What Healthcare Professionals Should Know About Digital Technologies and Eating Disorders

2018 ◽  
pp. 139-157
Author(s):  
David Šmahel ◽  
Hana Macháčková ◽  
Martina Šmahelová ◽  
Michal Čevelíček ◽  
Carlos A. Almenara ◽  
...  
Keyword(s):  
Eating Disorders ◽  
Healthcare Professionals ◽  
Digital Technologies

Identifying and managing eating disorders in type 1 diabetes mellitus: An all-Wales study

2021 ◽  
pp. 135910452110095
Author(s):  
Jacinta O A Tan ◽  
Imogen Spector-Hill
Keyword(s):  
Diabetes Mellitus ◽  
Primary Care ◽  
Eating Disorders ◽  
Type 1 Diabetes ◽  
Eating Disorder ◽  
Type 1 Diabetes Mellitus ◽  
Healthcare Professionals ◽  
Health And Wellbeing ◽  
Level Of Knowledge

Background: Co-morbid diabetes and eating disorders have a particularly high mortality, significant in numbers and highly dangerous in terms of impact on health and wellbeing. However, not much is known about the level of awareness, knowledge and confidence amongst healthcare professionals regarding co-morbid Type 1 Diabetes Mellitus (T1DM) and eating disorders. Aim: To understand the level of knowledge and confidence amongst healthcare professionals in Wales regarding co-morbid T1DM and eating disorder presentations, identification and treatment. Results: We conducted a survey of 102 Welsh clinicians in primary care, diabetes services and eating disorder services. 60.8% expressed low confidence in identification of co-morbid T1DM and eating disorders. Respondents reported fewer cases seen than would be expected. There was poor understanding of co-morbid T1DM and eating disorders: 44.6% identified weight loss as a main symptom, 78.4% used no screening instruments, and 80.3% consulted no relevant guidance. The respondents expressed an awareness of their lack of knowledge and the majority expressed willingness to accept training and education. Conclusion: We suggest that priority must be given to education and training of all healthcare professionals in primary care, diabetes services and mental health services who may see patients with co-morbid T1DM and eating disorders.

Eating Disorders Part I: Psychiatric Diagnosis and Dental Implications

2008 ◽  
Vol 9 (6) ◽  
pp. 73-81 ◽  
Author(s):  
Ana Cecília Corrêa Aranha ◽  
Carlos de Paula Eduardo ◽  
Táki Athanassios Cordás
Keyword(s):  
Eating Disorders ◽  
Psychiatric Diagnosis ◽  
Healthcare Professionals ◽  
Multidisciplinary Treatment ◽  
Dental Erosion ◽  
Review Of The Literature ◽  
Irreversible Damage ◽  
Appropriate Treatment ◽  
Systemic Problems ◽  
Dental Professionals

Aim The aim of this article is to present a review of the literature on eating disorders and related oral implications in order to provide oral healthcare professionals and psychiatrists with information that will enable them to recognize and diagnose these disorders and render appropriate treatment. Methods and Materials A comprehensive review of the literature was conducted with special emphasis on the oral implications of anorexia nervosa and bulimia nervosa. Results Currently, available knowledge that correlates eating disorders with dental implications is supported by data derived from well-conducted psychiatric and psychological literature. However, little is known about the aspects of oral medicine concerned with the subject. Dental erosion, xerostomia, enlargement of the parotid gland, and other dental implications might be present in individuals with eating disorders. Conclusions Eating disorders are a serious concern with regard to the oral health of patients. They represent a clinical challenge to dental professionals because of their unique psychological, medical, nutritional, and dental patterns as well as their unique characteristics. However, there is a general lack of awareness of the fundamental importance of the dentist's role in the multidisciplinary treatment of affected patients. Clinical Significance The failure of oral healthcare professionals to recognize dental characteristics of eating disorders may lead to serious systemic problems in addition to progressive and irreversible damage to the hard tissues. Considering the increasing incidence and prevalence rates of eating disorders the participation of oral healthcare professionals in a multidisciplinary team to provide care for affected patients rises to greater importance. Citation Aranha ACC, Eduardo CP, Cordás TA. Eating Disorders Part I: Psychiatric Diagnosis and Dental Implications. J Contemp Dent Pract 2008 September; (9)6:073-081.

scholarly journals Screening four broad categories of eating disorders: suitability of a clinical algorithm adapted from the SCOFF questionnaire

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Marie-Pierre Tavolacci ◽  
André Gillibert ◽  
Aurélien Zhu Soubise ◽  
Sébastien Grigioni ◽  
Pierre Déchelotte
Keyword(s):  
Body Mass Index ◽  
Eating Disorders ◽  
Patient Outcomes ◽  
Healthcare Professionals ◽  
Youden Index ◽  
Clinical Algorithm ◽  
Dsm 5 ◽  
Sensitivity Specificity ◽  
Improve Patient ◽  
Scoff Questionnaire

Abstract Background We evaluated the performance of a clinical algorithm (Expali™), combining two or more positive answers to SCOFF questionnaire with Body Mass Index (BMI), to identify four Broad Categories of eating disorders (ED) derived from DSM-5. Methods The clinical algorithm (Expali™) was developed from 104 combinations of BMI levels and answers to five SCOFF questions with at least two positive answers. Two senior ED physicians allocated each combination to one of the four Broad Categories of ED derived from DSM-5: restrictive disorder, bulimic disorder, hyperphagic disorder and other unspecified ED diagnosed by ED clinicians. The performance of Expali™ was evaluated on data from 206 patients with ED. Sensitivity, specificity values and Youden index were calculated for each category. Results The 206 patients were diagnosed as follows: 31.5% restrictive disorder, 18.9% bulimic disorder, 40.8% hyperphagic disorder and 8.8% other ED. The sensitivity of Expali™ for restrictive, bulimic, hyperphagic and other unspecified ED were respectively: 76.9, 69.2, 79.7 and 16.7%. The Youden index was respectively 0.73, 0.57, 0.67 and 0.07. Conclusions In a SCOFF-positive ED population (at least two positive answers), the clinical algorithm Expali™ demonstrated good suitability by correctly classifying three of the four Broad Categories of eating disorders (restrictive, bulimic and hyperphagic disorder). It could be useful both to healthcare professionals and the general population to enable earlier detection and treatment of ED and to improve patient outcomes.

A review of the eating disorders literature with reference to dentistry

2021 ◽  
Vol 14 (3) ◽  
pp. 156-160
Author(s):  
Andrea Waylen
Keyword(s):  
Eating Disorders ◽  
Eating Disorder ◽  
Clinical Relevance ◽  
Healthcare Professionals ◽  
Signs And Symptoms ◽  
Oral Pathology ◽  
Morbidity And Mortality ◽  
Psychological Morbidity ◽  
Psychiatric Illnesses ◽  
The Uk

Eating disorders are severe psychiatric illnesses associated with physical and psychological morbidity and mortality. In the UK, around 1 in 9 people are directly affected. Oral healthcare professionals may be among the first to observe the signs and symptoms of an eating disorder because of the recognizable and consistent links with oral pathology and it is important that they are sufficiently informed about the condition, and feel confident in raising it with patients and/or their families. CPD/Clinical Relevance: Oral healthcare professionals may be among the first to suspect that a patient has an eating disorder: they can play a role in diagnosis and appropriate referral, as well as providing appropriate oral healthcare advice.

scholarly journals Stigma and treatment of eating disorders in Ireland: healthcare professionals’ knowledge and attitudes

2015 ◽  
Vol 33 (1) ◽  
pp. 21-31 ◽  
Author(s):  
F. McNicholas ◽  
C. O’Connor ◽  
L. O’Hara ◽  
N. McNamara
Keyword(s):  
Eating Disorders ◽  
Healthcare Professionals ◽  
Response Rate ◽  
Service Providers ◽  
Young Person ◽  
Web Based ◽  
Knowledge And Attitudes ◽  
Educational Programmes

ObjectivesThis study examines aspects of healthcare professionals’ knowledge and attitudes about eating disorders (EDs), which might impede the effective detection or treatment of EDs in Ireland.MethodsA total of 1,916 healthcare professionals were invited to participate in a web-based survey. Participants were randomly allocated to view one of five vignettes depicting a young person with symptoms consistent with anorexia nervosa, bulimia nervosa, binge-eating disorder, depression or type 1 diabetes. Study-specific questions examined participants’ responses to the vignettes and ED knowledge and experience.ResultsIn total, 171 clinicians responded (9% response rate). Participants had an average of 15.8 years of clinical experience (s.d.=9.2) and included psychiatrists, GPs, psychologists and counsellors. Although participants’ knowledge of EDs was moderately good overall, responses showed poor recognition of the symptoms of EDs compared with depression [χ2 (4, n=127)=20.17, p<0.001]. Participants viewed EDs as chronic disorders that primarily affected females. Participants believed that clinicians like working with patients with depression and diabetes more than with AN patients [F (4,101)=5.11, p=0.001]. Among the professionals surveyed, psychiatrists were the most knowledgeable about EDs [F (4,82)=9.18, p<0.001], and were more confident in their ability to diagnose and treat EDs than professionals of all other disciplines, except psychologists [F (4,85)=8.99, p<0.001]. Psychiatrists were also the most pessimistic about ED patients’ long-term life prospects [χ2 (4, n=65)=15.84, p=0.003].ConclusionsThis study recommends that specific attention should be given to EDs in professional educational programmes across healthcare disciplines. This training should not be restricted to improving healthcare professionals’ knowledge of EDs, but should also strive to increase service-providers’ awareness of how their own potentially stigmatising attitudes can undermine engagement with treatment.

Eating disorders in people with Type 1 diabetes: experiential perspectives of both clients and healthcare professionals

2017 ◽  
Vol 35 (2) ◽  
pp. 223-231 ◽  
Author(s):  
P. Macdonald ◽  
C. Kan ◽  
M. Stadler ◽  
G. L. De Bernier ◽  
A. Hadjimichalis ◽  
...  
Keyword(s):  
Eating Disorders ◽  
Type 1 Diabetes ◽  
Healthcare Professionals

scholarly journals Recognising and managing eating disorders in the emergency department

2021 ◽  
pp. postgradmedj-2021-140253
Author(s):  
Anisa Jabeen Nasir Jafar ◽  
Wisam Jalal Jawad Jafar ◽  
Emma Kathleen Everitt ◽  
Ian Gill ◽  
Hannah Maria Sait ◽  
...  
Keyword(s):  
Mental Health ◽  
Eating Disorders ◽  
Healthcare Professionals ◽  
Good Recovery ◽  
Acute Medicine ◽  
Electrolyte Disturbances ◽  
Risk Patients ◽  
Self Harm ◽  
New Perspective ◽  
The Right

Compared with other mental health conditions or psychiatric presentations, such as self-harm, which may be seen in emergency departments, eating disorders can seem relatively rare. However, they have the highest mortality across the spectrum of mental health, with high rates of medical complications and risk, ranging from hypoglycaemia and electrolyte disturbances to cardiac abnormalities. People with eating disorders may not disclose their diagnosis when they see healthcare professionals. This can be due to denial of the condition itself, a wish to avoid treatment for a condition which may be valued, or because of the stigma attached to mental health. As a result their diagnosis can be easily missed by healthcare professionals and thus the prevalence is underappreciated. This article presents eating disorders to emergency and acute medicine practitioners from a new perspective using the combined emergency, psychiatric, nutrition and psychology lens. It focuses on the most serious acute pathology which can develop from the more common presentations; highlights indicators of hidden disease; discusses screening; suggests key acute management considerations and explores the challenge of mental capacity in a group of high-risk patients who, with the right treatment, can make a good recovery.

scholarly journals Trust-by-Design: Evaluating Issues and Perceptions within Clinical Passporting

2020 ◽  
Author(s):  
Will Abramson ◽  
Nicole E Van Deursen ◽  
William J Buchanan
Keyword(s):  
Royal College ◽  
Healthcare Professionals ◽  
Research Question ◽  
Digital Technologies ◽  
Design Principles ◽  
Identity Verification ◽  
Main Research ◽  
Time Out ◽  
Employment Screening ◽  
Design Workshop

A substantial administrative burden is placed on healthcare professionals as they manage and progress through their careers. Identity verification, pre-employment screening and appraisals: the bureaucracy associated with each of these processes takes precious time out of a healthcare professional's day. Time that could have been spent focused on patient care. In the midst of the COVID-19 crisis, it is more important than ever to optimize these professionals' time. This paper presents the synthesis of a design workshop held at the Royal College of Physicians of Edinburgh (RCPE) and subsequent interviews with healthcare professionals. The main research question posed is whether these processes can be re-imagined using digital technologies, specifically Self-Sovereign Identity? A key contribution in the paper is the development of a set of user-led requirements and design principles for identity systems used within healthcare. These are then contrasted with the design principles found in the literature. The results of this study confirm the need and potential of professionalising identity and credential management throughout a healthcare professional's career.

Eating Disorders and their Implications on Oral Health — Role of Dentists

2011 ◽  
Vol 36 (2) ◽  
pp. 155-160 ◽  
Author(s):  
PR Kavitha ◽  
P Vivek ◽  
Amitha Hegde
Keyword(s):  
Eating Disorders ◽  
Multidisciplinary Approach ◽  
Healthcare Professionals ◽  
Behavior Patterns ◽  
Psychiatric Condition ◽  
Complex Issue ◽  
Psychological Conditions ◽  
Pediatric Dentist ◽  
Oral Conditions

Eating disorders (EDs) are primary psychological conditions, often associated with severing medical complications. EDs are characterized by perturbed eating behavior patterns. Their increasing incidence and prevalence is causing concerns to healthcare professionals. Because eating disorders are a complex issue, a multidisciplinary approach to treatment is required and this team includes Psychiatrists, Psychologists and Nutritionists.The purpose of this paper is to review the role of the dentists especially the pediatric dentist and orthodontist in identifying oral manifestations of EDs, which may be utilized for oral diagnosis, referral and management of underlying psychiatric condition and also secondary oral conditions.

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