A retrospective review of anorexia nervosa patients since discharge.
Research type
Research Study
Full title
A retrospective review of the course of anorexia nervosa patients' condition and current clinical state of those discharged from inpatient and day patient services more than 2 years previously.
IRAS ID
171500
Contact name
Paul Robinson
Contact email
Sponsor organisation
Barnet Enfield and Haringey Mental Health Trust
Duration of Study in the UK
1 years, 0 months, 1 days
Research summary
Anorexia Nervosa is a disease that results in extreme weight loss due to an intense fear of gaining weight, without any relation to organic disease (Kawai, Yamashita, Korari, Shimizu, Nakashima et al, 2014). Most of Anorexia Nervosa’s pathophysiology complications are reversible following improved nutritional status, however some physical complications can be life threatening (Treasure, Claudio & Zucker, 2010). Weight gain during treatment and maintenance of weight gain have been found to be important prognostic factors (Kaplan et al, 2009)Although inpatient services are proposed to be the most effective way of improving Anorexia Nervosa prognosis, recent state of the art studies have suggested that treatment of Anorexia Nervosa in various settings: outpatient, inpatient and day patient services are effective (Schmidt et al, 2012). Marshall et al, (2011) carried out a meta-analysis of day patient care versus inpatient care in patient with acute psychiatric disorders (including eating disorders). The study concluded lower costs but equal outcomes with respect to readmission, quality of life and treatment satisfaction. Herpertz-Dahlmann et al, (2014) concluded that day care patient care in adolescent patients with non-chronic Anorexia Nervosa seems no less effective than inpatient care for weight restoration and maintenance during the first year after admission. Therefore it has been suggested that for patients who are younger, have shorter duration of illness and better motivation, a day care programme might be a safe and less costly alternative to inpatient care (Herpertz-Dahlmann, 2014).
In this study, the clinical state, treatment and re-admission rate of patients discharged from St Ann’s inpatient ward and day patient services will be assessed. Patient satisfactory will be rated and health economic measures will be used to look at costs of both types of care. This will be a unique study as studies usual choose to focus on the one specific area of care. The inclusion of the health economic measure also adds to the literature in this area.REC name
North West - Greater Manchester East Research Ethics Committee
REC reference
15/NW/0129
Date of REC Opinion
25 Feb 2015
REC opinion
Unfavourable Opinion