Patient- and clinician- reported outcome in eating disorders

• Published in: Psychiatry research 2017-01, Vol.247, p.230-235
• Main Authors: Winkler, Laura Al-Dakhiel, Frølich, Jacob Stampe, Gudex, Claire, Hørder, Kirsten, Bilenberg, Niels, Støving, René Klinkby
• Format: Article
• Language: English
• Subjects: Adult; Anorexia Nervosa - psychology; Anorexia Nervosa - therapy; Body Mass Index; Bulimia Nervosa - psychology; Bulimia Nervosa - therapy; Cross-Sectional Studies; Denmark; Eating disorder inventory; Feeding and Eating Disorders - psychology; Female; Humans; Male; Outcome; Outcome Assessment (Health Care); Patient Reported Outcome Measures; Psychiatry; Short-form 36; Young Adult
• ISSN: 0165-1781; 1872-7123
• DOI: 10.1016/j.psychres.2016.11.047

Abstract Patient-reported outcome is increasingly applied in health sciences. Patients with eating disorders (EDs) characteristically have a different opinion of their needs to that of the health professionals, which can lead to ambivalence towards treatment and immense compliance difficulties. This cross-sectional study compared data assessed by the clinician to patient-reported measures in patients with a history of EDs. We included data from a cohort of patients with EDs (n=544) referred to a specialized ED unit in Denmark. Patient-reported measures included the Eating Disorder Inventory-2 (EDI-2) and the Short Form 36 (SF-36), and clinical data included remission status and body mass index (BMI). We found a positive association between BMI and EDI-2 scores for anorexia nervosa (AN) and eating disorder not otherwise specified (EDNOS), reflecting increasing ED symptomatology with increasing BMI. This association was not observed in bulimia nervosa (BN). We did not find a correlation between SF-36 scores and BMI in any of the diagnostic groups.