Treatment utilization and medical problems in a community sample of adult women with anorexia nervosa

Brooks B. Brodrick, Jessica A. Harper, Erin A Van Enkevort, Carrie McAdams

Research output: Contribution to journalArticle

Abstract

Anorexia nervosa 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 anorexia nervosa in Texas. Participants were recruited from earlier studies of women with anorexia nervosa (AN-C, n = 28) and in weight recovery following anorexia nervosa (AN-WR, n = 18). Participants provided information about both their illness and treatments during their most severe period (severe period) as well as during the two to six years following original assessments (follow-up period). New follow-up groups were defined based on current clinical status (continued eating disorder, AN-CC; newly in recovery, AN-CR; sustained weight-recovery, AN-WS), and clinical utilization was 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-WS 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.

Original languageEnglish (US)
Article number981
JournalFrontiers in Psychology
Volume10
Issue numberAPR
DOIs
StatePublished - Jan 1 2019

Fingerprint

Anorexia Nervosa
Outpatients
Weights and Measures
Nutritionists
Primary Care Physicians
Therapeutics
Psychiatry

Keywords

  • Anorexia Nervosa
  • Bulimia Nervosa
  • Cohort
  • Eating Disorders
  • Longitudinal
  • Recovery
  • Treatment

ASJC Scopus subject areas

  • Psychology(all)

Cite this

Treatment utilization and medical problems in a community sample of adult women with anorexia nervosa. / Brodrick, Brooks B.; Harper, Jessica A.; Van Enkevort, Erin A; McAdams, Carrie.

In: Frontiers in Psychology, Vol. 10, No. APR, 981, 01.01.2019.

Research output: Contribution to journalArticle

@article{7c2443e6b6024418b7578e7b1cf57bd9,
title = "Treatment utilization and medical problems in a community sample of adult women with anorexia nervosa",
abstract = "Anorexia nervosa 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 anorexia nervosa in Texas. Participants were recruited from earlier studies of women with anorexia nervosa (AN-C, n = 28) and in weight recovery following anorexia nervosa (AN-WR, n = 18). Participants provided information about both their illness and treatments during their most severe period (severe period) as well as during the two to six years following original assessments (follow-up period). New follow-up groups were defined based on current clinical status (continued eating disorder, AN-CC; newly in recovery, AN-CR; sustained weight-recovery, AN-WS), and clinical utilization was 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-WS 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.",
keywords = "Anorexia Nervosa, Bulimia Nervosa, Cohort, Eating Disorders, Longitudinal, Recovery, Treatment",
author = "Brodrick, {Brooks B.} and Harper, {Jessica A.} and {Van Enkevort}, {Erin A} and Carrie McAdams",
year = "2019",
month = "1",
day = "1",
doi = "10.3389/fpsyg.2019.00981",
language = "English (US)",
volume = "10",
journal = "Frontiers in Psychology",
issn = "1664-1078",
publisher = "Frontiers Research Foundation",
number = "APR",

}

TY - JOUR

T1 - Treatment utilization and medical problems in a community sample of adult women with anorexia nervosa

AU - Brodrick, Brooks B.

AU - Harper, Jessica A.

AU - Van Enkevort, Erin A

AU - McAdams, Carrie

PY - 2019/1/1

Y1 - 2019/1/1

N2 - Anorexia nervosa 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 anorexia nervosa in Texas. Participants were recruited from earlier studies of women with anorexia nervosa (AN-C, n = 28) and in weight recovery following anorexia nervosa (AN-WR, n = 18). Participants provided information about both their illness and treatments during their most severe period (severe period) as well as during the two to six years following original assessments (follow-up period). New follow-up groups were defined based on current clinical status (continued eating disorder, AN-CC; newly in recovery, AN-CR; sustained weight-recovery, AN-WS), and clinical utilization was 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-WS 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.

AB - Anorexia nervosa 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 anorexia nervosa in Texas. Participants were recruited from earlier studies of women with anorexia nervosa (AN-C, n = 28) and in weight recovery following anorexia nervosa (AN-WR, n = 18). Participants provided information about both their illness and treatments during their most severe period (severe period) as well as during the two to six years following original assessments (follow-up period). New follow-up groups were defined based on current clinical status (continued eating disorder, AN-CC; newly in recovery, AN-CR; sustained weight-recovery, AN-WS), and clinical utilization was 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-WS 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.

KW - Anorexia Nervosa

KW - Bulimia Nervosa

KW - Cohort

KW - Eating Disorders

KW - Longitudinal

KW - Recovery

KW - Treatment

UR - http://www.scopus.com/inward/record.url?scp=85065122209&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85065122209&partnerID=8YFLogxK

U2 - 10.3389/fpsyg.2019.00981

DO - 10.3389/fpsyg.2019.00981

M3 - Article

VL - 10

JO - Frontiers in Psychology

JF - Frontiers in Psychology

SN - 1664-1078

IS - APR

M1 - 981

ER -