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Int J Eat Disord. 2007 Nov;40(7):602-12.

Readiness for change and short-term outcomes of female adolescents in residential treatment for anorexia nervosa.

Author information

1
The Center for Health Outcomes and Policy Research, School of Nursing, University of Pennsylvania, 418 Curie Boulevard, Philadelphia, PA 19104, USA. mchughm@nursing.upenn.edu

Abstract

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.

PMID:
17610253
DOI:
10.1002/eat.20425
[Indexed for MEDLINE]

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