Physical restraint during inpatient treatment of adolescent anorexia nervosa: frequency, clinical correlates, and associations with outcome at five-year follow-up
Abstract Background Studies of the use and effects of physical restraint in anorexia nervosa (AN) treatment are lacking. The purpose of this study was to describe the frequency of physical restraint in a specialized program for adolescents with AN, and to examine if meal-related physical restraint (...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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BMC
2020-06-01
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| Series: | Journal of Eating Disorders |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s40337-020-00297-1 |
| _version_ | 1797935760367681536 |
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| author | Thomas Blikshavn Inger Halvorsen Øyvind Rø |
| author_facet | Thomas Blikshavn Inger Halvorsen Øyvind Rø |
| author_sort | Thomas Blikshavn |
| collection | DOAJ |
| description | Abstract Background Studies of the use and effects of physical restraint in anorexia nervosa (AN) treatment are lacking. The purpose of this study was to describe the frequency of physical restraint in a specialized program for adolescents with AN, and to examine if meal-related physical restraint (forced nasogastric tube-feeding) was related to 5-year outcome. Method Thirty-eight (66% of 58) patients with AN (mean age 15.9, SD = 1.9) admitted to a regional, specialized adolescent eating disorders (ED) inpatient unit. Patient data, including restraint episodes, were obtained from hospital records, and outcome was assessed at a 5-year follow-up. Results A total of 201 restraint episodes occurred over 5513 days of inpatient treatment, including 109 meal-related episodes and 56 episodes to avoid self-harm. Twelve (32%) patients experienced at least one restraint episode during the admission, of which eight (21%) experienced meal-related restraint. Four patients represented 91% of all restraint episodes, experiencing 10 or more episodes during admission. Meal-related restraint was significantly associated with a higher rate of persisting ED diagnosis, but not with weight gain during admission, EDE-Q global score or BMI at follow-up. Conclusions Restraint episodes occurred rather infrequently. A small number of patients (n = 4) accounted for a high proportion of episodes (91%). More knowledge is important to reduce the need for restraint in treatment for AN. |
| first_indexed | 2024-04-10T18:20:14Z |
| format | Article |
| id | doaj.art-7c5ca945ec0e4cceb6a6a0e3d1b0093b |
| institution | Directory Open Access Journal |
| issn | 2050-2974 |
| language | English |
| last_indexed | 2024-04-10T18:20:14Z |
| publishDate | 2020-06-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Eating Disorders |
| spelling | doaj.art-7c5ca945ec0e4cceb6a6a0e3d1b0093b2023-02-02T07:19:15ZengBMCJournal of Eating Disorders2050-29742020-06-018111010.1186/s40337-020-00297-1Physical restraint during inpatient treatment of adolescent anorexia nervosa: frequency, clinical correlates, and associations with outcome at five-year follow-upThomas Blikshavn0Inger Halvorsen1Øyvind Rø2Regional Department for Eating Disorders, Division of Mental Health and Addiction, Oslo University HospitalRegional Department for Eating Disorders, Division of Mental Health and Addiction, Oslo University HospitalRegional Department for Eating Disorders, Division of Mental Health and Addiction, Oslo University HospitalAbstract Background Studies of the use and effects of physical restraint in anorexia nervosa (AN) treatment are lacking. The purpose of this study was to describe the frequency of physical restraint in a specialized program for adolescents with AN, and to examine if meal-related physical restraint (forced nasogastric tube-feeding) was related to 5-year outcome. Method Thirty-eight (66% of 58) patients with AN (mean age 15.9, SD = 1.9) admitted to a regional, specialized adolescent eating disorders (ED) inpatient unit. Patient data, including restraint episodes, were obtained from hospital records, and outcome was assessed at a 5-year follow-up. Results A total of 201 restraint episodes occurred over 5513 days of inpatient treatment, including 109 meal-related episodes and 56 episodes to avoid self-harm. Twelve (32%) patients experienced at least one restraint episode during the admission, of which eight (21%) experienced meal-related restraint. Four patients represented 91% of all restraint episodes, experiencing 10 or more episodes during admission. Meal-related restraint was significantly associated with a higher rate of persisting ED diagnosis, but not with weight gain during admission, EDE-Q global score or BMI at follow-up. Conclusions Restraint episodes occurred rather infrequently. A small number of patients (n = 4) accounted for a high proportion of episodes (91%). More knowledge is important to reduce the need for restraint in treatment for AN.http://link.springer.com/article/10.1186/s40337-020-00297-1Physical restraintForced nasogastric tube feedingAnorexia nervosaEating disordersAdolescent |
| spellingShingle | Thomas Blikshavn Inger Halvorsen Øyvind Rø Physical restraint during inpatient treatment of adolescent anorexia nervosa: frequency, clinical correlates, and associations with outcome at five-year follow-up Journal of Eating Disorders Physical restraint Forced nasogastric tube feeding Anorexia nervosa Eating disorders Adolescent |
| title | Physical restraint during inpatient treatment of adolescent anorexia nervosa: frequency, clinical correlates, and associations with outcome at five-year follow-up |
| title_full | Physical restraint during inpatient treatment of adolescent anorexia nervosa: frequency, clinical correlates, and associations with outcome at five-year follow-up |
| title_fullStr | Physical restraint during inpatient treatment of adolescent anorexia nervosa: frequency, clinical correlates, and associations with outcome at five-year follow-up |
| title_full_unstemmed | Physical restraint during inpatient treatment of adolescent anorexia nervosa: frequency, clinical correlates, and associations with outcome at five-year follow-up |
| title_short | Physical restraint during inpatient treatment of adolescent anorexia nervosa: frequency, clinical correlates, and associations with outcome at five-year follow-up |
| title_sort | physical restraint during inpatient treatment of adolescent anorexia nervosa frequency clinical correlates and associations with outcome at five year follow up |
| topic | Physical restraint Forced nasogastric tube feeding Anorexia nervosa Eating disorders Adolescent |
| url | http://link.springer.com/article/10.1186/s40337-020-00297-1 |
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