Psychological and eating disorder symptoms as predictors of starting eating disorder treatment.
eating disorders
treatment barriers
treatment engagement
treatment gap
treatment uptake
Journal
The International journal of eating disorders
ISSN: 1098-108X
Titre abrégé: Int J Eat Disord
Pays: United States
ID NLM: 8111226
Informations de publication
Date de publication:
08 2021
08 2021
Historique:
revised:
28
04
2021
received:
19
03
2021
accepted:
29
04
2021
pubmed:
8
5
2021
medline:
16
10
2021
entrez:
7
5
2021
Statut:
ppublish
Résumé
Little is known about the treatment uptake rate for adults diagnosed with an eating disorder through formal assessment. This study aimed to identify psychological and eating disorder symptoms that predict whether individuals with diagnosed eating disorders start treatment after receiving a diagnostic assessment and recommendation to begin treatment. Identifying barriers to starting treatment can inform interventions to improve the uptake of treatment. After a diagnostic assessment at an eating disorder specialty clinic, 223 adults were recommended to begin treatment and completed self-report measures of psychological functioning, clinical impairment, and eating psychopathology. Patient attendance was assessed to determine rates and predictors of starting treatment within 3 months of the assessment. Of the 223 patients recommended to begin treatment, approximately two-third started treatment within 3 months of the assessment. Logistic regression identified greater avoidance of eating, greater laxative use frequency, more social eating concerns, and lower weight dissatisfaction as predicting lower likelihood of beginning treatment after assessment. A chi-square test for independence found no significant differences between diagnostic groups on starting treatment. Findings identify eating disorder symptoms that predict treatment enrollment after diagnostic assessment and recommendation to begin treatment. Assessing for these symptoms at the diagnostic assessment stage is recommended to address potential treatment barriers. Future research should identify strategies that increase treatment uptake at this stage of the process.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
1500-1508Informations de copyright
© 2021 Wiley Periodicals LLC.
Références
Ali, K., Farrer, L., Fassnacht, D. B., Gulliver, A., Bauer, S., & Griffiths, K. M. (2017). Perceived barriers and facilitators towards help-seeking for eating disorders: A systematic review. International Journal of Eating Disorders, 50, 9-21. https://doi.org/10.1002/eat.22598
Ali, K., Fassnacht, D. B., Farrer, L., Rieger, E., Feldhege, J., Moessner, M., … Bauer, S. (2020). What prevents young adults from seeking help? Barriers toward help-seeking for eating disorder symptomatology. International Journal of Eating Disorders, 53, 894-906. https://doi.org/10.1002/eat.23266
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: American Psychiatric Association.
Arcelus, J., Mitchell, A. J., Wales, J., & Nielsen, S. (2011). Mortality rates in patients With anorexia nervosa and other eating disorders. Archives of General Psychiatry, 68(7), 724-731. http://doi.org/10.1001/archgenpsychiatry.2011.74
Austin, A., Flynn, M., Richards, K., Hodsoll, J., Duarte, T. A., Robinson, P., … Schmidt, U. (2020). Duration of untreated eating disorder and relationship to outcomes: A systematic review of the literature. European Eating Disorders Review, 29, 1-17. https://doi.org/10.1002/erv.2745
Bankoff, S. M., Karpel, M. G., Forbes, H. E., & Pantalone, D. W. (2012). A systematic review of dialectical behavior therapy for the treatment of eating disorders. Eating Disorders, 20, 196-215. https://doi.org/10.1080/10640266.2012.668478
Becker, A. E., Hadley Arrindell, A., Perloe, A., Fay, K., & Striegel-Moore, R. H. (2010). A qualitative study of perceived social barriers to care for eating disorders: Perspectives from ethnically diverse health care consumers. International Journal of Eating Disorders, 43, 633-647. https://doi.org/10.1002/eat.20755
Berg, K. C., Peterson, C. B., Frazier, P., & Crow, S. J. (2012). Psychometric evaluation of the eating disorder examination and eating disorder examination-questionnaire: A systematic review of the literature. International Journal of Eating Disorders, 45(3), 428-438. http://doi.org/10.1002/eat.20931
Bohn, K., & Fairburn, C. G. (2008). Clinical Impairment Assessment Questionnaire (CIA 3.0). In C. G. Fairburn (Ed.), Cognitive Behavior Therapy and Eating Disorders. New York: Guildford Press.
Burke, N. L., Schaefer, L. M., Hazzard, V. M., & Rodgers, R. F. (2020). Where identities converge: The importance of intersectionality in eating disorders research. International Journal of Eating Disorders, 53, 1605-1609. https://doi.org/10.1002/eat.23371
Burket, R. C., & Hodgin, J. D. (1993). Factors predicting reluctance to seek treatment in patients with eating disorders. Southern Medical Journal, 86, 529-532.
Cachelin, F. M., Rebeck, R., Veisel, C., & Striegel-Moore, R. H. (2001). Barriers to treatment for eating disorders among ethnically diverse women. International Journal of Eating Disorders, 30, 269-278. https://doi.org/10.1002/eat.1084
Cachelin, F. M., & Striegel-Moore, R. H. (2006). Help seeking and barriers to treatment in a community sample of Mexican American and European American women with eating disorders. International Journal of Eating Disorders, 39, 154-161. https://doi.org/10.1002/eat.20213
Chen, E. Y., & Safer, D. L. (2010). Dialectical behavior therapy for bulimia nervosa and binge-eating disorder. In C. M. Grilo & J. E. Mitchell (Eds.), The treatment of eating disorders: A clinical handbook (pp. 294-316). New York: Guilford Press.
Coker, S., Vize, C., Wade, T., & Cooper, P. J. (1993). Patient with bulimia nervosa who fail to engage in cognitive behavior therapy. International Journal of Eating Disorders, 13, 35-40.
Cooper, M., Cohen-Tovée, E., Todd, G., Wells, A., & Tovée, M. (1997). The eating disorder belief questionnaire: Preliminary development. Behaviour Research and Therapy, 35(4), 381-388. http://doi.org/10.1016/s0005-7967(96)00115-5
Dearden, A., & Mulgrew, K. E. (2013). Service provision for men with eating issues in Australia: An analysis of organisations', practitioners', and men's experiences. Australian Social Work, 66, 590-606. https://doi.org/10.1080/0312407x.2013.778306
Eisenberg, D., Nicklett, E. J., Roeder, K., & Kirz, N. E. (2011). Eating disorder symptoms among college students: Prevalence, persistence, correlates, and treatment-seeking. Journal of American College Health, 59(8), 700-707. http://doi.org/10.1080/07448481.2010.546461
Evans, E. J., Hay, P. J., Mond, J., Paxton, S. J., Quirk, F., Rodgers, B., … Sawoniewska, M. A. (2011). Barriers to help-seeking in young women with eating disorders: A qualitative exploration in a longitudinal community survey. Eating Disorders: The Journal of Treatment and Prevention, 19, 270-285. https://doi.org/10.1080/10640266.2011.566152
Fairburn, C. G. (2008). Cognitive behavior therapy and eating disorders. New York: Guilford Press.
Fairburn, C. G., & Beglin, S. J. (2008). Eating Disorder Examination Questionnaire (6.0). In C. G. Fairburn (Ed.), Cognitive behavior therapy and eating disorders. New York, NY: The Guilford Press.
Goode, R. W., Cowell, M. M., Mazzeo, S. E., Cooper-Lewter, C., Forte, A., Olayia, O. I., & Bulik, C. M. (2020). Binge eating and binge-eating disorder in black women: A systematic review. International Journal of Eating Disorders, 53, 491-507. https://doi.org/10.1002/eat.23217
Gratz, K. L., & Roemer, L. (2004). Multidimensional assessment of emotion regulation and dysregulation: Development, factor structure, and initial validation of the Difficulties in Emotion Regulation Scale. Journal of Psychopathology and Behavioral Assessment, 26(1), 41-54. http://doi.org/10.1023/b:joba.0000007455.08539.94
Griffiths, S., Rossell, S. L., Mitchison, D., Murray, S. B., & Mond, J. M. (2018). Pathways into treatment for eating disorders: A quantitative examination of treatment barriers and treatment attitudes. Eating Disorders: The Journal of Treatment and Prevention, 26, 556-574. https://doi.org/10.1080/10640266.2018.1518086
Grillot, C. L., & Keel, P. K. (2018). Barriers to seeking treatment for eating disorders: The role of self-recognition in understanding gender disparities in who seeks help. International Journal of Eating Disorders, 51, 1285-1289. https://doi.org/10.1002/eat.22965
Grilo, C. M., Reas, D. L., Hopwood, C. J., & Crosby, R. D. (2015). Factor structure and construct validity of the eating disorder examination-questionnaire in college students: Further support for a modified brief version. International Journal of Eating Disorders, 48, 284-289. https://doi.org/10.1002/eat.22358
Hart, L. M., Granillo, M. T., Jorm, A. F., & Paxton, S. J. (2011). Unmet need for treatment in the eating disorders: A systematic review of eating disorder specific treatment seeking among community cases. Clinical Psychology Review, 31, 727-735. https://doi.org/10.1016/j.cpr.2011.03.004
Hepworth, N., & Paxton, S. J. (2007). Pathways to help-seeking in bulimia nervosa and binge eating problems: A concept mapping approach. International Journal of Eating Disorders, 40, 493-504. https://doi.org/10.1002/eat.20402
Hosmer, D. W., & Lemeshow, S. (2000). Applied logistic regression. New York: Wiley.
Hudson, J. I., Hiripi, E., Pope, H. G., & Kessler, R. C. (2007). The prevalence and correlates of eating disorders in the National Comorbidity Survey Replication. Biological Psychiatry, 61(3), 348-358. http://doi.org/10.1016/j.biopsych.2006.03.040.
Hunger, J. M., Dodd, D. R., & Smith, A. R. (2020). Weight discrimination, anticipated weight stigma, and disordered eating. Eating Behaviors, 37, 101383. https://doi.org/10.1016/j.eatbeh.2020.101383
Innes, N. T., Clough, B. A., & Casey, L. M. (2017). Assessing treatment barriers in eating disorders: A systematic review. Eating Disorders: The Journal of Treatment and Prevention, 25, 1-21. https://doi.org/10.1080/10640266.2016.1207455
Jorm, A. F. (2012). Mental health literacy: Empowering the community to take action for better mental health.. American Psychologist, 67(3), 231-243. http://doi.org/10.1037/a0025957
Kazdin, A. E., Fitzsimmons-Craft, E. E., & Wilfley, D. E. (2017). Addressing critical gaps in the treatment of eating disorders. International Journal of Eating Disorders, 50, 170-189. https://doi.org/10.1002/eat.22670
Leavey, G., Vallianatou, C., Johnson-Sabine, E., Rae, S., & Gunputh, V. (2011). Psychosocial barriers to engagement with an eating disorder service: A qualitative analysis of failure to attend. Eating Disorders: The Journal of Treatment and Prevention, 19, 425-440. https://doi.org/10.1080/10640266.2011.609096
Lipson, S. K., Jones, J. M., Taylor, C. B., Wilfley, D. E., Eichen, D. M., Fitzsimmons-Craft, E. E., & Eisenberg, D. (2017). Understanding and promoting treatment-seeking for eating disorders and body image concerns on college campuses through online screening, prevention and intervention. Eating Behaviors, 25, 68-73. https://doi.org/10.1016/j.eatbeh.2016.03.020
Meyer, D. F. (2001). Help-seeking for eating disorders in female adolescents. Journal of College Student Psychotherapy, 15, 23-36. https://doi.org/10.1300/J035v15n04_04
Mond, J. M., Hay, P. J., Darby, A., Paxton, S. J., Quirk, F., Buttner, P., … Rodgers, B. (2009). Women with bulimic eating disorders: When do they receive treatment for an eating problem? Journal of Consulting and Clinical Psychology, 77, 835-844. https://doi.org/10.1037/a0015336
Parent, M. C. (2013). Handling item-level missing data. The Counseling Psychologist, 41(4), 568-600. http://doi.org/10.1177/0011000012445176.
Perez, M., Ohrt, T. K., & Hoek, H. W. (2016). Prevalence and treatment of eating disorders among Hispanics/Latino Americans in the United States. Current Opinion in Psychiatry, 29, 378-382. https://doi.org/10.1097/YCO.0000000000000277
Reyes-Rodriguez, M. L., Ramirez, J., Davis, K., Patrice, K., & Bulik, C. M. (2013). Exploring barriers and facilitators in eating disorders treatment among Latinas in the United States. Journal of Latina/o Psychology, 1, 112-131. https://doi.org/10.1037/a0032318
Roerig, J. L., Steffen, K. J., Mitchell, J. E., & Zunker, C. (2010). Laxative abuse. Drugs, 70, 1487-1503. https://doi.org/10.2165/11898640-000000000-00000
Romanelli, M., & Hudson, K. D. (2017). Individual and systemic barriers to health care: Perspectives of lesbian, gay, bisexual, and transgender adults. American Journal of Orthopsychiatry, 87, 714-728. https://doi.org/10.1037/ort0000306
Romano, K. A., & Lipson, S. K. (2019). Dietary restraint patterns and eating disorder help-seeking. Eating and Weight Disorders, 1, 159-168. https://doi.org/10.1007/s40519-019-00833-2
Saunders, J. B, Aasland, O. G., Babor, T. F., De La Fuent, J. R., & Grant, M. (1993). Development of the Alcohol Use Disorders Identification Test (AUDIT): WHO collaborative project on early detection of persons with harmful alcohol consumption-II. Addiction, 88(6), 791-804. http://doi.org/10.1111/j.1360-0443.1993.tb02093.x.
Sonneville, K. R., & Lipson, S. K. (2018). Disparities in eating disorder diagnosis and treatment according to weight status, race/ethnicity, socioeconomic background, and sex among college students. International Journal of Eating Disorders, 51, 518-526. https://doi.org/10.1002/eat.22846
Vanheusden, K., Mulder, C. L., van der Ende, J., van Lenthe, F. J., Mackenbach, J. P., & Verhulst, F. C. (2008). Young adults face major barriers to seeking help from mental health services. Patient Education and Counseling, 73, 97-104. https://doi.org/10.1016/j.pec.2008.05.006
Vartanian, L. R., Pinkus, R. T., & Smyth, J. M. (2014). The phenomenology of weight stigma in everyday life. Journal of Contextual Behavioral Science, 3(3), 196-202. http://doi.org/10.1016/j.jcbs.2014.01.003.
Waller, G., Schmidt, U., Treasure, J., Murray, K., Aleyna, J., Emanuelli, F., … Yeomans, M. (2009). Problems across care pathways in specialist adult eating disorder services. Psychiatric Bulletin, 33, 26-29. https://doi.org/10.1192/pb.bp.107.018325