Eating disorder severity and functional impairment: moderating effects of illness duration in a clinical sample

Davidsen, Annika Helgadóttir; Hoyt, William T.; Poulsen, Stig; Waaddegaard, Mette; Lau, Marianne Engelbrecht

doi:10.1007/s40519-016-0319-z

Cited by 16 publications

(16 citation statements)

References 42 publications

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“…Their use of three subscales ('dieting', 'bulimia' and 'oral control') of a larger measure [11] (see also [12]) did not allow for assessment of the predictive effect of distinct behaviours, such as binge eating or Symptoms associated with impairment 4 self-induced vomiting. Similar findings were reported by Davidsen et al [10], who found a strong association between eating psychopathology and functional impairment across three domains (work/school, social life/leisure, and family life/home responsibilities) in 159 patients participating in a treatment study on group psychotherapy for EDs.…”

Section: Introductionsupporting

confidence: 89%

“…four remained as significant predictors when others were held constant. The first of these was a measure of general psychological distress, highlighting, firstly, the importance of using a measure of distress in such studies [8,10] and, secondly, that ED concerns remain significant when this is controlled for [36]. An interesting question relates to whether a measure of psychological distress predicts variance over and above symptoms such as anxiety and depression and this might be a goal of further studies.…”

Section: Discussionmentioning

confidence: 99%

“…The current study therefore aims to investigate how symptoms of BN contribute to impairment, incorporating the most recent findings in this area. Based on previous work (e.g., [10,13,15,19]), it is also important to control for other variables (such as age, gender, and psychological distress) that may be related to impairment, and to investigate whether specific ED symptoms explain variance in impairment over and above these variables.…”

Section: Investigation Of Predictors Of Psychosocial Impairment In Inmentioning

confidence: 99%

“…Two recent longitudinal studies [9,10] have, however, looked at predictors of psychosocial impairment in individuals who received treatment for an ED. Martín et al [9] found that "more abnormal attitudes and behaviors associated with ED" were related to greater impairment (p. 165).…”

Section: Introductionmentioning

confidence: 99%

“…A study of 53 women in outpatient treatment, on a waiting list for treatment, or recently discharged from treatment [15] found an association between ED behaviours (binge eating, dietary restriction, laxative use, and self-induced vomiting) and HRQoL but did not control for depression (rather, using this as an outcome variable). More recently, a number of authors have emphasised the importance of measuring and controlling for psychological distress, a concept linked closely to depression [16], when considering the relationship between ED symptoms and psychosocial impairment [8,10].…”

Section: Introductionmentioning

confidence: 99%

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Symptoms predicting psychosocial impairment in bulimia nervosa

2017

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Findings support previous work highlighting the importance of weight and shape concerns in determining ED-related impairment. Other ED symptoms, notably dietary restraint and concerns with eating, were also significant predictors as was psychological distress. Results suggest that cognitive aspects of EDs, in addition to psychological distress, may be more important determinants of impairment than behavioural symptoms, such as binge eating or purging.

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Section: Introductionsupporting

confidence: 89%

Section: Discussionmentioning

confidence: 99%

Section: Investigation Of Predictors Of Psychosocial Impairment In Inmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Symptoms predicting psychosocial impairment in bulimia nervosa

2017

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Assessing the impact of First Episode Rapid Early Intervention for Eating Disorders on duration of untreated eating disorder: A multi‐centre quasi‐experimental study

Flynn

Austin

Lang

et al. 2020

Euro Eating Disorders Rev

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Background: Duration of untreated eating disorder (DUED), that is, the time between illness onset and start of first evidence-based treatment, is a key outcome for early intervention. Internationally, reported DUED ranges from 2.5 to 6 years for different eating disorders (EDs). To shorten DUED, we developed FREED (First Episode Rapid Early Intervention for EDs), a service model and care pathway for emerging adults with EDs. Here, we assess the impact of FREED on DUED in a multi-centre study using a quasiexperimental design.Methods: Two hundred and seventy-eight patients aged 16-25, with first episode illness of less than 3 years duration, were recruited from specialist ED services and offered treatment via FREED. These were compared to 224 patients, of similar age and illness duration, seen previously in participating services (treatment as usual [TAU]) on DUED, waiting times and treatment uptake.Results: FREED patients had significantly shorter DUED and waiting times than TAU patients. On average, DUED was reduced by ∼4 months when systemic delays were minimal. Furthermore, 97.8% of FREED patients took up treatment, versus 75.4% of TAU. Discussion: Findings indicate that FREED significantly improves access to treatment for emerging adults with first episode ED. FREED may reduce distress, prevent deterioration and facilitate recovery.

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Correlates and impact of DSM-5 binge eating disorder, bulimia nervosa and recurrent binge eating: a representative population survey in a middle-income country

Appolinário

Sichieri

Lopes

et al. 2022

Soc Psychiatry Psychiatr Epidemiol

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Purpose Binge eating disorder (BED), bulimia nervosa (BN) and recurrent binge eating (RBE) are binge eating spectrum conditions causing a significant impact in individual’s health and functioning. Information regarding those conditions came mostly from high-income countries. The objective of this study was to assess the prevalence of DSM-5 BED, BN and RBE and correlates in a representative sample from a metropolitan area of a middle-income country. Methods The data were obtained from a cross-sectional population-based household survey in two stages in Rio de Janeiro, Brazil. Noninstitutionalized residents aged 18–60 years were assessed by lay interviewers using the Questionnaire of Eating and Weight Patterns-5 (QEWP-5). Positive cases and a paired sample screen-negative cases were reassessed by phone with the Eating Disorders Section of SCID-I-P (adapted for DSM-5). The data were collected from September 2019 to February 2020. Results Overall, 2297 individuals were interviewed. Prevalence of BED was 1.4%, BN 0.7%, RBE 6.2%. Psychiatric comorbidities, such as depression, anxiety and ADHD were significantly more prevalent in people with BED, BN and RBE than in people without these eating problems. Several medical conditions, when controlling for body mass index, were significantly more prevalent in people with BED, BN and RBE. People with BED and BN had marked impairments in work/school, social and family life, reduced mental and physical HRQoL and under half had sought treatment. Conclusion As in high income countries, in Rio de Janeiro, Brazil, BED, BN and RBE are prevalent conditions and are associated with elevated BMI, functional impairment, psychiatric and medical comorbidity and poorer HRQoL.

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Eating disorder severity and functional impairment: moderating effects of illness duration in a clinical sample

Cited by 16 publications

References 42 publications

Symptoms predicting psychosocial impairment in bulimia nervosa

Symptoms predicting psychosocial impairment in bulimia nervosa

Assessing the impact of First Episode Rapid Early Intervention for Eating Disorders on duration of untreated eating disorder: A multi‐centre quasi‐experimental study

Correlates and impact of DSM-5 binge eating disorder, bulimia nervosa and recurrent binge eating: a representative population survey in a middle-income country

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