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

• Published in: Frontiers in psychology 2019-05, Vol.10, p.981-981
• Main Authors: Brodrick, Brooks, Harper, Jessica A, Van Enkevort, Erin, McAdams, Carrie J
• Format: Article
• Language: English
• Subjects: bulimia nervosa; cohort; eating disorders; longitudinal; Psychology; recovery; treatment
• ISSN: 1664-1078; 1664-1078
• DOI: 10.3389/fpsyg.2019.00981

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 ( = 28) and in weight recovery following AN ( = 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, = 17), newly in recovery (AN-CR, = 11), and sustained weight-recovery (AN-WR, = 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.