Classification of subtypes of patients with eating disorders by correspondence analysis

BACKGROUNDGrouping eating disorders (ED) patients into subtypes could help improve the establishment of more effective diagnostic and treatment strategies. AIMTo identify clinically meaningful subgroups among subjects with ED using multiple correspondence analysis (MCA). METHODSA prospective cohort...

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Published in:World journal of psychiatry Vol. 11; no. 7; pp. 375 - 387
Main Authors: Martín, Josune, Anton-Ladislao, Ane, Padierna, Ángel, Berjano, Belén, Quintana, José María
Format: Journal Article
Language:English
Published: Baishideng Publishing Group Inc 19-07-2021
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Summary:BACKGROUNDGrouping eating disorders (ED) patients into subtypes could help improve the establishment of more effective diagnostic and treatment strategies. AIMTo identify clinically meaningful subgroups among subjects with ED using multiple correspondence analysis (MCA). METHODSA prospective cohort study was conducted of all outpatients diagnosed for an ED at an Eating Disorders Outpatient Clinic to characterize groups of patients with ED into subtypes according to sociodemographic and psychosocial impairment data, and to validate the results using several illustrative variables. In all, 176 (72.13%) patients completed five questionnaires (clinical impairment assessment, eating attitudes test-12, ED-short form health-related quality of life, metacognitions questionnaire, Penn State Worry Questionnaire) and sociodemographic data. ED patient groups were defined using MCA and cluster analysis. Results were validated using key outcomes of subtypes of ED. RESULTSFour ED subgroups were identified based on the sociodemographic and psychosocial impairment data. CONCLUSIONED patients were differentiated into well-defined outcome groups according to specific clusters of compensating behaviours.
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Author contributions: Martín J, Padierna A, and Quintana JM designed the study; Martín J, Padierna A and Berjano B performed the data collection; Martín J and Antón-Ladislao A performed data analyses; Martín J and Padierna A were responsible for manuscript writing; all the authors contributed to interpreting the data; and all authors read and approved the final manuscript.
Corresponding author: Josune Martín, PhD, Research Scientist, Department of Research, Galdakao-Usansolo Hospital, B Labeaga s/n, Galdakao 48960, Spain. jmartin@cop.es
Supported by the Carlos III Health Institute Project “Adaptation and Validation of the Clinical Assessment Inventory for Eating Disorders”, No. PI09/90832.
ISSN:2220-3206
2220-3206
DOI:10.5498/wjp.v11.i7.375