Is inpatient treatment effective for eating disorders in adolescents? Retrospective analysis of a general inpatient psychiatric unit for children and adolescents

Q4 Medicine Yeni Symposium Pub Date : 2019-01-01 DOI:10.5455/nys.20190523100009
Burcu Serim Demirgören, A. Özbek, B. Şen, Oğuzhan Şimşek, T. Guvenir
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Abstract

Date of accept: 09 July 2019 ABSTRACT Objective: Our study investigated the improvement of the adolescents with eating disorders who have received inpatient treatment at a general psychiatric inpatient unit for children and adolescents. The unit provides milieu therapy in conjunction with medical and other therapeutic interventions in accordance with patients’ needs. Method: All of the adolescents diagnosed with Anorexia Nervosa, Bulimia Nervosa and Binge Eating Disorder according to DSM-IV and received inpatient treatment at the unit between the years 2005-2018 were recruited. Sociodemographic and family variables, individual and familial risks, presence of comorbid psychiatric diagnosis, the duration of treatment, The Children’s Global Assessment Scale (CGAS) and Health of the Nation Outcome Scales-Children and Adolescents (HONOSCA-TR) scores at admission and discharge were retrospectively collected. Results: A total of 19 adolescents were included in the study. Results demonstrated that average duration of stay at the unit was 70.31±19.12 (Mean±SD) days. General functionality measured by the CGAS significantly increased from admission to discharge following psychiatric inpatient treatment. Moreover, there were significant improvement in adolescents with eating disorders as indicated with all of the HONOSCA-TR subscales. Conclusion: These results implicate that long enough inpatient milieu therapy applied with multidisciplinary and multidimensional perspectives might have fostered the improvement of severely affected adolescents with eating disorders.
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住院治疗对青少年饮食失调有效吗?回顾性分析儿童和青少年普通精神科住院病人
摘要目的:本研究探讨在某儿童青少年普通精神科住院治疗的青少年饮食失调患者的改善情况。该单位根据病人的需要,结合医疗和其他治疗措施,提供环境治疗。方法:招募2005-2018年间在该单位接受住院治疗的所有根据DSM-IV诊断为神经性厌食症、神经性贪食症和暴食症的青少年。回顾性收集入院和出院时的社会人口学和家庭变量、个人和家庭风险、共病精神诊断的存在、治疗持续时间、儿童总体评估量表(CGAS)和国家健康结局量表-儿童和青少年(HONOSCA-TR)评分。结果:共纳入19名青少年。结果显示,平均住院时间为70.31±19.12 (Mean±SD)天。精神科住院治疗后,从入院到出院,CGAS测量的一般功能显著增加。此外,所有HONOSCA-TR亚量表都显示,患有饮食失调的青少年有显著改善。结论:从多学科和多维角度进行长期住院环境治疗可能有助于改善严重影响的青少年饮食失调。
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Yeni Symposium
Yeni Symposium Medicine-Neurology (clinical)
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