Quality of life in eating disorders: A meta-analysis

Abstract Eating disorders (EDs) comprise a variety of symptoms and have a profound impact on everyday life. They are associated with high morbidity and mortality. The objective of this study was to analyse published data on health-related quality of life (HRQoL) in EDs so as to compare the results t...

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Bibliographic Details
Published in:Psychiatry research 2014-09, Vol.219 (1), p.1-9
Main Authors: Winkler, Laura Al-Dakhiel, Christiansen, Erik, Lichtenstein, Mia Beck, Hansen, Nina Beck, Bilenberg, Niels, Støving, René Klinkby
Format: Article
Language:English
Subjects:
Adult and adolescent clinical studies
Anorexia nervosa
Anorexia Nervosa - diagnosis
Anorexia Nervosa - psychology
Binge eating disorder
Binge-Eating Disorder - psychology
Biological and medical sciences
Bulimia
Bulimia nervosa
Bulimia Nervosa - diagnosis
Bulimia Nervosa - psychology
Eating behavior disorders
Eating disorder not otherwise specified
Feeding and Eating Disorders - diagnosis
Feeding and Eating Disorders - psychology
Female
Health Surveys
Humans
Medical sciences
Miscellaneous
Psychiatry
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Quality of life
Quality of Life - psychology
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Summary:Abstract Eating disorders (EDs) comprise a variety of symptoms and have a profound impact on everyday life. They are associated with high morbidity and mortality. The objective of this study was to analyse published data on health-related quality of life (HRQoL) in EDs so as to compare the results to general population norm data and to investigate potential differences between ED diagnostic groups. A systematic review of the current literature was conducted using a keyword-based search in PubMed and PsychInfo. The search covered anorexia nervosa (AN), bulimia nervosa (BN), eating disorders not otherwise specified (EDNOS) and binge eating disorder (BED) and used the Medical Outcomes Study Short Form-36 Health Survey (SF-36) as a measure of HRQoL. Of the 102 citations identified, 85 abstracts were reviewed and seven studies were included in the meta-analysis. AN patients were included in five studies ( n =227), BN in four studies ( n =216), EDNOS in two studies ( n =166) and BED in four studies ( n =148). We tested for between-study variation and significant differences between the diagnostic groups. The results confirmed a significantly lower level of HRQoL in all EDs compared to a population mean. It was not possible to establish any differences between the diagnostic groups.
ISSN:0165-1781
1872-7123
DOI:10.1016/j.psychres.2014.05.002