Evaluating the Impact of Eating Disorder Early Intervention on Young People's Work, Education and Social Functioning.

IF 3.4 2区心理学 Q1 PSYCHIATRY

European Eating Disorders Review Pub Date : 2025-08-29 DOI:10.1002/erv.70029

Lucy Gallagher, Karina L Allen, Ulrike Schmidt

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引用次数: 0

Abstract

Background: Eating disorders (EDs) impair education, work and social functioning. First Episode Rapid Early Intervention for Eating Disorders (FREED) is a nationally implemented early intervention service model in England for young people (16-25 years) with an ED duration of three years or less. This study evaluated the impact of FREED on functional outcomes using data from the multi-site FREED-Upscaled (FREED-Up) study.

Methods: A longitudinal design analysed data from 278 patients recruited in 2017-2018 across four specialist ED services. Work, education and social functioning were assessed using the Psychological Outcome Profile (PSYCHLOPS) and the Work and Social Adjustment Scale (WSAS) at baseline, 3, 6 and 12-month. ED psychopathology and depression/anxiety were also measured. Linear mixed models examined WSAS and PSYCHLOPS changes, with correlations calculated between outcomes.

Results: At baseline, 63% of patients reported work/education or social-related issues on the PSYCHLOPS. WSAS and PSYCHLOPS scores significantly improved over time, with greater long-term gains in treatment completers. WSAS reductions correlated with improvements in other clinical measures.

Conclusions: Treatment within FREED is associated with significant improvements in work, education, and social functioning, alongside clinical gains. These findings underscore the value of early intervention in reducing functional impairments in young people with EDs.

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评估饮食失调早期干预对青少年工作、教育和社会功能的影响。

背景：饮食失调（EDs）影响教育、工作和社会功能。首次进食障碍快速早期干预（free）是英国针对青少年（16-25岁）实施的一项全国性的早期干预服务模式，ED持续时间不超过3年。本研究利用多位点FREED- upscale （freedup）研究的数据评估了FREED对功能结局的影响。方法：纵向设计分析了2017-2018年在四家专科急诊室招募的278名患者的数据。在基线、3个月、6个月和12个月时，使用心理结果概况（PSYCHLOPS）和工作与社会适应量表（WSAS）评估工作、教育和社会功能。ED精神病理和抑郁/焦虑也被测量。线性混合模型检验了WSAS和PSYCHLOPS的变化，并计算了结果之间的相关性。结果：在基线时，63%的患者在PSYCHLOPS中报告了工作/教育或社会相关问题。随着时间的推移，WSAS和PSYCHLOPS评分显著提高，治疗完成者的长期收益更大。WSAS的减少与其他临床指标的改善相关。结论：FREED治疗与工作、教育和社会功能的显著改善以及临床获益相关。这些发现强调了早期干预在减少年轻ed患者功能损伤方面的价值。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

European Eating Disorders Review PSYCHOLOGY, CLINICAL-

CiteScore

8.90

自引率

7.50%

发文量

期刊介绍： European Eating Disorders Review publishes authoritative and accessible articles, from all over the world, which review or report original research that has implications for the treatment and care of people with eating disorders, and articles which report innovations and experience in the clinical management of eating disorders. The journal focuses on implications for best practice in diagnosis and treatment. The journal also provides a forum for discussion of the causes and prevention of eating disorders, and related health policy. The aims of the journal are to offer a channel of communication between researchers, practitioners, administrators and policymakers who need to report and understand developments in the field of eating disorders.