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Title: Pathways to eating disorder care: a European multicenter study
Author: Monteleone, Alessio Maria
Barone, Eugenia
Cascino, Giammarco
Schmidt, Ulrike
Gorwood, Philip
Volpe, Umberto
Abbate-Daga, Giovanni
Castellini, Giovanni
Marsa, Marina Diaz
Favaro, Angela
Fukutomi, Akira
Guillaume, Sebastien
Minarik, Petr
Pacheco, Jose Antonio Soriano
Panero, Matteo
Papezova, Hana
Ricca, Valdo
Segura-Garcia, Cristina
Scanferla, Elisabetta
Tyszkiewicz-Nwafor, Marta
Fernández Aranda, Fernando
Voderholzer, Ulrich
Treasure, Janet
Monteleone, Palmiero
Keywords: Trastorns de la conducta alimentària
Personal sanitari
Atenció primària
Eating disorders
Medical personnel
Primary care
Issue Date: 24-Apr-2023
Publisher: Cambridge University Press
Abstract: Background: The aim of this study was to assess barriers and facilitators in the pathways toward specialist care for eating disorders (EDs). Methods: Eleven ED services located in seven European countries recruited patients with an ED. Clinicians administered an adapted version of the World Health Organization 'Encounter Form,' a standardized tool to assess the pathways to care. The unadjusted overall time needed to access the ED unit was described using the Kaplan-Meier curve. Results: Four-hundred-nine patients were recruited. The median time between the onset of the current ED episode and the access to a specialized ED care was 2 years. Most of the participants did not directly access the specialist ED unit: primary 'points of access' to care were mental health professionals and general practitioners. The involvement of different health professionals in the pathway, seeking help for general psychiatric symptoms, and lack of support from family members were associated with delayed access to ED units. Conclusions: Educational programs aiming to promote early diagnosis and treatment for EDs should pay particular attention to general practitioners, in addition to mental health professionals, and family members to increase awareness of these illnesses and of their treatment initiation process.
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It is part of: European Psychiatry, 2023, vol. 66, num. 1
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ISSN: 0924-9338
Appears in Collections:Articles publicats en revistes (Ciències Clíniques)
Articles publicats en revistes (Institut d'lnvestigació Biomèdica de Bellvitge (IDIBELL))

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