Treatment outcomes for typical and atypical anorexia nervosa across Asian and non-Asian patients in United States higher level of care facilities.

Asian patients with Anorexia Nervosa (AN) face unique barriers to recovery, but may also disproportionately experience constitutional thinness. The current study compared weight-gain and psychopathology treatment outcomes between Asian and non-Asian patients, and compared patients who reached their Expected Body Weight (EBW) by discharge to those who did not. We collected data from Asian (n = 25 adults, 40 adolescents) and non-Asian (n = 966 adults, 1067 adolescents) patients in higher levels of care at United States eating disorder treatment facilities. We conducted multivariate, two-way, and mixed model ANOVAs to compare symptom severity for Asian versus non-Asian adults and adolescents at admission, discharge, and across treatment. We additionally conducted mixed model ANOVAs to compare change in psychopathology across treatment for Asian and non-Asian patients who did and did not meet their EBW by discharge. No significant differences emerged between Asian and non-Asian patients, although some differences were noted between age groups at admission and discharge. For non-Asian patients only, those who reached their EBW by discharge had, on average, significantly higher levels of restriction, shape and weight concerns, and global concerns. Results suggest that Asian and non-Asian patients similarly benefit from treatment for AN.

Duke Scholars

Author Daniel Blalock Psychiatry & Behavioral Sciences, Behavioral Medicine & Neur ...