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Inpatient Weight Restoration Treatment Is Associated with Decrease in Post-Meal Anxiety.

Magnus Sjögren^1,2, Ismail Kizilkaya¹, Rene Klinkby Støving^3,4

¹Psychiatric Center Ballerup, 2750 Ballerup, Denmark.

Journal of Personalized Medicine

|November 27, 2021

Summary

Inpatient weight restoration treatment significantly reduces post-meal anxiety in individuals with anorexia nervosa (AN). This improvement in anxiety occurs early and is most significant for patients completing the treatment program.

Keywords:

anorexia nervosa anxiety meal-intake post-meal weight restoration treatment

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Hyponeophagia: A Measure of Anxiety in the Mouse

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Published on: May 17, 2011

Area of Science:

Clinical Psychology
Psychiatry
Eating Disorders Research

Background:

Anorexia nervosa (AN) is a severe eating disorder characterized by significant weight loss and intense fear of gaining weight.
Anxiety, particularly related to food intake and mealtimes, is a prominent and challenging symptom in AN treatment.
Effective strategies for managing and reducing meal-related anxiety during weight restoration are crucial for patient recovery.

Purpose of the Study:

To investigate the impact of inpatient weight restoration treatment on post-meal anxiety levels in patients diagnosed with anorexia nervosa.
To assess changes in anxiety using Visual Analogue Scale (VAS) ratings throughout an eight-week treatment period.

Main Methods:

A cohort of 32 patients with AN, enrolled in the PROLED study, underwent an eight-week inpatient weight restoration program.
Weekly assessments included body mass index (BMI) and Visual Analogue Scale (VAS) self-scoring for anxiety.
Baseline psychometric evaluations utilized the EDE-Q, EDI, SCL-92, MDI, and AQ to characterize patients.

Main Results:

A statistically significant reduction in VAS anxiety scores was observed from baseline to week 8 (Wilks Lambda = 0.523, F = 3.12, p < 0.05).
Mean BMI increased from 15.16 at week 1 to 17.35 at week 8, indicating successful weight restoration.
No significant effect of baseline medication or Major Depression Inventory (MDI) scores on anxiety reduction was found.

Conclusions:

Inpatient weight restoration treatment is demonstrably effective in decreasing post-meal anxiety among individuals with anorexia nervosa.
The reduction in anxiety is an early-onset effect, becoming clinically significant for patients who adhere to the treatment duration.
This finding highlights the importance of sustained weight restoration in alleviating psychological distress associated with eating disorders.