Costs and Cost-Effectiveness in Eating Disorders

Crow, Scott J.; Smiley, Nicholas

doi:10.1093/oxfordhb/9780195373622.013.0026

Cited by 10 publications

(4 citation statements)

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“…Eating disorders can lead to serious medical problems, are enduring, and carry high health‐care costs, family burden, and greater risk of fatality than any other psychological disorder . In spite of the tremendous public health need, little research has been directed at preventing the onset of new cases of eating disorders .…”

Section: Introductionmentioning

confidence: 99%

Prevention of eating disorders: A systematic review of randomized, controlled trials

Watson

Joyce

French

et al. 2016

Intl J Eating Disorders

163

124

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The modest effects for universal prevention were likely due to floor effects. The evidence for selective prevention suggests that empirically supported approaches should be disseminated on a wider basis. Our findings suggest CBT should be offered for indicated populations. Overall, results suggest efficacy of several prevention programs for reducing risk for eating disorders, and that wider dissemination is required. © 2016 Wiley Periodicals, Inc.

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Section: Introductionmentioning

confidence: 99%

Prevention of eating disorders: A systematic review of randomized, controlled trials

Watson

Joyce

French

et al. 2016

Intl J Eating Disorders

163

124

View full text Add to dashboard Cite

show abstract

“…EDs show stronger relations to mortality, suicide attempts, and quality of life impairment than other psychiatric conditions (e.g., schizophrenia, major depression etc. ; Crow & Smiley, 2010), and have an estimated annual cost of disease burden in Australia that is comparable to depression (∼$70 billion; Deloitte Access Economics, 2012).…”

mentioning

confidence: 99%

E-mental health interventions for the treatment and prevention of eating disorders: An updated systematic review and meta-analysis.

Linardon

Shatte

Messer

et al. 2020

Journal of Consulting and Clinical Psychology

107

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Objectives: E-mental health (digital) interventions can help overcome existing barriers that stand in the way of people receiving help for an eating disorder (ED). Although e-mental health interventions for treating and preventing EDs have been met with enthusiasm, earlier reviews brought attention to poor quality of evidence, and offered solutions to enhance their evidence base. To assess developments in the field, we conducted an updated meta-analysis on the efficacy of e-mental health interventions for treating and preventing EDs, paying attention to whether trial quality and outcomes have improved in recent trials. We also assessed whether user-centered design principles have been implemented in existing digital interventions. Method: Four databases were searched for RCTs of digital interventions for treating and preventing EDs. Thirty-six RCTs (28 prevention- and 8 treatment-focused) were included. Results: Some evidence that study quality improved in recent prevention-focused trials was found. Few trials involved the end-user in the design or development stage of the intervention. Issues with intervention engagement were noted, and 1 in 4 participants dropped out from prevention- and treatment-focused trials. Digital interventions were more effective than control conditions in reducing established risk factors and symptoms in prevention- (g’s = 0.19 to 0.43) and treatment-focused trials (g’s = 0.29 to 0.69), respectively. Effect sizes have not increased in recent trials. Few trials compared a digital intervention with a face-to-face intervention. Whether digital interventions can prevent ED onset is unclear. Conclusion: Digital interventions are a promising approach to ED treatment and prevention, but improvements are still needed. Three key recommendations are provided.

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“…The financial costs of BN are substantial. Expenses incurred by the individual include those associated with the symptoms of the illness (e.g., purchase of food consumed during a binge episode) as well as the cost of treatment and general management of symptoms caused by the illness [37,38]. Crow et al (2009) assessed the costs associated with binge eating in a sample of participants with BN.…”

Section: Burden and Costmentioning

confidence: 99%

Accessibility of Psychological Treatments for Bulimia Nervosa: A Review of Efficacy and Engagement in Online Self-Help Treatments

Barakat

Maguire

2022

IJERPH

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Bulimia nervosa is an eating disorder characterised by marked impairment to one’s physical health and social functioning, as well as high rates of chronicity and comorbidity. This literature review aims to summarise existing academic research related to the symptom profile of BN, the costs and burden imposed by the illness, barriers to the receipt of care, and the evidence base for available psychological treatments. As a consequence of well-documented difficulties in accessing evidence-based treatments for eating disorders, efforts have been made towards developing innovative, diverse channels to deliver treatment, with several of these attempting to harness the potential of digital platforms. In response to the increasing number of trials investigating the utility of online treatments, this paper provides a critical review of previous attempts to examine digital interventions in the treatment of eating disorders. The results of a focused literature review are presented, including a detailed synthesis of a knowledgeable selection of high-quality articles with the aim of providing an update on the current state of research in the field. The results of the review highlight the potential for online self-help treatments to produce moderately sized reductions in core behavioural and cognitive symptoms of eating disorders. However, concern is raised regarding the methodological limitations of previous research in the field, as well as the high rates of dropout and poor adherence reported across most studies. The review suggests directions for future research, including the need to replicate previous findings using rigorous study design and methodology, as well as further investigation regarding the utility of clinician support and interactive digital features as potential mechanisms for offsetting low rates of engagement with online treatments.

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Costs and Cost-Effectiveness in Eating Disorders

Cited by 10 publications

References 0 publications

Prevention of eating disorders: A systematic review of randomized, controlled trials

Prevention of eating disorders: A systematic review of randomized, controlled trials

E-mental health interventions for the treatment and prevention of eating disorders: An updated systematic review and meta-analysis.

Accessibility of Psychological Treatments for Bulimia Nervosa: A Review of Efficacy and Engagement in Online Self-Help Treatments

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