Evidence map›Paper›PMID 28829284›Full record

ArticlePrimary health care research & development2018

The psychenet public health intervention for anorexia nervosa: a pre-post-evaluation study in a female patient sample.

Antje Gumz, Angelika Weigel, Karl Wegscheider, Georg Romer, Bernd Löwe

Abstract read
In one paragraph

Article in Primary health care research & development, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Pathways to eating disorder care: A European multicenter study.European psychiatry : the journal of the Association of European Psychiatrists · 2023
    Article
  5. Review
  6. A framework for conceptualising early intervention for eating disorders.European eating disorders review : the journal of the Eating Disorders Association · 2023
    Review
  7. Review
  8. Article
  9. Article
  10. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Antje Gumz1Senior Consultant,Department of Psychosomatic Medicine and Psychotherapy,University Medical Centre Hamburg-Eppendorf & Schön Clinic Hamburg Eilbek,Hamburg,Germany.
Angelika Weigel2Senior Research Fellow,Department of Psychosomatic Medicine and Psychotherapy,University Medical Centre Hamburg-Eppendorf & Schön Clinic Hamburg Eilbek,Hamburg,Germany.
Karl Wegscheider3Director,Department of Medical Biometry and Epidemiology,University Medical Centre Hamburg-Eppendorf,Hamburg,Germany.
Georg Romer4Director,Department of Children and Adolescent Psychiatry, Psychosomatics and Psychotherapy,University Medical Centre Münster,North Rhine-Westphalia,Germany.
Bernd Löwe5Director,Department of Psychosomatic Medicine and Psychotherapy,University Medical Centre Hamburg-Eppendorf & Schön Clinic Hamburg Eilbek,Hamburg,Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Aim This non-randomized pre-post-intervention study investigated the effect of a systemic public health intervention on the length of time between anorexia nervosa symptom onset and contact with the health care system as well as the initiation of treatment.

backgroundAlthough systemic public health interventions have successfully been implemented in physical and mental health fields, their effect on the early treatment of patients with anorexia nervosa remains unclear.

methodsIn total, 59 anorexia nervosa patients (mean age=21.5 years, SD=7.2) were recruited before a systemic public health intervention, and 18 patients (mean age=22.2 years, SD=8.9) were recruited afterwards. Using validated self-report measures and a semi-structured interview, the duration of untreated anorexia nervosa and the duration until first contact with the health care system were investigated. Findings At the beginning of the individual treatment initiation process, participants in both samples most frequently consulted their general practitioner or paediatrician about their eating disorder-related symptoms. Neither the mean duration of untreated anorexia nervosa, that is, the time between illness onset and the initiation of a recommended treatment, nor the duration until first contact with the health care system significantly decreased after the implementation of the systemic public health intervention. The mean duration of untreated anorexia nervosa was 36.5 months (SD=68.2) before the systemic public health intervention and 40.1 months (SD=89.4) after the implementation of the systemic public health intervention. The mean duration until first contact with the health care system was 25.0 months (SD=53.0) before the intervention and 32.8 months (SD=86.5) after the intervention.

conclusionPrimary care providers are crucial to the treatment initiation process and should be involved in future interventions to improve early detection and treatment commencement amongst patients with anorexia nervosa.

Indexed as

Public HealthAdultAnorexia NervosaCross-Sectional StudiesFemaleGermanyHumansInternetInterviews as TopicPatient Acceptance of Health CareProgram EvaluationRegistriesSelf ReportTime FactorsYoung Adultanorexia nervosaduration of untreated illnesseating disordersmental health carepublic health intervention

Identifiers

PMID28829284
PMCPMC6452978

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.