Open access. A salient feature of anorexia nervosa (AN) is the persistent and severe restriction of food, such that dietary intake is inadequate to maintain a healthy body weight. Experimental tasks and paradigms have used illness-relevant stimuli, namely food images, to study the eating-specific neurocognitive mechanisms that promote food avoidance. This systematic review, completed in accordance with PRISMA guidelines, identified and critically evaluated paradigms involving images of food that have been used to study AN.
Open access. Eating disorders (EDs) and their subclinical variants are important health concerns for adolescent girls, and body dissatisfaction is a more common yet often debilitating experience that typically precedes the development of an ED. Despite this fact, little is known about what makes girls who are dissatisfied with their bodies more likely to engage in pathological eating behaviors. The present study explored eating pathology among a sample of adolescent girls from New Zealand and examined a variety of established risk factors that may moderate the relationship between body dissatisfaction (BD) and eating pathology.
Open access. Although family-based treatment (FBT) is accepted as the first-line treatment for adolescent anorexia nervosa, studies show that it is infrequently used by clinicians in community settings. To elucidate some of the barriers to implementing this evidence-based treatment, mixed (quantitative and qualitative) methods were used in this exploratory study to examine therapist experiences with FBT.
Open access. The Short Treatment Allocation Tool for Eating Disorders (STATED) is a new evidence-based algorithm developed to match patients to the most clinically appropriate and cost-effective level of care (Geller et al., 2016). The objective of this research was to examine the extent to which current practices are in alignment with STATED recommendations.
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Open access. Perspectives of young people with eating disorders and their parents on helpful aspects of care should be incorporated into evidence-based practice and service design, but data are limited. Aims: To explore patient and parent perspectives on positive and negative aspects of care for young people with eating disorders.
To explore the experiences of intimate partners of people with an eating disorder.. To read the full article, log in using your NHS Athens details. To access full-text: click “Log in/Register” (top right hand side). Click ‘Institutional Login’ then select 'OpenAthens Federation', then ‘NHS England’. Enter your Athens details to view the article.
Bed rest is commonly used on medical and paediatric wards as part of nursing management of the physically compromised patient with severe anorexia nervosa. The aim of this study was to review the evidence base of bed rest as an intervention in the management of severe anorexia nervosa. We searched MEDLINE, PubMed, Embase, PsychInfo, CINAHL, HMIC, AMED, HBE, BNI and guidelines written in English until April 2018 using the following terms: bed rest and anorexia nervosa.. To read the full article, log in using your MPFT NHS OpenAthens details.
Open access. Research is scarce on patient and parent satisfaction with family-based treatment for adolescent anorexia nervosa (AN), especially family-based treatment adapted to inpatient settings. The purpose of this study was to describe and compare patient and parent satisfaction with an inpatient family-based treatment program for adolescent AN, and to investigate whether the level of satisfaction with treatment was associated with eating disorder outcome.
Open access. Grazing, the repetitious and unplanned eating of small amounts of food with or without a sense of loss of control (LOC), is an eating pattern of recent interest which is highly prevalent in eating disorders and obesity. The current study aimed to (1) assess psychometric properties of a short inventory of grazing (SIG), consisting of a “grazing in general” item and a “compulsive/LOC grazing” item and (2) examine associations between compulsive and non-compulsive grazing and body mass index (BMI), eating disorder psychopathology, distress and health-related quality of life.
In this commentary, some aspects of the context of this diagnosis are considered. It is suggested that avoidant/restrictive food intake disorder (ARFID) is principally a reconfiguration of existing problems. However, it is also stressed that we still need to develop treatments that help patients and their families, given the expectation that has been fuelled by the promotion of the new diagnostic scheme. In developing those therapies, we should not forget that we previously had a number of psychosocial treatment approaches that were helpful for such children when their problems were labelled differently.. To read the full article, log in using your MPFT NHS OpenAthens details.
Aesthetic practitioners treat all kinds of people, and each one is motivated to seek treatment for different reasons. In some cases, patients may have underlying issues that encourage them to seek aesthetic procedures. In this comment piece, Eda Gorbis explores the issue of body dysmorphic disorder in aesthetic patients, and provides recommendations on how to identify and treat this psychiatric disorder. To read the full article, log in using your MPFT NHS OpenAthens details.
Clinical Practice in Pediatric Psychology (Feb 25, 2019). DOI:10.1037/cpp0000273
Objective: A retrospective chart review was conducted to investigate outcomes in children and adolescents who entered family-based treatment (FBT) in a tertiary eating disorders treatment setting that offers treatment across the continuum of care (i.e., outpatient, day treatment, and inpatient services).. To read the full article, log in using your NHS OpenAthens details.
Open access. Eating disorders have the highest mortality rate of mental disorders and a high incidence of morbidity, but if diagnosed and treated promptly individuals can benefit from full recovery. However, there are numerous problems at the healthcare interface (i.e. primary and secondary care) for eating disorders. It is important to examine these to facilitate appropriate, seamless treatment and improve access to specialist care.
This study aimed to provide preliminary evidence of the usefulness of emotion‐focused therapy (EFT) for binge‐eating disorder (BED).. To read the full article, log in using your MPFT NHS OpenAthens details. SSOTP (legacy account) - You can request a copy of this article by replying to this email. Please ensure you are clear which article you are requesting.
Open access. Patients with anorexia nervosa often report a conscious alteration of body image representation, with both body overestimation and body dissatisfaction. Cognitive and behavioural therapy is effective for treating many psychiatric disorders but often fails to treat anorexia nervosa and body image distortions. Although patients are aware of their weight loss, they continue to feel overweight - as if there were a conflict between a previous (maybe already false) body representation and the new one. These distortions are linked to negative emotions focused on the body but which can extend to the self (e.g. disgust and sadness).
In 2013, binge eating disorder (BED) was officially recognized as a distinct eating disorder in the Fifth Edition of the Diagnostic and Statistical Manual of Mental Disorders. The purpose of this review is to assess the available epidemiological data to determine whether BED should be considered for inclusion in global disease burden quantification efforts, such as the Global Burden of Disease Study (GBD).. MPFT staff can use the OVID link, or you can request a copy of this article by replying to this email. Please ensure you are clear which article you are requesting.
Commentary on: Eisler I, Simic M, Hodsoll JA, et al. Pragmatic randomised multicentre trial of multifamily and single-family therapy for adolescent anorexia nervosa. BMC Psychiatry 2016;16:422.. To read the full article, log in using your NHS OpenAthens details.
Family-Based Treatment (FBT) is the first line of care in paediatric treatment while adult programs focus on individualized models of care. Transition age youth (TAY) with Anorexia Nervosa (AN) are in a unique life stage and between systems of care. As such, they and their caregivers may benefit from specialized, developmentally tailored models of treatment.
Open access. The combination of eating disorders and diabetes is associated with increased risk of morbidity and mortality. The aim of this study is to compare the prevalence of disordered eating behaviour (DEB) in young adults with type 1 diabetes mellitus to a sample of non-diabetic controls, and to examine the relationship of DEB to glycaemic control.
Open access. Attentional biases for body shape and weight information have been found in people with eating disorders, indicating disorder-specific changes in the way this information is processed. To date, the literature has focused on the initial capture of attention, with little research on the maintenance of attention to shape/weight-related information. The current study aims to investigate the occurrence of attentional maintenance through the use of an Inhibition of Return task to shape and weight stimuli in those with and without an eating disorder.
Open access. Clinicians routinely report not practising evidence-based treatments with eating disorders. There has been limited research investigating the impact of adaptable clinician characteristics such as self-efficacy and therapeutic optimism in this area. This study evaluated if there is a relationship between clinician therapeutic optimism, self-efficacy and the provision of evidence-based practice in the treatment of bulimia nervosa and binge eating disorder.
There is growing evidence for the efficacy of self-help bibliotherapy as a treatment for eating disorders, although little understanding of how specific linguistic characteristics may enhance or constrain its effects. Meanwhile, ‘creative bibliotherapy’ (the therapeutic use of fiction, poetry, or sometimes film, rather than self-help books) is widely practised, but even more poorly understood than the self-help variety: although a range of theoretical models exist, claims of the healing power of literature are far more commonly made than tested.
The article offers information on eating disorders and the need for psychotherapists and counselors to put more efforts to recognise and address them. Topics discussed include the stereotypes surrounding eating disorders in Great Britain; the lack of recovery by patients suffering from eating disorders; and the prevalence of depression in people suffering from eating disorders.. To read the full article, log in using your SSSFT NHS OpenAthens details. SSOTP - You can request a copy of this article by replying to this email. Please ensure you are clear which article you are requesting.
While restrictive and compensatory eating disorders (e.g. anorexia and bulimia) are associated with elevated risk of suicide, less is known about binge eating disorder (BED). There is suggestive evidence of a U-shaped relationship between body mass index (BMI) and completed suicide, but fewer studies on suicidal ideation or attempts. This study examined the association between BED, BMI, and suicidality, and assessed whether these relationships varied by gender.
A 34-year-old woman with a history of anorexia nervosa and severe malnutrition (body mass index of 6, weight of 31.7 lbs) was hospitalised for multidisciplinary management. Three weeks after progressive enteral nutrition via nasogastric tube, the patient developed acute intense abdominal pain. CT angiography revealed gastric pneumatosis with submucosal thickening associated with significant intrahepatic portal venous gas, and no evidence of mesenteric ischaemia (figure 1). Endoscopic evaluation showed areas of patchy mucosal necrosis ….... To read the full article, log in using your NHS OpenAthens details.
The study aims to explore the connection between the family interactive patterns, investigated with a standardized observational tool based on a recorded play session, the Lausanne Trilogue Play, and the outcome of adolescent patients with anorexia nervosa after a 6 months treatment, based on the Morgan–Russel Outcome Assessment Schedule. Seventy‐two parents and adolescent daughters with anorexia nervosa, consecutively referred to an adolescent neuropsychiatric service, participated in the study and underwent an integrated model of treatment, based on constant neuropsychiatric and dietary monitoring, weekly individual psychotherapy for the daughter, and parental counselling and support. A better adolescents' functioning in family relationships, in particular in the triadic ones, at first assessment, was associated with a better outcome. Data on family interactions may help predict the most appropriate intervention for the patient and his family.. To read the full article, log in using your MPFT NHS OpenAthens details. SSOTP (legacy account) - You can request a copy of this article by replying to this email. Please ensure you are clear which article you are requesting.
This study investigated moderators of intervention response in a fully automated Internet-based monitoring and feedback intervention (‘Featback’) with different levels of therapist support for individuals with eating disorder (ED) symptoms. Please contact the library to request a copy of this article - http://bit.ly/1Xyazai
To investigate psychiatric outcomes after bariatric surgery, including suicide, self-harm, psychiatric service use and substance misuse. Login using your SSSFT NHS OpenAthens for full text. SSOTP - You can request a copy of this article by replying to this email. Please ensure you are clear which article you are requesting.
Feeding and eating disorders (FEDs) are serious mental health disorders that cause impairments in physical health, development, cognition and psychosocial function and can go undetected for months or years. They are characterised by disturbed eating behaviour associated with concerns about weight and shape or by disinterest in food, phobic avoidance or avoidance due to sensory aspects of food. Restrictive forms of FEDs lead to significant weight loss requiring intervention. Without specific knowledge of these conditions, they can evade detection, delaying time to diagnosis and treatment and potentially influencing outcome. This review article focuses on the key factors involved in the psychiatric assessment and treatment of four feeding or eating disorders (EDs): anorexia nervosa, avoidant-restrictive food intake disorder, bulimia nervosa and binge eating disorder. To read the full article, log in using your NHS OpenAthens details.
Neuroimaging allows for the identification of brain abnormalities and alterations that are associated with anorexia nervosa (AN). We performed a scoping review to map out the extent and nature of recent research activity on functional magnetic resonance imaging (fMRI) in individuals diagnosed with, or recovered from, AN (AN-REC).
This paper explores the differing perspectives of recovery and care of people with disordered eating. We consider the views of those who have not sought help for their disordered eating, or who have been given a diagnosis but have not engaged with health care services. Our aim is to demonstrate the importance of the cultural context of care and how this might shape people’s perspectives of recovery and openness to receiving professional care.
There are few previous reports regarding the cause and evolution of liver injury in patients with anorexia nervosa (AN) during the refeeding process, and its management remains controversial. This study aimed to determine the risk factors for elevated liver enzymes during refeeding and their effect on the therapeutic process in severely malnourished patients with eating disorders.
Outcomes from studies on season of birth bias in eating disorders have been inconsistent. This inconsistency has been explained by differences in methodologies resulting in different types of effect sizes. The aim of the current study was to facilitate comparison by using the same methodology on samples from two studies with differing conclusions.
Psychology of Men & Masculinity18.1 (Jan 2017): 1-11.
Research on men’s health has increasingly recognized the importance of depression and eating disorders among men. The present study sought to extend extant work on self-concept and depression to men, incorporating muscularity-related attitudes and behaviors, and also incorporating risk for disordered eating. To read the full article, log in using your NHS OpenAthens details.
This study has not been able to take into account all aspects of a person's mental and physical health, interpersonal relationships and lifestyle prior to the onset of an eating disorder. Therefore the study can show associations but cannot prove definite causation with any individual factor.
The researchers say that this research has implications for health service provision in the UK, which needs to recognise that women in mid-life can still be suffering from the effects of long-standing disorders, or be at risk of developing new disorders. Therefore better awareness of eating disorders and their symptoms is needed.
The evolution of cognitive-behavioral therapy (CBT) for the treatment of bulimic disorders is described in this review. The impacts of successive attempts to enhance CBT such as the addition of exposure and response prevention; the development of enhanced CBT; and broadening the treatment from bulimia nervosa to binge eating disorder are considered. In addition to developing advanced forms of CBT, shortening treatment to guided self-help was the first step in broadening access to treatment. The use of technology such as computer-based therapy and more recently the Internet, promises further broadening of access to self-help and to therapist guided treatment. Controlled studies in this area are reviewed, and the balance of risks and benefits that accompany the use of technology and lessened therapist input are considered Please contact the library to request a copy of this article - http://bit.ly/1Xyazai
The new service will be based at Beverley Health Centre and will cover both Hull and the East Riding. People can access the service either by seeking a referral through their GP or they can self-refer by completing an online referral form or contacting the service directly.
The service will offer support from a range of professionals including a psychologist and a psychiatrist, a dietician, and a team of nurses, with support provided to both service users and their families.
Anorexia Nervosa (AN) destroys developmentally important early years of many young people and knowledge is insufficient regarding course, treatment outcome and prognosis. Only a few naturalistic studies have been conducted within the field of eating disorder (ED) research. In this naturalistic study we included adolescents with AN or subthreshold AN treated in outpatient care, and the overall aim was to examine sample characteristics and treatment outcome. Additional aims were to examine potential factors associated with remission as an outcome variable, and possible differences between three time periods for treatment onset. Please contact the library to request a copy of this article - http://bit.ly/1Xyazai
Refeeding is the first step in long-term nutritional rehabilitation of patients with anorexia nervosa (AN). It may begin in the outpatient setting or in the hospital, if close medical and/or psychiatric monitoring is needed. In either case, early weight gain appears to be crucial for recovery. In hospital, faster weight gain [1] and higher weight upon discharge [2, 3] predict weight recovery at 1 year. In outpatient psychotherapy, substantial early gain (at least 0.43–0.86 kg/week during the first 4 weeks) predicts both weight and cognitive recovery at 12 months [4]. The importance of weight gain, however, must be balanced with the need for safety......
Although findings suggest that binge eating is becoming increasingly normative, the ‘clinical significance’ of this behaviour at a population level remains uncertain. We aimed to assess the time trends in binge-eating prevalence and burden over 18 years in an Australian sample. Login using your SSSFT NHS OpenAthens for full text. SSOTP - You can request a copy of this article by replying to this email. Please ensure you are clear which article you are requesting.
Understanding motivation to change is a key issue in both the assessment and the treatment of eating disorders. Therefore, sound instruments assessing this construct are of great help to clinicians. Accordingly, the present study analysed the psychometric properties of the Anorexia Nervosa Stages of Change Questionnaire (ANSOCQ), including its relation to coping style and self-esteem.
Journal of Abnormal Psychology126.3 (Apr 2017): 340-354.
Bulimia nervosa (BN) is characterized by symptoms of binge eating and compensatory behavior, and overevaluation of weight and shape, which often co-occur with symptoms of anxiety and depression. However, there is little research identifying which specific BN symptoms maintain BN psychopathology and how they are associated with symptoms of depression and anxiety. Network analyses represent an emerging method in psychopathology research to examine how symptoms interact and may become self-reinforcing. To read the full article, log in using your NHS OpenAthens details.
Establishing the sequence in which risk factors for eating disorders (ED) emerge would enable more effective ED prevention. Thus, in our study we investigated reciprocal and indirect associations between three cognitive and behavioral ED determinants (appearance orientation, appearance worries, and dieting) emphasized in the transdiagnostic model of ED.
Sufferers from bulimia nervosa (BN) and binge eating disorder (BED) underestimate the severity risk of their illness and, therefore, postpone seeking professional help for years. Moreover, less than one in five actually seek professional help and only 50% respond to current treatments, such as cognitive behavioral therapy (CBT). The impetus for the present trial is to explore a novel combination treatment approach adapted from physical exercise- and dietary therapy (PED-t). The therapeutic underpinnings of these separate treatment components are well-known, but their combination to treat BN and BED have never been previously tested. The purpose of this paper is to provide the rationale for this new treatment approach and to outline the specific methods and procedures.
Journal of Consulting and Clinical Psychology85.5 (May 2017): 484-494.
Objective: To investigate the effect of client feedback in group psychotherapy on attendance and treatment outcome for patients with eating disorders. To read the full article, log in using your NHS OpenAthens details.
The aim of this research was to investigate the process of familial relationship change for adolescents with anorexia nervosa and their parents, who participated in Family-Based Treatment (FBT).
The use of dialectical behaviour therapy for patients with binge eating disorder has developed recently and, as part of the Eating Disorder Service in Forth Valley, an adapted dialectical behaviour therapy treatment programme has been piloted prior to patients progressing on to the weight management service, to find out if an adapted dialectical behaviour therapy group can help patients with binge eating disorder reduce bingeing behaviour and improve quality of life. To read the full article, log in using your NHS OpenAthens details.
To understand the context of the inpatient setting for the treatment of anorexia nervosa and the implications for the therapeutic alliance between nurses and consumers. To read the full article, log in using your SSSFT NHS OpenAthens details.
Editorial. There is now a general consensus that Anorexia Nervosa (AN) is a serious mental disorder [1], with adolescent females being at the most risk for developing this debilitating illness [2]. Although unhealthy exercise was documented in the earliest descriptions of the disorder [3], it remains a significant barrier to recovery [4]. There has been a dearth of research as to what is best practice to address over-exercise in both the inpatient and outpatient treatment of adolescents with AN [4].
Although the stigma of eating disorders such as anorexia has been well established, little is known about the social consequences of “clean dieting” and orthorexia nervosa. In two studies, we examined the social stigma of clean dieting and orthorexia.
Our study aims to explore and describe themes arising in sessions of clinical consultation with therapists implementing Family-Based Treatment (FBT) for adolescents with Anorexia Nervosa (AN). There is currently no literature describing the content of clinical consultation for FBT. Thus, this knowledge will add to the evidence-base on what therapists need from consultants in ongoing clinical consultation.
This overview considers causes of disordered eating, including eating disorders, in older people. Eating disorders are becoming more common in older adults and research has shown a related mortality of 21%. The wide range of medical and pharmacological causes of weight loss in older people means that eating disorders may go undetected, occurring insidiously and surreptitiously. To read the full article, log in using your SSSFT NHS OpenAthens details.
Internet-based cognitive behaviour therapy (CBT) can significantly improve outcomes for people with body dysmorphia, suggests a new study. To read the full article, log in using your NHS OpenAthens details
Psychoanalytic Psychology33.2 (Apr 2016): 243-263.
This study examined whether difficulties in maintaining a balance between the personality variables of relatedness (dependency) and self-definition (autonomy) together with a low level of differentiation would distinguish male patients with eating disorders (EDs) from controls. To read the full article, log in using your NHS OpenAthens details
The processing of schema-related information is important in the maintenance of specific eating disorder (ED)-related belief systems and psychopathology. To date, most research on differences in the processing of ED schematic information has used interview or self-report questionnaire measures. Dieting is a known risk factor for EDs and dieters have been included in some studies. However, they have not been compared with non-dieters on a novel, objective measure of ED related schema processing.
Anorexia nervosa (AN) is characterised by restriction of energy intake, fear of gaining weight and severe disturbances in weight or shape. Recovery from AN is a complicated and often multifaceted experience that can take many years to achieve. Qualitative research has found that support, being understood, hope, desire for recovery, positive experiences in treatment, self-efficacy, motivation and relationships are important in recovery from AN. The experience of treatment for patients with an eating disorder is an important aspect of recovery with the potential to enhance recovery or hinder it. The aim of the questionnaire was to better understand factors impacting the care experiences during treatment and or recovery from self-reported Anorexia Nervosa (AN).
Practice Innovations1.2 (Jun 2016): 89-104.
Patients with anorexia nervosa, bulimia nervosa, and binge-eating disorder are at risk for premature death. These complex psychological disorders with potentially devastating physical consequences usually require that treatment professionals have specialized knowledge and skills that are often outside the scope of basic therapist training. Without a well-known and psychotherapeutic field-wide accepted definition of what constitutes minimum eating disorder treatment competence, psychotherapists are often left to decide for themselves. This article proposes a suggested standard body of initial knowledge and considerations for clinicians striving to obtain a level of competence—between generalist and specialist skillsets—in treating eating disorders in the outpatient setting. Suggested competency domains include: assessment and diagnosis, medical factors, nutrition and malnutrition, treatment strategies, and multidisciplinary collaboration and levels of care. (PsycINFO Database Record (c) 2016 APA, all rights reserved)(journal abstract) Please contact the library to request a copy of this article - http://bit.ly/1Xyazai
The development is in response to a recent commissioning guide by NHS England which shows that a timely access to a specialist team improves the outcome of eating disorders in under-18s, and offers detailed guidance on establishing and maintaining a high quality service.
Relapse is common among recovered anorexia nervosa (AN) patients. Studies on relapse prevention with an average follow-up period of 18 months found relapse rates between 35 and 41 %. In leading guidelines there is general consensus that relapse prevention in patients treated for AN is a matter of essence. However, lack of methodological support hinders the practical implementation of relapse prevention strategies in clinical practice. For this reason we developed the Guideline Relapse Prevention Anorexia Nervosa. In this study we examine the rate, timing and predictors of relapse when using this guideline. - Mental Elf Blog post.
We capture recent findings in the field of genetic epidemiology of eating disorders. As analytic techniques evolve for twin, population, and molecular genetic studies, new findings emerge at an accelerated pace. We present the current status of knowledge regarding the role of genetic and environmental factors that influence risk for eating disorders. SSSFT staff can use the OVID link, or you can request a copy of this article by replying to this email. Please ensure you are clear which article you are requesting.
Emerging evidence suggests that changes in quality of life (QoL) predicts later changes in eating disorder (ED) symptoms. The objective of this study was to explore individual sufferers’ perspectives on the influence of QoL on the onset, maintenance, and/or remission of ED symptoms.
Studies show that patients' perception of their illness has a direct influence both on their utilization of health services and their adherence to treatment plans. This may be particularly relevant to the treatment of Anorexia Nervosa (AN). Previous studies on AN have typically explored single psycho-social factors that patients with AN relate to the emergence of their illness. There is a need for more coherent systematic descriptions of the complexity of the patients' narratives about how their illness emerged. In this study, we sought to identify common components in the participants' narratives. By identifying different combinations of these components in the narratives, we sought to describe differences in patients' perceived pathways to AN. Login using your SSSFT NHS OpenAthens for full text. SSOTP - You can request a copy of this article by replying to this email. Please ensure you are clear which article you are requesting.
One presentation of Avoidant/Restrictive Food Intake Disorder (ARFID) is characterized by picky eating, i.e., selective eating based on the sensory properties of food. The present study has two aims. The first is to describe distress and impairment in individuals with ARFID secondary to picky eating. The second is to determine whether eating behaviors hypothesized to be specific to picky eating can differentiate picky eaters with and without ARFID from typical eaters (e.g., individuals not reporting picky or disordered eating) and individuals who strongly endorse attitudes associated with anorexia and bulimia (eating disordered attitudes).
Consistent predictors, and more especially moderators, of response to psychological treatments for eating disorders have not been identified. The present exploratory study examined predictors and moderators of outcome in adult patients who took part in a randomised clinical trial comparing two leading treatments for these disorders, enhanced cognitive behavioural therapy (CBT-E) and interpersonal psychotherapy (IPT). To read the full article, log in using your NHS OpenAthens details.
A High Court judge has authorised the discharge of a 28 year old woman with anorexia nervosa into the community after 10 years of inpatient treatment failed to stop her starving herself. To read the full article, log in using your NHS OpenAthens details
This paper reports on an ethnographic study conducted in two eating disorders treatment settings in New South Wales, Australia. The study set out to make a social work contribution to the debate on the ethics of involuntary treatment for anorexia nervosa (AN) drawing on the authors' practice experience
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Issues of personal control have been proposed to play a central role in the aetiology and maintenance of eating disorders. Empirical evidence supporting this relationship is inconsistent, partly due to the multiplicity of constructs used to define “control”. This study compares six commonly used measures of control with the aim of determining which operationalisation of control is most centrally relevant to eating pathology. Given the high level of comorbidity between eating disorders and obsessive-compulsive disorder and the potentially common risk/maintenance factors for the two disorders, we also examine the relationship between control and obsessive-compulsive symptomatology.
Therapeutic alliance (TA) has been found to be a significant predictor of outcome for patients with severe and enduring anorexia nervosa (SE-AN), accounting for more variance than treatment type. To better understand how to promote TA for this population, the aim of the current study was to investigate predictors of TA in adults with SE-AN.
The article discusses the application of psychotheraphy in helping adolescent patients with anorexia nervosa. Topics covered include the need to help patients connect with their innate life force or self-actualizing tendency, ways to deal with patient's ambivalence, strategies for helping patients development a more accepting attitude toward themselves and the psychological processes that anorexia patients appear to go through during recovery. Login using your SSSFT NHS OpenAthens for full text. SSOTP - You can request a copy of this article by replying to this email. Please ensure you are clear which article you are requesting.
Researchers found women with anorexia felt more negatively about images of normal and overweight women, and more positively about images of underweight women, compared with women without anorexia.
This suggests a desire to be thin may be more important than a fear of getting fat, say the researchers. This hypothesis, unproven as it currently is, could explain the continuing popularity of "pro-ana" websites. These sites often use pictures of underweight women to promote the so-called "anorexia lifestyle".
Restrictive eating disorders in young people are increasingly requiring admission to the hospital and can be a challenge to manage on acute general paediatric wards.
We have developed a joint working model with Child and Adolescent Mental Health services (CAMHS) using short, structured, supported feeding admissions to supplement outpatient treatment in high risk or ‘stuck’ cases. To read the full article, log in using your NHS OpenAthens details.
Traditional approaches for the classification of eating disorders (EDs) attribute symptoms to an underlying, latent disease entity. The network approach is an alternative model in which mental disorders are represented as networks of interacting, self-reinforcing symptoms. This project was the first to use network analysis to identify interconnected systems of ED symptoms. You can request a copy of this article by replying to this email. Please ensure you are clear which article you are requesting.
The fact that the research found a strong genetic influence on both food fussiness and refusal to try new food might reassure parents, who often feel judged or guilty for their child's fussy eating.
However, despite a strong genetic basis, children's behaviour can be changed. The researchers themselves stressed in their conclusion that "parent-led eating behavior change programs to fussy or food neophobic young children is likely to be effective in decreasing their expression [gene influence]".
Highlights
There is no consensus on how to treat severe and enduring anorexia nervosa (SE-AN).
Patients with SE-AN and without SE-AN were treated with inpatient CBT-E.
At discharge both groups had improvement of body mass index and psychopathology.
At 12-month follow-up more than 40% in both groups had a good BMI outcome.
Inpatient CBT-E is a viable and promising treatment for patients with SE-AN.Please contact the library to request a copy of this article - http://bit.ly/1Xyazai
In this study maladaptive schema coping modes were investigated as mediators in the relationship between perceived negative parenting and disordered eating. A total of 174 adults with eating and/or body image concerns completed questionnaires measuring parenting experiences, schema modes, and disordered eating behaviours.
Bariatric surgery is the most effective treatment for morbid obesity. However, 20–30% of patients undergoing bariatric surgery experience premature weight stabilization or weight regain postoperatively. We report on the recent literature of predictors of weight loss and the efficacy of cognitive behavioral therapy (CBT) in bariatric patients. SSSFT staff can use the OVID link, or you can request a copy of this article by replying to this email. Please ensure you are clear which article you are requesting.
The objective of the study was to determine whether levels of biochemical and haematological parameters in patients with eating disorders (EDs) varied from the general population. Whilst dietary restrictions can lead to nutritional deficiencies, specific abnormalities may be relevant to the diagnosis, pathogenesis and treatment of EDs.
Eating disorders (EDs) are now often approached as biopsychosocial problems. But it has been suggested by scholars interested in sociocultural factors that all is not equal within this biospsychosocial framework, with the ‘social’ aspects of the equation relegated to secondary factors within ED treatment contexts. Although sociocultural influences are well-established as risk factors for EDs, the exploration of whether or how such perspectives are useful in treatment has been little explored. In responding to this context, this article seeks to discuss and evaluate a 10 week closed group intervention based on feminist approaches to EDs at a residential eating disorder clinic in the East of England.
To review current medical literature regarding the causes and clinical management options for low bone mineral density (BMD) in adult patients with eating disorders.
Letter. A wealth of studies has investigated the neurobiological underpinnings of anorexia nervosa. In our letter to the editor, we point to a number of ways in which the advances in our understanding of the neurobiology of anorexia nervosa - focusing on neuroimaging studies of brain structure and function - can be translated into treatment. We point to how such advances can: inform psychological treatment, be implemented in psychoeducation, point to novel therapeutic targets, lead to the identification of biomarkers, and expand our vocabulary for how we think and talk about anorexia nervosa.
Although not part of the diagnostic criteria of the DSM-5, body image disturbance seems to be a relevant feature of Binge Eating Disorder (BED) as well as of other eating disorders such as Anorexia Nervosa (AN) or Bulimia Nervosa (BN). Hence, the aim of the present pilot study was to assess the changeability of body image disturbance in a sample of overweight females with BED by a cognitive-behavioral treatment, directly addressing body image disturbance.
Women with bulimia nervosa and binge eating disorder often suffer for many years before they seek professional help. Evidence-based treatments like cognitive–behavioural therapy (CBT) might be poorly accessible, and about 50% of those who receive CBT respond to it. Such outcome may reflect the heterogeneous nature of eating disorders, and addressing this heterogeneity calls for expanding the portfolio of treatment options. In particular, it is important to explore such options’ acceptability, tolerability and affordability expressed through experiences with the treatment. This protocol outlines the rationale and design of a qualitative study. It captures experiences from patients and therapists who were involved in a randomised controlled trial (RCT) exploring the efficacy of a new group-based treatment programme combining physical exercise and dietary therapy.
Open Access Article
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Open access. Anorexia Nervosa (AN) is a debilitating, sometimes fatal eating disorder (ED) whereby restraint of appetite and emotion is concomitant with an inflexible, attention-to-detail perfectionist cognitive style and obsessive-compulsive behaviour. Intriguingly, people with AN are less likely to engage in substance use, whereas those who suffer from an ED with a bingeing component are more vulnerable to substance use disorder (SUD).
Despite a number of qualitative studies published from the perspective of eating disorder (ED) service users, there has been no attempt to exclusively synthesise their views to gain a fuller understanding of their ED service experiences. It is important to understand this perspective, since previous research highlights the difficulties ED healthcare professionals report when working with this client group. To read the full article, log in using your MPFT NHS OpenAthens details.
The current study aimed to examine the relationship between early adaptive schemas and eating disorder symptomatology in adults. To read the full article, choose Open Athens “Institutional Login” and search for “Midlands Partnership”.
Research shows highly palatable foods can elicit addictive eating behaviours or ‘food addiction’. Early adolescence is theorised to be a vulnerable period for the onset of addictive eating behaviours, yet minimal research has examined this. This study explored the prevalence and correlates of addictive eating behaviours in a large early adolescent sample.
The Royal College of Psychiatrists recently published data showing an 84% increase in UK hospital admissions for eating disorders over the past 5 years, highlighting the importance of the college's new Medical Emergencies in Eating Disorders (MEED) guidance.
To read the full article, choose Open Athens “Institutional Login” and search for “Midlands Partnership”.
At its April 2021 meeting, the American Psychiatric Association (APA) Board of Trustees approved “The American Psychiatric Association Practice Guideline for the Treatment of Patients With Eating Disorders.” The full guideline is available at APA’s Practice Guidelines website. To read the full article, choose Open Athens “Institutional Login” and search for “Midlands Partnership”.
Although self-compassion has been shown to facilitate eating disorder (ED) remission, significant barriers to acquiring this skill have been identified. This is particularly true for tertiary care populations, where ED behaviours provide a valued identity and readiness issues are highly salient. In this research, the voices and perspectives of patients who have recovered as well as those in later stages of tertiary care treatment were captured using qualitative methods.. To read the full article, log in using your MPFT NHS OpenAthens details.