Quality of life: eating disorders

Quality of life: eating disorders
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DOI:
10.1111/j.1440-1614.2006.01762.x
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发表时间:
2006-02-01
影响因子:
4.6
通讯作者:
Russell, J
Russell, J
中科院分区:
医学2区
文献类型:
--
作者:
Abraham, SE;Brown, T;Russell, J

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目的:有一个缺乏测量的预测效度,是具体的生活质量(QOL)在患者与进食disorders.Method:共306进食障碍患者治疗的住院患者完成了进食障碍的生活质量(QOL艾德):109在入院和出院,65在入院和12个月后。患者还完成了饮食失调,心理功能障碍和一般身体和精神QOL的有效措施。QOL艾德由20个自我报告问题组成,提供行为、进食障碍感觉、心理感觉、对日常生活的影响、对急性医学状态和体重的影响等领域的评分,以及总体评分。QOL艾德领域评分与先前验证的众所周知的进食障碍,心理功能障碍,一般生活质量和行为以及体重(p <0.001)。QOL艾德显示了高可靠性(Cronbach α = 0.93)。在住院治疗期间以及入院至出院后12个月期间,所有评分均发生了显著且适当的变化(p <0.001)。神经性厌食症、贪食症、未指明的进食障碍(EDNOS)和未诊断的评分不同。所有无诊断(恢复)域和全球评分显着不同的所有诊断scores(p <0.001)。结论:这种快速,简单的工具满足所有潜在的使用生活质量评估的临床和研究环境与进食障碍,包括结果。
Objective: There is a lack of measurements with predictive validity that are specific for quality of life (QOL) in patients with eating disorders.Method: A total of 306 eating disorder patients treated as inpatients completed the Quality of Life for Eating Disorders (QOL ED): 109 at both admission and discharge from hospital, 65 at both admission and after 12 months. Patients also completed well-validated measures of eating disorders, psychological dysfunction and general physical and mental QOL. QOL ED consists of 20 self-report questions that provide scores for the domains of behaviour, eating disorder feelings, psychological feelings, effects on daily life, effects on acute medical status and body weight, and a global score.Results: QOL ED domain scores correlated appropriately with previously validated well-known measures of eating disorders, psychological dysfunction, general QOL and behaviour and body weight (p < 0.001). The QOL ED shows high reliability (Cronbach's alpha = 0.93). All scores changed significantly and appropriately during inpatient hospital treatment and between admission and 12 months after discharge from hospital (p < 0.001). The scores differed for anorexia nervosa, bulimia, eating disorder not specified (EDNOS) and no diagnosis. All no diagnosis (recovered) domain and global scores were significantly different from all diagnoses scores (p < 0.001).Conclusion: This quick, simple instrument fulfils all potential uses for QOL assessments in the clinical and research settings associated with eating disorders, including outcome.