Table 1.
Factors in childhood/adolescence that distinguished young adult service utilisation (median and ranges reported unless indicated)
| No contact with AMHS | Low use of AEDSs | Medium use of AEDSs | High use of AEDSs | Local non-eating disorder AMHS | Non-local unspecified AMHS | P | |
|---|---|---|---|---|---|---|---|
| Age, years: median (IQR) | 16 (15–17) | 16 (15–17) | 16 (15–17) | 17 (15–17) | 16 (15–17) | 16 (16–17) | 0.03 |
| Disorder, % | <0.01 | ||||||
| Anorexia nervosa | 35 | 32 | 42 | 68 | 0 | 46 | |
| Bulimia nervosa | 11 | 32 | 5 | 12 | 43 | 0 | |
| Eating disorder not otherwise specified | 37 | 23 | 5 | 18 | 57 | 46 | |
| Unspecified feeding or eating disorder | 17 | 14 | 47 | 3 | 14 | 8 | |
| Comorbid diagnoses, median (range) | 1 (0–4) | 1 (0–5) | 1 (0–5) | 1 (0–7) | 2 (0–7) | 1 (1–4) | 0.215 |
| Untreated eating disorder, months: median (range) | 12 (3–84) | 24 (5–48) | 7 (2–60) | 10 (3–65) | 11 (3–78) | 21 (2–72) | 0.01 |
| %mBMI at assessment, median (range) | 84 (54–133) | 85 (70–126) | 82 (70–100) | 79 (55–98) | 98 (95–119) | 82 (65–98) | <0.01 |
| EDE-Q at assessment, median (range) | 3.7 (0–5.9) | 3.8 (0.9–5.6) | 3.8 (0–5.4) | 3.9 (0.3–5.7) | 4.7 (1–5.2) | 4.2 (0.3–5.7) | 0.24 |
| SCARED at assessment, median (range) | 28 (0–77) | 26 (2–58) | 33 (0–49) | 38 (9–67) | 40 (15–58) | 38 (6–68) | 0.06 |
| CGAS at assessment, median (range) | 45 (21–90) | 45 (31–65) | 40 (35–55) | 41 (27–65) | 55 (40–65) | 41 (22–67) | 0.15 |
| In-patient, months: median (range) | 1.8 (0–15) | 4.2 (1–8) | 2.3 (1–10) | 3.3 (1–28) | 0.8 (0–1) | 3.1 (1–17) | 0.07 |
| All treatment, months: median (range) | 8 (1–50.1) | 10 (2–24) | 10 (2–37) | 10 (1–64.5) | 6 (1–21) | 11 (2–21) | 0.37 |
| A&E attendance, median (range) | 1 (0–32) | 1 (0–12) | 1 (0–7) | 2 (0–19) | 2 (0–7) | 1.5 (0–11) | 0.62 |
| %mBMI at discharge, median (range) | 93 (66–163) | 94 (74–115) | 91 (73–125) | 82 (64–120) | 104 (87–118) | 86 (65–104) | <0.01 |
| EDE-Q at discharge, median (range) | 1.0 (0–6) | 1.4 (0.3–4.5) | 2.6 (0.6–4.1) | 3.1 (0.8–5.6) | 3.1 (3.1–3.1) | 3.9 (2.9–5.6) | <0.01 |
| CGAS at discharge, median (range) | 70 (34–98) | 62 (31–90) | 60 (45–70) | 56 (34–99) | 55 (46–70) | 61 (30–90) | <0.01 |
Results in bold are significant. AMHS, adult mental health service; AEDS; adult eating disorder service; %mBMI, percentage medium body mass index; EDE-Q, Eating Disorder Examination Questionnaire; SCARED, Screen for Child Anxiety Related Disorders; CGAS, Children's Global Assessment Scale; A&E, accident and emergency.