{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,9]],"date-time":"2026-07-09T03:42:17Z","timestamp":1783568537297,"version":"3.55.0"},"reference-count":43,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2023,9,10]],"date-time":"2023-09-10T00:00:00Z","timestamp":1694304000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Euro Eating Disorders Rev"],"published-print":{"date-parts":[[2024,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>Involuntary treatment may be a life\u2010saving option for extremely severe anorexia nervosa (AN) in the context of life\u2010threatening conditions and refusal of care. The long\u2010term outcomes of patients undergoing involuntary treatment for AN are poorly understood. This study aims to explore quality of life, long\u2010term outcomes and attitudes towards involuntary treatment in patients involuntarily treated for extremely severe AN.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>23 patients involuntarily admitted for extremely severe AN (I\u2010AN), and 25 voluntarily admitted patients (V\u2010AN) were compared for body mass index (BMI), residual symptoms, quality of life, and attitudes towards treatment almost four years after discharge. In I\u2010AN, clinical variables were also compared between admission and follow\u2010up.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>At follow\u2010up, weight restoration was higher in V\u2010AN (<jats:italic>p<\/jats:italic>\u00a0=\u00a00.01), while differences in quality of life, BMI, and mortality rates were not significant between I\u2010AN and V\u2010AN (<jats:italic>p<\/jats:italic>\u00a0&gt;\u00a00.05). In I\u2010AN, BMI increased and weight\u2010controlling strategies decreased at follow\u2010up (<jats:italic>p<\/jats:italic>\u00a0&lt;\u00a00.05). Despite negative experiences of involuntary treatment, the perception of the necessity of treatment increased from admission to follow\u2010up (<jats:italic>p<\/jats:italic>\u00a0&lt;\u00a00.01) and became comparable to V\u2010AN (<jats:italic>p<\/jats:italic>\u00a0&gt;\u00a00.05).<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>Involuntary treatment for AN does not appear to be a barrier to weight gain and clinical improvement, nor to long\u2010term attitudes towards treatment.<\/jats:p><\/jats:sec>","DOI":"10.1002\/erv.3033","type":"journal-article","created":{"date-parts":[[2023,9,10]],"date-time":"2023-09-10T14:43:23Z","timestamp":1694357003000},"page":"179-187","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Longitudinal investigation of patients receiving involuntary treatment for extremely severe anorexia nervosa"],"prefix":"10.1002","volume":"32","author":[{"given":"Florent","family":"Abry","sequence":"first","affiliation":[{"name":"Clinique des Maladies Mentales et de l\u2019Enc\u00e9phale H\u00f4pital Sainte\u2010Anne GHU Paris Psychiatrie et Neurosciences  Paris France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1845-3676","authenticated-orcid":false,"given":"Philip","family":"Gorwood","sequence":"additional","affiliation":[{"name":"Clinique des Maladies Mentales et de l\u2019Enc\u00e9phale H\u00f4pital Sainte\u2010Anne GHU Paris Psychiatrie et Neurosciences  Paris France"},{"name":"Universit\u00e9 Paris Cit\u00e9 Institute of Psychiatry and Neuroscience of Paris (IPNP) INSERM U1266  Paris France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7228-8723","authenticated-orcid":false,"given":"Mouna","family":"Hanachi","sequence":"additional","affiliation":[{"name":"Clinical Nutrition Unit Paul Brousse University Hospital Assistance Publique\u2010H\u00f4pitaux de Paris (AP\u2010HP)  Villejuif France"},{"name":"UMR Micalis Institute INRA Paris\u2010Saclay University  Jouy\u2010En\u2010Josas France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0328-338X","authenticated-orcid":false,"given":"Laura","family":"Di Lodovico","sequence":"additional","affiliation":[{"name":"Clinique des Maladies Mentales et de l\u2019Enc\u00e9phale H\u00f4pital Sainte\u2010Anne GHU Paris Psychiatrie et Neurosciences  Paris France"},{"name":"NeuroCentre Magendie INSERM U1215  Bordeaux France"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,9,10]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"crossref","unstructured":"American Psychiatric Association. 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