Detection of Anorexia Nervosa in Primary Care: The Effects of Patient Ethnicity, History of Mental Illness, Physician Gender, and Years of Experience
Date of Submission
2014
Degree Type
Dissertation
Degree Name
Doctor of Psychology (PsyD)
Department
Psychology
Department Chair
Robert A DiTomasso, PhD, ABPP, Chair, Department of Psychology
First Advisor
Stacey Cahn, PhD, Chairperson
Second Advisor
Robert DiTomasso, PhD, ABPP
Third Advisor
Harry Morris, DO, MPH
Abstract
Anorexia nervosa (AN) is a serious disorder with high rates of mortality. Current treatments have demonstrated small to moderate benefits, so AN experts are calling for greater emphasis on preventative care, particularly in the primary care setting. Individuals with AN attend more primary care appointments than age-matched controls, which suggests that primary care physicians (PCPs) have opportunities to detect AN in its early phases. Though PCPs may have these opportunities, half of all AN cases go undetected by PCPs. This study used videotaped vignettes of primary care encounters and asked PCP participants to diagnose the patient. Overall, the AN was detected and diagnosed 61% of the time, which is consistent with past research findings. This study also found that demographic variables implicated in past studies, such as gender and ethnicity of the patient or PCP, did not impact the likelihood of diagnosing AN.
Recommended Citation
Higgins, Ashley, "Detection of Anorexia Nervosa in Primary Care: The Effects of Patient Ethnicity, History of Mental Illness, Physician Gender, and Years of Experience" (2014). PCOM Psychology Dissertations. 286.
https://digitalcommons.pcom.edu/psychology_dissertations/286