Description of patients with eating disorders by general practitioners: a cohort study and focus on co-management with depression
Abstract Background International guidelines often state that general practitioners (GPs) provide early management for most patients with eating disorders (EDs). GP management of EDs has not been studied in France. Depressive disorders are often a comorbidity of EDs. The aims of this study were to d...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2023-10-01
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| Series: | Journal of Eating Disorders |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s40337-023-00901-0 |
| _version_ | 1797454161008132096 |
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| author | Jean Sébastien Cadwallader Massimiliano Orri Caroline Barry Bruno Falissard Christine Hassler Caroline Huas |
| author_facet | Jean Sébastien Cadwallader Massimiliano Orri Caroline Barry Bruno Falissard Christine Hassler Caroline Huas |
| author_sort | Jean Sébastien Cadwallader |
| collection | DOAJ |
| description | Abstract Background International guidelines often state that general practitioners (GPs) provide early management for most patients with eating disorders (EDs). GP management of EDs has not been studied in France. Depressive disorders are often a comorbidity of EDs. The aims of this study were to describe in France the characteristics of people with all subcategories of EDs (Anorexia Nervosa, Bulimia Nervosa, ED Not Otherwise Specified) managed by their GPs and to study the management temporality between depression and all subcategories of EDs. Methods Retrospective cohort study of patients with EDs visiting French GPs. Data collected from 1994 through 2009 were extracted from the French society of general electronic health record. A descriptive analysis of the population focused on depression, medication such as antidepressants and anxiolytics, and the management temporality between depression and EDs. Results 1310 patients aged 8 years or older were seen at least once for an ED by a GP participating in the database out of 355,848 patients, with a prevalence rate of 0.3%. They had a mean age of 35.19 years, 82.67% were women. 41.6% had anorexia nervosa, 26.4% bulimia nervosa, and 32% an ED not otherwise specified. Overall, 32.3% had been managed at least once for depression, and 18.4% had been prescribed an antidepressant of any type at least once. Benzodiazepines had been prescribed at least once for 73.9% of the patients treated for depression. Patients with an ED seen regularly by their GP (“during” profile) received care for depression more frequently than those with other profiles. 60.9% had a single visit with the participating GP for their ED Treatment and management for depression did not precede care for EDs. Conclusions Data extracted from the French society of general practice were the only one available in France in primary care about EDs and our study was the only one on this topic. The frequency of visits for EDs was very low in our general practice-based sample. Depressive disorders were a frequent comorbidity of EDs. GPs could manage common early signs of depression and EDs, especially if they improved their communication skills and developed collaborative professional management. |
| first_indexed | 2024-03-09T15:33:17Z |
| format | Article |
| id | doaj.art-83904f8808244504b00cac0aa8c4d7ff |
| institution | Directory Open Access Journal |
| issn | 2050-2974 |
| language | English |
| last_indexed | 2024-03-09T15:33:17Z |
| publishDate | 2023-10-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Eating Disorders |
| spelling | doaj.art-83904f8808244504b00cac0aa8c4d7ff2023-11-26T12:06:48ZengBMCJournal of Eating Disorders2050-29742023-10-0111111110.1186/s40337-023-00901-0Description of patients with eating disorders by general practitioners: a cohort study and focus on co-management with depressionJean Sébastien Cadwallader0Massimiliano Orri1Caroline Barry2Bruno Falissard3Christine Hassler4Caroline Huas5School of Medicine, Department of General Practice, Sorbonne UniversitéMcGill Group for Suicide Studies, Department of Psychiatry, Douglas Mental Health University Institute, McGill UniversityINSERM, UMR 1018, Centre de Recherche en Épidémiologie et Santé des Populations (CESP), Paris-Saclay University, Paul Brousse HospitalINSERM, UMR 1018, Centre de Recherche en Épidémiologie et Santé des Populations (CESP), Paris-Saclay University, Paul Brousse HospitalINSERM, UMR 1018, Centre de Recherche en Épidémiologie et Santé des Populations (CESP), Paris-Saclay University, Paul Brousse HospitalINSERM, UMR 1018, Centre de Recherche en Épidémiologie et Santé des Populations (CESP), Paris-Saclay University, Paul Brousse HospitalAbstract Background International guidelines often state that general practitioners (GPs) provide early management for most patients with eating disorders (EDs). GP management of EDs has not been studied in France. Depressive disorders are often a comorbidity of EDs. The aims of this study were to describe in France the characteristics of people with all subcategories of EDs (Anorexia Nervosa, Bulimia Nervosa, ED Not Otherwise Specified) managed by their GPs and to study the management temporality between depression and all subcategories of EDs. Methods Retrospective cohort study of patients with EDs visiting French GPs. Data collected from 1994 through 2009 were extracted from the French society of general electronic health record. A descriptive analysis of the population focused on depression, medication such as antidepressants and anxiolytics, and the management temporality between depression and EDs. Results 1310 patients aged 8 years or older were seen at least once for an ED by a GP participating in the database out of 355,848 patients, with a prevalence rate of 0.3%. They had a mean age of 35.19 years, 82.67% were women. 41.6% had anorexia nervosa, 26.4% bulimia nervosa, and 32% an ED not otherwise specified. Overall, 32.3% had been managed at least once for depression, and 18.4% had been prescribed an antidepressant of any type at least once. Benzodiazepines had been prescribed at least once for 73.9% of the patients treated for depression. Patients with an ED seen regularly by their GP (“during” profile) received care for depression more frequently than those with other profiles. 60.9% had a single visit with the participating GP for their ED Treatment and management for depression did not precede care for EDs. Conclusions Data extracted from the French society of general practice were the only one available in France in primary care about EDs and our study was the only one on this topic. The frequency of visits for EDs was very low in our general practice-based sample. Depressive disorders were a frequent comorbidity of EDs. GPs could manage common early signs of depression and EDs, especially if they improved their communication skills and developed collaborative professional management.https://doi.org/10.1186/s40337-023-00901-0General practiceCohort studiesFeeding and eating disordersDepressionDisease managementPatient-centered care |
| spellingShingle | Jean Sébastien Cadwallader Massimiliano Orri Caroline Barry Bruno Falissard Christine Hassler Caroline Huas Description of patients with eating disorders by general practitioners: a cohort study and focus on co-management with depression Journal of Eating Disorders General practice Cohort studies Feeding and eating disorders Depression Disease management Patient-centered care |
| title | Description of patients with eating disorders by general practitioners: a cohort study and focus on co-management with depression |
| title_full | Description of patients with eating disorders by general practitioners: a cohort study and focus on co-management with depression |
| title_fullStr | Description of patients with eating disorders by general practitioners: a cohort study and focus on co-management with depression |
| title_full_unstemmed | Description of patients with eating disorders by general practitioners: a cohort study and focus on co-management with depression |
| title_short | Description of patients with eating disorders by general practitioners: a cohort study and focus on co-management with depression |
| title_sort | description of patients with eating disorders by general practitioners a cohort study and focus on co management with depression |
| topic | General practice Cohort studies Feeding and eating disorders Depression Disease management Patient-centered care |
| url | https://doi.org/10.1186/s40337-023-00901-0 |
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