Care utilization in eating disorders: for whom are multiple episodes of care more likely?
Care utilization in eating disorders: for whom are multiple episodes of care more likely?
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DOI：
10.1007/s40519-022-01491-7
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发表时间：
2022-12
影响因子：
2.9
通讯作者：
Rienecke, Renee D.
中科院分区：
文献类型：
--
作者：
Gorrell, Sasha;Le Grange, Daniel;Blalock, Dan, V;Hutchinson, Valerie;Johnson, Madelyn;Duffy, Alan;Mehler, Philip S.;Johnson, Craig;Manwaring, Jamie;McClanahan, Susan;Rienecke, Renee D.
关键词：
目前的研究旨在确定接受不同护理水平的成人跨诊断性饮食失调(N=5206，89.9%女性，平均年龄29岁)的基线临床特征，这可能与护理利用率增加有关。我们使用负二项回归模型来评估进食障碍的诊断、其他精神特征(例如，共病病史)和进食障碍治疗护理发作次数之间的关系。有暴饮暴食障碍(p<；.001)或回避性限制性食物摄入障碍(p=.04)的诊断与较低的再入院几率相关。终生被诊断为严重抑郁障碍(P<；.001)或自我伤害(P<；.001)的患者再入院的几率显著较高。根据饮食障碍的诊断，护理利用可能不同，有情绪障碍或自我伤害病史的人再次入院的可能性增加。识别更易患进食障碍的个人护理利用在帮助治疗和出院计划以及发展方面具有潜力。
The current study aimed to determine baseline clinical features among adults receiving varied levels of care for transdiagnostic eating disorders (N = 5206, 89.9% female, mean age 29 years old) that may be associated with increased care utilization. We used negative binomial regression models to evaluate associations among eating disorder diagnoses, other psychiatric features (e.g., lifetime history of comorbid disorders), and the number of episodes of care for treatment of the eating disorder. Having a diagnosis of binge eating disorder (p < .001) or avoidant restrictive food intake disorder (p = .04) were associated with lower odds of readmissions. A lifetime diagnosis of major depressive disorder (p < .001) or self-injury (p < .001) were each associated with significantly higher odds of readmissions. Care utilization may differ according to eating disorder diagnosis, with a likelihood of increased readmission for those with a history of mood disorder or self-injury. Identification of individuals with greater vulnerability for eating disorder care utilization holds potential in aiding treatment and discharge planning, and development.
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影响因子：
3.3
作者：
Lock, James
通讯作者：
Lock, James
DOI：
10.3390/ijerph18137069
发表时间：
2021-07-02
影响因子：
--
作者：
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通讯作者：
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影响因子：
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影响因子：
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作者：
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通讯作者：
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影响因子：
3.3
作者：
Mitchell, Karen S.;Scioli, Erica R.;Cooper, Zafra
通讯作者：
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