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Predictors of quality of life in patients with eating disorders

Published online by Cambridge University Press:  23 March 2020

J. Martín ,
A. Padierna ,
A. Loroño ,
P. Muñoz  and
J.M. Quintana
J. Martín*
Affiliation:
Research Unit, Galdakao-Usansolo Hospital, Barrio Labeaga s/n, Galdakao, 48960Bizkaia, Spain Health Services Research on Chronic Diseases Network–REDISSEC, 48960 Galdakao, Spain
A. Padierna
Affiliation:
Department of Psychiatry, Galdakao-Usansolo Hospital, Barrio Labeaga s/n, Galdakao, 48960Bizkaia, Spain Health Services Research on Chronic Diseases Network–REDISSEC, 48960 Galdakao, Spain
A. Loroño
Affiliation:
Research Unit, Galdakao-Usansolo Hospital, Barrio Labeaga s/n, Galdakao, 48960Bizkaia, Spain Health Services Research on Chronic Diseases Network–REDISSEC, 48960 Galdakao, Spain
P. Muñoz
Affiliation:
Department of Psychiatry, Ortuella Mental Health Center, Avda. Del Minero 1, Ortuella, 48530Bizkaia, Spain
J.M. Quintana
Affiliation:
Research Unit, Galdakao-Usansolo Hospital, Barrio Labeaga s/n, Galdakao, 48960Bizkaia, Spain Health Services Research on Chronic Diseases Network–REDISSEC, 48960 Galdakao, Spain
*
*Corresponding author. Research Unit, 9th Floor, Hospital Galdakao, Usansolo, Barrio Labeaga, s/n, 48960 Galdakao, Bizkaia, Spain. E-mail address:josune.martincorral@osakidetza.net (J. Martín).
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Abstract

Background:

The aims of this study were to analyse the quality of life (QoL) of a broad sample of patients with eating disorders (ED) and to identify potential factors that predict QoL.

Methods:

This prospective cohort study involved 528 patients diagnosed with ED and treated over a 15-year period in the Eating Disorders Outpatient Clinic. Information on sociodemographic and clinical data were gathered. Patients completed five self-administered instruments: the Eating Attitudes Test-26 (EAT-26); the Eating Disorder Diagnostic Scale (EDDS); the Hospital Anxiety and Depression Scale (HADS); the Short-Form 12 (SF-12); and the Quality of Life in ED-short form (HeRQoLED-s). Descriptive, univariate analyses and multivariate linear regression models were applied to identify factors associated with QoL.

Results:

Predictive variables for a low level of QoL in patients with anorexia nervosa (AN) included antidepressant treatment (P = 0.009), substance abuse disorder, (P = 0.03) and other organic comorbidities (P < 0.0001). For patients with bulimia nervosa (BN), they included osteoporosis (P = 0.0001), obesity (P = 0.0004) or being a student (P = 0.04). For patients with eating disorders not otherwise specified (EDNOS), they included anxiolytic treatment (P = 0.003), having circulatory disease (P = 0.001), more years since start of ED treatment (P = 0.03) and living alone (P < 0.0001).

Conclusions:

We found a significant difference in QoL between the diagnostic ED groups. With regard to the variables predicting QoL in ED patients, the findings of this study suggest that organic or psychiatric comorbidities and some data of social normality might be more relevant to QoL in ED than age, type of compensatory behaviour, BMI or number of visits to hospital emergency department.

Keywords

Eating disordersQuality of lifePredictorsAnorexia nervosaBulimia nervosaEating disorders not otherwise specified
Type
Original article
Information
European Psychiatry , Volume 45 , September 2017 , pp. 182 - 189
Copyright
Copyright © European Psychiatric Association 2017

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Footnotes

Abbreviations:, AN, Anorexia Nervosa, BMI, Body Mass Index, BN, Bulimia Nervosa, DSM-IV, diagnostic and statistical manual of mental disorders, 4th edition, ED, eating disorders, EDNOS, eating disorders not otherwise specified, PCS, physical component scale, QoL, quality of life, SD, standard deviations, EAT-26, the Eating Attitudes Test-26, EDDS, the Eating Disorder Diagnostic Scale, HeRQoLED-s, the Health-Related Quality of Life in ED-short form, HADS, the Hospital Anxiety and Depression Scale, MCS, the mental component scale, SF-12, the Short-Form 12

References

Hay, PJMond, JHow to count the cost and measure burden? A review of health-related quality of life in eating disorders. J Ment Health 2005; 14: 539–552.CrossRefGoogle Scholar
Stice, EMarti, CNShaw, HJaconis, MAn 8-year longitudinal study of the natural history of threshold, subthreshold and partial eating disorders from a community sample of adolescents. J Abnorm Psychol 2009; 118: 587–597.CrossRefGoogle ScholarPubMed
Bohn, KDoll, HACooper, ZO’Connor, MPalmer, RLFairburn, CGThe measurement of impairment due to eating disorder psychopathology. Behav Res Ther 2008; 46: 1105–1110.CrossRefGoogle ScholarPubMed
Diaz-Marsa, MCarrasco, JLHollander, ECesar, JSaiz-Ruiz, JDecreased platelet monoamineoxidase activity in female anorexi anervosa. Acta Psychiatr Scand 2000; 101: 226–230.CrossRefGoogle Scholar
Jagielska, GWolanczyk, TKomender, JTomaszewicz-Libudzic, CPredalacki, JOstrowski, KBone mineral content and bone mineral density in adolescent girls with anorexia nervosa – a longitudinal study. Acta Psychiatr Scand 2001; 104: 131–137.CrossRefGoogle Scholar
Padierna, AQuintana, JMArostegui, IGonzález, NHorcajo, MJThe health-related quality of life in eating disorders. Qual Life Res 2000; 9: 667–674.CrossRefGoogle ScholarPubMed
Jones, AEvans, MBamford, BFord, HExploring quality of life for eating disordered patients. Eur Eat Disord Rev 2008; 16: 276–286.CrossRefGoogle ScholarPubMed
Pohjolainen, VKoponen, SRäsänen, PRoine, RPSintonen, HKarlsson, H Long-term health-related quelity of life in eating disorders. Qual Life Res 2016. http://dx.doi.org/10.1007/s11136-016-1250-5.CrossRefGoogle Scholar
Engel, SGAdair, CELas Hayas, CAbraham, SHealth-related quality of life and eating disorders: a review and update. Int J Eat Disord 2009; 42: 179–187.CrossRefGoogle ScholarPubMed
De la Rie, SVan Furth, EDe Koning, ANoordenbos, GDonker, MThe quality of life of family caregivers of eating disorder patients. Eat Disord 2005; 13: 345–351.CrossRefGoogle ScholarPubMed
Jenkins, PEHost, RRMeyer, CBlissert, JMEating disorders and quality of life: a review of the literature. Clin Psychol Rev 2011; 31: 113–121.CrossRefGoogle ScholarPubMed
González-Pinto, AFailde, IRodriguez, CFernández de Corres, BEnjuto, SRamírez, F, et al.Purging behaviors and comorbidity as predictive factors of quality of life en anorexia nervosa. Int J Eat Disord 2004; 36: 445–450.CrossRefGoogle Scholar
Padierna, AQuintana, JMArostegui, IGonzález, NHorcajo, MJChanges in health-related quality of life among patients treated for eating disorders. Qual Life Res 2002; 11: 545–552.CrossRefGoogle ScholarPubMed
Mond, JMOwen, CHay, PJRodgers, BBeumont, P.J.V.Assesing quality of life in eating disorder patients. Quality of Life Res 2005; 14: 171–178.CrossRefGoogle Scholar
De Jong, HOldershaw, ASternheim, LSamarawickrema, NKenyon, MDBroadbent, H, et al.Quality of life in anorexia nervosa, bulimia nervosa and eating disorder not-otherwise-specified. J Eat Disord 2013; 1: 43–50.CrossRefGoogle Scholar
Van Furth, EFvan der Meer, ACowan, KTop 10 research priorities for eating disorders. Lancet Psychiatry 2016; 3: 706–707.CrossRefGoogle ScholarPubMed
American Psychiatric Association, Diagnostic and statistical manual of mental disorders Washington DC: American Psychiatric Association; 1994Google Scholar
Agras, WSWalsh, TFairburn, CGWilson, GTKraemer, HCA multicenter comparison of cognitive-behavioral therapy and interpersonal psychotherapy for bulimia nervosa. Arch Gen Psychiatry 2000; 57: 459–466.CrossRefGoogle ScholarPubMed
Eisler, IDare, CRussell, GFSzmukler, GleGrange, DDodge, EFamily and individual therapy in anorexia nervosa: a 5-year follow-up. Arch Gen Psychiatry 1997; 54: 1025–1030.CrossRefGoogle Scholar
Robin, ALSiegel, PTKoepke, TMoye, AWTice, SFamily therapy versus individual therapy for adolescent females with anorexia nervosa. J Dev Behav Pediatr 1994; 15: 111–116.CrossRefGoogle ScholarPubMed
McIntosh, V.V.W.Jordan, JCarter, FALuty, SEMcKenzie, JMBulik, CM, et al.Three psychotherapies for anorexia nervosa: a randomized, controlled trial. Am J Psychiatry 2005; 162: 741–747.CrossRefGoogle ScholarPubMed
Samet, SUnes, NHasin D:, EVDiagnosing comorbidity: concepts, criteria and methods. Acta Neuropsychiatrica 2004; 16: 9–18.CrossRefGoogle ScholarPubMed
Garner, DMOlmsted, MPBohr, YGarfinkel, PEThe eating attitudes test: psychometric features and clinical correlates. Psychol Med 1982; 12: 871–878.CrossRefGoogle ScholarPubMed
Castro, JToro, JSalamero, MGuimera, EThe eating attitudes test: validation of the Spanish version. Psychol Assess 1991; 7: 175–190.Google Scholar
Stice, ETelch, CFRizvi, SLA psychometric evaluation of the eating disorder diagnostic screen: a brief self-report measure for anorexia, bulimia and binge eating disorder. Psychol Assess 2000; 12: 123–131.CrossRefGoogle Scholar
Silva, JBehar, RCordella, POrtiz, MJaramillo, KAlvarado, R, et al.Validation of the Spanish version of the Eating Disorders Diagnostic Scale. Rev Med Chile 2012; 140: 1562–1570.CrossRefGoogle ScholarPubMed
Zigmond, ASSnaith, RPThe Hospital Anxiety and Depression Scale. Acta Psychiatr Scand 1983; 67: 361–370.CrossRefGoogle ScholarPubMed
Quintana, JMPadierna, AEsteban, CArostegui, IBilbao, ARuiz, IEvaluation of the psychometric characteristics of the Spanish version of the Hospital Anxiety and Depression Scale. Acta Psychiatr Scand 2003; 107: 216–221.CrossRefGoogle ScholarPubMed
Gandek, BAaronson, NKWare, JEApolone, GBjorner, JBBrazier, JE, et al.Cross-validation of item selection and scoring for the SF-12 Health Survey in nine countries: results from the IQOLA Project International quality of life assessment. J Clin Epidemiol 1998; 51: 1171–1178.CrossRefGoogle ScholarPubMed
Las Hayas, CQuintana, JMPadierna, JABilbao, AMunoz, PUse of rasch methodology to develop a short version of the Health Related Quality of Life for Eating Disorders Questionnaire: a prospective study. Health Qual Life Outcomes 2010;8:29.CrossRefGoogle Scholar
Martín, JPadierna, AUnzurrunzaga, AGonzález, NBerjano, BQuintana, JMAdaptation and validation of the Spanish version of the Clinical Impairment Assessment Questionnaire. Appetite 2015; 91: 20–27. http://dx.doi.org/10.1016/j.appet.2015.03.031.CrossRefGoogle ScholarPubMed
Padierna, AMartín, JAguirre, UGonzález, NMuñoz, PQuintana, JMBurden of caregiving amongst family caregivers of patients with eating disorders. Soc Psychiatry Psychiatr Epidemiol 2012; 48: 151–161. http://dx.doi.org/10.1007/s00127-012-0525-6.CrossRefGoogle ScholarPubMed
Cook, BHausenblas, HTuccitto, DGiacobbi, PR Jr.Eating disorders and exercise: a structural equation modeling analysis of a conceptual model. Eur Eat Disord Rev 2011; 19: 216–225. http://dx.doi.org/10.1002/erv.1111.CrossRefGoogle Scholar
Latner, JDVallance, JKBuckett, GHealth-related quality of life in women with eating disorders: association with subjective and objective binge eating. J Clin Psychol Med Settings 2008; 15: 148–153.CrossRefGoogle ScholarPubMed
Waaddegaard, MDavidsen, MKjøller, MComparison between risk behaviour for eating disorders and SF-36 and perceived stress among 16–29-year-old Danish women. Ugeskr Laeger 2009; 171: 709–712.Google ScholarPubMed
Winkler, LAChristiansen, ELichtenstein, MBHansen, NBBilenberg, NStØving, .K.Quality of life in eating disorders: a meta-analysis. Psychiatry Res 2014; 219: 1–9.CrossRefGoogle ScholarPubMed
Weigel, AKönig, HHGumz, ALöwe, BBrettscheider, CCorrelates of health related quality of life in anorexia nervosa. Int J Eat Disord 2016; 49: 630–634.CrossRefGoogle ScholarPubMed
Cella, DFQuality of life concepts and definition. J Pain Symptom Manage 1994; 9: 186–192.CrossRefGoogle ScholarPubMed
Bamford, BSly, RExploring Quality of Life in Eating Disorders. Eur Eat Disorders Rev 2010; 18: 147–153.CrossRefGoogle ScholarPubMed
Hay, PQuality of life and bulimic eating disorder behaviors: findings from a community-based sample. Int J Eating Disord 2003; 33: 434–442.CrossRefGoogle ScholarPubMed
Kamimura, AChristensen, NPrevedel, JATabler, JHamilton, BJAshby, J, et al.Quality of life among free clinic patients associated with somatic symptoms, depression, and perceived neighborhood environment. Community Health 2014; 39: 524–530. http://dx.doi.org/10.1007/s10900-013-9790-x.Google Scholar
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