Section of Eating Disorders, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.
Department of Biostatistics, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.
Eur Eat Disord Rev. 2018 Mar;26(2):129-140. doi: 10.1002/erv.2579.
This pilot study assesses the impact of FREED (First Episode Rapid Early Intervention for Eating Disorders [ED]), a novel transdiagnostic service for emerging adults with recent ED onset, on clinical outcomes. Data were collected from 56 patients and 19 carers for 12 months following enrolment. FREED patients showed significant improvements in ED and other symptoms across time. Carers also showed psychological improvements. For FREED anorexia nervosa (AN) patients, body mass index (BMI) at initial clinical assessment was similar to that of comparable patients (audit cohort) seen in our service before (16.4 vs 16.1 kg/m ). By start of treatment, because of their shorter wait, FREED-AN had gained weight whereas audit patients had lost (16.7 vs 15.8 kg/m ). This difference continued throughout treatment, and at 12 months, nearly 60% FREED-AN patients returned to a BMI of 18.5 or greater. FREED shows promise as a service model for emerging adults with EDs.
这项初步研究评估了 FREED（进食障碍首次发作快速早期干预）的效果，FREED 是一种针对近期发病的成年早期患者的新型跨诊断服务，用于评估对临床结果的影响。数据是在招募后 12 个月内从 56 名患者和 19 名照顾者那里收集的。FREED 患者的饮食失调和其他症状在整个时间内都有显著改善。照顾者的心理状况也有所改善。对于 FREED 神经性厌食症 (AN) 患者，初始临床评估时的体重指数 (BMI) 与我们服务中之前（审核队列）看到的可比患者（16.4 对 16.1kg/m²）相似。由于 FREED-AN 患者的等待时间较短，他们在开始治疗时体重增加，而审核患者的体重则减轻（16.7 对 15.8kg/m²）。这种差异一直持续到治疗结束，在 12 个月时，近 60%的 FREED-AN 患者的 BMI 恢复到 18.5 或更高。FREED 有望成为治疗青少年进食障碍的服务模式。
