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Don't forget EDNOS (eating disorder not otherwise specified): patterns of service use in an eating disorders service

  • Eric J. Button (a1), Elizabeth Benson (a2), Claire Nollett (a3) and Robert L. Palmer (a4)
Abstract
Aims and Method

The aim of the study was to track service consumption in adult referrals to a specialised NHS eating disorders service over a 3-year period. We examined clinical records of a year's cohort (1999) of 147 referrals (96% female) assessed from the local catchment area.

Results

The most common diagnostic group (42.8%) presented with some form of eating disorder not otherwise specified (EDNOS). There was no significant relationship between diagnosis and service consumption, so that full syndrome eating disorders were no more labour-intensive overall than EDNOS patients. Indeed, EDNOS patients accounted for 50% of all outpatient appointments and over a half of all in-patient days.

Clinical Implications

The results suggest that those planning services for eating disorders need to take into account the substantial demand from EDNOS patients.

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Copyright
This is an Open Access article, distributed under the terms of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
References
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American Psychiatric Association (1994) Diagnostic and Statistical Manual of Mental Disorders (4th edn). Washington, DC: American Psychiatric Association.
Button, E. J., Marshall, P. M., Shinkwin, R., et al (1997) One hundred referrals to an eating disorders service: progress and service consumption over a 2–4 year period. European Eating Disorders Review, 5, 4763.
National Institute for Clinical Excellence (2004) Eating disorders: core interventions in the treatment and management of anorexia nervosa, bulimia nervosa and related eating disorders. (Clinical Guideline 9 Developed by the National Collaborating Centre for Mental Health). London: National Institute for Clinical Excellence.
Ratan, D., Ghandi, D. & Palmer, R. L. (1998) Eating disorders in British Asians. International Journal of Eating Disorders, 24, 101105.
Ricca, V., Mannucci, E., Mezzani, B., et al (2001) Psychopathological and clinical features of outpatients with an eating disorder not otherwise specified. Eating and Weight Disorders, 6, 157165.
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BJPsych Bulletin
  • ISSN: 0955-6036
  • EISSN: 1472-1473
  • URL: /core/journals/bjpsych-bulletin
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Don't forget EDNOS (eating disorder not otherwise specified): patterns of service use in an eating disorders service

  • Eric J. Button (a1), Elizabeth Benson (a2), Claire Nollett (a3) and Robert L. Palmer (a4)
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