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Quality of life and eating disorders

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Abstract

Objective: Eating disorders (EDs) can have a serious impact on various life domains and may lead to physical, mental and social impairment and consequently to poor quality of life (QOL). This study compared the QOL of ED patients and former ED patients in a large community based sample to the QOL of a normal reference group and to the QOL of patients with mood disorders. Differences between ED diagnostic groups were examined. The study investigated what factors contribute to QOL.

Methods: A generic health-related quality of life questionnaire, the Short Form-36 (SF-36), and the Eating Disorder Examination-Questionnaire were administered to 156 ED patients – 44 anorexia nervosa patients, 43 bulimia nervosa patients, 69 eating disorder not otherwise specified patients – and 148 former ED patients.

Results: ED patients reported significantly poorer QOL than a normal reference group. No differences were found between the diagnostic groups. Former ED patients still had poorer QOL than a normal reference group. ED patients reported significantly poorer QOL than patients with mood disorders. Self esteem contributed most to QOL.

Conclusion: EDs have a severe impact on many domains of QOL. Therefore QOL needs to be addressed in effectiveness research and clinical practice.

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References

  1. M Maj K Halmi JJ López-Ibor N. Sartorius (2003) Eating Disorders Wiley Chichester

    Google Scholar 

  2. J Treasure U Schmidt EF Furth (Eds) (2003) Handbook on Eating Disorders Wiley Chichester

    Google Scholar 

  3. HC. Steinhausen (2002) ArticleTitleThe outcome of anorexia nervosa in the twentieth century Am J Psychiatry 159 1284–1293 Occurrence Handle10.1176/appi.ajp.159.8.1284 Occurrence Handle12153817

    Article  PubMed  Google Scholar 

  4. HC Steinhausen FC Verhulst (Eds) (1999) Risk and Outcomes in Developmental Psychopathology Oxford University Press Oxford

    Google Scholar 

  5. A Padierna JM Quintana I Arostegui N Gonzalez MJ. Horcajo (2000) ArticleTitleThe health related quality of life in eating disorders Qual Life Res 9 667–674 Occurrence Handle10.1023/A:1008973106611 Occurrence Handle1:STN:280:DC%2BD3M3jtl2rsQ%3D%3D Occurrence Handle11236856

    Article  CAS  PubMed  Google Scholar 

  6. A Padierna JM Quintana I Arostegui N Gonzalez MJ. Horcajo (2002) ArticleTitleChanges in health related quality of life among patients treated for eating disorders Qual Life Res 11 542–552 Occurrence Handle10.1023/A:1016324527729

    Article  Google Scholar 

  7. P. Hay (2003) ArticleTitleQuality of life and bulimic eating disorder behaviors: Findings from a community based sample Int J Eating Dis. 33 434–442 Occurrence Handle10.1002/eat.10162

    Article  Google Scholar 

  8. M Keilen U. Treasure J Schmidt (1994) ArticleTitleQuality of life measurements in eating disorders, angina and transplant candidates: Are they comparable? J R Soc Med 87 441–444 Occurrence Handle1:STN:280:ByuA2M7mt1Y%3D Occurrence Handle8071911

    CAS  PubMed  Google Scholar 

  9. C Danzl G Kemmler E Gottwald B Mangweth J Kinzl W. Biebl (2001) ArticleTitleLebensqualitat essgestorter Patientinnen Eine Katamneseerhebung. Psych Praxis 28 18–23 Occurrence Handle10.1055/s-2001-10501 Occurrence Handle1:STN:280:DC%2BD3M3ksFSntg%3D%3D

    Article  CAS  Google Scholar 

  10. RV Bijl A. Ravelli (2000) ArticleTitleCurrent and residual functional disability associated with psychopathology: Findings from the Netherlands Mental Health Survey and Incidence Study (NEMESIS) Psychol Med 30 657–668 Occurrence Handle10.1017/S0033291799001841 Occurrence Handle1:STN:280:DC%2BD3M%2Fhs1Shtw%3D%3D Occurrence Handle10883720

    Article  CAS  PubMed  Google Scholar 

  11. H Katschnig H Freeman N. Sartorius (1997) Quality of Life in Mental Disorders Wiley Chichester

    Google Scholar 

  12. CG Fairburn Z Cooper R. Shafran (2002) ArticleTitleCognitive behaviour therapy for eating disorders: A ‘transdiagnostic’ theory and treatment Behav Res Therapy 41 IssueID5 509–529

    Google Scholar 

  13. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. 4th ed. Washington, DC: American Psychiatric Association, 1994.

  14. Fairburn CG, Wilson GT. Binge Eating: Nature, Assessment and Treatment. New York, 1993.

  15. JM Mond PJ Hay B Rodgers C Owen PJ. Beumont (2004) ArticleTitleValidity of the Eating Disorder Examination Questionnaire (EDE-Q) in screening for eating disorders in community samples Behav Res Therapy 42 IssueID5 551–567 Occurrence Handle1:STN:280:DC%2BD2c7ktVSmtQ%3D%3D

    CAS  Google Scholar 

  16. JEJ Ware KK Snow MA Kosinski B. Gandek (1993) SF-36 Health Survey, Manual and Interpretation Guide The Health Institute, New England Medical Center Boston, MA

    Google Scholar 

  17. JE Ware M Kosinkski SD. Keller (1994) SF-36 Physical and Mental Health Summary Scales: A User’s Manual The Health Institute, New England Medical Center Boston, MA

    Google Scholar 

  18. M. Rosenberg (1989) Society and the Adolescent Self-Image Wesleyan University Press Middletown, CT

    Google Scholar 

  19. M. Rosenberg (1986) Conceiving the Self Krieger Malabar, FL

    Google Scholar 

  20. J Blascovich T. Joseph (1993) Measures of Self-esteem JP Robinson PR Shaver LS Wrightsman (Eds) Measures of Personality and Social Psychological Attitudes. Institute for Social Research Ann Arbor, MI 115–160

    Google Scholar 

  21. NK Aaronson M Muller PDA Cohen ML Essink-Bot M Fekkes R Sanderman MAG Sprangers te Velde A E. Verrips (1998) ArticleTitleTranslation, validation and norming of the Dutch language version of the SF-36 health survey in community and chronic disease populations J Clin Epidemiol 51 IssueID11 1055–1068 Occurrence Handle1:STN:280:DyaK1M%2Fjt1SisQ%3D%3D Occurrence Handle9817123

    CAS  PubMed  Google Scholar 

  22. RL. Horton (1978) The General Linear Model. Data Analysis in the Social and Behavioural Sciences McGraw-Hill New York

    Google Scholar 

  23. ML. Essink-Bot (1995) Health Status as a Measure of Outcome of Disease and Treatment Erasmus Universiteit Rotterdam, Rotterdam, The Netherlands Humanitas

    Google Scholar 

  24. AJ Carr B Gibson PG. Robinson (2001) ArticleTitleIs quality of life determined by expectations or experience? Br Med J 322 1240–1243 Occurrence Handle1:STN:280:DC%2BD3M3mslKlsw%3D%3D

    CAS  Google Scholar 

  25. AJ Carr IJ. Higginson (2001) ArticleTitleAre quality of life measures patient centred? Br Med J 322 1357–1360 Occurrence Handle1:STN:280:DC%2BD3Mzhtl2gtQ%3D%3D

    CAS  Google Scholar 

  26. MF Muldoon SD Barger SB. Manuck (1998) ArticleTitleWhat are quality of life measurements measuring? Br Med J 316 542–545 Occurrence Handle1:STN:280:DyaK1c7mt1ensA%3D%3D

    CAS  Google Scholar 

  27. WS Korr GC. Ford (2003) ArticleTitleMeasuring quality of life in the mentally ill Qual Life Res 12 IssueIDSupp 1 17–23 Occurrence Handle12803307

    PubMed  Google Scholar 

  28. CH van Nieuwenhuizen (2001) Quality of Life of Persons with Severe Mental Illness: An Instrument Thesis Publishers Amsterdam

    Google Scholar 

  29. J Orley S Saxena H. Herrman (1998) ArticleTitleQuality of life and mental illness. Reflections from the perspective of the WHOQOL Br J Psychiatry 172 291–293 Occurrence Handle1:STN:280:DyaK1czotFWiug%3D%3D Occurrence Handle9715330

    CAS  PubMed  Google Scholar 

  30. A Harper M. Power (1998) ArticleTitleDevelopment of the World Health Organization WHOQOL-BREF quality of life assessment Psychol Med 28 IssueID5 551–558 Occurrence Handle9626712

    PubMed  Google Scholar 

  31. CG Fairburn PJ. Harrison (2003) ArticleTitleEating Disorders Lancet 361 407–416 Occurrence Handle12573387

    PubMed  Google Scholar 

  32. IJ Higginson AJ. Carr (2001) ArticleTitleUsing quality of life measures in the clinical setting Br Med J 322 1297–1300 Occurrence Handle1:STN:280:DC%2BD3M3pt1eluw%3D%3D

    CAS  Google Scholar 

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Correspondence to S. M. de la Rie.

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de la Rie, S.M., Noordenbos, G. & van Furth, E.F. Quality of life and eating disorders. Qual Life Res 14, 1511–1521 (2005). https://doi.org/10.1007/s11136-005-0585-0

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