First episode rapid early intervention for eating disorders: A two-year follow-up
First episode rapid early intervention for eating disorders: A two-year follow-up
复制标题
DOI：
10.1111/eip.12881
复制
发表时间：
2019-10-15
影响因子：
2
通讯作者：
Schmidt, Ulrike
中科院分区：
文献类型：
--
作者：
Fukutomi, Akira;Austin, Amelia;Schmidt, Ulrike
目的：我们描述了一种新颖的首次发作早期干预服务对新近发病的年轻成年人饮食失调（FREED）的2年结果。我们将FREED合并神经性厌食症（AN）患者的结果与我们之前的服务（照常治疗（TAU）队列）患者的结果进行比较，这些患者的年龄、病程和诊断相匹配。方法对22例free - an患者和35例TAU-AN患者24个月的电子病历进行分析，了解其服务利用情况和临床结果。结果两组的门诊服务利用率相似，但free - an患者需要强化（住院或日间）治疗的频率低于TAU-AN（23%对32%）。FREED-AN患者的估计平均体重指数更高[19.2 kg/m(2)；95% CI (18.21, 20.16) > TAU患者[18.0 kg/m(2)]；95% CI(16.90, 19.15)]。结论：FREED的引入使AN患者在24个月时恢复更完全。
Aim We describe 2-year outcomes of a novel first episode early intervention service for young adults with a recent onset eating disorder (FREED). Outcomes in FREED patients with anorexia nervosa (AN) were compared with those from patients previously seen in our service [treatment as usual (TAU) cohort], matched for age, illness duration and diagnosis. Methods Electronic case records of FREED-AN (n = 22) and TAU-AN patients (n = 35) were examined to identify service utilisation and clinical outcomes over 24 months. Results Outpatient service utilisation was similar in both groups, but FREED-AN patients needed intensive (in- or day-patient) treatment less frequently than TAU-AN (23% vs 32%). FREED-AN patients had a higher estimated mean body mass index [19.2 kg/m(2); 95% CI (18.21, 20.16)] than TAU patients [18.0 kg/m(2); 95% CI (16.90, 19.15)] at last contact. Conclusion Introduction of FREED led to a more complete recovery in patients with AN at 24 months.