0
Get Alert
Please Wait... Processing your request... Please Wait.
You must sign in to sign-up for alerts.

Please confirm that your email address is correct, so you can successfully receive this alert.

1
Letter to the Editor   |    
Dr. Halmi Replies
KATHERINE A. HALMI, M.D.
Am J Psychiatry 2000;157:2060-a-2060. doi:10.1176/appi.ajp.157.12.2060-a
text A A A

To the Editor: It is of special interest that the inpatients in the study by Dr. Russell et al. who had not reached a body mass index of 19 (the lower end of the normal weight range) at the time of discharge were doing less well 6–10 years later than those who had reached or exceeded a body mass index of 19. There are now two databases from two continents supporting the fact that patients with anorexia nervosa will have a significantly better outcome if they can stay in a structured setting until they reach a normal weight range. In the inpatient unit for specialized eating disorders at Cornell Medical Center’s Westchester Division, the characteristics of patients with anorexia nervosa who were hospitalized were examined during the years 1984 through 1998. During the 1980s the mean body mass index at discharge was 19.5; by 1998 it had fallen to 17.7. During this time, readmissions of patients with anorexia nervosa increased from 0% in the 1980s to 40% of those hospitalized on this specialized unit. The length of stay decreased significantly, from 149.5 days (1984) to 127.3 days (1989) to 57.4 days (1994) to 23.7 days (1998). These data indicate further that if patients are discharged at a body mass index below a normal range, they are more likely to relapse.

+

References

+
+

CME Activity

There is currently no quiz available for this resource. Please click here to go to the CME page to find another.
Submit a Comments
Please read the other comments before you post yours. Contributors must reveal any conflict of interest.
Comments are moderated and will appear on the site at the discertion of APA editorial staff.

* = Required Field
(if multiple authors, separate names by comma)
Example: John Doe



Related Content
Books
Gabbard's Treatments of Psychiatric Disorders, 4th Edition > Chapter 46.  >
Gabbard's Treatments of Psychiatric Disorders, 4th Edition > Chapter 46.  >
Gabbard's Treatments of Psychiatric Disorders, 4th Edition > Chapter 48.  >
APA Practice Guidelines > Chapter 0.  >
Gabbard's Treatments of Psychiatric Disorders, 4th Edition > Chapter 46.  >
Topic Collections
Psychiatric News
APA Guidelines
PubMed Articles