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Research Article| Volume 12, ISSUE 4, P181-194, August 1998

A comparison of inpatient and outpatient women with eating disorders

  • Jane H. White
    Correspondence
    Address reprint requests to Jane H. White, DNSc, RN, CS, Associate Professor and Director of Advanced Practice Psychiatric-Mental Health Nursing, Catholic University of America, School of Nursing, 620 Michigan Ave, NE, Washington DC 20064.
    Affiliations
    School of Nursing, Catholic University of America, Washington DC, USA

    Medical Director, Columbia Dominion Hospital, Falls Church, VA, USA
    Search for articles by this author
  • Gary Litovitz
    Affiliations
    School of Nursing, Catholic University of America, Washington DC, USA

    Medical Director, Columbia Dominion Hospital, Falls Church, VA, USA
    Search for articles by this author
      This paper is only available as a PDF. To read, Please Download here.
      The purpose of this study was to compare two groups of women with eating disorders, one inpatient and one outpatient, on selected variables. The study was undertaken to clarify differences in the two samples about (1) current standards/criteria for hospitalization of individuals with eating disorders, (2) the criteria for inpatient/outpatient treatment selection, and (3) definition of severity of illness. Six hypotheses were developed and tested by using t-test, χ2, and discriminant function analysis. The findings supported the current standards for practice. Compared with the outpatient group the inpatient group had significantly more reported physical signs and symptoms, were more anxious and depressed, had more somatization, and had more prior hospitalizations. Prior hospitalization and physical signs, along with the eating disorder dimension, ineffectiveness, were the best predictors of hospitalization. Implications for practice that focus on more comprehensive assessments and early detection of eating disorders are presented.
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