Abstract
Two inpatient programs for the treatment of adolescents with anorexia nervosa are compared for the rate and consistency of weight gain and the opinions of patients regarding their inpatient management. One program involved metabolic balance studies and emphasized finishing all prescribed meals. The other program used behavior modification and emphasized gaining weight. Overall average weight gain was similar in each program. The patients in the program emphasizing meal completion had a more predictable weight gain, whereas those in the program having greater freedom in meal selection and completion showed greater variability in weight gain. Hospital milieu and staff characteristics appear to be important elements in determining patients' opinions regarding their hospital experience. The “scientific” and controlled atmosphere in the program that included metabolic balance studies provided a consistent diet that was comforting to patients. In addition, a lower patient-to-nurse ratio appeared to be helpful.
Published Version
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