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Longitudinal investigation of patients receiving involuntary treatment for extremely severe anorexia nervosa

dc.rights.licenseopenen_US
hal.structure.identifierHôpital Sainte-Anne [Paris]
dc.contributor.authorABRY, Florent
hal.structure.identifierHôpital Sainte-Anne [Paris]
hal.structure.identifierInstitut de psychiatrie et neurosciences de Paris [IPNP - U1266 Inserm]
dc.contributor.authorGORWOOD, Philip
hal.structure.identifierAssistance publique - Hôpitaux de Paris (AP-HP) [AP-HP]
hal.structure.identifierMICrobiologie de l'ALImentation au Service de la Santé [MICALIS]
dc.contributor.authorHANACHI, Mouna
hal.structure.identifierNeurocentre Magendie, Physiopathologie de la Plasticité Neuronale, U1215
dc.contributor.authorDI LODOVICO, Laura
dc.date.accessioned2024-01-30T12:34:10Z
dc.date.available2024-01-30T12:34:10Z
dc.date.issued2023-09-10
dc.identifier.urihttps://oskar-bordeaux.fr/handle/20.500.12278/187632
dc.description.abstractEnIntroduction: Involuntary treatment may be a life-saving option for extremely severe anorexia nervosa (AN) in the context of life-threatening conditions and refusal of care. The long-term outcomes of patients undergoing involuntary treatment for AN are poorly understood. This study aims to explore quality of life, long-term outcomes and attitudes towards involuntary treatment in patients involuntarily treated for extremely severe AN. Methods: 23 patients involuntarily admitted for extremely severe AN (I-AN), and 25 voluntarily admitted patients (V-AN) were compared for body mass index (BMI), residual symptoms, quality of life, and attitudes towards treatment almost four years after discharge. In I-AN, clinical variables were also compared between admission and follow-up. Results: At follow-up, weight restoration was higher in V-AN (p = 0.01), while differences in quality of life, BMI, and mortality rates were not significant between I-AN and V-AN (p > 0.05). In I-AN, BMI increased and weight-controlling strategies decreased at follow-up (p < 0.05). Despite negative experiences of involuntary treatment, the perception of the necessity of treatment increased from admission to follow-up (p < 0.01) and became comparable to V-AN (p > 0.05). Discussion: Involuntary treatment for AN does not appear to be a barrier to weight gain and clinical improvement, nor to long-term attitudes towards treatment. © 2023 Eating Disorders Association and John Wiley & Sons Ltd.
dc.language.isoENen_US
dc.subject.enAnorexia nervosa
dc.subject.enFeeding and eating disorders
dc.subject.enInvoluntary treatment
dc.subject.enMalnutrition
dc.subject.enPsychiatric
dc.title.enLongitudinal investigation of patients receiving involuntary treatment for extremely severe anorexia nervosa
dc.title.alternativeEur Eat Disord Reven_US
dc.typeArticle de revueen_US
dc.identifier.doi10.1002/erv.3033en_US
dc.subject.halSciences du Vivant [q-bio]/Neurosciences [q-bio.NC]en_US
dc.identifier.pubmed37690079en_US
bordeaux.journalEuropean Eating Disorders Reviewen_US
bordeaux.hal.laboratoriesNeurocentre Magendie - U1215en_US
bordeaux.institutionUniversité de Bordeauxen_US
bordeaux.institutionINSERMen_US
bordeaux.teamEndocannabinoïdes et Neuroadaptationen_US
bordeaux.peerReviewedouien_US
bordeaux.inpressnonen_US
hal.identifierhal-04426217
hal.version1
hal.date.transferred2024-01-30T12:34:12Z
hal.popularnonen_US
hal.audienceInternationaleen_US
hal.exporttrue
dc.rights.ccPas de Licence CCen_US
bordeaux.COinSctx_ver=Z39.88-2004&amp;rft_val_fmt=info:ofi/fmt:kev:mtx:journal&amp;rft.jtitle=European%20Eating%20Disorders%20Review&amp;rft.date=2023-09-10&amp;rft.au=ABRY,%20Florent&amp;GORWOOD,%20Philip&amp;HANACHI,%20Mouna&amp;DI%20LODOVICO,%20Laura&amp;rft.genre=article


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