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Case series of family-based treatment for restrictive-type eating disorders and comorbid autism: What can we learn? A brief report

Publikation: Bidrag til tidsskriftTidsskriftartikelpeer review

DOI

  1. Eating disorder symptoms and their associations with anthropometric and psychiatric polygenic scores

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  2. The autism diagnostic observation schedule: Patterns in individuals with anorexia nervosa

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  1. Anorexia nervosa: Outpatient treatment and medical management

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  2. The autism diagnostic observation schedule: Patterns in individuals with anorexia nervosa

    Publikation: Bidrag til tidsskriftTidsskriftartikelpeer review

  3. Spiseforstyrrelser i en digital tidsalder

    Publikation: AndetAndet bidragFormidling

Vis graf over relationer

Objective: Autism is more prevalent among persons with Restrictive type eating disorders (R-ED) compared to the general population and is associated with poorer outcomes across treatment modalities. Knowledge is sparse with regard to whether poorer outcomes are also associated with Family-based treatment (FBT), which is recommended as the first choice of treatment for young persons (YPs) with R-ED. This case series compares outcome between groups with and without autism in a large consecutive series of YPs with R-ED treated with FBT. Method: In an earlier described consecutive series of 157 YPs with R-ED treated with FBT, we compared the outcomes of the subgroup with (N = 16) and without (N = 141) comorbid autism. Primary ICD-10 diagnoses were typical (50.0) or atypical anorexia nervosa (AN) (F50.1), the latter implying a condition as typical AN but with a failure to meet one of the diagnostic criteria. Autism diagnoses were clinically assigned. The outcomes were receiving intensified care, weight normalisation and overall successful treatment. Results: 10.2% (N = 16) of the sample had autism. 2.5% (N = 4) had autism diagnosed prior to the Eating Disorder (ED), and an additional 7.7% (N = 12) were diagnosed with autism during ED treatment. Significantly more YPs with autism (50%, N = 8) compared with YPs without autism (16%, N = 23) received intensified care (day programme or inpatient treatment) during their treatment. No significant difference between groups regarding neither weight normalisation nor successful ending of the treatment were found. Conclusion: This small sample of YPs with autism suggests that comparable proportions of YPs with and without autism may restore normal weight and end the treatment successfully within 12 months. However, more YPs with comorbid autism needed more intensive treatment, indicating that outpatient treatment delivery may not be sufficient to bring about desired change in this patient group. Findings need confirmation in a larger sample with a systematic screening for autism.

OriginalsprogEngelsk
TidsskriftEuropean Eating Disorders Review
ISSN1072-4133
DOI
StatusUdgivet - 8 jul. 2022

Bibliografisk note

Publisher Copyright:
© 2022 The Authors. European Eating Disorders Review published by Eating Disorders Association and John Wiley & Sons Ltd.

ID: 79459840