Frontiers in Psychology | |
Treatment Utilization and Medical Problems in a Community Sample of Adult Women With Anorexia Nervosa | |
article | |
Brooks Brodrick1  Jessica A. Harper1  Erin Van Enkevort1  Carrie J. McAdams1  | |
[1] Internal Medicine, The University of Texas Southwestern Medical Center, United States;Parkland Health and Hospital System Dallas, United States;Children’s Medical Center Dallas, United States | |
关键词: eating disorders; bulimia nervosa; recovery; longitudinal; cohort; treatment; | |
DOI : 10.3389/fpsyg.2019.00981 | |
学科分类:社会科学、人文和艺术(综合) | |
来源: Frontiers | |
【 摘 要 】
Anorexia nervosa (AN) has a prolonged course of illness, making both defining recovery and determining optimal outpatient treatments difficult. Here, we report the types of treatments utilized in a naturalistic sample of adult women with AN in Texas. Participants were recruited from earlier studies of women with AN ( n = 28) and in weight recovery following AN ( n = 18). Participants provided information about both their illness and treatments during their most severe period as well as during the 2–6 years following original assessments. Based upon their baseline and follow-up clinical status participants were classified as remaining ill (AN-CC, n = 17), newly in recovery (AN-CR, n = 11), and sustained weight-recovery (AN-WR, n = 18). Utilization of health care institutions and providers were compared across groups. There were no differences in groups related to symptoms or treatments utilized during the severe-period. During the follow-up period, intensive outpatient programs were utilized significantly more by the AN-CC group than the other groups, and dietitians were seen significantly less by the AN-WR group. Medical complications related to the ED were significantly more common in the AN-CC group. All groups maintained similar levels of contact with outpatient psychiatrists, therapists, and primary care physicians. Current treatments remain ineffective for a subset of AN participants. Future prospective studies assessing medical health and comorbidities in AN may provide additional insights into disease severity and predictors of clinical outcome.
【 授权许可】
CC BY
【 预 览 】
Files | Size | Format | View |
---|---|---|---|
RO202108170010753ZK.pdf | 412KB | download |