The household economic burden of eating disorders and adherence to treatment in Australia

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• 作者：Lauren Gatt (1)
  Stephen Jan (1)
  Naresh Mondraty (2)
  Sarah Horsfield (3)
  Susan Hart (3)
  Janice Russell (3)
  Tracey Lea Laba (1)
  Beverley Essue (1)
  
  1. The George Institute for Global Health ; University of Sydney ; PO Box M201 ; Missenden Road ; Sydney ; NSW 2050 ; Australia
  2. Wesley Eating Disorder Centre ; Wesley Hospital ; Sydney ; Australia
  3. Eating Disorders Day Program ; Royal Prince Alfred Hospital ; Sydney ; Australia
  
• 刊名：BMC Psychiatry
• 出版年：2014
• 出版时间：December 2014
• 年：2014
• 卷：14
• 期：1
• 全文大小：438 KB
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  2. National Eating Disorders Collaboration: Eating disorders prevention, treatment and management: National Eating Disorders Collaboration. Accessed: 20 Nov 2014 from: ponse%20to%20Complexity%202012%20-%20Final.pdf" class="a-plus-plus">http://www.nedc.com.au/files/pdfs/National%20Framework%20An%20integrated%20Response%20to%20Complexity%202012%20-%20Final.pdf
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• 刊物主题：Psychiatry; Psychotherapy;
• 出版者：BioMed Central
• ISSN：1471-244X

文摘

Background This study investigated the household economic burden of eating disorders and cost-related non-adherence to treatment in Australia. Methods Multi-centre prospective observational study using a structured questionnaire. Ninety participants were recruited from two clinic settings in New South Wales, Australia and from the community using social media. The primary outcome measures were household economic burden of illness measured in terms of out-of-pocket expenditure, household economic hardship and cost-related non-adherence. Results The pattern of out-of-pocket expenditure varied by diagnosis, with Bulimia Nervosa associated with the highest total mean expenditure (per three months). Economic hardship was reported in 96.7% of participants and 17.8% reported cost-related non-adherence. Those most likely to report cost-related non-adherence had a longer time since diagnosis. Cost-related non-adherence and higher out-of-pocket expenditure were associated with poorer quality of life, a more threatening perception of the impact of the illness and poor self-reported health. Conclusions This study is the first to empirically and quantitatively examine the household economic burden of eating disorders from the patient perspective. Results indicate that households experience a substantial burden associated with the treatment and management of an eating disorder. This burden may contribute to maintaining the illness for those who experience cost-related non-adherence and by negatively influencing health outcomes. Current initiatives to implement sustainable and integrated models of care for eating disorders should strive to minimise the economic impact of treatment on families.