Recovery Trajectories in Adolescent Girls with Anorexia Nervosa.

Autor: Bédard A; Centre Nutrition, Santé et Société (NUTRISS), Institut sur la Nutrition et les Aliments Fonctionnels (INAF), Université Laval, Québec, QC G1V 0A6, Canada., Bernard C; École de Psychologie, Université Laval, Québec, QC G1V 0A6, Canada., Meilleur D; Département de Psychologie, Université de Montréal, Montréal, QC H3C 3J7, Canada., Taddeo D; Centre Hospitalier Universitaire Sainte-Justine, Montréal, QC H3T 1C5, Canada., Pesant C; Hôpital Fleurimont, Centre Hospitalier Universitaire de Sherbrooke, Sherbrooke, QC J1H 5H3, Canada., Di Meglio G; Hôpital de Montréal pour Enfants/Montreal Children's Hospital, Centre Universitaire de Santé McGill, Montréal, QC H4A 3J1, Canada., Gingras N; Centre de Pédopsychiatrie, Centre Intégré Universitaire de Santé et de Services Sociaux de la Capitale-Nationale, Québec, QC G1N 2W1, Canada.; Département de Psychiatrie et de Neurosciences, Faculté de Médecine, Université Laval, Québec, QC G1V 0A6, Canada., Thibault I; Département de Psychoéducation, Université de Sherbrooke, Sherbrooke, QC J1K 2R1, Canada., Agostino H; Hôpital de Montréal pour Enfants/Montreal Children's Hospital, Centre Universitaire de Santé McGill, Montréal, QC H4A 3J1, Canada., Bélanger R; Département de Pédiatrie, Faculté de Médecine, Université Laval, Québec, QC G1V 0A6, Canada.; Centre Hospitalier Universitaire de Québec, Québec, QC G1V 4G2, Canada., Nadeau PO; Centre Hospitalier Universitaire Sainte-Justine, Montréal, QC H3T 1C5, Canada., Frappier JY; Centre Hospitalier Universitaire Sainte-Justine, Montréal, QC H3T 1C5, Canada.; Département de Pédiatrie, Faculté de Médecine, Université de Montréal, Montréal, QC H3T 1C5, Canada., Stheneur C; Centre Hospitalier Universitaire Sainte-Justine, Montréal, QC H3T 1C5, Canada.; Département de Pédiatrie, Faculté de Médecine, Université de Montréal, Montréal, QC H3T 1C5, Canada., Dufresne L; École de Psychologie, Université Laval, Québec, QC G1V 0A6, Canada., Bégin C; Centre Nutrition, Santé et Société (NUTRISS), Institut sur la Nutrition et les Aliments Fonctionnels (INAF), Université Laval, Québec, QC G1V 0A6, Canada.; École de Psychologie, Université Laval, Québec, QC G1V 0A6, Canada.
Jazyk: angličtina
Zdroj: Journal of clinical medicine [J Clin Med] 2024 Jan 29; Vol. 13 (3). Date of Electronic Publication: 2024 Jan 29.
DOI: 10.3390/jcm13030778
Abstrakt: Background: This study aimed to document recovery trajectories among adolescents with anorexia nervosa (AN) based on three markers of remission, namely changes in body weight, food restriction, and excessive exercise, and to identify predictors of these trajectories. Methods: One hundred twenty-six adolescent girls (14.7 ± 1.3 years) were recruited during initial assessment visits at specialized eating disorder (ED) programs in five University Health Centers across the province of Quebec, Canada. z-BMI and AN symptom severity (food restriction and excessive exercise) were assessed at initial assessment visits and subsequently reassessed at each quarterly follow-up over a 12-month period to identify recovery trajectories. Results: Considering the three markers of remission, three distinct trajectories emerged: Group 1, rapid responders; Group 2, gradual responders; and Group 3, unstable responders. At initial visits, a difference between groups was found regarding the type of treatment ( p = 0.01) and weight suppression ( p = 0.02). Group 1 had a higher number of youths hospitalized than Group 2 and Group 3, and a greater weight suppression than Group 3. Furthermore, individuals with atypical AN were more likely to belong to Group 2 than to Group 1 and Group 3 ( p < 0.0001). Conclusions: This study contributes to a better understanding of the heterogeneity of recovery trajectories in adolescent girls with AN.
Databáze: MEDLINE
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