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Treatment Utilization and Medical Problems in a Community Sample of Adult Women With Anorexia Nervosa

Anorexia nervosa (AN) has a prolonged course of illness, making both defining recovery and determining optimal outpatient treatments difficult. Here, we report the types of treatments utilized in a naturalistic sample of adult women with AN in Texas. Participants were recruited from earlier studies...

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Autores principales: Brodrick, Brooks, Harper, Jessica A., Van Enkevort, Erin, McAdams, Carrie J.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6509221/
https://www.ncbi.nlm.nih.gov/pubmed/31130898
http://dx.doi.org/10.3389/fpsyg.2019.00981
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author Brodrick, Brooks
Harper, Jessica A.
Van Enkevort, Erin
McAdams, Carrie J.
author_facet Brodrick, Brooks
Harper, Jessica A.
Van Enkevort, Erin
McAdams, Carrie J.
author_sort Brodrick, Brooks
collection PubMed
description Anorexia nervosa (AN) has a prolonged course of illness, making both defining recovery and determining optimal outpatient treatments difficult. Here, we report the types of treatments utilized in a naturalistic sample of adult women with AN in Texas. Participants were recruited from earlier studies of women with AN (n = 28) and in weight recovery following AN (n = 18). Participants provided information about both their illness and treatments during their most severe period as well as during the 2–6 years following original assessments. Based upon their baseline and follow-up clinical status participants were classified as remaining ill (AN-CC, n = 17), newly in recovery (AN-CR, n = 11), and sustained weight-recovery (AN-WR, n = 18). Utilization of health care institutions and providers were compared across groups. There were no differences in groups related to symptoms or treatments utilized during the severe-period. During the follow-up period, intensive outpatient programs were utilized significantly more by the AN-CC group than the other groups, and dietitians were seen significantly less by the AN-WR group. Medical complications related to the ED were significantly more common in the AN-CC group. All groups maintained similar levels of contact with outpatient psychiatrists, therapists, and primary care physicians. Current treatments remain ineffective for a subset of AN participants. Future prospective studies assessing medical health and comorbidities in AN may provide additional insights into disease severity and predictors of clinical outcome.
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spelling pubmed-65092212019-05-24 Treatment Utilization and Medical Problems in a Community Sample of Adult Women With Anorexia Nervosa Brodrick, Brooks Harper, Jessica A. Van Enkevort, Erin McAdams, Carrie J. Front Psychol Psychology Anorexia nervosa (AN) has a prolonged course of illness, making both defining recovery and determining optimal outpatient treatments difficult. Here, we report the types of treatments utilized in a naturalistic sample of adult women with AN in Texas. Participants were recruited from earlier studies of women with AN (n = 28) and in weight recovery following AN (n = 18). Participants provided information about both their illness and treatments during their most severe period as well as during the 2–6 years following original assessments. Based upon their baseline and follow-up clinical status participants were classified as remaining ill (AN-CC, n = 17), newly in recovery (AN-CR, n = 11), and sustained weight-recovery (AN-WR, n = 18). Utilization of health care institutions and providers were compared across groups. There were no differences in groups related to symptoms or treatments utilized during the severe-period. During the follow-up period, intensive outpatient programs were utilized significantly more by the AN-CC group than the other groups, and dietitians were seen significantly less by the AN-WR group. Medical complications related to the ED were significantly more common in the AN-CC group. All groups maintained similar levels of contact with outpatient psychiatrists, therapists, and primary care physicians. Current treatments remain ineffective for a subset of AN participants. Future prospective studies assessing medical health and comorbidities in AN may provide additional insights into disease severity and predictors of clinical outcome. Frontiers Media S.A. 2019-05-03 /pmc/articles/PMC6509221/ /pubmed/31130898 http://dx.doi.org/10.3389/fpsyg.2019.00981 Text en Copyright © 2019 Brodrick, Harper, Van Enkevort and McAdams. http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Psychology
Brodrick, Brooks
Harper, Jessica A.
Van Enkevort, Erin
McAdams, Carrie J.
Treatment Utilization and Medical Problems in a Community Sample of Adult Women With Anorexia Nervosa
title Treatment Utilization and Medical Problems in a Community Sample of Adult Women With Anorexia Nervosa
title_full Treatment Utilization and Medical Problems in a Community Sample of Adult Women With Anorexia Nervosa
title_fullStr Treatment Utilization and Medical Problems in a Community Sample of Adult Women With Anorexia Nervosa
title_full_unstemmed Treatment Utilization and Medical Problems in a Community Sample of Adult Women With Anorexia Nervosa
title_short Treatment Utilization and Medical Problems in a Community Sample of Adult Women With Anorexia Nervosa
title_sort treatment utilization and medical problems in a community sample of adult women with anorexia nervosa
topic Psychology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6509221/
https://www.ncbi.nlm.nih.gov/pubmed/31130898
http://dx.doi.org/10.3389/fpsyg.2019.00981
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