{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,6]],"date-time":"2026-04-06T15:02:14Z","timestamp":1775487734072,"version":"3.50.1"},"reference-count":39,"publisher":"Cambridge University Press (CUP)","issue":"1","license":[{"start":{"date-parts":[[2019,10,31]],"date-time":"2019-10-31T00:00:00Z","timestamp":1572480000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Psychol. Med."],"published-print":{"date-parts":[[2021,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S0033291719003064_sec_a1\"><jats:title>Background<\/jats:title><jats:p>There are no published estimates of the health state utility values (HSUVs) for a broad range of eating disorders (EDs). HSUVs are used in economic evaluations to determine quality-adjusted life years or as a measure of disorder burden. The main objective of the current study is to present HSUVs for a broad range of EDs based on DSM-5 diagnoses.<\/jats:p><\/jats:sec><jats:sec id=\"S0033291719003064_sec_a2\" sec-type=\"methods\"><jats:title>Methods<\/jats:title><jats:p>We used pooled data of two Health Omnibus Surveys (2015 and 2016) including representative samples of individuals aged 15 + years living in South Australia. HSUVs were derived from the SF-6D (based on the SF-12 health-related quality of life questionnaire) and analysed by ED classification, ED symptoms (frequency of binge-eating or distress associated to binge eating) and weight status. Multiple linear regression models, adjusted for socio-demographics, were used to test the differences of HSUVs across ED groups.<\/jats:p><\/jats:sec><jats:sec id=\"S0033291719003064_sec_a3\" sec-type=\"results\"><jats:title>Results<\/jats:title><jats:p>Overall, 18% of the 5609 individuals met criteria for ED threshold and subthreshold. EDs were associated with HSUV decrements, especially if they were severe disorders (compared to non-ED), binge ED: \u22120.16 (95% CI \u22120.19 to \u22120.13), bulimia nervosa: \u22120.12, (95% CI \u22120.16 to \u22120.08). There was an inverse relationship between distress related binge eating and HSUVs. HSUVs were lower among people with overweight\/obese compared to those with healthy weight regardless of ED diagnosis.<\/jats:p><\/jats:sec><jats:sec id=\"S0033291719003064_sec_a4\" sec-type=\"conclusions\"><jats:title>Conclusions<\/jats:title><jats:p>EDs were significantly associated with lower HSUVs compared to people without such disorders. This study, therefore, provides new insights into the burden of EDs. The derived HSUVs can also be used to populate future economic models.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s0033291719003064","type":"journal-article","created":{"date-parts":[[2019,10,31]],"date-time":"2019-10-31T14:13:16Z","timestamp":1572531196000},"page":"130-137","update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":22,"title":["Burden and health state utility values of eating disorders: results from a population-based survey"],"prefix":"10.1017","volume":"51","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9442-6824","authenticated-orcid":false,"given":"Long Khanh-Dao","family":"Le","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cathrine","family":"Mihalopoulos","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lidia","family":"Engel","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stephen","family":"Touyz","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David Alejandro","family":"Gonz\u00e1lez-Chica","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nigel","family":"Stocks","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Phillipa","family":"Hay","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2019,10,31]]},"reference":[{"key":"S0033291719003064_ref31","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/1477-7525-12-6","article-title":"Quality of life impact of mental health conditions in England: results from the adult psychiatric morbidity surveys","volume":"12","author":"Roberts","year":"2014","journal-title":"Health and Quality of Life Outcomes"},{"key":"S0033291719003064_ref10","doi-asserted-by":"crossref","first-page":"1402","DOI":"10.1093\/ajcn\/nqy342","article-title":"Prevalence of eating disorders over the 2000\u20132018 period: a systematic literature review","volume":"109","author":"Galmiche","year":"2019","journal-title":"The American Journal of Clinical Nutrition"},{"key":"S0033291719003064_ref38","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.psychres.2014.05.002","article-title":"Quality of life in eating disorders: a meta-analysis","volume":"219","author":"Winkler","year":"2014","journal-title":"Psychiatry Research"},{"key":"S0033291719003064_ref12","doi-asserted-by":"crossref","first-page":"19","DOI":"10.1186\/s40337-015-0056-0","article-title":"Prevalence and sociodemographic correlates of DSM-5 eating disorders in the Australian population","volume":"3","author":"Hay","year":"2015","journal-title":"Journal of Eating Disorders"},{"key":"S0033291719003064_ref9","doi-asserted-by":"crossref","unstructured":"Franko, DL , Keshaviah, A , Eddy, KT , Krishna, M , Davis, MC , Keel, PK and Herzog, DB (2014) A longitudinal investigation of mortality in anorexia nervosa and bulimia nervosa. 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