First episode rapid early intervention for eating disorders: A two-year follow-up

Early Interv Psychiatry. 2020 Feb;14(1):137-141. doi: 10.1111/eip.12881. Epub 2019 Oct 15.

Abstract

Aim: We describe 2-year outcomes of a novel first episode early intervention service for young adults with a recent onset eating disorder (FREED). Outcomes in FREED patients with anorexia nervosa (AN) were compared with those from patients previously seen in our service [treatment as usual (TAU) cohort], matched for age, illness duration and diagnosis.

Methods: Electronic case records of FREED-AN (n = 22) and TAU-AN patients (n = 35) were examined to identify service utilisation and clinical outcomes over 24 months.

Results: Outpatient service utilisation was similar in both groups, but FREED-AN patients needed intensive (in- or day-patient) treatment less frequently than TAU-AN (23% vs 32%). FREED-AN patients had a higher estimated mean body mass index [19.2 kg/m2 ; 95% CI (18.21, 20.16)] than TAU patients [18.0 kg/m2 ; 95% CI (16.90, 19.15)] at last contact.

Conclusion: Introduction of FREED led to a more complete recovery in patients with AN at 24 months.

Keywords: anorexia nervosa; early intervention; eating disorders; emerging adults.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Ambulatory Care
  • Anorexia Nervosa / diagnosis*
  • Anorexia Nervosa / therapy
  • Body Mass Index
  • Day Care, Medical
  • Early Intervention, Educational
  • Feeding and Eating Disorders / diagnosis*
  • Feeding and Eating Disorders / therapy
  • Female
  • Follow-Up Studies
  • Health Services Needs and Demand
  • Humans
  • Patient Admission
  • Young Adult