Sasha Gorrell1, Daniel Le Grange2,3, Dan V Blalock4,5, Valerie Hutchinson6, Madelyn Johnson2, Alan Duffy6, Philip S Mehler6,7,8, Craig Johnson6, Jamie Manwaring6,7, Susan McClanahan6, Renee D Rienecke6,9. 1. Department of Psychiatry and Behavioral Sciences, University of California, San Francisco, 675 18th St., San Francisco, CA, 94143, USA. Sasha.Gorrell@ucsf.edu. 2. Department of Psychiatry and Behavioral Sciences, University of California, San Francisco, 675 18th St., San Francisco, CA, 94143, USA. 3. Department of Psychiatry and Behavioral Neuroscience, The University of Chicago, Chicago, IL, USA. 4. Center of Innovation to Accelerate Discovery and Practice Transformation, Durham Veterans Affairs Medical Center, Durham, NC, USA. 5. Department of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, NC, USA. 6. Eating Recovery Center/Pathlight Mood and Anxiety Center, Seattle, USA. 7. ACUTE Center for Eating Disorders at Denver Health, Denver, CO, USA. 8. University of Colorado School of Medicine, Denver, CO, USA. 9. Department of Psychiatry and Behavioral Sciences, Northwestern University, Chicago, IL, USA.
Abstract
PURPOSE: The current study aimed to determine baseline clinical features among adults receiving varied levels of care for transdiagnostic eating disorders (N = 5206, 89.9% female, mean age 29 years old) that may be associated with increased care utilization. METHODS: We used negative binomial regression models to evaluate associations among eating disorder diagnoses, other psychiatric features (e.g., lifetime history of comorbid disorders), and the number of episodes of care for treatment of the eating disorder. RESULTS: Having a diagnosis of binge eating disorder (p < .001) or avoidant restrictive food intake disorder (p = .04) were associated with lower odds of readmissions. A lifetime diagnosis of major depressive disorder (p < .001) or self-injury (p < .001) was each associated with significantly higher odds of readmissions. CONCLUSIONS: Care utilization may differ according to eating disorder diagnosis, with a likelihood of increased readmission for those with a history of mood disorder or self-injury. Identification of individuals with greater vulnerability for eating disorder care utilization holds potential in aiding treatment and discharge planning, and development. LEVEL OF EVIDENCE: Level III: evidence obtained from well-designed cohort or case-control analytic studies.
PURPOSE: The current study aimed to determine baseline clinical features among adults receiving varied levels of care for transdiagnostic eating disorders (N = 5206, 89.9% female, mean age 29 years old) that may be associated with increased care utilization. METHODS: We used negative binomial regression models to evaluate associations among eating disorder diagnoses, other psychiatric features (e.g., lifetime history of comorbid disorders), and the number of episodes of care for treatment of the eating disorder. RESULTS: Having a diagnosis of binge eating disorder (p < .001) or avoidant restrictive food intake disorder (p = .04) were associated with lower odds of readmissions. A lifetime diagnosis of major depressive disorder (p < .001) or self-injury (p < .001) was each associated with significantly higher odds of readmissions. CONCLUSIONS: Care utilization may differ according to eating disorder diagnosis, with a likelihood of increased readmission for those with a history of mood disorder or self-injury. Identification of individuals with greater vulnerability for eating disorder care utilization holds potential in aiding treatment and discharge planning, and development. LEVEL OF EVIDENCE: Level III: evidence obtained from well-designed cohort or case-control analytic studies.
Authors: Stephen A Wonderlich; Cynthia M Bulik; Ulrike Schmidt; Howard Steiger; Hans W Hoek Journal: Int J Eat Disord Date: 2020-05-02 Impact factor: 4.861
Authors: Laura Haas; Tom Stargardt; Jonas Schreyoegg; Rico Schlösser; Gerhard Danzer; Burghard F Klapp Journal: Int J Eat Disord Date: 2011-03-03 Impact factor: 4.861
Authors: Katherine Schaumberg; Elisabeth Welch; Lauren Breithaupt; Christopher Hübel; Jessica H Baker; Melissa A Munn-Chernoff; Zeynep Yilmaz; Stefan Ehrlich; Linda Mustelin; Ata Ghaderi; Andrew J Hardaway; Emily C Bulik-Sullivan; Anna M Hedman; Andreas Jangmo; Ida A K Nilsson; Camilla Wiklund; Shuyang Yao; Maria Seidel; Cynthia M Bulik Journal: Eur Eat Disord Rev Date: 2017-10-02