AUTHOR=Datta Nandini , Matheson Brittany E. , Le Grange Daniel , Brandt Harry A. , Woodside Blake , Halmi Katherine A. , Wilfley Denise E. , Lock James D. 

TITLE=Exploring Differences in the Role of Hospitalization on Weight Gain Based on Treatment Type From Randomized Clinical Trials for Adolescent Anorexia Nervosa

JOURNAL=Frontiers in Psychiatry

VOLUME=11

YEAR=2020

URL=https://www.frontiersin.org/journals/psychiatry/articles/10.3389/fpsyt.2020.609675

DOI=10.3389/fpsyt.2020.609675

ISSN=1664-0640

ABSTRACT=<p><bold>Background:</bold> This study explores the impact of weight gain during medical stabilization hospitalization on weight outcomes between three outpatient treatments for adolescent anorexia nervosa (AN): Adolescent Focused Therapy (AFT), Systemic Family Therapy (SyFT), and Family Based Treatment (FBT).</p><p><bold>Methods:</bold> A secondary analysis of weight gain data (<italic>N</italic> = 215) of adolescents (12–18 years) meeting DSM-IV criteria for AN (exclusive of amenorrhea criteria) who participated in two randomized clinical trials (RCTs) was conducted. Main outcomes examined were changes in weight restoration (≥95% expected body weight or EBW) and differences in weight change attributable to hospital weight gain.</p><p><bold>Results:</bold> Weight gain resulting from hospitalizations did not substantially change weight recovery rates. Hospital weight gain contributed most to overall treatment weight gain in AFT compared to FBT and SyFT.</p><p><bold>Conclusion:</bold> Brief medical stabilization weight gain does not contribute substantially to weight recovery in adolescents with AN who participated in RCTs.</p>