Outcome of Adolescent-Onset Eating Disorders

青少年发病的饮食失调的结果

• 批准号: 7073833
• 负责人: ANNA M BARDONE-CONE
• 金额: $ 7.19万
• 依托单位: UNIVERSITY OF MISSOURI-COLUMBIA
• 依托单位国家: 美国
• 财政年份: 2006
• 资助国家: 美国
• 起止时间: 2006-09-01 至 2007-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7073833
• 关键词: adolescence (12-20); anorexia; behavioral /social science research tag; binge eating disorder; clinical research; diagnosis design /evaluation; disease /disorder etiology; eating disorders; female; human subject; human therapy evaluation; interview; longitudinal human study; mental disorder diagnosis; outcomes research; patient oriented research; psychometrics; questionnaires; self concept; women' s health

DESCRIPTION (provided by applicant): Investigating the course and outcome of eating disorders, and related prognostic factors, is critical to understanding these disorders and guiding treatment. Efforts in this area have been hampered by inconsistent and limited definitions of outcome and, relatedly, no reliable prognostic factors have been identified. Often, outcome has been defined only with physical indices such as weight, neglecting broader assessment of residual eating disordered behaviors and cognitions and psychosocial functioning. The broad objective of this project is to provide breadth and variety to assessment of eating disorder outcome and to factors potentially related to outcome. Specifically, three main questions will be addressed: 1) What is the relationship between different outcomes of adolescent-onset eating disorders (including more "traditional" assessments and comprehensive assessments of psychosocial functioning and residual eating disordered behaviors/cognitions)? 2) Which variables are associated with outcome? 3) How do different conceptualizations of perfectionism compare across the course of an eating disorder and in comparison to healthy subjects? What is associated with "cross-over" from restricting anorexia to binge eating will also be explored. Study participants will be 136 females formerly seen at the University of Missouri-Columbia Adolescent Health Clinic (AHC) for an adolescent-onset eating disorder, 25 female eating disordered active AHC patients, and 60 female age-matched non-eating disordered controls. All subjects will complete questionnaires and an interview assessing DSM-IV diagnoses and, for the eating disordered patients, course of the eating disorder. Those with restricting anorexia at intake who had not binged by the interview will be followed prospectively to collect pilot data looking at emergence of binge eating, which will be combined with data about emergence of binge eating obtained retrospectively from interviews. This project has the potential to inform health care professionals of the value of multi-dimensional, comprehensive outcome assessment. Relatedly, given the chronicity and possible life-threatening severity of eating disorders, identifying factors associated with vulnerability and varying levels of functioning post-treatment is a relevant and important public health issue.

描述（由申请人提供）：调查饮食失调的病程和结果以及相关的预后因素对于了解这些疾病和指导治疗至关重要。由于对结果的定义不一致且有限，并且尚未确定可靠的预后因素，这阻碍了该领域的努力。通常，结果仅用体重等身体指标来定义，而忽略了对残余饮食失调行为和认知以及心理社会功能的更广泛评估。该项目的总体目标是提供饮食失调结果以及与结果潜在相关因素的评估的广度和多样性。具体来说，将解决三个主要问题：1）青少年发病的饮食失调的不同结果之间的关系是什么（包括更“传统”的评估和心理社会功能和残余饮食失调行为/认知的综合评估）？ 2）哪些变量与结果相关？ 3）完美主义的不同概念在饮食失调的过程中以及与健康受试者相比如何比较？还将探讨与限制厌食症和暴饮暴食的“交叉”相关的因素。研究参与者包括 136 名曾在密苏里大学哥伦比亚分校青少年健康诊所 (AHC) 因青少年发病饮食失调症就诊的女性、25 名女性饮食失调活跃 AHC 患者和 60 名年龄匹配的非饮食失调女性对照者。所有受试者都将完成问卷调查和访谈，评估 DSM-IV 的诊断，以及饮食失调患者的饮食失调病程。那些在摄入时限制性厌食但没有因访谈而暴食的人将被前瞻性地跟踪，以收集观察暴食出现情况的试点数据，这些数据将与从访谈中回顾性获得的暴食出现的数据相结合。该项目有可能让医疗保健专业人员了解多维度、综合结果评估的价值。相关地，考虑到饮食失调的慢性性和可能危及生命的严重程度，确定与脆弱性和治疗后不同功能水平相关的因素是一个相关且重要的公共卫生问题。

项目成果

Examining the match between assessed eating disorder recovery and subjective sense of recovery: preliminary findings.

检查评估的饮食失调恢复与恢复的主观感觉之间的匹配：初步发现。

• DOI: 10.1002/erv.1123
• 发表时间: 2012
• 期刊: European eating disorders review : the journal of the Eating Disorders Association
• 作者: Bardone-Cone,AnnaM

Eating Expectancies in Relation to Eating Disorder Recovery.

• DOI: 10.1007/s10608-013-9522-7
• 发表时间: 2013-10-01
• 期刊: Cognitive therapy and research
• 影响因子: 2.8
• 作者: Fitzsimmons-Craft EE;Keatts DA;Bardone-Cone AM
• 通讯作者: Bardone-Cone AM

Differences in coping across stages of recovery from an eating disorder.

• DOI: 10.1002/eat.20781
• 发表时间: 2010-12
• 期刊: INTERNATIONAL JOURNAL OF EATING DISORDERS
• 影响因子: 5.5
• 作者: Fitzsimmons, Ellen E.;Bardone-Cone, Anna M.
• 通讯作者: Bardone-Cone, Anna M.

Negative affective experiences in relation to stages of eating disorder recovery.

与饮食失调恢复阶段相关的负面情感经历。

• DOI: 10.1016/j.eatbeh.2013.10.016
• 发表时间: 2014
• 期刊: Eating behaviors
• 影响因子: 2.8
• 作者: Harney,MeganB;Fitzsimmons-Craft,EllenE;Maldonado,ChristineR;Bardone-Cone,AnnaM
• 通讯作者: Bardone-Cone,AnnaM