Search results for ‘Subject term:"eating disorders"’ Sort:
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How do people with eating disorders experience the stigma associated with their condition? A mixed-methods systematic review
- Authors:
- O'CONNOR Cliodhna, et al
- Journal article citation:
- Journal of Mental Health, 30(4), 2021, pp.454-469.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
Background: Public opinion research shows that eating disorders (EDs) are a major target of stigmatisation. To understand the implications of this stigma, research investigating how stigma is experienced by individuals with EDs is critical. Aim: This paper aims to collate, evaluate and synthesise the extant empirical research illuminating how people with EDs experience the stigma associated with their condition. Method: A systematic mixed-methods literature search was performed. Articles that met a specified set of inclusion criteria underwent a quality assessment and thematic synthesis. Results: Twenty-nine articles were included in the review. Studies were mostly qualitative and of reasonable methodological quality. The literature was characterised by five research themes, illuminating (i) the nature and prevalence of stigma experienced, (ii) stigma in families, (iii) stigma in healthcare contexts, (iv) self-stigmatisation and illness concealment, and (v) stigma resistance. Conclusions: The reviewed research showed that people with EDs have extensive experience of stigma in diverse settings. They report that stigma has negative implications for their psychological wellbeing and likelihood of help-seeking. However, research also shows that people with EDs actively seek to resist and challenge stigma. The review identifies the outstanding gaps and weaknesses in this literature. (Edited publisher abstract)
Co-occurrence of eating disorders and alcohol use disorders in women: a meta analysis
- Authors:
- GADALLA T., PIRAN N.
- Journal article citation:
- Archives of Women’s Mental Health, 10(4), 2007, pp.133-140.
- Publisher:
- Springer Wien
This statistical analysis of the findings of 41 studies published between 1985 and May 2006 finds that all but four report a positive association between alcohol use disorder and eating disorders. Only in the case of anorexia nervosa was no association found. The magnitude of the association ranged from small to medium sized and were statistically significant for any eating disorder, bulimia nervosa/bulimic behaviour, purging, binge eating, and ‘eating disorders not otherwise specified’. The magnitude of the association across studies was most divergent in the case of bulimia nervosa, and most consistent in the cases of binge eating and dietary restriction. Reported associations between different patterns of disordered eating and alcohol use disorder were weakest and most divergent when participants were recruited from clinical settings, and most homogeneous when recruited from student populations.
From prevention to peer support: a systematic review exploring the involvement of lived-experience in eating disorder interventions
- Authors:
- LEWIS Hannah Kate, FOYE Una
- Journal article citation:
- Mental Health Review Journal, 27(1), 2022, pp.1-17.
- Publisher:
- Emerald
Purpose: The current policy landscape advocates for the involvement of people with lived experience in the co-production and co-delivery of mental health services. However, evidence on how to do this safely and effectively for people with eating disorders (EDs) is lacking. The purpose of this study was to explore and synthesis the implementation of ED interventions which involved lived-experience and to evaluate the associated benefits and risks to participants. Design/methodology/approach: This study will conduct a systematic review of ED interventions which involve people with lived experience of an ED. A total of seven databases and four subject-specific journals were searched using Boolean search terms. Findings: The search yielded ten eligible studies. Involvement procedures were extracted which highlighted variation with some roles being continuous and active and others being isolated and passive. Qualitative results were extracted and thematically analysed which demonstrated many benefits from involving people with lived experience, such as normalisation of experiences, inspiration to recover and the sharing of insight, as well as some risks such as disingenuity and exposure to triggering content. Practical implications: The implications of this review highlight the need for policy and guidance to minimise variation across procedures and implementation of co-production to ensure positive outcomes and benefits for participants, given the current landscape. More research in the benefits and risks for those involved in the delivery of the interventions is needed to ensure that co-production and peer support is delivered as safely and effectively as possible. Originality/value: This was the first systematic review since 2016 (Fogarty et al., 2016) to assess peer-mentorship programmes in ED treatments, whilst expanding the remit to include wider definitions of peer-support and peer-mentorships such as co-production and co-design in research. (Edited publisher abstract)
Effectiveness of adult day treatment for eating disorders
- Authors:
- HEPBURN Zoe, WILSON Kim
- Journal article citation:
- Mental Health Review Journal, 19(2), 2014, pp.131-144.
- Publisher:
- Emerald
Purpose: This paper assesses the effectiveness of day treatment programmes for adults with eating disorders by comparing, evaluating and synthesizing published pre- and post-treatment outcomes. Design/methodology/approach: A systematic review was undertaken of publications containing quantitative outcome data relating to weight restoration among underweight patients, reduction in binge and purge/vomit symptoms, decrease in eating disorder psychopathology and improvement in psychological functioning. Findings: This systematic review of pre- and post- treatment outcomes from 15 studies revealed large effect sizes relating to increase in Body Mass Index (BMI), reduction in symptoms and decrease in depression. Medium effect sizes were observed for improvement in self-esteem and reduction in anxiety and medium-large effect sizes were generally observed for attitude-change, although a small effect size was identified for perfectionism. Practical implications: This systematic review indicates that day treatment for adults is effective in increasing BMI among underweight patients, reducing binge, purge/vomit symptoms and eating disorder psychopathology and improving psychological functioning. Further research is required to investigate whether gains are cost-effective and sustainable over the longer term, and how day treatment programmes can improve outcomes for patients who are vulnerable to non-response and drop-out. (Edited publisher abstract)
Child mental health differences amongst ethnic groups in Britain: a systematic review
- Authors:
- GOODMAN Anna, PATEL Vikram, LEON David A.
- Journal article citation:
- BMC Public Health, 8(258), July 2008, Online only
- Publisher:
- BioMed Central Ltd
This review compared the population-based prevalence of child mental disorders between ethnic groups in Britain, and related these findings to ethnic differences in mental health service use. Bibliographic databases were searched for population-based and clinic-based studies of children aged 0–19, including all ethnic groups and the main child mental disorders. 31 population-based and 18 clinic-based studies met the inclusion criteria. It was found that children in the main minority groups have similar or better mental health than White British children for common disorders, but may have higher rates for some less common conditions. The causes of these differences are unclear.
Short-term psychodynamic psychotherapy: review of recent process and outcome studies
- Authors:
- LEWIS Andrew J, et al
- Journal article citation:
- Australian and New Zealand Journal of Psychiatry, 42(6), 2008, pp.445-455.
- Publisher:
- Blackwell Publishing
Short-term psychodynamic psychotherapy (STPP) is widely practised despite a lack of supportive evidence, according to earlier systematic reviews. This review focuses on 18 studies published between 1996 and 2006, and finds that it can be as effective as other psychological treatments for depression and significantly better than no treatment at all. There is also increasing evidence for STPP as a treatment for generalised anxiety disorder, panic disorder and some personality disorders. However, there is very limited and inconclusive evidence on its use with eating disorders and drug dependency. Further process and outcome evaluations are needed, with broader assessment measures and longer term follow-up.
Systematic review of interventions in the management of overweight and obese children which include a dietary component
- Authors:
- COLLINS Clare E., et al
- Journal article citation:
- International Journal of Evidence Based Healthcare, 5(1), 2007, pp.2-53.
- Publisher:
- Blackwell Publishing
This review of the international literature aims to identify the best available quantitative evidence on the treatment of overweight and obesity in children and adolescents under the age of 18, and is based on searches for English language literature published between 1975 and 2003. A total of 37 randomised controlled trials and 51 non-randomised trials were identified. The poor methodological and reporting quality of the evidence base is stressed, and recommendations for improvement are offered. The authors state that no definitive evaluation of intervention effectiveness is currently possible. However, they also conclude that interventions including a dietary component alongside physical activity and/or a behavioural component are effective, at least in the short term, although with a diminishing effect over time. The Traffic Light Diet and protein sparing modified fast (PSMF) interventions are identified as potentially promising.
Internet-based innovations for the prevention of eating disorders: a systematic review
- Authors:
- NEWTON Mandi S, CILISKA Donna
- Journal article citation:
- Eating Disorders, 14(5), November 2006, pp.365-384.
- Publisher:
- Taylor and Francis
A systematic review of the literature found five studies of internet-based eating disorder prevention programmes. A meta-analysis of the studies found no statistical significance for pooled study outcome data, indicating that no robust evidence exists on the impact of this strategy. However, with the increasing availability of internet technology, further research is needed.
How to ‘count the cost' and measure burden? A review of health-related quality of life in people with eating disorders
- Authors:
- HAY Phillipa, MOND Jonathan
- Journal article citation:
- Journal of Mental Health, 14(6), December 2005, pp.539-552.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
Health-related quality of life (HRQOL) estimates are important for accurately estimating the individual and community burden from eating disorders and cost-utility of treatments. This systematic review evaluates and compares attempts to estimate HRQOL in eating disorders (EDs). A MEDLINE database and Quality of Life Research Journal search was conducted for relevant English-language papers that used validated measures of HRQOL and ED diagnostic symptoms. Fifteen papers were identified which all supported EDs having a substantial impact on individual's HRQOL, in the mental health domain, that in some studies remained when controlling for body weight. Some studies indicated that presence of psychiatric co-morbidity increases the impact of the ED. In one study, when accounting for prevalence, community burden estimates were for EDs low relative to mood disorders. Findings were mixed for participants with AN, possibly reflecting its ego-syntonic nature. An important gap identified was the paucity of large scale community-based studies. In order to better estimate the “true” costs of EDs there is an urgent need for such research, and studies that include psychiatric control groups as well as medically ill and well groups.