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For: Reuter L, Kästner D, Schmidt J, Weigel A, Voderholzer U, Seidel M, Schwennen B, Fehrs H, Löwe B, Gumz A. The development and psychometric evaluation of FABIANA-checklist: a scale to assess factors influencing treatment initiation in anorexia nervosa. J Eat Disord 2021;9:144. [PMID: 34732246 PMCID: PMC8565008 DOI: 10.1186/s40337-021-00490-w] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/27/2021] [Accepted: 10/03/2021] [Indexed: 11/29/2022] Open

For:	Reuter L, Kästner D, Schmidt J, Weigel A, Voderholzer U, Seidel M, Schwennen B, Fehrs H, Löwe B, Gumz A. The development and psychometric evaluation of FABIANA-checklist: a scale to assess factors influencing treatment initiation in anorexia nervosa. J Eat Disord 2021;9:144. [PMID: 34732246 PMCID: PMC8565008 DOI: 10.1186/s40337-021-00490-w] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/27/2021] [Accepted: 10/03/2021] [Indexed: 11/29/2022] Open

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Cited by Other Article(s)

Gumz A, Reuter L, Löwe B, Voderholzer U, Schwennen B, Fehrs H, Wünsch-Leiteritz W, Brunner R, Kästner D, Zapf A, Weigel A. Factors influencing the duration of untreated illness among patients with anorexia nervosa: A multicenter and multi-informant study. Int J Eat Disord 2023;56:2315-2327. [PMID: 37814447 DOI: 10.1002/eat.24069] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/09/2023] [Revised: 09/15/2023] [Accepted: 09/15/2023] [Indexed: 10/11/2023]

Abstract

INTRODUCTION

The duration of untreated illness (DUI), that is, the interval between the onset of anorexia nervosa (AN) symptoms and start of specialized treatments, has a strong influence on the prognosis.

OBJECTIVE

To quantify modifiable predictors of the DUI and to derive recommendations for secondary prevention strategies.

METHODS

Within a multicenter, multi-informant study, DUI was assessed in interviews with patients undergoing first specialized AN treatment. Modifiable factors were assessed perspectives of AN-patients, their relatives, and primary care practitioners [PCPs]) with the FABIANA-checklist (Facilitators and barriers in anorexia nervosa treatment initiation). The effect of FABIANA-items on the DUI for each perspective was calculated using Cox Regression (control variables: age, eating disorder pathology, health care status, migration background, body mass index [BMI]).

RESULTS

We included data from N = 125 female patients with AN (72 adults, 53 adolescents, Mage = 19.2 years, SD = 4.2, MBMI = 15.7 kg/m2 , SD = 1.9), N = 89 relatives (81.8% female, 18.2% male, Mage = 46.0 years, SD = 11.0) and N = 40 PCPs (Mage = 49.7 years, SD = 9.0). Average DUI was 12.0 months. Watching or reading articles about the successful treatment of other individuals with AN (patients' perspective) and regular appointments with a PCP (PCPs' perspective) were related to a shorter DUI (HR = 0.145, p = .046/ HR = 0.395, p = .018). Patients whose relatives rated that PCPs trivialized patients' difficulties had a longer DUI (HR = -0.147, p = .037). PCPs and relatives rated PCPs' competence higher than patients did.

DISCUSSION

It is recommended (a) to incorporate treatment success stories in prevention strategies, (b) to inform PCPs about potential benefits of regular appointments during the transition to specialized care, and (c) to train PCPs in dealing with patients' complaints.

PUBLIC SIGNIFICANCE

Many individuals with AN seek treatment very late. Our study shows that a promising approach to facilitate earlier AN treatment is to inform patients about successful treatments of affected peers, to foster regular appointments with a PCP and, to motivate these PCPs to take individuals' with AN difficulties seriously. Thus, our study provides important suggestions for interventions that aim to improve early treatment in AN.

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Vogel M, Gil A, Galaz C, Urrejola P, Lacalle L, Jara R, Irribarra V, Letelier M, Costa D, Espinoza G. Virtually Accompanied Eating in the Outpatient Therapy of Anorexia Nervosa. Nutrients 2023;15:3783. [PMID: 37686815 PMCID: PMC10489725 DOI: 10.3390/nu15173783] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/04/2023] [Revised: 08/27/2023] [Accepted: 08/28/2023] [Indexed: 09/10/2023] Open

Affiliation(s)

Melina Vogel Eating Disorders Unit of the UC Christus Health Network, Santiago 8330077, Chile; (M.V.); (A.G.); (C.G.); (P.U.); (L.L.); (R.J.); (V.I.); (M.L.); (D.C.) Psychiatry Department, Faculty of Medicine, Pontificia Universidad Catolica, Santiago 8330077, Chile
Aurora Gil Eating Disorders Unit of the UC Christus Health Network, Santiago 8330077, Chile; (M.V.); (A.G.); (C.G.); (P.U.); (L.L.); (R.J.); (V.I.); (M.L.); (D.C.)
Camila Galaz Eating Disorders Unit of the UC Christus Health Network, Santiago 8330077, Chile; (M.V.); (A.G.); (C.G.); (P.U.); (L.L.); (R.J.); (V.I.); (M.L.); (D.C.)
Pascuala Urrejola Eating Disorders Unit of the UC Christus Health Network, Santiago 8330077, Chile; (M.V.); (A.G.); (C.G.); (P.U.); (L.L.); (R.J.); (V.I.); (M.L.); (D.C.) Adolescent Unit, Pediatrics Department, Faculty of Medicine, Pontificia Universidad Catolica, Santiago 8330077, Chile
Lucas Lacalle Eating Disorders Unit of the UC Christus Health Network, Santiago 8330077, Chile; (M.V.); (A.G.); (C.G.); (P.U.); (L.L.); (R.J.); (V.I.); (M.L.); (D.C.)
Raúl Jara Eating Disorders Unit of the UC Christus Health Network, Santiago 8330077, Chile; (M.V.); (A.G.); (C.G.); (P.U.); (L.L.); (R.J.); (V.I.); (M.L.); (D.C.)
Verónica Irribarra Eating Disorders Unit of the UC Christus Health Network, Santiago 8330077, Chile; (M.V.); (A.G.); (C.G.); (P.U.); (L.L.); (R.J.); (V.I.); (M.L.); (D.C.) Nutrition and Diabetes Department, Faculty of Medicine, Pontificia Universidad Catolica, Santiago 8330077, Chile
Matias Letelier Eating Disorders Unit of the UC Christus Health Network, Santiago 8330077, Chile; (M.V.); (A.G.); (C.G.); (P.U.); (L.L.); (R.J.); (V.I.); (M.L.); (D.C.)
Daniela Costa Eating Disorders Unit of the UC Christus Health Network, Santiago 8330077, Chile; (M.V.); (A.G.); (C.G.); (P.U.); (L.L.); (R.J.); (V.I.); (M.L.); (D.C.)
Gabriela Espinoza Eating Disorders Unit of the UC Christus Health Network, Santiago 8330077, Chile; (M.V.); (A.G.); (C.G.); (P.U.); (L.L.); (R.J.); (V.I.); (M.L.); (D.C.)

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