Meule Adrian, Furst Loredo Artur, Schrambke Dominic, Schlegl Sandra, Naab Silke, Voderholzer Ulrich
Department of Psychiatry and Psychotherapy, University Hospital, LMU Munich, Munich, Germany.
Schoen Clinic Roseneck, Prien am Chiemsee, Germany.
Eat Disord. 2022 Mar-Apr;30(2):223-229. doi: 10.1080/10640266.2021.1931647. Epub 2021 Aug 9.
Most adolescents with anorexia nervosa (AN) gain a substantial amount of weight during inpatient treatment, but many relapse after discharge. Therefore, there is a need to identify variables that predict weight changes after treatment. The current study tested whether such a variable may be patients' own predictions about their future weight. Data of 120 female adolescent inpatients with AN were available at discharge and one-year follow-up. Patients' own predictions about their future weight trajectories predicted their actual weight change after discharge: those who indicated that they would gain weight, gained weight, those who indicated that they would lose weight, lost weight, and those who indicated to maintain their weight, had no weight change on average. Similarly, expected weight change in kilograms correlated positively with actual weight change after discharge. Thus, patients who expect that they will lose weight again should receive intensified aftercare that fosters motivation to change.
大多数神经性厌食症（AN）青少年患者在住院治疗期间体重会显著增加，但许多人出院后会复发。因此，有必要识别出能够预测治疗后体重变化的变量。当前研究检验了这样一个变量是否可能是患者对自身未来体重的预测。120名患有神经性厌食症的女性青少年住院患者的数据在出院时及一年随访时可用。患者对自身未来体重轨迹的预测能够预测其出院后的实际体重变化：那些表示自己会增重的患者体重增加了，那些表示自己会减重的患者体重减轻了，而那些表示会维持体重的患者平均体重没有变化。同样，预期的以千克为单位的体重变化与出院后的实际体重变化呈正相关。因此，预期自己会再次减重的患者应该接受强化的后续护理，以促进改变的动力。
