Predictors of treatment utilization among women with anorexia and bulimia nervosa.
OBJECTIVE
The authors sought predictors of treatment utilization among women with eating disorders.


METHODS
Women diagnosed with either anorexia or bulimia nervosa (N=246) completed prospective evaluations of eating disorder status, comorbid disorders, global assessment of functioning, and treatment utilization.


RESULTS
Women with anorexia nervosa received significantly more inpatient treatment than did women with bulimia nervosa. Predictors of treatment utilization included lower global assessment of functioning scores and presence of personality disorders.


CONCLUSIONS
Women with more severe pathology have higher treatment utilization rates. This pattern may explain the seeming lack of treatment efficacy for eating disorders outside of randomized controlled studies.
Keel
Pamela K
PK
Department of Psychiatry, Massachusetts General Hospital, Boston, USA.
Dorer
David J
DJ
Eddy
Kamryn T
KT
Delinsky
Sherrie S
SS
Franko
Debra L
DL
Blais
Mark A
MA
Keller
Martin B
MB
Herzog
David B
DB
D000293:Adolescent; D000328:Adult; D000856:Anorexia Nervosa / Q000453:epidemiology* / Q000523:psychology / Q000628:therapy; D014151:Anti-Anxiety Agents / Q000627:therapeutic use; D000928:Antidepressive Agents / Q000627:therapeutic use; D001900:Boston; D002032:Bulimia / Q000453:epidemiology* / Q000523:psychology / Q000628:therapy; D015897:Comorbidity; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D010342:Patient Acceptance of Health Care / Q000706:statistics & numerical data*; D010343:Patient Admission / Q000706:statistics & numerical data; D010554:Personality Disorders / Q000453:epidemiology / Q000523:psychology / Q000628:therapy; D011613:Psychotherapy / Q000706:statistics & numerical data; D011615:Psychotherapy, Group / Q000706:statistics & numerical data; D012017:Referral and Consultation / Q000706:statistics & numerical data*; D014600:Utilization Review
D014151:Anti-Anxiety Agents; D000928:Antidepressive Agents