Exploring health-related quality of life in eating disorders by a cross-sectional study and a comprehensive review

BMC Psychiatry

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.

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