神经性厌食症住院治疗中女性青少年的改变意愿及短期结果
Readiness for change and short-term outcomes of female adolescents in residential treatment for anorexia nervosa.
作者信息
McHugh Matthew D
机构信息
The Center for Health Outcomes and Policy Research, School of Nursing, University of Pennsylvania, 418 Curie Boulevard, Philadelphia, PA 19104, USA.
出版信息
Int J Eat Disord. 2007 Nov;40(7):602-12. doi: 10.1002/eat.20425.
OBJECTIVE
To determine if readiness for change (RFC) at admission predicted length of stay (LOS) and short-term outcomes among female adolescents in residential treatment for anorexia nervosa (AN).
METHOD
Using a prospective cohort design to collect data from participants (N = 65) at admission and discharge, Kaplan-Meier survival analysis and Cox regression tested whether RFC on admission predicted time in LOS to a favorable short-term outcome--a composite endpoint based on minimum criteria for weight gain, drive for thinness, depression, anxiety, and health-related quality of life (HRQOL).
RESULTS
Participants with low RFC had a mean survival time to a favorable short-term outcome of 59.4 days compared to 34.1 days for those with high RFC (log rank = 8.44, df = 1, p = .003). The probability of a favorable short-term outcome was 5.30 times greater for participants with high RFC.
CONCLUSION
Readiness for change is a useful predictor of a favorable short-term outcome and should be considered in the assessment profile of patients with AN.
目的
确定入院时的改变意愿（RFC）是否能预测神经性厌食症（AN）住院治疗的女性青少年的住院时间（LOS）和短期结局。
方法
采用前瞻性队列设计，在入院和出院时收集参与者（N = 65）的数据，Kaplan-Meier生存分析和Cox回归检验入院时的RFC是否能预测达到良好短期结局的住院时间——一个基于体重增加、追求瘦身、抑郁、焦虑和健康相关生活质量（HRQOL）最低标准的综合终点。
结果
低RFC的参与者达到良好短期结局的平均生存时间为59.4天，而高RFC的参与者为34.1天（对数秩 = 8.44，自由度 = 1，p = 0.003）。高RFC的参与者获得良好短期结局的概率高出5.30倍。
结论
改变意愿是良好短期结局的一个有用预测指标，在AN患者的评估中应予以考虑。
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