Bayesian prediction of treatment outcome in anorexia nervosa: a preliminary study

Nord J Psychiatry. 2015 Apr;69(3):210-5. doi: 10.3109/08039488.2014.962612. Epub 2014 Oct 7.

Abstract

Background: Knowledge of the prognostic factors predicting treatment outcome in anorexia nervosa (AN) measured with health-related quality of life (HRQoL) is limited.

Aims: We performed a novel statistical analysis to identify factors predicting treatment outcome in AN.

Methods: 39 patients entering treatment of an ICD-10-defined AN completed the 15D HRQoL survey, the Eating Disorder Inventory (EDI) and a questionnaire evaluating self reported health status and eating habits before and 2 years after the start of treatment. The analysis was based on a Bayesian approach, which allows analyses of small data sets, and was performed using a naïve Bayes classifier.

Results: An impaired follow-up HRQoL score was associated with three baseline risk factors: low self-reported vitality, high scores in eating control and a poor reported health status. Low baseline body mass index (BMI) and a high score in the eating dimension of the 15D predicted low follow-up BMI.

Conclusions: In our preliminary study, we identified a set of variables predicting poor HRQoL in AN. An effort to treat these symptoms effectively in the beginning of AN treatment may influence the outcome.

Keywords: Anorexia nervosa; Bayes theorem; Bayesian prediction; Eating disorders; Health-related quality of life (HRQoL).

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Anorexia Nervosa / psychology
  • Anorexia Nervosa / therapy*
  • Bayes Theorem
  • Health Status*
  • Humans
  • Quality of Life*
  • Self Report
  • Treatment Outcome
  • Young Adult