Comparative study of children and adolescents referred for eating disorder treatment at a specialist tertiary setting

2013 ◽  
Vol 47 (1) ◽  
pp. 47-53 ◽  
Author(s):  
Tara Walker ◽  
Hunna J. Watson ◽  
David J. Leach ◽  
Julie McCormack ◽  
Karin Tobias ◽  
...  
Keyword(s):  
Eating Disorder ◽  
Comparative Study ◽  
Children And Adolescents ◽  
Eating Disorder Treatment ◽  
Disorder Treatment

scholarly journals Parental experiences with their child’s eating disorder treatment journey

2021 ◽  
Vol 9 (1) ◽  
Author(s):  
Jennifer S. Coelho ◽  
Janet Suen ◽  
Sheila Marshall ◽  
Alex Burns ◽  
Pei-Yoong Lam ◽  
...  
Keyword(s):  
Eating Disorders ◽  
Eating Disorder ◽  
Children And Adolescents ◽  
Barriers And Facilitators ◽  
Tertiary Level ◽  
Eating Disorder Symptoms ◽  
Eating Disorder Treatment ◽  
Disorder Treatment ◽  
The Right ◽  
High Level

Abstract Background Parents are integral in the treatment of pediatric eating disorders. The current study was conducted to further understand the barriers and facilitators that parents experience in accessing specialized, tertiary level eating disorder treatment for children and adolescents. The goals of the study were to understand the processes leading to diagnosis and treatment, perceived barriers and facilitators to accessing care, and parents’ experiences over the course of their child’s eating disorder treatment. Methods Ten parents whose children were admitted to a Canadian tertiary level specialized pediatric eating disorders program took part in an exit interview upon their child’s completion of treatment in the program. In-depth semi-structured interviews were combined with a visual timeline. Interpretive induction was performed to generate high-level concepts that emerged from the interviews. Results Five high-level concepts were identified: (1) delays in identifying eating disorder symptoms, (2) challenges in accessing eating disorder services, (3) the right treatment at the right time, (4) emotional impact on parents, and (5) parental expertise and involvement. Conclusions Several barriers were identified by parents that interfered with treatment, including system-related challenges when accessing specialized eating disorder treatment, concerns about a lack of appropriate mental health support for their child, and difficulties with transitioning between community and tertiary level care. Negative emotions, including guilt and self-blame, were common early in the treatment journey. Themes of parental involvement throughout treatment, and parents taking charge of their child’s recovery, emerged across interviews. The results of this study suggest the importance of early identification of eating disorder symptoms, facilitating smoother transitions between levels of care (e.g., community services and hospital-based eating disorder care), and improving clinical decision-making to ensure children and adolescents with eating disorders receive the most appropriate treatment based on their clinical presentation.

Cost-utility analysis of eating disorder treatment

2011 ◽  
Author(s):  
V. Pohjolainen ◽  
P. Rasanen ◽  
R. P. Roine ◽  
H. Sintonen ◽  
K. Wahlbeck ◽  
...  
Keyword(s):  
Eating Disorder ◽  
Cost Utility ◽  
Cost Utility Analysis ◽  
Utility Analysis ◽  
Eating Disorder Treatment ◽  
Disorder Treatment

Evidence that a novel transdiagnostic eating disorder treatment reduces reward region response to the thin beauty ideal and high-calorie binge foods

2021 ◽  
pp. 1-11
Author(s):  
Eric Stice ◽  
Sonja Yokum ◽  
Paul Rohde ◽  
Jeff Gau ◽  
Heather Shaw
Keyword(s):  
Eating Disorder ◽  
Brain Imaging ◽  
Small Samples ◽  
Average Weight ◽  
Imaging Data ◽  
Eating Disorder Treatment ◽  
Disorder Treatment ◽  
Reward Valuation ◽  
Larger Sample ◽  
High Calorie

Abstract Background Findings from brain imaging studies with small samples can show limited reproducibility. Thus, we tested whether the evidence that a transdiagnostic eating disorder treatment reduces responsivity of brain valuation regions to thin models and high-calorie binge foods, the intervention targets, from a smaller earlier trial emerged when we recruited additional participants. Methods Women with DSM-5 eating disorders (N = 138) were randomized to the dissonance-based body project treatment (BPT) or a waitlist control condition and completed functional magnetic resonance imaging (fMRI) scans assessing neural response to thin models and high-calorie foods at pretest and posttest. Results BPT v. control participants showed significantly greater reductions in responsivity of regions implicated in reward valuation (caudate) and attentional motivation (precuneus) to thin v. average-weight models, echoing findings from the smaller sample. Data from this larger sample also provided novel evidence that BPT v. control participants showed greater reductions in responsivity of regions implicated in reward valuation (ventrolateral prefrontal cortex) and food craving (hippocampus) to high-calorie binge foods v. low-calorie foods, as well as significantly greater reductions in eating disorder symptoms, abstinence from binge eating and purging behaviors, palatability ratings for high calorie foods, monetary value for high-calorie binge foods, and significantly greater increases in attractiveness ratings of average weight models. Conclusions Results from this larger sample provide evidence that BPT reduces valuation of the thin ideal and high-calorie binge foods, the intervention targets, per objective brain imaging data, and produces clinically meaningful reductions in eating pathology.

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