scholarly journals Why Do Women with Eating Disorders Decline Treatment? A Qualitative Study of Barriers to Specialized Eating Disorder Treatment

Nutrients ◽  
2021 ◽  
Vol 13 (11) ◽  
pp. 4033
Author(s):  
Sofie T. Andersen ◽  
Thea Linkhorst ◽  
Frederik A. Gildberg ◽  
Magnus Sjögren
Keyword(s):  
Eating Disorders ◽  
Qualitative Interviews ◽  
Nutritional Rehabilitation ◽  
Treatment Needs ◽  
Treatment Services ◽  
Eating Disorder Treatment ◽  
Standard Procedures ◽  
Life Threatening ◽  
Disorder Treatment ◽  
Real Person

Despite the fact that eating disorders (EDs) are conditions that are potentially life-threatening, many people decline treatment. The aim of this study was to investigate why women decline specialized ED treatment, including their viewpoints on treatment services. Eighteen semi-structured qualitative interviews were conducted with women who had declined inpatient or outpatient specialized ED treatment. A thematic analysis revealed five main themes: (1) Disagreement on treatment needs, (2) rigid standard procedures, (3) failure to listen, (4) deprivation of identity, and (5) mistrust and fear. The women had declined ED treatment because they believed that treatment was only focused on nutritional rehabilitation and that it failed to address their self-identified needs. From their perspectives treatment was characterized by rigid standard procedures that could not be adapted to their individual situations and preferences. They felt that the therapists failed to listen to them, and they felt deprived of identity and reduced to an ED instead of a real person. This investigation is one of the first of its kind to provide clues as to how treatment could be moderated to better meet the needs of women who decline specialized ED treatment.

scholarly journals The role of sociocultural perspectives in eating disorder treatment: A study of health professionals

2017 ◽  
Vol 22 (6) ◽  
pp. 541-557
Author(s):  
Su Holmes
Keyword(s):  
Eating Disorders ◽  
Eating Disorder ◽  
Health Professionals ◽  
Qualitative Interviews ◽  
Eating Disorder Treatment ◽  
Sociocultural Perspectives ◽  
The Social ◽  
Feminist Perspectives ◽  
Disorder Treatment ◽  
And Gender

Eating disorders are now often approached as biopsychosocial problems, because they are widely recognised as multifactorial in origin. However, it has been suggested that there is a substantial and unwarranted imbalance within this biopsychosocial framework, with the ‘social’ aspects of the equation relegated to secondary or facilitating factors within treatment contexts. Drawing on data from 12 qualitative interviews with health professionals in a UK region, this article examines the extent to which sociocultural perspectives on eating disorders are valued and explored in eating disorder treatment, with a particular focus on the relationship between eating disorders and gender. As girls/women are widely acknowledged to be disproportionately affected by eating problems, the article draws on feminist perspectives on eating disorders to explore whether the relationships between cultural constructions of femininity and experiences of body/eating distress are actively addressed within treatment. The study reveals high levels of inconsistency in this regard, as while some participants see such issues as central to treatment, others have ‘never really considered’ them before. In addition, the study examines the potential limitations of how such sociocultural issues are conceptualised and addressed, as well as why they might be marginalised in the current climate of evidence-based eating disorder treatment. The article then considers the implications of the findings for thinking about feminist perspectives on eating disorders – and the significance of gender in treatment – at the level of both research and practice.

Evidence-Based Interventions for the Treatment of Eating Disorders

2007 ◽  
Vol 1 (4) ◽  
pp. 371-378 ◽  
Author(s):  
Zella E. Moore ◽  
Raquel Ciampa ◽  
Jaime Wilsnack ◽  
Elizabeth Wright
Keyword(s):  
Eating Disorders ◽  
Prevalence Rates ◽  
Psychological Treatments ◽  
Eating Disordered ◽  
Treatment Practices ◽  
Current State ◽  
Eating Disorder Treatment ◽  
Short And Long Term ◽  
Disorder Treatment

Eating disorders are serious clinical issues that can have severe physical and psychological ramifications. Although prevalence rates of anorexia nervosa and bulimia nervosa are low in the general population, it has been reported that prevalence rates are higher among individuals involved in the athletic milieu. Unfortunately, based on the demands of the sport environment, these individuals may be significantly less likely to seek treatment for these disorders, thus may experience dangerous short- and long-term consequences. Yet, even when such athletes do seek help, they often receive psychological treatments that have not been demonstrated to be efficacious among methodologically sound research studies. This article clarifies the current state of eating disorder treatment efficacy so that practitioners working with eating disordered athletic clientele can adopt more ethical and effective treatment practices.

scholarly journals A Review of Cook-Cottone's Embodiment and the Treatment of Eating Disorders: The Body as a Resource in Recovery

2021 ◽  
Vol 55 (2) ◽  
Author(s):  
Sarah Nutter
Keyword(s):  
Eating Disorders ◽  
Eating Disorder ◽  
Disordered Eating ◽  
Theoretical Framework ◽  
The Body ◽  
Practice Recommendations ◽  
Eating Disorder Treatment ◽  
Disorder Treatment

Embodiment and the Treatment of Eating Disorders: The Body as a Resource in Recovery by Catherine Cook-Cottone provides over its 13 chapters a theoretical framework and practice recommendations for infusing embodiment in eating disorder treatment via her Embodied Approach to Treating Eating Disorders model. Part 1 of the book provides an overview of the model and Part 2 provides a framework for integrating the model into treatment, using several aspects of embodiment. Cook-Cottone includes numerous resources in the book to support counsellors in integrating this model into practice. For clinicians working with clients struggling with disordered eating or eating disorders, Cook-Cottone’s book provides an engaging addition to eating disorders treatment.

Eating Disorder Comorbidity with OCD

2017 ◽  
Author(s):  
Marina Gershkovich ◽  
Olivia Pascucci ◽  
Joanna Steinglass
Keyword(s):  
Eating Disorders ◽  
Eating Disorder ◽  
Empirical Support ◽  
Future Research ◽  
Weight History ◽  
Eating Disorder Treatment ◽  
Weight Restoration ◽  
Disorder Treatment ◽  
Support Treatment ◽  
Shed Light

This chapter discusses the comorbidity of eating disorders with OCD, including epidemiology, neurobiology, clinical features, and treatment. These disorders frequently cooccur. There are hints that eating disorders and OCD may share underlying neural mechanisms of illness, but these neurobiological models are preliminary. Cooccurrence of eating disorders and OCD is more common in clinical populations than community samples, highlighting the importance of assessing eating and weight history among patients with OCD. Treatment for bulimia nervosa includes psychotherapy and medication options, all with good empirical support. Treatment for anorexia nervosa emphasizes behaviorally based approaches to weight restoration treatment, with no clear evidence for medication treatments. When these illnesses occur together, treatment focused on the eating disorder yields improvement in OCD symptoms. Integrating exposure and response prevention techniques into eating disorder treatment may yield synergistic improvement in both illnesses. Future research may shed light on shared and distinct neurobiological mechanisms of these illnesses.

Who Provides Eating Disorder Treatment?

2020 ◽  
Author(s):  
B. Timothy Walsh ◽  
Evelyn Attia ◽  
Deborah R. Glasofer
Keyword(s):  
Eating Disorders ◽  
Eating Disorder ◽  
Multidisciplinary Approach ◽  
Adequate Treatment ◽  
Treatment Providers ◽  
Eating Disorder Treatment ◽  
Disorder Treatment

Eating disorders are complex conditions, and adequate treatment commonly requires a team (multidisciplinary) approach. Navigating the landscape of treatment providers can be overwhelming, but it is worth taking the time to really understand who’s who in eating disorder treatment and what role they each...

Novel Ways to Use Exposure for Eating Disorders

2019 ◽  
pp. 165-172
Author(s):  
Carolyn Black Becker ◽  
Nicholas R. Farrell ◽  
Glenn Waller
Keyword(s):  
Eating Disorders ◽  
Eating Disorder ◽  
Clinical Practice ◽  
Magical Thinking ◽  
Interoceptive Exposure ◽  
Imaginal Exposure ◽  
Eating Disorder Treatment ◽  
Disorder Treatment ◽  
Novel Approaches

Three relatively novel approaches to the use of exposure for eating disorders are considered. Each is relatively experimental in treating eating disorders but is well established in treating anxiety-based disorders. Interoceptive exposure can be used to treat distress over bodily cues (e.g., fullness). Imaginal exposure can be used to elevate and treat anxiety as a prelude to in vivo exposure, although it should be used only when necessary. Finally, exposure can be used to address “magical thinking,” such as thought–shape fusion. These methods show promise with eating disorder treatment but are in the early stages of conceptualization and development. Their use should be treated as experimental at present, and clinicians should be alert to their impact in clinical practice.

scholarly journals Maternal Eating Disorders and Eating Disorder Treatment Among Girls in the Growing Up Today Study

2019 ◽  
Vol 65 (4) ◽  
pp. 469-475
Author(s):  
Hannah N. Ziobrowski ◽  
Kendrin R. Sonneville ◽  
Kamryn T. Eddy ◽  
Ross D. Crosby ◽  
Nadia Micali ◽  
...  
Keyword(s):  
Eating Disorders ◽  
Eating Disorder ◽  
Growing Up ◽  
Eating Disorder Treatment ◽  
Disorder Treatment

scholarly journals Life is different now – impacts of eating disorders on Carers in New Zealand: a qualitative study

2021 ◽  
Vol 9 (1) ◽  
Author(s):  
Louise Fletcher ◽  
Henrietta Trip ◽  
Rachel Lawson ◽  
Nicki Wilson ◽  
Jennifer Jordan
Keyword(s):  
Eating Disorders ◽  
Eating Disorder ◽  
New Zealand ◽  
Thematic Analysis ◽  
Online Survey ◽  
Family Members ◽  
Qualitative Interview ◽  
Eating Disorder Treatment ◽  
Disorder Treatment ◽  
Inductive Thematic Analysis

Abstract Background Eating disorders are widely recognized as serious illnesses, with complex psychological and physiological comorbidities. Affected individuals face a protracted and challenging treatment journey which, particularly for children and adolescents, requires significant input from family members as carers. This study investigated the perspectives and experiences of those caring for family members with an eating disorder diagnosis. Method Participants were carers of affected individuals with an eating disorder, and were recruited from an online survey, subsequently consenting to a semi-structured qualitative interview. Inductive thematic analysis was undertaken to identify themes. Results Most participants in the sample were parents of affected individuals. Significant and ongoing psychological and emotional impacts were identified across the sample. The diagnosis, treatment journey and overall impact of the carer role created a situation captured by the over-arching theme ‘life is different now’. Impacts profoundly influenced relationships and were felt across all aspects of life by carers, affected individuals and other family members. Heightened worry and vigilance experienced by carers continued beyond improvement or recovery. Conclusions This research highlighted challenging and often exhausting impacts felt by carers due to their pivotal role in eating disorder treatment. Inadequate support for most carers in this sample has clear implications for families as well as service and funding providers. Further research should more fully investigate carer experience with different eating disorders to explore the type of support necessary to build capacity and resilience to reduce carer burden.

Considerations in the Treatment of Eating Disorders Among Ethnic Minorities

2017 ◽  
pp. 344-362
Author(s):  
Ana L. Ramirez ◽  
Eva Trujillo-ChiVacuán ◽  
Marisol Perez
Keyword(s):  
Eating Disorders ◽  
Ethnic Minority ◽  
Ethnic Minorities ◽  
Asian American ◽  
Minority Groups ◽  
Evidence Based ◽  
Eating Disorder Treatment ◽  
Evidence Based Treatments ◽  
Disorder Treatment ◽  
Clinical Dilemma

Although once thought of as a White upper socioeconomic status illness, eating disorders are now known to occur among ethnic minority individuals. Unfortunately, because there have been no treatment trials specifically for ethnic minority individuals with eating disorders, very little is known about the efficacy and generalizability of current existing treatments for these individuals. Therapists face a clinical dilemma in attempting to maintain evidence-based practice while being culturally sensitive and adapting research-supported treatments for ethnic minority individuals. This chapter provides a review of the literature on prevalence rates and how the clinical presentation of ethnic minorities (Latinos, African Americans, and Asian American) differs from that of White individuals. In addition, it provides information on how evidence-based treatments have been adapted for ethnic minority groups and other important considerations when providing eating disorder treatment for ethnic minority individuals.

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