Follow up of Young People Treated in CAEDS 2009-2014. Longitudinal Follow Up of Eating Disorder Treatment
试验速览
- 阶段
- 不适用
- 入组人数
- 159
- 试验地点
- 1
- 主要终点
- Eating Disorder Examination Questionnaire (EDEQ). Fairburn & Beglin, 1994
研究概览
简要总结
The research proposed here seeks to delineate the outcomes of people who have received treatment for an eating disorder at a specialist eating disorder service in childhood or adolescence (hereafter 'former patients'). This will inform our understanding of the maintenance of treatment effects beyond initial trial follow-ups, and together with data collected during treatment will allow for identification of factors predicting chronicity which will inform further treatment development.
详细描述
Research Questions
- Is recovery from an eating disorder in adolescence maintained and associated with good socio-economic outcomes?
- Is poor outcome from eating disorder treatment in adolescence associated with a chronic course of illness?
- Are there factors measured during treatment that predict maintenance of outcome or relapse?
This study will use a longitudinal follow up design, contacting former patients of the National and Specialist Child and Adolescent Mental Health Service (CAMHS) Eating Disorder Service, South London and Maudsley National Health Service (NHS) Foundation Trust (CAEDS) between 1/8/2009 and 31/1/2014. These former patients are now aged 16-27. The study will thus provide the longest and largest follow up of treated adolescents to date (n = 358 over a 4-8 year follow up). Former patients will be asked a series of questions by phone/post/email about their health and socio-economic well-being since discharge from the service. This data will be analysed together with assessment and outcome data collected while they were patients of CAEDS.
Measures Data will be collected using a data collection tool developed for this project, as well as the Eating Disorders Examination Questionnaire and the Work and Social Adjustment Scale.
Data collected will comprise:
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Other
入排标准
- 年龄范围
- 16 Years 至 30 Years（Child, Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- 未提供
排除标准
- 未提供
结局指标
主要结局
Eating Disorder Examination Questionnaire (EDEQ). Fairburn & Beglin, 1994
时间窗: 28 days prior to L-FED research assessment
Self reported eating disorder symptoms. This is a 28 item self report questionnaire which is scored using a 7 - point (0-6) rating scale. Four subscales are derived through adding together relevant items and diving by the number of items to give a score range for each subscale of 0-6. A total score is derived by adding together the subscales and diving by the number of subscales (ie 4) also giving a score range of 0-6. Higher scores indicate greater impairment.
Work and social adjustment scale (WSAS) Mundt, J. C., I. M. Marks, et al. (2002).
时间窗: At time of L-FED research assessment. Discharges between 2009 and 2014 (4-10) year follow up. Variation in time since discharge will be stratified in analysis.
Self reported impact of symptoms on functioning. This is a self report measure of the impact of illness on work and social functioning. It is a five item questionnaire with each item scored 0-8 giving a total score range of 0-40 where high scores indicate greater impairment.
Receipt of further treatment for an eating disorder in the first four years after discharge from treatment
时间窗: From discharge from service to L-FED research assessment. Discharges between 2009 and 2014 (4-10) year follow up. Proportion of sample needing treatment in the first four years post discharge will be reported
Self report of whether subsequent treatment for an eating disorder has been received since discharge. Self report of treatment received in the period between discharge and research follow up - including number and duration of outpatient treatment, hospital admission and day patient treatment. The four year outcome is the primary outcome as it allows for the most complete dataset for follow up.
次要结局
- Receipt of treatment for an eating disorder >4 years after discharge from treatment(From four years post discharge from service to L-FED research assessment. Proportion)
- Psychosocial wellbeing(At time of L-FED assessment.Discharges between 2009 and 2014 (4-10) year follow up. Variation in time since discharge will be stratified in analysis.)
研究者
Dr Catherine Stewart
Senior Clinical Psychologist
South London and Maudsley NHS Foundation Trust