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A decade of data from a specialist statewide child and adolescent eating disorder service: does local service access correspond with the severity of medical and eating disorder symptoms at presentation?

BACKGROUND: Eating disorders affect up to 3% of children and adolescents, with recovery often requiring specialist treatment. A substantial literature has accrued suggesting that lower access to health care services, experienced by rural populations, has a staggering effect on health-related morbidi...

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Autores principales: Alman, Jeremy, Hoiles, Kimberley J, Watson, Hunna J, Egan, Sarah J, Hamilton, Matthew, McCormack, Julie, Potts, Julie, Forbes, David A, Shu, Chloe
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4232640/
https://www.ncbi.nlm.nih.gov/pubmed/25400911
http://dx.doi.org/10.1186/s40337-014-0032-0
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author Alman, Jeremy
Hoiles, Kimberley J
Watson, Hunna J
Egan, Sarah J
Hamilton, Matthew
McCormack, Julie
Potts, Julie
Forbes, David A
Shu, Chloe
author_facet Alman, Jeremy
Hoiles, Kimberley J
Watson, Hunna J
Egan, Sarah J
Hamilton, Matthew
McCormack, Julie
Potts, Julie
Forbes, David A
Shu, Chloe
author_sort Alman, Jeremy
collection PubMed
description BACKGROUND: Eating disorders affect up to 3% of children and adolescents, with recovery often requiring specialist treatment. A substantial literature has accrued suggesting that lower access to health care services, experienced by rural populations, has a staggering effect on health-related morbidity and mortality. The aim of this study was to evaluate whether lower service access foreshadowed a more severe medical and symptom presentation among children and adolescents presenting to a specialist eating disorders program. METHOD: The data source was the Helping to Outline Paediatric Eating Disorders (HOPE) Project registry (N ~1000), a prospective ongoing registry study comprising consecutive paediatric tertiary eating disorder referrals. The sample consisted of 399 children and adolescents aged 8 to 16 years (M =14.49, 92% female) meeting criteria for a DSM-5 eating disorder. RESULTS: Consistent with the hypotheses, lower service access was associated with a lower body mass index z-score and a higher likelihood of medical complications at intake assessment. Contrary to our hypothesis, eating pathology assessed at intake was associated with higher service access. No relationship was observed between service access and duration of illness or percentage of body weight lost. CONCLUSIONS: Lower service access is associated with more severe malnutrition and medical complications at referral to a specialist eating disorder program. These findings have implications for service planning and provision for rural communities to equalize health outcomes.
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spelling pubmed-42326402014-11-16 A decade of data from a specialist statewide child and adolescent eating disorder service: does local service access correspond with the severity of medical and eating disorder symptoms at presentation? Alman, Jeremy Hoiles, Kimberley J Watson, Hunna J Egan, Sarah J Hamilton, Matthew McCormack, Julie Potts, Julie Forbes, David A Shu, Chloe J Eat Disord Research Article BACKGROUND: Eating disorders affect up to 3% of children and adolescents, with recovery often requiring specialist treatment. A substantial literature has accrued suggesting that lower access to health care services, experienced by rural populations, has a staggering effect on health-related morbidity and mortality. The aim of this study was to evaluate whether lower service access foreshadowed a more severe medical and symptom presentation among children and adolescents presenting to a specialist eating disorders program. METHOD: The data source was the Helping to Outline Paediatric Eating Disorders (HOPE) Project registry (N ~1000), a prospective ongoing registry study comprising consecutive paediatric tertiary eating disorder referrals. The sample consisted of 399 children and adolescents aged 8 to 16 years (M =14.49, 92% female) meeting criteria for a DSM-5 eating disorder. RESULTS: Consistent with the hypotheses, lower service access was associated with a lower body mass index z-score and a higher likelihood of medical complications at intake assessment. Contrary to our hypothesis, eating pathology assessed at intake was associated with higher service access. No relationship was observed between service access and duration of illness or percentage of body weight lost. CONCLUSIONS: Lower service access is associated with more severe malnutrition and medical complications at referral to a specialist eating disorder program. These findings have implications for service planning and provision for rural communities to equalize health outcomes. BioMed Central 2014-10-30 /pmc/articles/PMC4232640/ /pubmed/25400911 http://dx.doi.org/10.1186/s40337-014-0032-0 Text en © Alman et al.; licensee BioMed Central Ltd. 2014 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Alman, Jeremy
Hoiles, Kimberley J
Watson, Hunna J
Egan, Sarah J
Hamilton, Matthew
McCormack, Julie
Potts, Julie
Forbes, David A
Shu, Chloe
A decade of data from a specialist statewide child and adolescent eating disorder service: does local service access correspond with the severity of medical and eating disorder symptoms at presentation?
title A decade of data from a specialist statewide child and adolescent eating disorder service: does local service access correspond with the severity of medical and eating disorder symptoms at presentation?
title_full A decade of data from a specialist statewide child and adolescent eating disorder service: does local service access correspond with the severity of medical and eating disorder symptoms at presentation?
title_fullStr A decade of data from a specialist statewide child and adolescent eating disorder service: does local service access correspond with the severity of medical and eating disorder symptoms at presentation?
title_full_unstemmed A decade of data from a specialist statewide child and adolescent eating disorder service: does local service access correspond with the severity of medical and eating disorder symptoms at presentation?
title_short A decade of data from a specialist statewide child and adolescent eating disorder service: does local service access correspond with the severity of medical and eating disorder symptoms at presentation?
title_sort decade of data from a specialist statewide child and adolescent eating disorder service: does local service access correspond with the severity of medical and eating disorder symptoms at presentation?
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4232640/
https://www.ncbi.nlm.nih.gov/pubmed/25400911
http://dx.doi.org/10.1186/s40337-014-0032-0
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