Sanzone Kaitlin, Short Daniel, Gaughan John, Feldman-Winter Lori
Department of Education, Cooper Medical School of Rowan University, Camden, New Jersey, USA.
Department of Medicine, Cooper University Hospital, Camden, New Jersey, USA.
Womens Health Rep (New Rochelle). 2022 Sep 29;3(1):813-819. doi: 10.1089/whr.2022.0044. eCollection 2022.
Throughout past decades, physicians have sought to understand factors that contribute to severity of an eating disorder (ED). There is a potential relationship between patients' resilience and the recovery course of their disorder. The objective of this study is to examine the correlation between resilience, measured by indicators of mindfulness and restraint, and length of stay (LOS) at Renfrew Center for Eating Disorders.
Data were obtained from Renfrew's database. Secondary analysis was conducted from this database. The database included women aged 13-75 years admitted to Renfrew. The database excluded males and individuals of ages <13 or >75 years old. Resilience was analyzed through Southampton Mindfulness Questionnaire (SMQ) and ED restraint. The dependent variable, LOS at Renfrew, was analyzed by multivariable linear regression, and multivariable logistic regression for LOS >45 days.
A sample of 2901 subjects was analyzed. There were significant associations between increased mindfulness scores and decreased restraint scores and a decreased LOS at Renfrew. For every 13-point increase in SMQ, the LOS was associated with a decrease by ∼1 day, and for every 1-point decrease in the restraint score (increased restraint), the LOS was associated with a decrease by ∼1 day. Higher restraint scores were independently associated with an increase in likelihood of LOS >45 days by 22.8%.
The Renfrew data support the relationship between a patient's resilience and LOS. This information holds promise for future treatment approaches to improve strength-based modalities in patients suffering from EDs.
在过去几十年里，医生们一直在努力了解导致饮食失调（ED）严重程度的因素。患者的复原力与他们疾病的康复过程之间存在潜在关系。本研究的目的是检验以正念和克制指标衡量的复原力与伦弗鲁饮食失调中心住院时间（LOS）之间的相关性。
数据来自伦弗鲁的数据库。对该数据库进行二次分析。该数据库包括13至75岁入住伦弗鲁的女性。该数据库排除了男性以及年龄小于13岁或大于75岁的个体。通过南安普敦正念问卷（SMQ）和饮食失调克制来分析复原力。将伦弗鲁的住院时间作为因变量，通过多变量线性回归进行分析，对于住院时间>45天的情况则采用多变量逻辑回归分析。
对2901名受试者的样本进行了分析。正念得分增加、克制得分降低与伦弗鲁住院时间缩短之间存在显著关联。SMQ每增加13分，住院时间约减少1天，克制得分每降低1分（克制增加），住院时间约减少1天。较高的克制得分与住院时间>45天的可能性增加22.8%独立相关。
伦弗鲁的数据支持了患者复原力与住院时间之间的关系。这一信息为未来改善针对饮食失调患者基于力量的治疗方式的治疗方法带来了希望。
