of over-evaluation of body shape should be offered to patients with SD-AN.

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          Most cited references51

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          A RATING SCALE FOR DEPRESSION

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            An inventory for measuring depression.

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                Author and article information

                Journal
                Eur Psychiatry
                Eur Psychiatry
                EPA
                European Psychiatry
                Cambridge University Press (Cambridge, UK )
                0924-9338
                1778-3585
                2021
                21 June 2021
                : 64
                : 1
                : e44
                Affiliations
                [1] Eating Disorders Center, Department of Neuroscience “Rita Levi Montalcini”, University of Turin , Turin, Italy
                Author notes
                [* ] Author for correspondence: Giovanni Abbate-Daga, E-mail: giovanni.abbatedaga@ 123456unito.it
                Author information
                https://orcid.org/0000-0003-1328-9678
                https://orcid.org/0000-0001-8877-0138
                https://orcid.org/0000-0002-5826-5664
                Article
                S0924933821022185
                10.1192/j.eurpsy.2021.2218
                8278247
                34254574
                8da8af20-a0dc-41c2-b9e3-de8c9d06e494
                © The Author(s) 2021

                This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence ( http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : 26 January 2021
                : 05 May 2021
                : 12 June 2021
                Page count
                Figures: 1, Tables: 4, References: 51, Pages: 10
                Categories
                Research Article

                Clinical Psychology & Psychiatry
                eating disorders,hospitalization,quality of life,severe-enduring,stages of change

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