{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T11:22:39Z","timestamp":1785410559807,"version":"3.56.0"},"reference-count":54,"publisher":"Royal College of Psychiatrists","license":[{"start":{"date-parts":[[2026,7,27]],"date-time":"2026-07-27T00:00:00Z","timestamp":1785110400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["BJPsych Bull"],"abstract":"<jats:sec id=\"S2056469426102708_as1\">\n                    <jats:title>Aims and method<\/jats:title>\n                    <jats:p>\n                      The Health of the Nation Outcome Scales (HoNOS) are the most widely used psychiatric clinical outcomes tool in the UK. Nonetheless, HoNOS scores and their change during treatment for people with anorexia nervosa have not been investigated. We retrieved clinical data from the Clinical Records Interactive Search register from 234 with an anorexia nervosa or an eating disorder diagnosis, a body mass index (BMI) &lt;18.5\u00a0kg\/m\n                      <jats:sup>2<\/jats:sup>\n                      and with available HoNOS, BMI and C-reactive protein (CRP) data at admission.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S2056469426102708_as2\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      From admission to discharge, patients showed a significant moderate improvement in HoNOS total score (mean\u00b1s.d.) from 14.30\u00b16.23 to 10.11\u00b14.81, and a significant moderate-to-large increase in BMI from 14.15\u00b11.45 kg\/m\n                      <jats:sup>2<\/jats:sup>\n                      to 16.22\u00b12.56 kg\/m\n                      <jats:sup>2<\/jats:sup>\n                      . CRP levels &gt;2\u00a0mg\/L on admission were significantly associated with age, a personality disorder diagnosis, agitation and hallucinations in the HoNOS.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S2056469426102708_as3\">\n                    <jats:title>Clinical implications<\/jats:title>\n                    <jats:p>In-patient treatment for anorexia nervosa improves health and social functioning.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1192\/bjb.2026.10270","type":"journal-article","created":{"date-parts":[[2026,7,27]],"date-time":"2026-07-27T06:48:27Z","timestamp":1785134907000},"page":"1-10","update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":0,"title":["Health of the Nation Outcome Scales scores and C-reactive protein levels in in-patients with anorexia nervosa"],"prefix":"10.1192","author":[{"given":"Zuo","family":"Zhang","sequence":"first","affiliation":[{"name":"King\u2019s College London"},{"name":"University of Birmingham"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-8104-1679","authenticated-orcid":false,"given":"Can","family":"Xu","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/0220mzb33","id-type":"ROR","asserted-by":"publisher"}],"name":"King\u2019s College London"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Risha","family":"Govind","sequence":"additional","affiliation":[{"name":"South London and Maudsley NHS Foundation Trust"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Johanna Louise","family":"Keeler","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/0220mzb33","id-type":"ROR","asserted-by":"publisher"}],"name":"King\u2019s College London"},{"name":"LVR University Hospital Essen, University 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Published by Cambridge University Press on behalf of Royal College of Psychiatrists","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (https:\/\/creativecommons.org\/licenses\/by\/4.0\/), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited.","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This content has been made available to all.","name":"free","label":"Free to read"}]}}