BMC Psychiatry | |
Exploring health-related quality of life in eating disorders by a cross-sectional study and a comprehensive review | |
Matteo Balestrieri2  Ilenia Camponogara1  Erika Baldissera1  Lucia Cereser1  Pierluigi Righetti1  Pierandrea Salvo1  Monica Baiano1  | |
[1] Centre for Weight and Eating Disorders, Azienda Socio-Sanitaria Locale n. 10 “Veneto Orientale”, Venice, Portogruaro, Italy;Clinica Psichiatrica, Azienda Ospedaliero-Universitaria, P.le S.M. Misericordia 15, 34070 Udine, Italy | |
关键词: Review; SF-36; WHOQoL-BREF; Quality of life; HRQoL; Binge eating; Bulimia nervosa; Anorexia nervosa; Eating disorders; | |
Others : 1123531 DOI : 10.1186/1471-244X-14-165 |
|
received in 2013-05-16, accepted in 2014-02-19, 发布年份 2014 |
【 摘 要 】
Background
People with eating disorders (ED) often report poor health-related quality of life (HRQoL), which is explicitly correlated to illness’ severity and its effects on cognitive performance. We aimed to analyze health-related quality of life (HRQoL) in subgroups of eating disorder (ED) patients by using the brief version of WHOQoL questionnaire (WHOQoL-BREF) before treatment administration. Moreover, in order to compare our findings with other published data, we carried out a comprehensive review of the literature on HRQoL in ED patients.
Methods
Our review was carried out by means of an accurate data mining of PsychInfo and Medline databases and other available sources. In our cross-sectional study, eighty female ED patients (26 with bulimia nervosa, 33 with anorexia nervosa, 7 with binge eating disorder and 14 with ED not otherwise specified) completed the WHOQoL-BREF. HRQoL scores were compared among ED subgroups and clinical information (presence of previous contacts, length of illness, psychiatric comorbidity) was considered in the analysis.
Results
Our review shows that with few exceptions ED patients have a poorer HRQoL than the healthy population of control and sometimes the mental component of HRQoL is the most involved dimension. Moreover, there are no differences in the HRQoL among ED groups, even if AN patients in some studies have a lower HRQoL scores. Furthermore, BED patients have a poorer HRQoL than obese patients who do not have binge episodes. Finally, all treatments were positively correlated with an improvement on general and specific QoL dimensions. In our sample, ED subgroups differed only for Psychological Health HRQoL scores (F = 4.072, df = 3; p = 0.01). No differences were found between inpatients and outpatients, treatment naïve and previously treated patients and patients with or without psychiatric comorbidity. Moreover, HRQoL scores were not correlated to length of illness within each ED subgroup.
Conclusions
The analysis of the literature adds some relevant information on HRQoL in ED and may address the future research toward the exploration of specific questions. One of these may be the prominent role of Psychological Health domain in HRQoL, since our study confirms that this component is able to differentiate eating disorders.
【 授权许可】
2014 Baiano et al.; licensee BioMed Central Ltd.
Files | Size | Format | View |
---|---|---|---|
Figure 2. | 56KB | Image | download |
【 图 表 】
Figure 2.
【 参考文献 】
- [1]The WHOQOL Group: Development of the World Health Organization WHOQOL-BREF Quality of Life assessment. Psychol Med 1998, 28:551-558.
- [2]Centers for Disease Control and Prevention: Measuring healthy days: Population assessment of health-related quality of life. Atlanta, Georgia: CDCP; 2000.
- [3]Engel SG, Adair CE, Las Hayas C, Abraham S: Health related quality of life and eating disorders: a review and an update. Int J Eat Disord 2009, 42:179-187.
- [4]Boini S, Briançon S, Guillemin F, Galan P, Hercberg S: Impact of cancer occurrence on health-related quality of life: a longitudinal pre-post assessment. Health Qual Life Outcomes 2004, 2:4. BioMed Central Full Text
- [5]Bullinger M: Health-related quality of life and subjective health. Psychother Psychosom Med Psychol 1997, 47:76-91.
- [6]Guyatt GH, Feeny D, Patrick DL: Measuring health-related quality of life. Ann Intern Med 1993, 118:622-629.
- [7]De la Rie S, Noordenbos G, Donker M, van Furth E: Quality of life and eating disorders. Qual Life Res 2005, 14:1511-1522.
- [8]Bosanac P, Kurlender S, Stojanovska L, Hallam K, Norman T, McGrath C, Burrows G, Wesnes K, Manktelow T, Olver J: Neuropsychological study of underweight and “weight-recovered” anorexia nervosa compared with bulimia nervosa and normal controls. Int J Eat Disord 2007, 40:613-621.
- [9]Fowler L, Blackwell A, Jaffa A, Palmer R, Robbins TW, Sahakian BJ, Dowson JH: Profile of neurocognitive impairments associated with female in-patients with anorexia nervosa. Psychol Med 2006, 36:517-527.
- [10]Padierna A, Quintana JM, Arostegui I, Gonzalez N, Horcajo MJ: The health-related quality of life in eating disorders. Qual Life Res 2000, 9:667-674.
- [11]Mond JM, Hay PJ, Rodgers B, Owen C, Beumont PJV: Assessing quality of life in eating disorder patients. Qual Life Res 2005, 14:171-178.
- [12]Davies M, Brody D, deGruy FV 3rd, Spitzer RL, Kroenke K, Linzer M, Hahn SR, Williams JB: Health-related quality of life in primary care patients with mental disorders. Results from the PRIME-MD 1000 Study. JAMA 1995, 274:1511-1517.
- [13]Bohn K, Doll HA, Cooper Z, O’Connor M, Palmer RL, Fairburn CG: The measurement of impairment due to eating psychopathology. Behav Res Ther 2008, 46:1105-1110.
- [14]Passarelli Tirico P, Stefano SC, Blay SL: Quality of life and eating disorders: a systematic review. Cad Saude Publica 2010, 26:431-449.
- [15]Jenkins PE, Hoste RR, Meyer C, Blissett JM: Eating disorders and quality of life: a review of the literature. Clin Psychol Rev 2011, 31:113-121.
- [16]SPSS Inc: SPSS for Windows, Version 16.0. Chicago: SPSS Inc; 2007.
- [17]StataCorp: Stata Statistical Software: Release 10. College Station, TX: StataCorp LP; 2007.
- [18]Hay P: Quality of life and bulimic eating disorder behaviours: findings from a community-based sample. Int J Eat Disord 2003, 33:434-442.
- [19]Doll HA, Petersen SE, Stewart-Brown SL: Eating disorders and emotional and physical well-being: associations between student self-reports of eating disorders and quality of life as measured by the SF-36. Qual Life Res 2005, 14:705-717.
- [20]Herpetz-Dahlmann B, Wille N, Hölling H, Vloet TD, Ravens-Sieberer U, BELLA study group: Disordered eating behaviour and attitudes, associated psychopathology and health-related quality of life: results of the BELLA study. Eur Child Adolesc Psychiatry 2008, 17:82-91.
- [21]Vallance JK, Latner JD, Gleaves DH: The relationship between eating disorder psychopathology and health-related quality of life within a community sample. Qual Life Res 2011, 20:675-682.
- [22]Mond J, Hay P, Rodgers B, Owen C: Quality of life impairment in a community sample of women with eating disorders. Aust N Z J Psychiatry 2012, 46:561-568.
- [23]Mitchison D, Hay P, Mond J, Slewa-Younan S: Self-reported history of anorexia nervosa and current quality of life: findings from a community-based study. Qual Life Res 2013, 22:273-281.
- [24]Keilen M, Treasure T, Schmidt U, Treasure J: Quality of life measurements in eating disorders, angina, and transplant candidates: are they comparable? J R Soc Med 1994, 87:441-444.
- [25]González-Pinto A, Inmaculada F, Cristina R, de Corres BF, Sonsoles E, Fernando R, Purificacion L: Purging behaviors and comorbidity as predictive factors of quality of life in anorexia nervosa. Int J Eat Disord 2004, 36:445-450.
- [26]Engel SG, Wittrock DA, Crosby RD, Wonderlich SA, Mitchell JE, Kolotkin RL: Development and psychometric validation of an eating disorder-specific health-related quality of life instrument. Int J Eat Disord 2006, 39:62-71.
- [27]De la Rie S, Noordenbos G, Donker M, van Furth E: The patient’s view on quality of life and eating disorders. Int J Eat Disord 2007, 40:13-20.
- [28]Latner JD, Vallance JK, Buckett G: Health-related quality of life in women with eating disorders: association with subjective and objective binge eating. J Clin Psychol Med Settings 2008, 15:148-153.
- [29]Bamford B, Sly R: Exploring quality of life in the eating disorders. Eur Eat Disord Rev 2010, 18:147-153.
- [30]Hsu LK, Mulliken B, McDonagh B, Krupa Das S, Rand W, Fairburn CG, Rolls B, McCrory MA, Saltzman E, Shikora S, Dwyer J, Roberts S: Binge eating disorder in extreme obesity. Int J Obes Relat Metab Disord 2002, 26:1398-1403.
- [31]de Zwaan M, Lancaster KL, Mitchell JE, Howell LM, Monson N, Roerig JL, Crosby RD: Health-related quality of life in morbidly obese patients: effect of gastric bypass surgery. Obes Surg 2002, 12:773-780.
- [32]Masheb RM, Grilo CM: Quality of life in patients with binge eating disorder. Eat Weight Disord 2004, 9:194-199.
- [33]Kolotkin RL, Westman EC, Østbye T, Crosby RD, Eisenson HJ, Binks M: Does binge eating disorder impact weight-related quality of life? Obes Res 2004, 12:999-1005.
- [34]Rieger E, Wilfley DE, Stein RI, Marino V, Crow SJ: A comparison of quality of life in obese individuals with and without binge eating disorder. Int J Eat Disord 2005, 37:234-240.
- [35]Colles SL, Dixon JB, O’Brien PE: Loss of control is central to psychological disturbance associated with binge eating disorder. Obesity (Silver Spring) 2008, 16:608-614.
- [36]Folope V, Chapelle C, Grigioni S, Coëffier M, Déchelotte P: Impact of eating disorders and psychological distress on the quality of life of obese people. Nutrition 2012, 28:e7-e13.
- [37]Ranzenhofer LM, Columbo KM, Tanofsky-Kraff M, Shomaker LB, Cassidy O, Matheson BE, Kolotkin RL, Checchi JM, Keil M, McDuffie JR, Yanovski JA: Binge eating and weight-related quality of life in obese adolescents. Nutrients 2012, 4:167-180.
- [38]Wade TD, Wilksch SM, Lee C: A longitudinal investigation of the impact of disordered eating on young women’s quality of life. Health Psychol 2012, 31:352-359.
- [39]Padierna A, Quintana JM, Arostegui I, Gonzalez N, Horcajo MJ: Changes in health related quality of life among patients treated for eating disorders. Qual Life Res 2002, 11:545-552.
- [40]Muñoz P, Quintana JM, Las Hayas C, Aguirre U, Padierna A, González-Torres MA: Assessment of the impact of eating disorders on quality of life using the disease-specific, health-related quality of life for eating disorders (HeRQoLED) questionnaire. Qual Life Res 2009, 18:1137-1146.
- [41]Adair CE, Marcoux GC, Bischoff TF, Cram BS, Ewashen CJ, Pinzon J, Gusella JL, Geller J, Scattolon Y, Fergusson P, Styles L, Brown KE: Responsiveness of the eating disorders quality of life scale (EDQLS) in a longitudinal multi-site sample. Health Qual Life Outcomes 2010, 8:83. BioMed Central Full Text
- [42]Marchesini G, Natale S, Chierici S, Manini R, Besteghi L, Di Domizio S, Sartini A, Pasqui F, Baraldi L, Forlani G, Melchionda N: Effects of cognitive-behavioural therapy on health-related quality of life in obese subjects with and without binge eating disorder. Int J Obes Relat Metab Disord 2002, 26:1261-1267.
- [43]Nickel C, Tritt K, Muehlbacher M, Pedrosa Gil F, Mitterlehner FO, Kaplan P, Lahmann C, Leiberich PK, Krawczyk J, Kettler C, Rother WK, Loew TH, Nickel MK: Topiramate treatment in bulimia nervosa patients: a randomized, double-blind, placebo-controlled trial. Int J Eat Disord 2005, 38:295-300.
- [44]Wilfley DE, Crow SJ, Hudson JI, Mitchell JE, Berkowitz RI, Blakesley V, Walsh BT, Sibutramine Binge Eating Disorder Research Group: Efficacy of sibutramine for the treatment of binge eating disorder: a randomized multicenter placebo-controlled double-blind study. Am J Psychiatry 2008, 165:51-58.
- [45]Abraham SF, Brown T, Boyd C, Luscombe G, Russel J: Quality of life: eating disorders. Aust New Zeal J Psychiatr 2006, 40:150-155.
- [46]McHugh MD: Readiness for change and short-term outcomes of female adolescents in residential treatment for anorexia nervosa. Int J Eat Disord 2007, 40:602-612.
- [47]Green AE, Dymek-Valentine M, Pytluk S, Le Grange D, Alverdy J: Psychosocial outcome of gastric bypass surgery for patients with and without binge eating. Obes Surg 2004, 14:975-985.
- [48]Karwautz A, de Zwaan M, Wöber-Bingöl C, Wöber C, Friedrich MH: Awareness of early-onset anorexia nervosa. Eat Weight Disord 1997, 2:138-143.
- [49]Spindler A, Milos G: Links between eating disorder symptom severity and psychiatric comorbidity. Eat Behav 2007, 8:364-373.
- [50]Sihvola E, Keski-Rahkonen A, Dick DM, Hoek HW, Raevuori A, Rose RJ, Pulkkinen L, Marttunen M, Kaprio J: Prospective associations of early-onset Axis I disorders with developing eating disorders. Compr Psychiatry 2009, 50:20-25.
- [51]Woodside BD, Staab R: Management of psychiatric comorbidity in anorexia nervosa and bulimia nervosa. CNS Drugs 2006, 20:665-663.
- [52]Blinder BJ, Cumella EJ, Sanathara VA: Psychiatric comorbidities of female inpatients with eating disorders. Psychosom Med 2006, 68:454-462.
- [53]Hjern A, Lindberg L, Lindblad F: Outcome and prognostic factors for adolescent female in-patients with anorexia nervosa: 9-to14-year follow-up. Br J Psychiatry 2006, 18:428-432.
- [54]Steinhausen HC: The outcome of anorexia nervosa in the 20th century. Am J Psychiatry 2002, 59:1284-1293.
- [55]Patrick L: Eating Disorders: a review of the literature with emphasis on medical complications and clinical nutrition. Altern Med Rev 2002, 7:184-202.
- [56]Gilboa-Schechtman E, Avnon L, Zubery E, Jeczmien P: Emotional processing in eating disorders: specific impairment or general distress related deficiency? Depress Anxiety 2006, 23:331-339.
- [57]Pollatos O, Kurz AL, Albrecht J, Schreder T, Kleemann AM, Schöpf V, Kopietz R, Wiesmann M, Schandry R: Reduced perception of bodily signals in anorexia nervosa. Eat Behav 2008, 9:381-388.
- [58]Hudson JI, Hiripi E, Pope HG, Kessler RC: The prevalence and correlates of eating disorders in the National Comorbidity Survey Replication. Biol Psychiatry 2007, 61:348-358.
- [59]Reba-Harrelson L, Von Holle A, Hamer RM, Swann R, Reyes ML, Bulik CM: Patterns and prevalence of disordered eating and weight control behaviors in women ages 25–45. Eat Weight Disord 2009, 14:190-198.
- [60]Bulik CM, Sullivan PF, Kendler KS: Medical and psychiatric morbidity in obese women with and without binge eating. Int J Eat Disord 2002, 32:72-78.
- [61]Whiteside U, Chen E, Neighbors C, Hunter D, Lo T, Larimer M: Difficulties regulating emotions: do binge eaters have fewer strategies to modulate and tolerate negative affect? Eat Behav 2007, 8:162-169.
- [62]Peterson CB, Miller KB, Crow SJ, Thuras P, Mitchell JE: Subtypes of binge eating disorder based on psychiatric history. Int J Eat Disord 2005, 38:273-276.
- [63]Peterson CB, Thuras P, Ackard DM, Mitchell JE, Berg K, Sandager N, Wonderlich SA, Pederson MW, Crow SJ: Personality dimensions in bulimia nervosa, binge eating disorder, and obesity. Compr Psychiatry 2010, 51:31-36.