Pathways to specialist care for eating disorders: An Italian multicentre study
| Autor: | Cristina Segura-Garcia, Mario Maj, Marianna Rania, Alessio Maria Monteleone, Umberto Volpe, Gian Luigi Luxardi, Matteo Balestrieri, Massimo Clerici, Giovanni Abbate Daga, Serafino De Giorgi, Angela Favaro, Elisa Corsi, A. Alamia, Caterina Renna, Valdo Ricca, Paolo Santonastaso, Palmiero Monteleone, Federico Amianto |
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| Přispěvatelé: | Volpe, Umberto, Monteleone, Alessio M., Ricca, Valdo, Corsi, Elisa, Favaro, Angela, Santonastaso, Paolo, De Giorgi, Serafino, Renna, Caterina, Abbate Daga, Giovanni, Amianto, Federico, Balestrieri, Matteo, Luxardi, Gian Luigi, Clerici, Massimo, Alamia, Alberto, Segura-Garcia, Cristina, Rania, Marianna, Monteleone, Palmiero, Maj, Mario, Volpe, U, Monteleone, A, Ricca, V, Corsi, E, Favaro, A, Santonastaso, P, De Giorgi, S, Renna, C, Abbate Daga, G, Amianto, F, Balestrieri, M, Luxardi, G, Clerici, M, Alamia, A, Segura-Garcia, C, Rania, M, Monteleone, P, Maj, M |
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
pathways to care
Adult Male 050103 clinical psychology medicine.medical_specialty duration of untreated illne bulimia nervosa eating disorders Anorexia nervosa World health anorexia nervosa binge eating disorder duration of untreated illness health care policy Clinical Psychology Psychiatry and Mental Health Feeding and Eating Disorders 03 medical and health sciences 0302 clinical medicine Binge-eating disorder medicine Feeding and Eating Disorder Humans 0501 psychology and cognitive sciences Referral and Consultation Specialist care business.industry Bulimia nervosa 05 social sciences Female Italy Specialization medicine.disease 030227 psychiatry Eating disorders Median time eating disorder Family medicine Mental health care business Human |
| Popis: | Two hundred forty six patients with eating disorders (EDs) recruited from eight Italian specialized treatment centres were administered with the World Health Organization “Encounter Form,” a standardized schedule that makes it possible to characterize the clinical pathways that patients follow to reach specialized care. The median time from symptoms onset to specialized care was 114weeks. Primary “points of access to care” were general practitioners (25%), psychiatrists (18%), and clinical nutritionists (17%), followed by various other carers. All patients received specific psychotherapy, whereas only 11% of them were given psychotropic drugs. EDs are characterized by complex care pathways, with low rates of direct access to specialized care. Although the role of general practitioners remains crucial, they tend to follow different clinical routes to refer ED patients. Educational programmes on EDs should be addressed to general practitioners and clinical nutritionists, in order to ease the transition of ED patients to a mental health care setting. |
| Databáze: | OpenAIRE |
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