title: Predictors of change in psychosocial impairment secondary to an eating disorder.
abstract: Eating disorders (ED) can significantly impair psychosocial health in patients. However, no published studies have so far used a standardized and specific instrument to evaluate predictive factors in ED-related psychosocial impairment. This prospective cohort study involved 177 patients receiving outpatient treatment for an ED at baseline and 115 patients at the 1-year follow-up. Patients completed three self-administered questionnaires: the Clinical Impairment Assessment (CIA), the Eating Attitudes Test-12 (EAT-12), and the Health-Related Quality of Life in ED-short form (HeRQoLED-s). Descriptive statistics, ANOVA, chi-square, and Fisher's exact test were applied to examine intervariable relationships. Multivariate linear regression was used to determine predictors of change in CIA scores. An improvement was reported by patients with restrictive anorexia nervosa (AN) compared to those with purgative AN. In the multivariate analysis, employment status, subtype of ED, and the bulimia and food preoccupation factor of the EAT-12 were significant predictors of change in the CIA scores.
authors.affiliation: Research Unit, Galdakao-Usansolo Hospital, Barrio Labeaga s/n, Galdakao 48960, Bizkaia, Spain; Health Services Research on Chronic Diseases Network - REDISSEC, Galdakao, Spain. Electronic address: josune.martincorral@osakidetza.net.
authors.forename: Josune
authors.initials: J
authors.lastname: Martín
authors.affiliation: Department of Psychiatry, Galdakao-Usansolo Hospital, Barrio Labeaga s/n, Galdakao 48960, Bizkaia, Spain; Health Services Research on Chronic Diseases Network - REDISSEC, Galdakao, Spain.
authors.forename: Angel
authors.initials: A
authors.lastname: Padierna
authors.affiliation: Research Unit, Galdakao-Usansolo Hospital, Barrio Labeaga s/n, Galdakao 48960, Bizkaia, Spain; Health Services Research on Chronic Diseases Network - REDISSEC, Galdakao, Spain.
authors.forename: Anette
authors.initials: A
authors.lastname: Unzurrunzaga
authors.affiliation: Research Unit, Galdakao-Usansolo Hospital, Barrio Labeaga s/n, Galdakao 48960, Bizkaia, Spain; Health Services Research on Chronic Diseases Network - REDISSEC, Galdakao, Spain.
authors.forename: Nerea
authors.initials: N
authors.lastname: González
authors.affiliation: Department of Psychiatry, Galdakao-Usansolo Hospital, Barrio Labeaga s/n, Galdakao 48960, Bizkaia, Spain.
authors.forename: Belén
authors.initials: B
authors.lastname: Berjano
authors.affiliation: Research Unit, Galdakao-Usansolo Hospital, Barrio Labeaga s/n, Galdakao 48960, Bizkaia, Spain; Health Services Research on Chronic Diseases Network - REDISSEC, Galdakao, Spain.
authors.forename: José M
authors.initials: JM
authors.lastname: Quintana
mesh_terms: D000293:Adolescent; D000328:Adult; D001068:Feeding and Eating Disorders / Q000523:psychology*; D005260:Female; D005502:Food; D006801:Humans; D008297:Male; D011446:Prospective Studies; D011788:Quality of Life / Q000523:psychology*; D011795:Surveys and Questionnaires; D055815:Young Adult
keywords: Change; Clinical Impairment Assessment (CIA); Eating disorders; Predictor