Mental Health Department, Hospital General Universitario, 13001 Ciudad Real, Spain.
Metabolic Bone Diseases Research Group, Nursing Department, Nursing and Occupational Therapy College, University of Extremadura, Avd. Universidad s/n, 10003 Cáceres, Spain.
Nutrients. 2021 Jan 27;13(2):403. doi: 10.3390/nu13020403.
People with eating disorders show impaired health-related quality of life (HRQoL). We aimed to investigate the relative role of physical and mental factors and stage of change as possible predictors of HRQoL in a group of Spanish women ( = 124) with eating disorders. For this purpose, initial and follow-up data were obtained after 6 months from patients attending an outpatient treatment unit for eating disorders. The determinants of the physical and mental domains of the Medical Outcomes Survey Short-form Health Survey (SF-36) questionnaire were investigated in the total sample and separately based on the eating disorder diagnosis by multiple linear regression. Lower scores in the physical component of the SF-36 questionnaire were associated with the presence of a higher body mass index (BMI) at follow-up as well as a higher score in the "action" component of the Attitudes towards Change in Eating Disorders Questionnaire (ACTA). Conversely, a higher index in the EuroQoL-5D overall quality of life questionnaire (EQ-5D) and the presence of obsessive compulsive disorder were associated with a higher score in the physical dimension. The instrument used demonstrated the ability to assess changes associated with the physical component of these patients over the period studied, and the analysis provided more information and specific data on different aspects of HRQoL, thus allowing a more detailed analysis of the information.
患有饮食失调症的人表现出健康相关生活质量(HRQoL)受损。我们旨在研究身体和心理因素以及改变阶段作为可能预测西班牙女性(n=124)饮食失调症患者 HRQoL 的指标。为此,在接受饮食失调症门诊治疗的患者接受治疗 6 个月后,我们获得了初始和随访数据。通过多元线性回归,我们在总样本和根据饮食失调症诊断分别对 Medical Outcomes Survey Short-form Health Survey(SF-36)问卷的身心领域的决定因素进行了研究。SF-36 问卷的身体成分得分较低与随访时较高的体重指数(BMI)以及饮食失调症态度改变问卷(ACTA)的“行动”成分得分较高有关。相反,EuroQoL-5D 总体生活质量问卷(EQ-5D)的指数较高和强迫症的存在与身体维度的得分较高有关。所使用的工具证明了能够评估在研究期间与这些患者身体成分相关的变化,并且分析提供了有关 HRQoL 不同方面的更多信息和具体数据,从而可以更详细地分析信息。