Bridging the Gap: Does a Specialist Eating Disorder Service, Aimed at Developing a Continuum of Community Care, Make a Difference?

Bridging the gap: does a specialist eating disorder service, aimed at developing a continuum of community care, make a difference?

Australas Psychiatry. 2013 May 13;
Newton J, Bosanac P, Mancuso S, Castle D

OBJECTIVE: In 2010, the authors identified in a separate publication, Mind the evidence gap, the sparse evidence-base for the treatment of adult anorexia nervosa and barriers to accessing care. We report on the ensuing development, implementation and first 18-month results of a novel eating disorder service bridging the primary and specialist continuum of care in Victoria, Australia. METHOD: Using literature review, stakeholder, and consumer and carer consultation, a model for a community eating disorder service was developed and then implemented. All patients entering the service were then assessed at intake and, if they gave consent, at 12 month follow-up. RESULTS: From December 2010 to July 2012, 208 patients accessed The Body Image Eating Disorders Treatment and Recovery Service (BETRS). Fifty-three per cent had a diagnosis of anorexia nervosa and the mean number of co-morbid psychiatric diagnoses was two. Twenty-three per cent attended a day patient programme and showed a significant improvement in their body mass index. Measures of depression, anxiety and eating disorder symptomatology showed a concomitant, significant decrease. CONCLUSIONS: The development of BETRS has led to markedly improved access and effectiveness of specialist services in the region. HubMed – eating disorders


[Prevalence of eating disorders in urban workers in a city of the northeast of Brazil].

Cien Saude Colet. 2013 Apr; 18(4): 1109-18
Prisco AP, Araújo TM, Almeida MM, Santos KO

This article seeks to estimate the prevalence of eating disorders among workers living in urban areas of Feira de Santana, Bahia. It involves an epidemiologic, descriptive and exploratory cross-sectional study of 1,273 randomly selected workers. Socio-demographic and work characteristics, lifestyle, psychosocial aspects at work and eating behavior were investigated. Females were predominant (60.2%), the youngest 51.7% were up to 35 years old, married (53.1%), Afro-Brazilian descent (55.2%), with high school education (51.5%) and with low incomes (81.2%). The prevalence of Binge Eating Disorder and Bulimia Nervosa were, respectively, 4.3% and 1%. The prevalence of these disorders was higher among workers who indulged in excessive alcohol consumption, were dissatisfied with their personal appearance and weight, reported violence in childhood and had financial problems or related worries. Also included were those involved in house care services and commerce, who had informal work arrangements or were in highly demanding work environments. Besides investigating the relation between eating disorders and work, data was provided about these disorders in a population-based study. It is hoped that this study may encourage investments in health policies for these disorders. HubMed – eating disorders


Peptide hormones in infants with feeding disorders.

Scand J Clin Lab Invest. 2013 May 13;
Lähdeaho ML, Ukkola O, Jokela M, Huhtala H, Knip M, Kesäniemi YA, Kuusela AL

The prevalence of eating problems in otherwise healthy infants is a common problem in Western countries. Peptide hormones such as adiponectin, ghrelin and resistin have been shown to play an important role in the regulation of satiety and hunger in several diseases and states. The aim of this study was to evaluate the peptide hormone levels in children with eating problems. In this study, 12 otherwise healthy infants (mean age 10.4 months) with eating problems and 12 healthy controls were studied. At their first hospital visit samples for analysis of adiponectin, ghrelin and resistin were obtained and a careful physical examination was carried out. To exclude any possible anatomic or metabolic reason for eating problems necessary investigations were also performed. Adiponectin levels were significantly higher in the cases than in the controls (p = 0.033), and the difference was still significant after adjustment for weight (p < 0.05). Resistin and ghrelin concentrations showed no significant differences. Conclusions. For the first time we were able to show in this pilot study that adiponectin concentrations were elevated in the infants with eating problems. Cross-sectional association does not necessarily imply causal relationship. Thus, further studies with larger number of cases will be needed to clarify the role of adiponectin in the eating problems in infants. HubMed – eating disorders



Eating disorders and art – Art has been very helpful for me throughout this whole process and is very therapeutic and I suggest you give it a try!