Early detection of eating disorders: a scoping review

Kalindjian, Nina; Stona, Anne-Claire; Huas, Caroline; Godart, Nathalie

doi:10.1007/s40519-021-01164-x

Cited by 30 publications

(21 citation statements)

References 80 publications

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“…In addition to effective priority setting procedures, there is also a pressing need to address capacity issues and pressures on specialist ED services. Promising avenues to relieve pressure on services include increasing the reach of effective prevention programs [ 63 ], implementing task-sharing interventions (e.g., peer support, guided self-help) [ 64 ], and more initiatives for the early identification and treatment of EDs in educational and primary care settings [ 65 , 66 ].…”

Section: Discussionmentioning

confidence: 99%

A Delphi study to explore clinician and lived experience perspectives on setting priorities in eating disorder services

Richards

Woolrych

Allen

et al. 2022

BMC Health Serv Res

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Background Due to scarce resources and high demand, priority setting in mental health services is necessary and inevitable. To date, no study has examined priority setting in eating disorder (ED) services specifically. Here, we evaluate the level of consensus and perceived relative importance of factors used to determine patient prioritisation in ED services, amongst clinicians and individuals with lived experience (LE) of an ED. Methods A three round Delphi study and a ranking task were used to determine the level of consensus and importance. Consensus was defined as > 80% agreement or disagreement. Items that reached consensus for agreement were ranked in order of importance from most to least important. Participants were 50 ED clinicians and 60 LE individuals. Participant retention across rounds 2, 3, and 4 were 92%, 85%, and 79%, respectively. Results Over three iterative rounds, a total of 87 statements about patient prioritisation were rated on a 5-point Likert-scale of agreement. Twenty-three items reached consensus in the clinician panel and 20 items reached consensus in the LE panel. The pattern of responding was broadly similar across the panels. The three most important items in both panels were medical risk, overall severity, and physical health deteriorating quickly. Clinicians tended to place greater emphasis on physical risk and early intervention whereas the LE panel focused more on mental health and quality of life. Conclusions Eating disorder services tend to prioritise patients based upon medical risk and severity, and then by the order in which patients are referred. Our findings align in some respects with what is observed in services, but diverge in others (e.g., prioritising on quality of life), providing important novel insights into clinician and LE opinions on waiting list prioritisation in EDs. More research is warranted to validate these findings using multi-criterion decision techniques and observational methods. We hope these findings provide a foundation for future research and encourage evidence-based conversations around priority setting in ED services.

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Section: Discussionmentioning

confidence: 99%

A Delphi study to explore clinician and lived experience perspectives on setting priorities in eating disorder services

Richards

Woolrych

Allen

et al. 2022

BMC Health Serv Res

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“…A recent study reviewed the evidence for the early detection of individuals fulfilling diagnostic criteria, which is an aspect of secondary prevention[ 39 ]. Those authors found evidence that educational interventions targeting professionals ( e.g., from medical, educational or sports environments) are somewhat effective.…”

Section: Primary Preventionmentioning

confidence: 99%

Anorexia nervosa: Outpatient treatment and medical management

Frostad¹,

Bentz²

2022

WJP

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Anorexia nervosa (AN) is a disabling, costly and potentially deadly illness. Treatment failure and relapse are common after completing treatment, and a substantial proportion of patients develop severe and enduring AN. The time from AN debut to the treatment initiation is normally unreasonably long. Over the past 20 years there has been empirical support for the efficacy of several treatments for AN. Moreover, outpatient treatment with family-based therapy or individual psychotherapy is associated with good outcomes for a substantial proportion of patients. Early intervention improves outcomes and should be a priority for all patients. Outpatient treatment is usually the best format for early intervention, and it has been demonstrated that even patients with severe or extreme AN can be treated as outpatients if they are medically stable. Inpatient care is more disruptive, more costly, and usually has a longer waiting list than does outpatient care. The decision as to whether to proceed with outpatient treatment or to transfer the patient for inpatient therapy may be difficult. The core aim of this opinion review is to provide the knowledge base needed for performing safe outpatient treatment of AN. The scientific essentials for outpatient treatment are described, including how to assess and manage the medical risks of AN and how to decide when transition to inpatient care is indicated. The following aspects are discussed: early intervention, outpatient treatment of AN, including outpatient psychotherapy for severe and extreme AN, how to determine when outpatient treatment is safe, and when transfer to inpatient healthcare is indicated. Emerging treatments, ethical issues and outstanding research questions are also addressed.

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“…No caso da anorexia nervosa, por exemplo, pode-se observar isolamento social ou até mesmo fracasso em atingir o nível acadêmico ou profissional de forma potencial11. Outro ponto negativo de destaque são os elevados custos que os transtornos alimentares representam à saúde pública 14,15 16 .…”

Section: Entreunclassified

Comportamentos de risco para transtornos alimentares em universitários da área da saúde do sul do Brasil

Paim¹,

Dell’Osbel²,

Pereira³

2022

Conexão Ci.

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Introdução: Os comportamentos de risco para transtornos alimentares podem acarretar em inúmeros prejuízos à saúde e, em universitários, parecem influenciar negativamente no desempenho acadêmico. Objetivo: Avaliar comportamentos de risco para transtornos alimentares e fatores associados em universitários da área da saúde de uma Instituição de Ensino Superior (IES) do Sul do Brasil. Metodologia: Estudo epidemiológico transversal, constituído por universitários da área da saúde de uma IES do Sul do Brasil. A coleta de dados foi realizada por meio de um questionário autoaplicável, investigando dados sociodemográficos e acadêmicos. Os comportamentos de risco para transtornos alimentares foram avaliados pelo Eating Attitudes Test (EAT-26). Para verificar associações entre o desfecho e as variáveis independentes, aplicou-se o teste Qui-quadrado. Ainda, realizou-se o Teste U de Mann-Whitney ou Teste de Kruskal-Wallis com post-hoc de Bonferroni. A análise estatística foi conduzida no programa SPSS, versão 18.0, considerado um intervalo de confiança em 95% (p≤0,05). Resultados: Dos 353 investigados, predominantemente, 90,4% dos universitários eram do sexo feminino e 65,2% tinham idade entre 18 e 25 anos. Em relação aos comportamentos de risco para transtornos alimentares, a prevalência foi de 25,5%. Ainda, observou-se associação com o sexo (p=0,032), idade (p=0,021), residir com irmão(s) (p=0,028) e o número de disciplinas cursadas (p=0,019). Conclusão: Observou-se que sexo, idade, residir com irmão(s) e número de disciplinas cursadas foram associados ao desfecho. A identificação dos fatores associados favorece a identificação precoce desses comportamentos, oportunizando o tratamento adequado e a prevenção de complicações de saúde.

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Early detection of eating disorders: a scoping review

Cited by 30 publications

References 80 publications

A Delphi study to explore clinician and lived experience perspectives on setting priorities in eating disorder services

A Delphi study to explore clinician and lived experience perspectives on setting priorities in eating disorder services

Anorexia nervosa: Outpatient treatment and medical management

Comportamentos de risco para transtornos alimentares em universitários da área da saúde do sul do Brasil

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