Predictors of Readmission in Hospitalized Anorexia Nervosa Patients

摘要: Objective: Managed care practices that limit access to and duration of treatment conflict with established standards for patients anorexia nervosa (AN). However, there is little information about how abbreviated lengths hospitalization relate the need rehospitalization, one indicator unfavorable outcome. This dissertation describes demographic clinical features who require multiple psychiatric hospitalizations AN identifies patient characteristics predict both likelihood time readmission in current environment. Method: One-hundred-forty-seven a primary diagnosis hospitalized on specialized eating disorders unit completed self-report questionnaires measuring symptoms, mood, personality functioning at admission discharge. Medical record reviews yielded demographic, historical, inpatient course information. records were later reviewed determine which 147 had been readmitted same facility within 3 years their index admission. Multivariate logistic regression analysis was used evaluate prediction status. Cox survival techniques readmission. Parallel analyses conducted full sample (n = 147) subsample (n=107) not discharged against medical advice (i.e., received an adequate dose treatment). Results: Twenty-seven percent 31% Body dissatisfaction mood disorder discharge best predicted group treatment. Discussion: The observed predictors differ from those typically associated AN. findings highlight centrality psychopathological aspects comorbid disorder, they suggest refine interventions more specifically target psychological distress body image disturbances disorder. More broadly, further extent managed environment affecting outcomes.