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Factors Associated with Disease-Specific Health Related Quality of Life in Women with Anorexia Nervosa
Laura Al-Dakhiel Winkler
South Denmark Region Psychiatry: Psykiatrien i Region Syddanmark
Corresponding Author
ORCiD: https://orcid.org/0000-0003-2413-4436
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This work is licensed under a CC BY 4.0 License. Read Full License
Background: Health-related quality of life is severely affected in patients with anorexia nervosa due to both physical and psychological consequences of the disease, but it is still uncertain whether the same factors affect both clinical outcome and quality of life. It is also unknown whether there are differences between patients and controls in terms of self-reported physical, psychological and social well-being.
Methods: Women with anorexia nervosa were recruited from specialized eating disorder centers in the five regions of Denmark. Healthy, normal-weight controls were invited via online social media to participate in the study. Six questionnaires including study characteristics, quality of life, eating disorder symptomatology, depression, work and social adjustment and psychological well-being were completed online by all participants.
Results: 211 women with anorexia nervosa and 199 controls participated in the study. Women with anorexia nervosa reported significantly lower quality of life, both in terms of disease-specific HRQoL using the Eating Disorders Quality of Life Scale and on measures of general health, psychological well-being, and work functioning. Psychological and cognitive factors were highly associated with poor quality of life (p-value<0.05).
Conclusions: Our findings suggest that attention to and management of disordered self-assessment and thought processes may be of special importance to women with anorexia nervosa and their families. It is possible that greater emphasis on such aspects alongside weight gain could enhance patient-clinician alliance and contribute to better treatment outcomes.
Keywords
Health-related quality, physical, psychological
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This is a preprint. It has not completed peer review.
Research
Factors Associated with Disease-Specific Health Related Quality of Life in Women with Anorexia Nervosa
Laura Al-Dakhiel Winkler
South Denmark Region Psychiatry: Psykiatrien i Region Syddanmark
Corresponding Author
ORCiD: https://orcid.org/0000-0003-2413-4436
Badges
Prescreen
This manuscript passed our Prescreen assessment
Complete author information
Appropriate declaration statements
Potential risks to human health
Prescreen
History
CURRENT STATUS: Posted
Version 1
Posted 28 Dec, 2020
No community comments so far
Metrics
Comments: 0
PDF Downloads: ...
HTML Views: ...
Subject Areas
Health Economics & Outcomes Research
License:
This work is licensed under a CC BY 4.0 License. Read Full License
Background: Health-related quality of life is severely affected in patients with anorexia nervosa due to both physical and psychological consequences of the disease, but it is still uncertain whether the same factors affect both clinical outcome and quality of life. It is also unknown whether there are differences between patients and controls in terms of self-reported physical, psychological and social well-being.
Methods: Women with anorexia nervosa were recruited from specialized eating disorder centers in the five regions of Denmark. Healthy, normal-weight controls were invited via online social media to participate in the study. Six questionnaires including study characteristics, quality of life, eating disorder symptomatology, depression, work and social adjustment and psychological well-being were completed online by all participants.
Results: 211 women with anorexia nervosa and 199 controls participated in the study. Women with anorexia nervosa reported significantly lower quality of life, both in terms of disease-specific HRQoL using the Eating Disorders Quality of Life Scale and on measures of general health, psychological well-being, and work functioning. Psychological and cognitive factors were highly associated with poor quality of life (p-value<0.05).
Conclusions: Our findings suggest that attention to and management of disordered self-assessment and thought processes may be of special importance to women with anorexia nervosa and their families. It is possible that greater emphasis on such aspects alongside weight gain could enhance patient-clinician alliance and contribute to better treatment outcomes.