Adapting a Technology-Based Eating Disorder Model for Athletes

2018 ◽  
Vol 12 (4) ◽  
pp. 699-717 ◽  
Author(s):  
Rachael E. Flatt ◽  
Craig Barr Taylor

Eating disorders (EDs) are common amongst athletes, yet few receive treatment. Given that athletes have a unique set of risk factors for eating disorders and are faced with additional barriers to treatment, new models outside of face-to-face treatment are necessary to reach the population and provide more affordable, tailored, evidence-based care. One solution is to use digital mental health programs to provide primary or supplemental therapy. Digital programs can provide accessibility and privacy, and recent advancements allow for more personalized online experiences. However, there have been no studies to date that integrate technology-based tools to address the especially high prevalence rates of EDs in athletes. This paper describes how an integrated model that includes online screening linked to guided self-help programs, all adapted specifically for athletes, can be used to provide prevention and intervention of EDs in athletes.

Author(s):  
Esther D. Rothblum

The Oxford Handbook of Sexual and Gender Minority Mental Health provides an overview of the current research on the mental health of sexual and gender minority (SGM) populations. It is aimed at researchers conducting studies on the mental health of SGM populations, clinicians and researchers interested in psychiatric disorders that affect SGM populations, clinicians using evidence-based practice in the treatment of SGM patients/clients, students in mental health programs (clinical psychology, psychiatry, clinical social work, and psychiatric nursing), and policymakers. This chapter defines some terms and provides an overview of current and past SGM research methods.


2021 ◽  
Author(s):  
Andreas Birgegård ◽  
Afrouz Abbaspour ◽  
Stina Borg ◽  
David Clinton ◽  
Emma Forsén Mantilla ◽  
...  

AbstractObjectiveTo document the impact of the COVI-19 pandemic on the health and well-being of individuals with past and current eating disorders in Sweden.MethodWe re-contacted participants from two previous Swedish studies who had a known lifetime history of an eating disorder. Participants completed an online questionnaire about their health and functioning at baseline early in the pandemic (Wave 1; N=982) and six months later (Wave 2); N=646).ResultsThree important patterns emerged: 1) higher current eating disorder symptom levels were associated with greater anxiety, worry, and pandemic-related eating disorder symptom increase; 2) patterns were fairly stable across time, although a concerning number who reported being symptom-free at Wave 1 reported re-emergence of symptoms at Wave 2; and only a minority of participants with current eating disorders were in treatment, and of those who were in treatment, many reported fewer treatment sessions than pre-pandemic and decreased quality of care.ConclusionsThe COVID-19 pandemic is posing serious health challenges for individuals with eating disorders, whether currently symptomatic or in remission. We encourage health service providers and patient advocates to be alert to the needs of individuals with eating disorders and to take active measures to ensure access to appropriate evidence-based care both during and following the pandemic.Significant Outcomes and LimitationsIndividuals with eating disorders symptoms or current active disorder report higher adverse impact of COVID-19 on their mental healthEven individuals who were symptom-free early in the pandemic reported a resurgence of eating disorder symptomsA large proportion of symptomatic individuals were not in treatment for their eating disorder, services should be aware and access to evidence-based care should be ensured across SwedenLimitations included the use of a convenience sample with atypical diagnostic distribution, and a low initial response rate, possibly introducing bias and limiting generalisability.Data Availability StatementFully anonymized data are available from the corresponding author upon request.


Author(s):  
Pim Cuijpers ◽  
Annet Kleiboer

This article examines self-directed approaches to the treatment of depression. It first considers some of the reasons why the uptake of mental health services by depressed people is low, despite the high prevalence of depressive disorders and the availability of evidence-based treatments. It then looks at the role of self-management in increasing access to evidence-based treatments for depression. It also defines what self-directed treatments are and goes on to discuss the different types of self-directed therapy, the common components of self-directed interventions for depression, Internet-based interventions for depression, and the advantages and disadvantages of self-directed interventions. Finally, it summarizes the findings from research on self-directed interventions for depression and suggests directions for future research and development in this area. Some titles of self-help books that can be used in self-directed interventions are presented.


This chapter provides an overview of the origins of orthopaedic and trauma nursing and care of the orthopaedic patient along the lifespan from birth to death in the twenty-first century. It explores contemporary healthcare in the context of a shift away from hospital-based care to more services being delivered in the community and primary care. It also looks at new ways of delivering care such as fast-track, enhanced recovery pathways and virtual or non-face-to-face clinics. Special attention has been given to supporting the person with a learning disability within orthopaedic and trauma settings. This chapter provides an update on standards and competencies for advanced practice roles and competencies within the field to optimize evidence-based care.


Author(s):  
Gregory D. Wilson

Cognitive behavior therapy (CBT) is the most effective treatment of bulimia nervosa (BN) and binge eating disorder (BED). Initial findings with eating disorder not otherwise specified (EDNOS) other than BED promise similar outcomes. Options for improving upon the efficacy and efficiency of CBT are discussed, primarily by incorporating an expanded range of principles and clinical strategies from CBT in general. Fairburn’s (2008) enhanced CBT provides an illustration. Dissemination of CBT is poor. Guided self-help based on CBT principles is effective for a subset of patients with BN and BED and provides the means for making evidence-based treatment available to a wider range of patients. There is scant research on CBT for anorexia nervosa, and evidence of efficacy is lacking.


2010 ◽  
Vol 2 (3) ◽  
pp. 105-113 ◽  
Author(s):  
Audra K. Langley ◽  
Erum Nadeem ◽  
Sheryl H. Kataoka ◽  
Bradley D. Stein ◽  
Lisa H. Jaycox

10.28945/3846 ◽  
2017 ◽  
Vol 1 ◽  
pp. 115-124
Author(s):  
Michiel Bosman ◽  
Joan Swart

Open Forest is a provider of online mental health self-help programs and, in this context, it is crucial to understand the needs of potential users. With a high prevalence of ADHD, user needs to establish commitment and loyalty centered on the ability to engage with others online. Access of care, purported cost savings and convenience for both clients and healthcare professionals are but some of the reasons why there is a lot of interest in the development of effective, evidence-based telemental health services. Even more than in “classical” face-to-face therapy, online mental health programs (“telemental health” and/or online self-help programs) must focus on client retention. The online self-help mental health programs have huge efficiency and scalability potentials, but to be effective, clients will have to actively participate in these programs. To address the client retention issue, this study aims to replicate previous research in user commitment to User Generated Content (UGC) websites, and create a framework for enhancing user engagement in online mental health self-help websites.


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