There was no superiority of a specific approach .
Weight gains were more rapid in adolescents and inpatient treatment .
Background : The aim of the study was a systematic review of studies evaluating psychotherapeutic treatment approaches in anorexia nervosa and to compare their efficacy .
Weight gain was chosen as the primary outcome criterion .
We also aim ed to compare treatment effects according to service level ( inpatient vs. outpatient ) and age group ( adolescents vs. adults ) .
A multi-centre cohort study of short term outcomes of hospital treatment for anorexia nervosa in the UK
Background Individual , family and service level characteristics and outcomes are described for adult and adolescent patients receiving specialist inpatient or day patient treatment for anorexia nervosa ( AN ) . Potential predictors of treatment outcome are explored . Method Admission and discharge data were collected from patients admitted at 14 UK hospital treatment units for AN over a period of three years ( adult units N = 12 ; adolescent N = 2 ) ( patients N = 177 ) . Results One hundred and seventy-seven patients with a severe and enduring illness with wide functional impairment took part in the study . Following inpatient care , physical improvement was moderate/good with a large increase in BMI , although most patients continued to have a clinical level of eating disorder symptoms at discharge . The potentially modifiable predictors of outcome included confidence to change , social functioning and carer expressed emotion and control . Conclusions Overall , the response to inpatient treatment was modest particularly in the group with a severe enduring form of illness . Adolescents had a better response . Although inpatient treatment produces an improvement in physical health there was less improvement in other eating disorder and mood symptoms . As predicted by the carer interpersonal maintenance model , carer behaviour may influence the response to inpatient care , as may improved social functioning and confidence to change
There was no superiority of a specific approach .
Weight gains were more rapid in adolescents and inpatient treatment .
Background : The aim of the study was a systematic review of studies evaluating psychotherapeutic treatment approaches in anorexia nervosa and to compare their efficacy .
Weight gain was chosen as the primary outcome criterion .
We also aim ed to compare treatment effects according to service level ( inpatient vs. outpatient ) and age group ( adolescents vs. adults ) .