Pathways to eating disorder care: A European multicenter study

BackgroundThe aim of this study was to assess barriers and facilitators in the pathways toward specialist care for eating disorders (EDs). MethodsEleven ED services located in seven European countries recruited patients with an ED. Clinicians administered an adapted version of the World Health Organization Encounter Form, a standardized tool to assess the pathways to care. The unadjusted overall time needed to access the ED unit was described using the Kaplan-Meier curve. ResultsFour-hundred-nine patients were recruited. The median time between the onset of the current ED episode and the access to a specialized ED care was 2 years. Most of the participants did not directly access the specialist ED unit: primary points of access to care were mental health professionals and general practitioners. The involvement of different health professionals in the pathway, seeking help for general psychiatric symptoms, and lack of support from family members were associated with delayed access to ED units. ConclusionsEducational programs aiming to promote early diagnosis and treatment for EDs should pay particular attention to general practitioners, in addition to mental health professionals, and family members to increase awareness of these illnesses and of their treatment initiation process.

Automated summary

This study aimed to assess barriers and facilitators in accessing specialist care for eating disorders (EDs). The study found that most patients did not directly access specialist care, but sought treatment through mental health professionals and general practitioners. The involvement of multiple health professionals in seeking help, seeking treatment for general psychiatric symptoms, and lack of family support were associated with delayed access to ED units.