Timing of Psychopharmacological and Nutritional Interventions in the Inpatient Treatment of Anorexia Nervosa: An Observational Study
This study aims to investigate possible different outcomes in the inpatient treatment of anorexia nervosa (AN) related to different timings of psychopharmacological and nutritional interventions. A retrospective observational study was conducted, involving young patients hospitalized for AN, treated...
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MDPI AG
2021-09-01
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| Online Access: | https://www.mdpi.com/2076-3425/11/9/1242 |
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| author | Jacopo Pruccoli Martina Pelusi Giorgia Romagnoli Elisabetta Malaspina Filomena Moscano Antonia Parmeggiani |
| author_facet | Jacopo Pruccoli Martina Pelusi Giorgia Romagnoli Elisabetta Malaspina Filomena Moscano Antonia Parmeggiani |
| author_sort | Jacopo Pruccoli |
| collection | DOAJ |
| description | This study aims to investigate possible different outcomes in the inpatient treatment of anorexia nervosa (AN) related to different timings of psychopharmacological and nutritional interventions. A retrospective observational study was conducted, involving young patients hospitalized for AN, treated with naso-gastric tube feeding (NGT). Participants were divided into five groups according to early (0–7 days) or late (8+ days) introduction of atypical antipsychotics (AAP) and NGT: early AAP-early NGT (EE), early AAP-late NGT (EL), late AAP-early NGT (LE), late AAP-late NGT (LL) and a control group treated with NGT only (NGT). Concurrent clinical and treatment variables were analyzed. AN psychopathology was measured with the Eating Disorder Inventory-3 (EDI-3) EDRC score. Outcomes were assessed as admission-discharge body-mass index (BMI) improvement and length of hospital stay (LOS). Contributions of variables related to outcomes were assessed with multifactorial-analyses of variance (MANOVA). Seventy-nine patients were enrolled in the study. LOS was different among treatment groups (F (4, 75) = 5.993, <i>p</i> < 0.001), and EE patients showed lower LOS than LE (<i>p</i> < 0.001) and LL (<i>p</i> = 0.025) patients. BMI improvement was not significantly different among treatment groups but correlated negatively with age (F (1, 72) = 10.130, <i>p</i> = 0.002), and admission BMI (F (1, 72) = 14.681, <i>p</i> < 0.001). In conclusion, patients treated with early AAP and early NGT showed lower LOS than those treated with late AAP. Prognostic treatment variables should be investigated in wider samples. |
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| language | English |
| last_indexed | 2024-03-10T07:51:09Z |
| publishDate | 2021-09-01 |
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| series | Brain Sciences |
| spelling | doaj.art-54f88d5e4bcf46a59f86af9c1bd7156d2023-11-22T12:15:12ZengMDPI AGBrain Sciences2076-34252021-09-01119124210.3390/brainsci11091242Timing of Psychopharmacological and Nutritional Interventions in the Inpatient Treatment of Anorexia Nervosa: An Observational StudyJacopo Pruccoli0Martina Pelusi1Giorgia Romagnoli2Elisabetta Malaspina3Filomena Moscano4Antonia Parmeggiani5IRCCS Istituto delle Scienze Neurologiche di Bologna, Centro Regionale per i Disturbi della Nutrizione e dell’Alimentazione in Età Evolutiva, U.O. di Neuropsichiatria dell’Età Pediatrica, 40138 Bologna, ItalyIRCCS Istituto delle Scienze Neurologiche di Bologna, Centro Regionale per i Disturbi della Nutrizione e dell’Alimentazione in Età Evolutiva, U.O. di Neuropsichiatria dell’Età Pediatrica, 40138 Bologna, ItalyDipartimento di Scienze Mediche e Chirurgiche (DIMEC), Università di Bologna, 40138 Bologna, ItalyIRCCS Istituto delle Scienze Neurologiche di Bologna, Centro Regionale per i Disturbi della Nutrizione e dell’Alimentazione in Età Evolutiva, U.O. di Neuropsichiatria dell’Età Pediatrica, 40138 Bologna, ItalyIRCCS Istituto delle Scienze Neurologiche di Bologna, Centro Regionale per i Disturbi della Nutrizione e dell’Alimentazione in Età Evolutiva, U.O. di Neuropsichiatria dell’Età Pediatrica, 40138 Bologna, ItalyIRCCS Istituto delle Scienze Neurologiche di Bologna, Centro Regionale per i Disturbi della Nutrizione e dell’Alimentazione in Età Evolutiva, U.O. di Neuropsichiatria dell’Età Pediatrica, 40138 Bologna, ItalyThis study aims to investigate possible different outcomes in the inpatient treatment of anorexia nervosa (AN) related to different timings of psychopharmacological and nutritional interventions. A retrospective observational study was conducted, involving young patients hospitalized for AN, treated with naso-gastric tube feeding (NGT). Participants were divided into five groups according to early (0–7 days) or late (8+ days) introduction of atypical antipsychotics (AAP) and NGT: early AAP-early NGT (EE), early AAP-late NGT (EL), late AAP-early NGT (LE), late AAP-late NGT (LL) and a control group treated with NGT only (NGT). Concurrent clinical and treatment variables were analyzed. AN psychopathology was measured with the Eating Disorder Inventory-3 (EDI-3) EDRC score. Outcomes were assessed as admission-discharge body-mass index (BMI) improvement and length of hospital stay (LOS). Contributions of variables related to outcomes were assessed with multifactorial-analyses of variance (MANOVA). Seventy-nine patients were enrolled in the study. LOS was different among treatment groups (F (4, 75) = 5.993, <i>p</i> < 0.001), and EE patients showed lower LOS than LE (<i>p</i> < 0.001) and LL (<i>p</i> = 0.025) patients. BMI improvement was not significantly different among treatment groups but correlated negatively with age (F (1, 72) = 10.130, <i>p</i> = 0.002), and admission BMI (F (1, 72) = 14.681, <i>p</i> < 0.001). In conclusion, patients treated with early AAP and early NGT showed lower LOS than those treated with late AAP. Prognostic treatment variables should be investigated in wider samples.https://www.mdpi.com/2076-3425/11/9/1242antipsychoticsnaso-gastric tubeanorexia nervosafeeding and eating disorderstimingchildhood |
| spellingShingle | Jacopo Pruccoli Martina Pelusi Giorgia Romagnoli Elisabetta Malaspina Filomena Moscano Antonia Parmeggiani Timing of Psychopharmacological and Nutritional Interventions in the Inpatient Treatment of Anorexia Nervosa: An Observational Study Brain Sciences antipsychotics naso-gastric tube anorexia nervosa feeding and eating disorders timing childhood |
| title | Timing of Psychopharmacological and Nutritional Interventions in the Inpatient Treatment of Anorexia Nervosa: An Observational Study |
| title_full | Timing of Psychopharmacological and Nutritional Interventions in the Inpatient Treatment of Anorexia Nervosa: An Observational Study |
| title_fullStr | Timing of Psychopharmacological and Nutritional Interventions in the Inpatient Treatment of Anorexia Nervosa: An Observational Study |
| title_full_unstemmed | Timing of Psychopharmacological and Nutritional Interventions in the Inpatient Treatment of Anorexia Nervosa: An Observational Study |
| title_short | Timing of Psychopharmacological and Nutritional Interventions in the Inpatient Treatment of Anorexia Nervosa: An Observational Study |
| title_sort | timing of psychopharmacological and nutritional interventions in the inpatient treatment of anorexia nervosa an observational study |
| topic | antipsychotics naso-gastric tube anorexia nervosa feeding and eating disorders timing childhood |
| url | https://www.mdpi.com/2076-3425/11/9/1242 |
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