Readiness to recover in adolescent anorexia nervosa: prediction of hospital admission
Version of Record online: 1 OCT 2004
Journal of Child Psychology and Psychiatry
Volume 46, Issue 4, pages 394–400, April 2005
How to Cite
Ametller, L., Castro, J., Serrano, E., Martínez, E. and Toro, J. (2005), Readiness to recover in adolescent anorexia nervosa: prediction of hospital admission. Journal of Child Psychology and Psychiatry, 46: 394–400. doi: 10.1111/j.1469-7610.2004.00360.x
- Issue online: 16 MAR 2005
- Version of Record online: 1 OCT 2004
- Manuscript accepted 18 March 2004
- Anorexia nervosa;
- readiness to recover;
- prediction of admission
Objectives: To determine if motivation to change in anorexia nervosa during treatment is a predictor of hospitalisation in adolescent patients.
Method: The Anorexia Nervosa Stages of Change Questionnaire (ANSOCQ), the Eating Disorders Inventory-2 (EDI-2) and the Beck Depression Inventory (BDI) were administered to a group of 70 anorexia nervosa patients (mean age 15.6 years). They were all receiving treatment at a specialised Eating Disorder Unit and were at different points in the treatment programme. Admission during 6–9 month follow-up was recorded in 63 of these patients who had been admitted to the Unit. The other 7 patients were contacted by phone to determine if they had been hospitalised in another unit during the follow-up period.
Results: Patients who needed hospital admission during follow-up had higher mean scores at first evaluation on some of the EDI-2 scales and on the BDI, lower ANSOCQ scores and were more likely to have been outpatients at first evaluation. In the logistic regression analysis a low ANSOCQ score and being an outpatient at first evaluation were shown to be independent predictors of hospitalisation during follow-up.
Conclusions: Low motivation to change, depressive symptomatology and some EDI-2 scales are related to the necessity of hospital admission in adolescent patients with anorexia nervosa.