Factors influencing the duration of untreated illness among patients with anorexia nervosa: A multicenter and multi-informant study.
anorexia nervosa
delivery of health care
duration of untreated illness
early diagnosis
prevention
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:
09 Oct 2023
09 Oct 2023
Historique:
revised:
15
09
2023
received:
09
03
2023
accepted:
15
09
2023
medline:
10
10
2023
pubmed:
10
10
2023
entrez:
10
10
2023
Statut:
aheadofprint
Résumé
The duration of untreated illness (DUI), that is, the interval between the onset of anorexia nervosa (AN) symptoms and start of specialized treatments, has a strong influence on the prognosis. To quantify modifiable predictors of the DUI and to derive recommendations for secondary prevention strategies. Within a multicenter, multi-informant study, DUI was assessed in interviews with patients undergoing first specialized AN treatment. Modifiable factors were assessed perspectives of AN-patients, their relatives, and primary care practitioners [PCPs]) with the FABIANA-checklist (Facilitators and barriers in anorexia nervosa treatment initiation). The effect of FABIANA-items on the DUI for each perspective was calculated using Cox Regression (control variables: age, eating disorder pathology, health care status, migration background, body mass index [BMI]). We included data from N = 125 female patients with AN (72 adults, 53 adolescents, M It is recommended (a) to incorporate treatment success stories in prevention strategies, (b) to inform PCPs about potential benefits of regular appointments during the transition to specialized care, and (c) to train PCPs in dealing with patients' complaints. Many individuals with AN seek treatment very late. Our study shows that a promising approach to facilitate earlier AN treatment is to inform patients about successful treatments of affected peers, to foster regular appointments with a PCP and, to motivate these PCPs to take individuals' with AN difficulties seriously. Thus, our study provides important suggestions for interventions that aim to improve early treatment in AN.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Subventions
Organisme : Deutsche Forschungsgemeinschaft (DFG)
ID : GU 1564/3-1
Organisme : Deutsche Forschungsgemeinschaft (DFG)
ID : LO 766/16-1
Informations de copyright
© 2023 The Authors. International Journal of Eating Disorders published by Wiley Periodicals LLC.
Références
Anderson, T., Perlman, M. R., McCarrick, S. M., & McClintock, A. S. (2020). Modeling therapist responses with structured practice enhances facilitative interpersonal skills. Journal of Clinical Psychology, 76(4), 659-675. https://doi.org/10.1002/jclp.22911
Andres-Pepina, S., Plana, M. T., Flamarique, I., Romero, S., Borras, R., Julia, L., Gárriz, M., & Castro-Fornieles, J. (2020). Long-term outcome and psychiatric comorbidity of adolescent-onset anorexia nervosa. Clinical Child Psychology and Psychiatry, 25(1), 33-44. https://doi.org/10.1177/1359104519827629
Arcelus, J., Mitchell, A. J., Wales, J., & Nielsen, S. (2011). Mortality rates in patients with anorexia nervosa and other eating disorders. A meta-analysis of 36 studies. Archives of General Psychiatry, 68(7), 724-731. https://doi.org/10.1001/archgenpsychiatry.2011.74
Austin, A., Flynn, M., Richards, K., Hodsoll, J., Duarte, T. A., Robinson, P., Kelly, J., & Schmidt, U. (2021). Duration of untreated eating disorder and relationship to outcomes: A systematic review of the literature. European Eating Disorders Review, 29(3), 329-345. https://doi.org/10.1002/erv.2745
Babitsch, B., Gohl, D., & von Lengerke, T. (2012). Re-revisiting Andersen's behavioral model of health services use: A systematic review of studies from 1998-2011. Psychosocial Medicine, 9, Doc11. https://doi.org/10.3205/psm000089
Beesdo-Baum, K., Zaudig, M., & Wittchen, H. U. (2019a). SCID-5-CV. Strukturiertes Klinisches Interview für DSM-5-Störungen. Klinische Version. Hogrefe.
Beesdo-Baum, K., Zaudig, M., & Wittchen, H. U. (2019b). SCID-5-PD. Strukturiertes Klinisches Interview für DSM-5-Persönlichkeitsstörungen. Hogrefe.
Bhandari, A., & Wagner, T. (2006). Self-reported utilization of health care services: Improving measurement and accuracy. Medical Care Research and Review, 63(2), 217-235. https://doi.org/10.1177/1077558705285298
Dalziel, K., Li, J., Scott, A., & Clarke, P. (2018). Accuracy of patient recall for self-reported doctor visits: Is shorter recall better? Health Economics, 27(11), 1684-1698. https://doi.org/10.1002/hec.3794
Demmler, J. C., Brophy, S. T., Marchant, A., John, A., & Tan, J. O. A. (2020). Shining the light on eating disorders, incidence, prognosis and profiling of patients in primary and secondary care: National data linkage study. The British Journal of Psychiatry, 216(2), 105-112. https://doi.org/10.1192/bjp.2019.153
Eubanks-Carter, C., Muran, J. C., & Safran, J. D. (2015). Alliance-focused training. Psychotherapy, 52(2), 169-173. https://doi.org/10.1037/a0037596
Evans-Lacko, S., Malcolm, E., West, K., Rose, D., London, J., Japhet, S., Little, K., Henderson, C., & Thornicroft, G. (2013). How can we use social contact interventions to reduce stigma and discrimination against people with mental health problems? European Psychiatry, 28(1), 1. https://doi.org/10.1016/S0924-9338(13)77522-9
Feltner, C., Peat, C., Reddy, S., Riley, S., Berkman, N., Middleton, J. C., Balio, C., Coker-Schwimmer, M., & Jonas, D. E. (2022). Screening for eating disorders in adolescents and adults: Evidence report and systematic review for the US preventive services task force. Journal of the American Medical Association, 327(11), 1068-1082. https://doi.org/10.1001/jama.2022.1807
Fernandez-Aranda, F., Treasure, J., Paslakis, G., Aguera, Z., Gimenez, M., Granero, R., Sánchez, I., Serrano-Troncoso, E., Gorwood, P., Herpertz-Dahlmann, B., & Bonin, E. M. (2021). The impact of duration of illness on treatment nonresponse and drop-out: Exploring the relevance of enduring eating disorder concept. European Eating Disorders Review, 29(3), 499-513. https://doi.org/10.1002/erv.2822
Godart, N. T., Perdereau, F., Rein, Z., Berthoz, S., Wallier, J., Jeammet, P., & Flament, M. F. (2007). Comorbidity studies of eating disorders and mood disorders. Critical review of the literature. Journal of Affective Disorders, 97(1-3), 37-49. https://doi.org/10.1016/j.jad.2006.06.023
Gumz, A. (2020). Kompetent mit Spannungen und Krisen in der therapeutischen Beziehung umgehen. Techniken und didaktische Konzepte. Vandenhoeck & Ruprecht.
Gumz, A., Longley, M., Schestag, L., Hirschmeier, C., Derwahl, L., Weinreich, J., Göttke, T., Höltermann, F., Koch, T., Freund, K., Geist, M., Schlipfenbacher, C., & Kästner, D. (2020). Facilitative interpersonal skills task. Assessment of therapists' competencies with the German version. Psychotherapy, 65(6), 465-474. https://doi.org/10.1007/s00278-020-00465-3
Herzog, W., Wild, B., Giel, K. E., Junne, F., Friederich, H. C., Resmark, G., Teufel, M., Schellberg, D., de Zwaan, M., Dinkel, A., Herpertz, S., Burgmer, M., Löwe, B., Zeeck, A., von Wietersheim, J., Tagay, S., Schade-Brittinger, C., Schauenburg, H., Schmidt, U., & Zipfel, S. (2022). Focal psychodynamic therapy, cognitive behaviour therapy, and optimised treatment as usual in female outpatients with anorexia nervosa (ANTOP study): 5-year follow-up of a randomised controlled trial in Germany. Lancet Psychiatry, 9(4), 280-290. https://doi.org/10.1016/S2215-0366(22)00028-1
Higgins, A., & Cahn, S. (2018). Detection of anorexia nervosa in primary care. Eating Disorders, 26(3), 213-228. https://doi.org/10.1080/10640266.2017.1397419
Homan, K. J., Sim, L. A., Crowley, S. L., Lebow, J. R., & Kransdorf, L. N. (2019). Medical assessment and triage of pediatric patients with anorexia nervosa in primary care. Journal of Developmental and Behavioral Pediatrics, 40(2), 92-98. https://doi.org/10.1097/DBP.0000000000000629
Hudson, L. D., Cumby, C., Klaber, R. E., Nicholls, D. E., Winyard, P. J., & Viner, R. M. (2013). Low levels of knowledge on the assessment of underweight in children and adolescents among middle-grade doctors in England and Wales. Archives of Disease in Childhood, 98(4), 309-311. https://doi.org/10.1136/archdischild-2012-303357
Innes, N. T., Clough, B. A., & Casey, L. M. (2017). Assessing treatment barriers in eating disorders: A systematic review. Eating Disorders, 25(1), 1-21. https://doi.org/10.1080/10640266.2016.1207455
Jacobi, F., Hofler, M., Siegert, J., Mack, S., Gerschler, A., Scholl, L., Busch, M. A., Hapke, U., Maske, U., Seiffert, I., Gaebel, W., Maier, W., Wagner, M., Zielasek, J., & Wittchen, H. U. (2014). Twelve-month prevalence, comorbidity and correlates of mental disorders in Germany: The mental health module of the German health interview and examination survey for adults (DEGS1-MH). International Journal of Methods in Psychiatric Research, 23(3), 304-319. https://doi.org/10.1002/mpr.1439
Kästner, D., Buchholz, I., Weigel, A., Brunner, R., Voderholzer, U., Gumz, A., & Löwe, B. (2019). Facilitators and barriers in anorexia nervosa treatment initiation (FABIANA): Study protocol for a mixed-methods and multicentre study. BJPsych Open, 5(6), e92. https://doi.org/10.1192/bjo.2019.77
Kästner, D., Löwe, B., Weigel, A., Osen, B., Voderholzer, U., & Gumz, A. (2018). Factors influencing the length of hospital stay of patients with anorexia nervosa-Results of a prospective multi-center study. BMC Health Services Research, 18(1), 22. https://doi.org/10.1186/s12913-017-2800-4
Kästner, D., Weigel, A., Buchholz, I., Voderholzer, U., Löwe, B., & Gumz, A. (2021). Facilitators and barriers in anorexia nervosa treatment initiation: A qualitative study on the perspectives of patients, carers and professionals. Journal of Eating Disorders, 9(1), 28. https://doi.org/10.1186/s40337-021-00381-0
Kliem, S., Mossle, T., Zenger, M., Strauss, B., Brahler, E., & Hilbert, A. (2016). The eating disorder examination-questionnaire 8: A brief measure of eating disorder psychopathology (EDE-Q8). The International Journal of Eating Disorders, 49(6), 613-616. https://doi.org/10.1002/eat.22487
Kliem, S., Schmidt, R., Vogel, M., Hiemisch, A., Kiess, W., & Hilbert, A. (2017). An 8-item short form of the eating disorder examination-questionnaire adapted for children (ChEDE-Q8). The International Journal of Eating Disorders, 50(6), 679-686. https://doi.org/10.1002/eat.22658
Linville, D., Benton, A., O'Neil, M., & Sturm, K. (2010). Medical providers' screening, training and intervention practices for eating disorders. Eating Disorders, 18(2), 110-131. https://doi.org/10.1080/10640260903585532
Löwe, B., Zipfel, S., Buchholz, C., Dupont, Y., Reas, D. L., & Herzog, W. (2001). Long-term outcome of anorexia nervosa in a prospective 21-year follow-up study. Psychological Medicine, 31(5), 881-890. https://doi.org/10.1017/s003329170100407x
Mack, S., Jacobi, F., Gerschler, A., Strehle, J., Hofler, M., Busch, M. A., Maske, U. E., Hapke, U., Seiffert, I., Gaebel, W., Zielasek, J., Maier, W., & Wittchen, H. U. (2014). Self-reported utilization of mental health services in the adult German population-evidence for unmet needs? Results of the DEGS1-mental health module (DEGS1-MH). International Journal of Methods in Psychiatric Research, 23(3), 289-303. https://doi.org/10.1002/mpr.1438
Mond, J. M., Myers, T. C., Crosby, R. D., Hay, P. J., Rodgers, B., Morgan, J. F., Hubert Lacey, J., & Mitchell, J. E. (2008). Screening for eating disorders in primary care: EDE-Q versus SCOFF. Behaviour Research and Therapy, 46(5), 612-622. https://doi.org/10.1016/j.brat.2008.02.003
Murray, S. B., Quintana, D. S., Loeb, K. L., Griffiths, S., & Le Grange, D. (2019). Treatment outcomes for anorexia nervosa: A systematic review and meta-analysis of randomized-controlled trials-CORRIGENDUM. Psychological Medicine, 49(4), 701-704. https://doi.org/10.1017/S0033291718003185
Neubauer, K., Weigel, A., Daubmann, A., Wendt, H., Rossi, M., Löwe, B., & Gumz, A. (2014). Paths to first treatment and duration of untreated illness in anorexia nervosa: Are there differences according to age of onset? European Eating Disorders Review, 22(4), 292-298. https://doi.org/10.1002/erv.2300
Regan, P., Cachelin, F. M., & Minnick, A. M. (2017). Initial treatment seeking from professional health care providers for eating disorders: A review and synthesis of potential barriers to and facilitators of "first contact". The International Journal of Eating Disorders, 50(3), 190-209. https://doi.org/10.1002/eat.22683
Reid, M., Williams, S., & Hammersley, R. (2010). Managing eating disorder patients in primary care in the UK: A qualitative study. Eating Disorders, 18(1), 1-9. https://doi.org/10.1080/10640260903439441
Reuter, L., Kästner, D., Schmidt, J., Weigel, A., Voderholzer, U., Seidel, M., Schwennen, B., Fehrs, H., Löwe, B., & Gumz, A. (2021). The development and psychometric evaluation of FABIANA-checklist: A scale to assess factors influencing treatment initiation in anorexia nervosa. Journal of Eating Disorders, 9(1), 144. https://doi.org/10.1186/s40337-021-00490-w
Schlegl, S., Hupe, K., Hessler, J. B., Diedrich, A., Huber, T., Rauh, E., Aita, S., Gärtner, T., & Voderholzer, U. (2019). Pathways to care and duration of untreated illness of inpatients with anorexia and bulimia nervosa. Psychiatrische Praxis, 46(6), 342-348. https://doi.org/10.1055/a-0922-5651
Singer, J. D., & Willett, J. B. (2003). Applied longitudinal data analysis: Modeling change and event occurrence. Oxford University Press.
Tikkanen, R., Osborn, R., Mossialos, E., Djordjevic, A., & Wharton, G. (2020). International profiles of health care systems [online]. https://www.commonwealthfund.org/international-health-policy-center/system-profiles
Treasure, J., Oyeleye, O., Bonin, E. M., Zipfel, S., & Fernandez-Aranda, F. (2021). Optimising care pathways for adult anorexia nervosa. What is the evidence to guide the provision of high-quality, cost-effective services? European Eating Disorders Review, 29(3), 306-315. https://doi.org/10.1002/erv.2821
Vall, E., & Wade, T. D. (2016). Predictors of treatment outcome in individuals with eating disorders: A systematic review and meta-analysis. The International Journal of Eating Disorders, 49(4), 432-433. https://doi.org/10.1002/eat.22518
van Eeden, A. E., van Hoeken, D., & Hoek, H. W. (2021). Incidence, prevalence and mortality of anorexia nervosa and bulimia nervosa. Current Opinion in Psychiatry, 34(6), 515-524. https://doi.org/10.1097/YCO.0000000000000739
Wahl, O., Susin, J., Lax, A., Kaplan, L., & Zatina, D. (2012). Knowledge and attitudes about mental illness: A survey of middle school students. Psychiatric Services, 63(7), 649-654. https://doi.org/10.1176/appi.ps.201100358
Waller, G., Micali, N., & James, A. (2014). General practitioners are poor at identifying the eating disorders. Advances in Eating Disorders, 2(2), 146-157. https://doi.org/10.1080/21662630.2013.859437
Weigel, A., Rossi, M. E., Wendt, H., Neubauer, K., Rad, K., Daubmann, A., Romer, G., Löwe, B., & Gumz, A. (2014). Duration of untreated illness and predictors of late treatment initiation in anorexia nervosa. Journal of Public Health, 22(6), 519-527. https://doi.org/10.1007/s10389-014-0642-7
Zeeck, A., Herpertz-Dahlmann, B., Friederich, H. C., Brockmeyer, T., Resmark, G., Hagenah, U., Ehrlich, S., Cuntz, U., Zipfel, S., & Hartmann, A. (2018). Psychotherapeutic treatment for anorexia nervosa: A systematic review and network meta-analysis. Frontiers in Psychiatry, 9, 158. https://doi.org/10.3389/fpsyt.2018.00158
Zipfel, S., Löwe, B., Reas, D. L., Deter, H. C., & Herzog, W. (2000). Long-term prognosis in anorexia nervosa: Lessons from a 21-year follow-up study. Lancet, 355(9205), 721-722. https://doi.org/10.1016/S0140-6736(99)05363-5