Martín Josune, Anton-Ladislao Ane, Padierna Ángel, Berjano Belén, Quintana José María
Department of Research, Galdakao-Usansolo Hospital, Galdakao 48960, Spain.
Health Services Research on Chronic Diseases Network - REDISSEC, Galdakao 48960, Spain.
World J Psychiatry. 2021 Jul 19;11(7):375-387. doi: 10.5498/wjp.v11.i7.375.
Grouping eating disorders (ED) patients into subtypes could help improve the establishment of more effective diagnostic and treatment strategies.
To identify clinically meaningful subgroups among subjects with ED using multiple correspondence analysis (MCA).
A prospective cohort study was conducted of all outpatients diagnosed for an ED at an Eating Disorders Outpatient Clinic to characterize groups of patients with ED into subtypes according to sociodemographic and psychosocial impairment data, and to validate the results using several illustrative variables. In all, 176 (72.13%) patients completed five questionnaires (clinical impairment assessment, eating attitudes test-12, ED-short form health-related quality of life, metacognitions questionnaire, Penn State Worry Questionnaire) and sociodemographic data. ED patient groups were defined using MCA and cluster analysis. Results were validated using key outcomes of subtypes of ED.
Four ED subgroups were identified based on the sociodemographic and psychosocial impairment data.
ED patients were differentiated into well-defined outcome groups according to specific clusters of compensating behaviours.
将饮食失调(ED)患者分组为不同亚型有助于制定更有效的诊断和治疗策略。
使用多重对应分析(MCA)在患有ED的受试者中识别具有临床意义的亚组。
对一家饮食失调门诊诊所所有被诊断为ED的门诊患者进行前瞻性队列研究,根据社会人口统计学和心理社会损害数据将ED患者分组为不同亚型,并使用几个说明性变量验证结果。共有176名(72.13%)患者完成了五份问卷(临床损害评估、饮食态度测试-12、ED-简短形式健康相关生活质量、元认知问卷、宾夕法尼亚州立大学忧虑问卷)和社会人口统计学数据。使用MCA和聚类分析定义ED患者组。结果通过ED亚型的关键结果进行验证。
根据社会人口统计学和心理社会损害数据确定了四个ED亚组。
根据特定的代偿行为集群,ED患者被分为明确的结局组。