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Prediction of weight increase in anorexia nervosa
Örebro University, School of Health and Medical Sciences, Örebro University, Sweden. Queen Silvia Children´s Hospital, Göteborg, Sweden.
Karolinska Institute, Stockholm, Sweden; Resource Ctr Eating Disorders, Stockholm, Sweden.
Örebro University, School of Health and Medical Sciences, Örebro University, Sweden.
2013 (English)In: Nordic Journal of Psychiatry, ISSN 0803-9488, E-ISSN 1502-4725, Vol. 67, no 6, p. 424-432Article in journal (Refereed) Published
Abstract [en]

Background: Anorexia nervosa (AN) is a serious psychiatric disorder with high mortality rates a poor outcome and no empirically supported treatment of choice for adults. Weight increase is essential for recovery from AN why research exploring important contributors is crucial.

Aims: The current study examined the importance of motivation to change eating behaviour, treatment expectations and experiences, eating disorder symptomatology, self-image and treatment alliance for predicting weight increase. Methods: Female patients (n = 89) between 18 and 46 years of age with Lambda N were assessed pre-treatment and at 6- and 36-month follow-ups with interviews and self-report questionnaires. At the 6-month follow-up the response rates differed from n = 58 (65%) to 66 (74%), and at the 36-month follow-up the response rates differed from n = 71 (80%) to 82 (92%).

Results: At treatment start, expressed motivation to change eating habits, social insecurity and self-neglect were predictors of weight increase from 0 to 6 months, while duration, the time from onset to entering treatment, body dissatisfaction and interoceptive awareness were predictors of weight increase from 0 to 36 months.

Conclusions: In designing treatment for adult patients with AN, it is essential to include multifaceted interventions addressed to patients' motivation to change, social relations, negative self-image and body dissatisfaction in order to achieve weight increase. Early detection and thereby short duration is an additional important factor that contributes to weight increase.

Place, publisher, year, edition, pages
2013. Vol. 67, no 6, p. 424-432
Keywords [en]
Anorexia nervosa, Eating disorders, Predictors, Weight increase
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:oru:diva-32920DOI: 10.3109/08039488.2012.754051ISI: 000327248900008OAI: oai:DiVA.org:oru-32920DiVA, id: diva2:683280
Available from: 2014-01-03 Created: 2014-01-03 Last updated: 2017-12-06Bibliographically approved

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Paulson Karlsson, GunillaNevonen, Lauri

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