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- Title
Recovery Trajectories in Adolescent Girls with Anorexia Nervosa.
- Authors
Bédard, Alexandra; Bernard, Catherine; Meilleur, Dominique; Taddeo, Danielle; Pesant, Caroline; Di Meglio, Giuseppina; Gingras, Nathalie; Thibault, Isabelle; Agostino, Holly; Bélanger, Richard; Nadeau, Pierre-Olivier; Frappier, Jean-Yves; Stheneur, Chantal; Dufresne, Laurie; Bégin, Catherine
- Abstract
Background: This study aimed to document recovery trajectories among adolescents with anorexia nervosa (AN) based on three markers of remission, namely changes in body weight, food restriction, and excessive exercise, and to identify predictors of these trajectories. Methods: One hundred twenty-six adolescent girls (14.7 ± 1.3 years) were recruited during initial assessment visits at specialized eating disorder (ED) programs in five University Health Centers across the province of Quebec, Canada. z-BMI and AN symptom severity (food restriction and excessive exercise) were assessed at initial assessment visits and subsequently reassessed at each quarterly follow-up over a 12-month period to identify recovery trajectories. Results: Considering the three markers of remission, three distinct trajectories emerged: Group 1, rapid responders; Group 2, gradual responders; and Group 3, unstable responders. At initial visits, a difference between groups was found regarding the type of treatment (p = 0.01) and weight suppression (p = 0.02). Group 1 had a higher number of youths hospitalized than Group 2 and Group 3, and a greater weight suppression than Group 3. Furthermore, individuals with atypical AN were more likely to belong to Group 2 than to Group 1 and Group 3 (p < 0.0001). Conclusions: This study contributes to a better understanding of the heterogeneity of recovery trajectories in adolescent girls with AN.
- Subjects
QUEBEC (Quebec); TEENAGE girls; ANOREXIA nervosa; EATING disorders; BODY weight; MEDICAL centers
- Publication
Journal of Clinical Medicine, 2024, Vol 13, Issue 3, p778
- ISSN
2077-0383
- Publication type
Article
- DOI
10.3390/jcm13030778