Clinical Characteristics and Factors Associated with Duration of Inpatient Treatment in Female Adolescents with Eating Disorders Yeme Bozukluğu Tanılı Kız Ergenlerde Klinik Özellikler ve Yatarak Tedavi Süresiyle İlişkili Faktörler
Journal of Behcet Uz Children's Hospital, cilt.16, sa.2, ss.155-165, 2026 (ESCI, Scopus, TRDizin)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 16 Sayı: 2
- Basım Tarihi: 2026
- Doi Numarası: 10.4274/jbuch.galenos.2026.68878
- Dergi Adı: Journal of Behcet Uz Children's Hospital
- Derginin Tarandığı İndeksler: Emerging Sources Citation Index (ESCI), Scopus, TR DİZİN (ULAKBİM)
- Sayfa Sayıları: ss.155-165
- Anahtar Kelimeler: adolescents, anorexia nervosa, Eating disorders, hospitalization duration, inpatient treatment
- Dokuz Eylül Üniversitesi Adresli: Evet
Özet
Objective: This study examined the sociodemographic and clinical characteristics of female adolescents with eating disorders receiving inpatient treatment, compared anorexia nervosa (AN) and non-AN eating disorder groups, evaluated changes in depressive symptoms, and identified factors associated with the duration of inpatient treatment. Method: This single-center retrospective study reviewed the records of 45 female adolescents with eating disorders treated in a child and adolescent psychiatry inpatient unit between July 2021 and May 2026. Patients were categorized into AN and non-AN eating disorder groups. Sociodemographic data, psychiatric comorbidities, risk behaviors, indications of hospitalization, comorbid medical conditions, pharmacological treatment, depressive symptom severity and duration of inpatient treatment were analyzed. Results: The mean age of the patients was 15.13±1.71 years, and 48.9% had AN. The AN group had lower body mass index and higher rates of amenorrhea/menstrual irregularity, comorbid medical conditions, need for nutritional support, and hospitalization due to weight loss or medical instability. The non-AN group had higher rates of psychiatric comorbidities, cigarette and alcohol use, non-suicidal self-injury, suicide attempts, and hospitalization due to suicidality or non-adherence to treatment. Depressive symptom severity decreased from admission to discharge in both groups. In an exploratory hierarchical regression analysis, depressive symptom severity at admission and indication for hospitalization were associated with the duration of inpatient treatment, whereas diagnostic group was not. Conclusion: Female adolescents receiving inpatient treatment for eating disorders presented with substantial clinical complexity. Duration of treatment was associated with severity of depressive symptoms and the indication for hospitalization rather than with diagnostic category. These findings provide real-world data from Türkiye and underscore the need for larger-scale prospective studies examining factors associated with treatment course and prognosis.