title: Patient- and clinician- reported outcome in eating disorders.
abstract: Patient-reported outcome is increasingly applied in health sciences. Patients with eating disorders (EDs) characteristically have a different opinion of their needs to that of the health professionals, which can lead to ambivalence towards treatment and immense compliance difficulties. This cross-sectional study compared data assessed by the clinician to patient-reported measures in patients with a history of EDs. We included data from a cohort of patients with EDs (n=544) referred to a specialized ED unit in Denmark. Patient-reported measures included the Eating Disorder Inventory-2 (EDI-2) and the Short Form 36 (SF-36), and clinical data included remission status and body mass index (BMI). We found a positive association between BMI and EDI-2 scores for anorexia nervosa (AN) and eating disorder not otherwise specified (EDNOS), reflecting increasing ED symptomatology with increasing BMI. This association was not observed in bulimia nervosa (BN). We did not find a correlation between SF-36 scores and BMI in any of the diagnostic groups.
authors.affiliation: Centre for Eating Disorders, Department of Endocrinology, Odense University Hospital & Psychiatry of Region Southern Denmark, University of Southern Denmark, Denmark. Electronic address: laura.vad.winkler@rsyd.dk.
authors.forename: Laura Al-Dakhiel
authors.initials: LA
authors.lastname: Winkler
authors.affiliation: Centre for Eating Disorders, Department of Endocrinology, Odense University Hospital & Psychiatry of Region Southern Denmark, University of Southern Denmark, Denmark.
authors.forename: Jacob Stampe
authors.initials: JS
authors.lastname: Frølich
authors.affiliation: Department of Clinical Research, University of Southern Denmark, Denmark.
authors.forename: Claire
authors.initials: C
authors.lastname: Gudex
authors.affiliation: Child and Adolescent Psychiatry, Centre for Eating Disorders, Odense University Hospital & Psychiatry of Region Southern Denmark, University of Southern Denmark, Denmark.
authors.forename: Kirsten
authors.initials: K
authors.lastname: Hørder
authors.affiliation: Child and Adolescent Psychiatry, Centre for Eating Disorders, Odense University Hospital & Psychiatry of Region Southern Denmark, University of Southern Denmark, Denmark.
authors.forename: Niels
authors.initials: N
authors.lastname: Bilenberg
authors.affiliation: Centre for Eating Disorders, Department of Endocrinology, Odense University Hospital & Psychiatry of Region Southern Denmark, University of Southern Denmark, Denmark.
authors.forename: René Klinkby
authors.initials: RK
authors.lastname: Støving
mesh_terms: D000328:Adult; D000856:Anorexia Nervosa / Q000523:psychology* / Q000628:therapy; D015992:Body Mass Index; D052018:Bulimia Nervosa / Q000523:psychology* / Q000628:therapy; D003430:Cross-Sectional Studies; D003718:Denmark; D001068:Feeding and Eating Disorders / Q000523:psychology*; D005260:Female; D006801:Humans; D008297:Male; D017063:Outcome Assessment, Health Care; D000071066:Patient Reported Outcome Measures; D055815:Young Adult
keywords: Eating disorder inventory; Outcome; Short-form 36