Costa D, Charvin I, Da Fonseca D, Bat-Pitault F
Child and Adolescent Psychiatry Unit, Salvator University Hospital, Public Assistance-Marseille Hospitals, Aix-Marseille University, Marseille, France.
Child and Adolescent Psychiatry Unit, Salvator University Hospital, Public Assistance-Marseille Hospitals, Aix-Marseille University, Marseille, France.
Encephale. 2023 Dec;49(6):557-563. doi: 10.1016/j.encep.2022.06.009. Epub 2022 Oct 15.
The French day hospital program specialized in eating disorders (ED) opened in January 2018. Our study presents preliminary data on clinical profiles of patients with anorexia nervosa (AN). We describe more specifically clinical characteristics of patients with early onset AN and according to their therapeutics orientations. Then, we compare the weight gain of patients managed only in day-patient (DP) treatment with those managed initially inpatient (IP) treatment and relays in DP.
Ninety-two patients with AN, aged between 8 and 18 years, were evaluated with several questionnaires (EDI-2, EDE-Q, BSQ, EDS-R, CDI, STAI-Y, VSP-A, EPN-13).
Patients with early onset AN, n = 23 (25.3%), presented more restrictive behaviors, less marked dietary symptomatology, a lower degree of clinical perfectionism and a less marked feeling of ineffectiveness than adolescent patients with AN. Regarding the choice of hospitalization modality (DP alone or IP-DP), the only difference highlighted was the severity of patient undernutrition. Among the patients who were treated (IP-DP n = 27 vs DP alone n = 25), the weight evolution after one month and at discharge was favorable for both groups.
These preliminary data suggest the effectiveness of DP in the care of AN in children and adolescents.
法国专门治疗饮食失调症（ED）的日间医院项目于2018年1月开业。我们的研究展示了神经性厌食症（AN）患者临床特征的初步数据。我们更具体地描述了早发性AN患者的临床特征及其治疗方向。然后，我们比较了仅接受日间治疗（DP）的患者与最初接受住院治疗（IP）并转为日间治疗的患者的体重增加情况。
对92名年龄在8至18岁之间的AN患者进行了多项问卷调查（EDI-2、EDE-Q、BSQ、EDS-R、CDI、STAI-Y、VSP-A、EPN-13）。
早发性AN患者n = 23（25.3%），与青少年AN患者相比，表现出更多的限制行为、饮食症状不那么明显、临床完美主义程度较低以及无效感不那么明显。关于住院方式的选择（仅DP或IP-DP），唯一突出的差异是患者营养不良的严重程度。在接受治疗的患者中（IP-DP n = 27 vs仅DP n = 25），两组患者在治疗一个月后和出院时的体重变化情况都较好。
这些初步数据表明DP在儿童和青少年AN护理中具有有效性。
