scholarly journals "I’m Still Here, But No One Hears You": A Qualitative Study of Young Women’s Experiences of Persistent Distress Post Maudsley and Family-Based Therapy for Adolescent Anorexia Nervosa

2021 ◽  
Author(s):  
Janet Elizabeth Conti ◽  
Caroline Joyce ◽  
Simone Natoli ◽  
Kelsey Skeoch ◽  
Phillipa Hay
Keyword(s):  
Psychological Distress ◽  
Current Treatment ◽  
Drop Out ◽  
Identity Negotiations ◽  
The United Kingdom ◽  
Relative Neglect ◽  
Weight Restoration ◽  
Family Therapy Interventions ◽  
Family Based ◽  
Therapy Interventions

Abstract Background: Maudsley and Family-Based Therapies (MFT/FBT) are the current treatment of choice for adolescent AN based on positive outcomes that include weight restoration in around two-thirds of adolescents. Nevertheless around a quarter drop-out from treatment, particularly in the earlier phases, and a notable proportion of treated adolescents are reported to experience ongoing psychological distress during and post-treatment. This study explores the under-researched experiences of these adolescents. Method: Fourteen participants from Australia, New Zealand and the United Kingdom were interviewed about their experiences of MFT/FBT. An inductive thematic analysis of interview transcript data generated key themes related to their experiences, identity negotiations and the discursive materials these used to construct these. Results: The participants identified working as a family unit as key to their recovery, highlighting the importance of family therapy interventions for adolescent AN. However, they perceived an almost exclusive focus on weight restoration in the first phase of MFT/FBT was associated with experiences that included a relative neglect of their psychological distress and a loss of voice. Key within these experiences were processes whereby the adolescent engaged in identity negotiation and (re)claiming of their voice and implicit in their family standing with them in the treatment was that their life was worth saving. What was noted as most helpful was when therapists advocated and took into consideration their unique needs and preferences and tailored treatment interventions to these. Conclusions: There is a need to develop and research treatments that address, from the outset of treatment, the adolescents’ psychological distress (including as experienced in the context of their weight restoration). This should be with priority accorded to the adolescent’s voice and identity negotiations, as they and their families take steps to address the physical crisis of AN and in doing so, support more holistic and durable recovery.

scholarly journals “I’m still here, but no one hears you”: a qualitative study of young women’s experiences of persistent distress post family-based treatment for adolescent anorexia nervosa

2021 ◽  
Vol 9 (1) ◽  
Author(s):  
Janet Conti ◽  
Caroline Joyce ◽  
Simone Natoli ◽  
Kelsey Skeoch ◽  
Phillipa Hay
Keyword(s):  
Psychological Distress ◽  
Current Treatment ◽  
Drop Out ◽  
Identity Negotiations ◽  
Relative Neglect ◽  
Weight Restoration ◽  
Family Based Treatment ◽  
Family Therapy Interventions ◽  
Family Based ◽  
Therapy Interventions

Abstract Background Family-based treatment (FBT) is the current treatment of choice for adolescent AN based on positive outcomes that include weight restoration in around two-thirds of adolescents. Nevertheless around a quarter drop-out from treatment, particularly in the earlier phases, and a notable proportion of treated adolescents are reported to experience ongoing psychological distress during and post-treatment. This study explores the under-researched experiences of these adolescents. Method Fourteen participants from Australia, New Zealand and the United Kingdom were interviewed about their experiences of FBT. An inductive thematic analysis of interview transcript data generated key themes related to their experiences, identity negotiations and the discursive materials these used to construct these. Results The participants identified working as a family unit as key to their recovery, highlighting the importance of family therapy interventions for adolescent AN. However, they perceived an almost exclusive focus on weight restoration in the first phase of FBT was associated with experiences that included a relative neglect of their psychological distress and a loss of voice. Key within these experiences were processes whereby the adolescent engaged in identity negotiation and (re)claiming of their voice and implicit in their family standing with them in the treatment was that their life was worth saving. What was noted as most helpful was when therapists advocated and took into consideration their unique needs and preferences and tailored treatment interventions to these. Conclusions There is a need to develop and research treatments that address, from the outset of treatment, the adolescents’ psychological distress (including as experienced in the context of their weight restoration). This should be with priority accorded to the adolescent’s voice and identity negotiations, as they and their families take steps to address the physical crisis of AN and in doing so, support more holistic and durable recovery.

scholarly journals ‘Should I Stay, or Should I Go?’ Psychological Distress Predicts Career Change Ideation among Intensive Care Staff in Lithuania and the UK Amid COVID-19 Pandemic

2021 ◽  
Vol 18 (5) ◽  
pp. 2660
Author(s):  
Ieva Norkiene ◽  
Lina Jovarauskaite ◽  
Monika Kvedaraite ◽  
Encarl Uppal ◽  
Mandeep Kaur Phull ◽  
...  
Keyword(s):  
Psychological Distress ◽  
Healthcare Professionals ◽  
Psychosocial Support ◽  
Career Change ◽  
Well Being ◽  
Self Report ◽  
Care Staff ◽  
Psychological Well Being ◽  
The United Kingdom ◽  
The Uk

The COVID-19 pandemic had a significant effect on healthcare globally. Additional pressure created by coronavirus adversely affected the mental health and psychological well-being of healthcare workers, leading many to question their desire and willingness to continue working in healthcare. This study aimed to identify predictors for career change ideation among healthcare professionals in two countries; Lithuania and the United Kingdom amid the coronavirus pandemic. In total, 610 healthcare professionals from Lithuania and the UK (285 and 325, respectively) participated in a survey from May to August 2020. Psychological distress and psychological well-being were measured using the self-report scales “DASS-21” and “WHO-5”. Almost half of the sample (49.2%), 59.6% and 40.0% in Lithuanian and the UK, respectively, exhibited career change ideation, the country effect was significant (AOR = 2.21, p < 0.001). Stronger ideation to leave healthcare was predicted by higher levels of depression (AOR = 1.10, p = 0.005), stress (AOR = 1.10, p = 0.007), anxiety surrounding inadequate personal protective equipment (AOR = 2.27, p = 0.009), and lower psychological well-being scores (AOR = 1.10, p = 0.007). We conclude that psychosocial support must be provided for healthcare professionals to prevent burnout and loss of staff amid the pandemic.

scholarly journals Heterogeneous Mental Health Development During the COVID-19 Pandemic in the United Kingdom

2021 ◽  
Author(s):  
Lea Ellwardt ◽  
Patrick Praeg
Keyword(s):  
United Kingdom ◽  
Psychological Distress ◽  
Latent Class ◽  
Mitigation Measures ◽  
Social Lives ◽  
The United Kingdom ◽  
Policy Measures ◽  
Nationally Representative ◽  
The Uk

Aim. The COVID-19 pandemic and the mitigation measures by governments have upended the economic and social lives of many, leading to widespread psychological distress. However, how distress developed during the pandemic and who was most affected is poorly understood. We explore heterogeneity in trajectories of psychological distress during the first six months of the pandemic in the United Kingdom and relate this heterogeneity to socio-demographic and health factors. Subjects and Methods. We analyze six waves of longitudinal, nationally representative survey data from the UK Household Longitudinal Study (N = 15,218), covering the first lockdown in 2020. First, latent class mixture modelling (LCCM) is used to identify trajectories of psychological distress. Second, associations of the trajectories with covariates are tested with multinomial logistic regressions. Results. We find four different trajectories of distress: continuously low, continuously moderate, temporarily elevated, and continuously elevated distress. One-fifth of the population experienced severely elevated risks of distress. Long-term exposure was highest among younger people, women, those who lost income, and those with previous health conditions or COVID-19 symptoms. Conclusion. Given the threat of persistent stress on health, policy measures should be sensitized to the unintended yet far-reaching consequences of non-pharmaceutical interventions.

Jim Bulpitt's Territory and Power in the United Kingdom and Interpreting Political Development: Bringing the State and Temporal Analysis Back In

2010 ◽  
Vol 45 (3) ◽  
pp. 318-344 ◽  
Author(s):  
Jonathan Bradbury
Keyword(s):  
United Kingdom ◽  
Theoretical Approach ◽  
Political Development ◽  
Comparative Research ◽  
Temporal Analysis ◽  
The State ◽  
General State ◽  
The United Kingdom ◽  
Relative Neglect ◽  
The Uk

AbstractThis article addresses the relative neglect of Territory and Power in informing the study of general state political development, both as a theoretical approach and in its application to the UK. It locates Territory and Power as a distinct contribution to two major schools of comparative research. The first section argues that Territory and Power provided an approach that was part of the intellectual turn during the 1980s to bring the state back into the analysis of politics. The second part argues that Territory and Power should be seen also as a contribution to the intellectual turn since the 1980s towards temporal analysis of political development. On these bases future researchers may find Territory and Power more accessible as a work that they can incorporate in their own research.

MODELING COST OF TREATMENT WITH NEW TOPICAL TREATMENTS FOR GLAUCOMA

1999 ◽  
Vol 15 (1) ◽  
pp. 207-219 ◽  
Author(s):  
Gisela Kobelt ◽  
Linus Jönsson
Keyword(s):  
Open Angle Glaucoma ◽  
Current Treatment ◽  
Current Therapy ◽  
New Agents ◽  
The United Kingdom ◽  
Recent Diagnosis ◽  
One Year ◽  
New Treatments ◽  
The Cost ◽  
The Impact

Several new topical agents have been introduced recently and it can be expected that the treatment of glaucoma will change, depending on how effectively these agents control intraocular pressure (IOP). IOP is considered the major risk factor in the development of glaucomatous damage. In order to estimate the impact of these new agents on the cost of treating glaucoma, a simulation model was created to estimate the cost of treating patients with a recent diagnosis of primary open-angle glaucoma or ocular hypertension in different countries. The Markov model is based on retrospective chart reviews in different countries and calculates only cost, not outcome. Results are presented for France and the United Kingdom, where current treatment appeared to be comparable. Average one-year costs per patient with current treatment were FF2,389 (US $389) and £380 (US $627), respectively. Costs with the new treatments were lower than with current therapy.

Successful use of family-based therapy interventions for uncontrolled type 1 diabetes in an adolescent

2017 ◽  
Vol 34 (3) ◽  
pp. 95-98 ◽  
Author(s):  
Robert P Wilfahrt ◽  
Abigail Matthews ◽  
Katrina R Lenz ◽  
Leslie A Sim
Keyword(s):  
Type 1 Diabetes ◽  
Family Based ◽  
Therapy Interventions ◽  
Family Based Therapy
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