Mortality and predictors of death in a cohort of patients presenting to an eating disorders service

Button, Eric; Chadalavada, Bhanu; Palmer, Robert L.

doi:10.1002/eat.20715

Cited by 82 publications

(80 citation statements)

References 17 publications

(18 reference statements)

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“…Thus it seemed that the systems described by the women incentivised weight loss -a finding which is worrying given that a very low BMI is a known predictor of increased mortality risk (Button, Chadalavada & Palmer, 2010). The women's narratives also suggested that even when access to a service had been achieved there was no guarantee of on-going help.…”

Section: Access To Treatmentmentioning

confidence: 99%

‘Eating disorders are not about food, they’re about life’: Client perspectives on anorexia nervosa treatment

2015

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Poor success rates and high levels of dropout are common features in the treatment of anorexia nervosa. Using semi-structured interviews, this study elicited the views of 12 women who were recovered, or in recovery, for anorexia nervosa and had received treatment. Results derived from a thematic analysis revealed the women’s high degree of dissatisfaction with treatment and their perception that the treatment system is overly focused on, and driven by, food and weight. In contrast, what the women really wanted was to be seen and treated as a ‘whole person’ and to have a ‘real’ relationship with their therapist.

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Section: Access To Treatmentmentioning

confidence: 99%

‘Eating disorders are not about food, they’re about life’: Client perspectives on anorexia nervosa treatment

2015

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“…Mortality in AN occurs as a result of medical complications and/or suicide. Low BMI [2], older age at initial diagnosis [4], alcohol addiction, and comorbid psychiatric pathologies (e.g. depression) are considered among mortality predictors for AN.…”

Section: Discussionmentioning

confidence: 99%

“…It has been reported that 46% of AN patients recover completely, 30% of the patients recover partially, and 20% of the patients have a chronic disease. The risk of early mortality is 10-fold higher in AN [2]. The mortality rate in AN is higher than compared with schizophrenia, bipolar disorder, and depression [3].…”

Section: Introductionmentioning

confidence: 96%

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A psychological autopsy of a patient who was deceased due to medical complications associated with anorexia nervosa: A case report

Şimşek

Yüksel²,

Aktaş³

et al. 2016

J Clin Exp Invest

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ÖZETAnoreksiya nervoza (AN), kişinin fiziksel bütünlüğünü tehdit edecek şekilde yememe ve kilo vermeye çalışma ile karakterize olan bir yeme bozukluğudur. Anoreksiya nervozada, mortalite riskinin arttığı iyi bilinmektedir. Anoreksiya nervozada ölümler medikal komplikasyonlar ve/ veya intihar neticesinde olmaktadır. Bununla beraber, hastalığın seyri boyunca ölüm riskinin zamanlaması belirsizdir. Anoreksiya nervozada mortalite için bazı prediktörler tanımlanmıştır. Bu çalışmada, AN'ya bağlı medikal komplikasyonlar nedeniyle ölen 15 yaşında kız olgunun sunulması planlanmıştır. Anahtar kelimeler: Anoreksiya nervoza, mortalite, ölüm, öngörücüler ABSTRACTAnorexia nervosa (AN) is an eating disorder, which is characterized by the avoidance of eating in a way that threatens the physical integrity of an individual, and trying to lose weight. It is known that the risk of mortality is high in AN. Death occurs as a results of medical complications and/or suicide. On the other hand, the exact time point of mortality becoming a risk during the progression of the disease progression is not defined. Certain predictors have been defined for mortality in AN. In this study, our aim was to present a case of a 15-year old female patient, who had died due to medical complications related to AN.

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“…Despite the AN prevalence rate being relatively low, ranging from 0.3% to 1% 2,3 , the functional and physiological impairments associated with this condition are pervasive. In addition, the mortality rates due to malnutrition and suicide are the highest among all psychiatric disorders [4][5][6] . Whereby, early psychosocial interventions during adolescence are associated with a positive prognostic impact, by reducing damage and preventing chronic disease [7][8][9] .…”

Section: Introductionmentioning

confidence: 99%

Evidence-based psychotherapy for treatment of anorexia nervosa in children and adolescents: systematic review

Alckmin-Carvalho

Vega

Cobelo

et al. 2018

Arch. Clin. Psychiatry (São Paulo)

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Background: Efficacy studies on the treatment of anorexia nervosa (AN) in childhood and adolescence are scarce and systematic reviews are almost non-existent. Objective: Systematic review of the literature regarding the modalities of psychological intervention based on evidence used in the treatment of AN in childhood and adolescence. Methods: The research was carried out in the databases: PubMed, PsycINFO and Cochrane, using the combined keywords: anorexia nervosa and evidence-based therapy. Articles published between 1990 and 2015 were assessed. Results: Of the 139 eligible articles, 14 were selected, of which 10 (71.4%) were conducted in the United States and England. The sample ranged from 9 to 167 participants. Randomized Clinical Trial represented the most frequent design (n = 9; 63.4%), with more than half of the interventions structured in 20 or more sessions (n = 9, 64.3%). Nine types of treatments were tested, with the most tested being Family-Based Treatment (FBT) (n = 7; 50%). Interventions involving the family seem to be more effective, however, the rates for complete remission are modest. Discussion: Although evidence of efficacy was verified in the treatments analyzed, the limited number of studies, the various methodological limitations and the methodological heterogeneity between studies make the findings inconclusive.

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Mortality and predictors of death in a cohort of patients presenting to an eating disorders service

Abstract: The study confirms previous evidence of a markedly increased mortality risk for anorexia nervosa, but also suggests that the risk is not confined to this eating disorder and that greater attention needs to be focused on wider psychiatric comorbidity.

Cited by 82 publications

References 17 publications

‘Eating disorders are not about food, they’re about life’: Client perspectives on anorexia nervosa treatment

‘Eating disorders are not about food, they’re about life’: Client perspectives on anorexia nervosa treatment

A psychological autopsy of a patient who was deceased due to medical complications associated with anorexia nervosa: A case report

Evidence-based psychotherapy for treatment of anorexia nervosa in children and adolescents: systematic review

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