{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T21:22:54Z","timestamp":1792099374091,"version":"4.4.0"},"reference-count":34,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2015,11,18]],"date-time":"2015-11-18T00:00:00Z","timestamp":1447804800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Intl J Eating Disorders"],"published-print":{"date-parts":[[2016,4]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>The use of coercion in the treatment for anorexia nervosa (AN) is controversial and the limited studies to date have focused on involuntary treatment. However, coercive pressure for treatment that does not include legal measures is common in voluntarily admitted patients with AN. Empirical data examining the effect of non\u2010legal forms of coerced care on hospital outcomes are needed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>Participants (<jats:italic>N<\/jats:italic>\u2009=\u2009202) with AN, Avoidant\/Restrictive Food Intake Disorder (ARFID), or subthreshold AN admitted to a hospital\u2010based behavioral specialty program completed questionnaires assessing illness severity and perceived coercion around the admissions process. Hospital course variables included inpatient length of stay, successful transition to a step\u2010down partial hospitalization program, and achievement of target weight prior to program discharge.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Higher perceived coercion at admission was associated with increased drive for thinness and body dissatisfaction, but not with admission BMI. Perceived coercion was not related to inpatient length of stay, rate of weight gain, or achievement of target weight although it was predictive of premature drop\u2010out prior to transition to an integrated partial hospitalization program.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>These results, from an adequately powered sample, demonstrate that perceived coercion at admission to a hospital\u2010based behavioral treatment program was not associated with rate of inpatient weight gain or achieving weight restoration, suggesting that coercive pressure to enter treatment does not necessarily undermine formation of a therapeutic alliance or clinical progress. Future studies should examine perceived coercion and long\u2010term outcomes, patient views on coercive pressures, and the effect of different forms of leveraged treatment. \u00a9 2015 Wiley Periodicals, Inc. (Int J Eat Disord 2016; 49:407\u2013412).<\/jats:p><\/jats:sec>","DOI":"10.1002\/eat.22476","type":"journal-article","created":{"date-parts":[[2015,11,18]],"date-time":"2015-11-18T12:04:43Z","timestamp":1447848283000},"page":"407-412","source":"Crossref","is-referenced-by-count":23,"title":["Perceived coercion in inpatients with Anorexia nervosa: Associations with illness severity and hospital course"],"prefix":"10.1002","volume":"49","author":[{"given":"Colleen C.","family":"Schreyer","sequence":"first","affiliation":[{"name":"Department of Psychiatry and Behavioral Sciences The Johns Hopkins School of Medicine 600 North Wolfe Street, Meyer 101 Baltimore Maryland 21287"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Janelle W.","family":"Coughlin","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Behavioral Sciences The Johns Hopkins School of Medicine 600 North Wolfe Street, Meyer 101 Baltimore Maryland 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