Correlates of health related quality of life in anorexia nervosa

Int J Eat Disord. 2016 Jun;49(6):630-4. doi: 10.1002/eat.22512. Epub 2016 Feb 3.

Abstract

Objective: We examined the association between disorder specific factors, comorbidity and health related quality of life (HRQoL) in anorexia nervosa (AN).

Method: HRQoL was assessed using the EuroQol-5D visual analog scale (EQ-VAS) in this cross-sectional study. Three regression models were estimated to determine the association between AN subtype (restrictive vs. binge/purge), duration of the eating disorder (ED), age (adolescents vs. adults), ED pathology (EDE-Q), Body Mass Index (BMI), depressive symptoms (PHQ-9), somatic complaints (PHQ-15), anxiety (GAD-7) and EQ-VAS.

Results: The sample comprised 218 female AN patients (mean age = 23.3 years [SD = 8.2]; mean EQ-VAS score = 53.4 [SD = 21.4]). A lower BMI, higher levels of depressive symptoms, and somatic complaints were significantly associated with lower EQ-VAS scores.

Discussion: Findings of the present study suggest that BMI and comorbidity might be more relevant to HRQoL impairments in AN than age, diagnostic subtype, duration of the ED or current psychopathology. © 2016 Wiley Periodicals, Inc. (Int J Eat Disord 2016; 49:630-634).

Keywords: EQ-VAS; anorexia nervosa; comorbidity; depression; duration of the eating disorder; eating disorders; health related quality of life.

Publication types

  • Multicenter Study
  • Observational Study

MeSH terms

  • Adolescent
  • Adult
  • Anorexia Nervosa / complications
  • Anorexia Nervosa / epidemiology
  • Anorexia Nervosa / psychology*
  • Binge-Eating Disorder / epidemiology
  • Binge-Eating Disorder / psychology
  • Cross-Sectional Studies
  • Depression / complications
  • Depression / epidemiology
  • Depression / psychology
  • Female
  • Germany / epidemiology
  • Humans
  • Middle Aged
  • Quality of Life*
  • Surveys and Questionnaires
  • Young Adult

Associated data

  • ISRCTN/ISRCTN44979231