Skip to main content
×
Home
    • Aa
    • Aa

Health services use in eating disorders

  • R. H. Striegel-Moore (a1), L. DeBar (a2), G. T. Wilson (a3), J. Dickerson (a2), F. Rosselli (a4), N. Perrin (a2), F. Lynch (a2) and H. C. Kraemer (a5)...
Abstract
Background

This study examined healthcare services used by adults diagnosed with an eating disorder (ED) in a large health maintenance organization in the Pacific Northwest.

Method

Electronic medical records were used to collect information on all out-patient and in-patient visits and medication dispenses, from 2002 to 2004, for adults aged 18–55 years who received an ED diagnosis during 2003. Healthcare services received the year prior to, and following, the receipt of an ED diagnosis were examined. Cases were matched to five comparison health plan members who had a health plan visit close to the date of the matched case's ED diagnosis.

Results

Incidence of EDs (0.32% of the 104 130 females, and 0.02% of the 93 628 males) was consistent with prior research employing treatment-based databases, though less than community-based samples. Most cases (50%) were first identified during a primary-care visit and psychiatric co-morbidity was high. Health services use was significantly elevated in all service sectors among those with an ED when compared with matched controls both in the year preceding and that following the receipt of the incident ED diagnosis. Contrary to expectations, healthcare utilization was found to be similarly high across the spectrum of EDs (anorexia nervosa, bulimia nervosa, and eating disorders not otherwise specified).

Conclusions

The elevation in health service use among women both before and after diagnosis suggests that EDs merit identification and treatment efforts commensurate with other mental health disorders (e.g. depression) which have similar healthcare impact.

Copyright
Corresponding author
*Address for correspondence: R. H. Striegel-Moore, Ph.D., Department of Psychology, Wesleyan University, 207 High Street, Middletown, CT 06459-0408, USA. (Email: rstriegel@wesleyan.edu)
Linked references
Hide All

This list contains references from the content that can be linked to their source. For a full set of references and notes please see the PDF or HTML where available.

FM Cachelin , RH Striegel-Moore (2006). Help seeking and barriers to treatment in a community sample of Mexican American and European American women with eating disorders. International Journal of Eating Disorders 39, 154161.

CG Fairburn , K Bohn (2005). Eating disorder NOS (EDNOS): an example of the troublesome ‘not otherwise specified’ (NOS) category in DSM-IV. Behavior Research and Therapy 43, 691701.

JI Hudson , E Hiripi , HG Pope Jr, RC Kessler (2007). The prevalence and correlates of eating disorders in the National Comorbidity Survey Replication. Biological Psychiatry 61, 348358.

CR Kessler , O Demler , RG Frank , M Olfson , HA Pincus , EE Walters , P Wang , KB Wells , AM Zaslavsky (2005). Prevalence and treatment of mental disorders 1990 to 2003. The New England Journal of Medicine 352, 25152523.

HC Kraemer (1995). Statistical issues in assessing comorbidity. Statistics in Medicine 14, 721733.

PM Lewinsohn , H Hops , RE Roberts , JR Seeley , JA Andrews (1993). Adolescent psychopathology: I. Prevalence and incidence of depression and other DSM-III-R disorders in high school students. Journal of Abnormal Psychology 102, 133144.

R Marshall , D Grayson , A Jorm , B O'Toole (2001). Are survey measures of medical care utilisation misleading? A comparison of self-reported medical care consumption with actual medical care utilisation. Australian Health Review 24, 9199.

RL Spitzer , K Kroenke , JBW Williams , the Patient Health Questionnaire Primary Care Study Group (1999). Validation and utility of a self-report version of PRIME-MD: The PHQ Primary Care Study. Journal of the American Medical Association 282, 17371744.

E Stice , CF Telch , SL Rizvi (2000). Development and validation of the Eating Disorder Diagnostic Scale: a brief self-report measure of anorexia, bulimia, and binge-eating disorder. Psychological Assessment 12, 123131.

RH Striegel-Moore , D Leslie , SA Petrill , V Garvin , RA Rosenheck (2000). One-year use and cost of inpatient and outpatient services among female and male patients with an eating disorder: evidence from a national database of health insurance claims. International Journal of Eating Disorders 27, 381389.

TG Wilson , R Shafran (2005). Eating disorders guidelines from NICE. Lancet 365, 7981.

Recommend this journal

Email your librarian or administrator to recommend adding this journal to your organisation's collection.

Psychological Medicine
  • ISSN: 0033-2917
  • EISSN: 1469-8978
  • URL: /core/journals/psychological-medicine
Please enter your name
Please enter a valid email address
Who would you like to send this to? *
×

Keywords: