scholarly journals Men in eating disorder units: a service evaluation survey regarding mixed gender accommodation rules in an eating disorder setting

2018 ◽  
Vol 42 (6) ◽  
pp. 258-263 ◽  
Author(s):  
Akira Fukutomi ◽  
Frances Connan ◽  
Anthony P. Winston ◽  
Pia Ghosh
Keyword(s):  
Eating Disorders ◽  
Eating Disorder ◽  
Service Evaluation ◽  
Clinical Implications ◽  
Single Gender ◽  
Department Of Health ◽  
Male Patients ◽  
Men With Eating Disorders ◽  
Mixed Gender ◽  
Evaluation Survey

Aims and methodThis service evaluation was conducted to find out: (1) if mixed gender accommodation in eating disorder units is perceived to be helpful or unhelpful for recovery, and (2) if men were being discriminated against by the implementation of the 2010 Department of Health (DoH) guidelines on the elimination of mixed gender wards. All 32 in-patient units accredited on the Quality Network for Eating Disorders were contacted via a survey.ResultsWe received 38 responses from professionals from 26 units and 53 responses from patients (46 female, 7 male) from 7 units. Four units had closed admissions to male patients due to DoH guidelines.Clinical implicationsWe found that it is possible to provide admission for men with eating disorders, while respecting the single gender accommodation rules, and that doing so is likely to be helpful for both genders and prevents discrimination against men.Declaration of interestNone.

scholarly journals Taking the temperature: attitudes of patients on an all-female psychiatric ward to staff gender

2009 ◽  
Vol 33 (12) ◽  
pp. 457-460
Author(s):  
Lisa Conlan ◽  
Helen Read ◽  
Elizabeth Picton
Keyword(s):  
Best Practice ◽  
Large Majority ◽  
Psychiatric Ward ◽  
Clinical Implications ◽  
Single Gender ◽  
Weekly Basis ◽  
Staff Members ◽  
Anonymous Questionnaire ◽  
Predominantly Female ◽  
Mixed Gender

Aims and MethodTo survey the attitudes of in-patients on an all-female ward to staff gender. All patients were invited to complete an anonymous questionnaire which was then repeated on a four-weekly basis for 4 months. Staff members were surveyed once within this period.ResultsOnly 15% of patients (n = 52) wanted all staff members to be female, whereas 87% reported feeling comfortable with male staff; 51% would prefer a predominantly female, mixed-gender staff. All staff (n = 11) were in favour of mixed-gender staffing.Clinical ImplicationsCurrent best practice for staffing single-gender acute in-patient units is unclear. This survey is in line with findings from other studies in that a large majority of female in-patients prefer to be in a unit with mixed staff.

Being men with eating disorders: Perspectives of male eating disorder service-users

2012 ◽  
Vol 18 (2) ◽  
pp. 176-186 ◽  
Author(s):  
Kate J Robinson ◽  
Victoria A Mountford ◽  
David J Sperlinger
Keyword(s):  
Eating Disorders ◽  
Eating Disorder ◽  
Clinical Practice ◽  
Interpretative Phenomenological Analysis ◽  
Phenomenological Analysis ◽  
Future Research ◽  
Service Users ◽  
Eating Disorder Psychopathology ◽  
Men With Eating Disorders ◽  
Gender Specific

This study aimed to explore experiences of men currently using eating disorder services. Eight men from two eating disorder services were interviewed about their experiences of seeking and receiving treatment. Two superordinate themes emerged from Interpretative Phenomenological Analysis: (1) difficulty seeing self as having an eating disorder; and (2) experiences of treatment: how important is gender? The underlying themes varied in their specificity to men, with some echoing findings from the female eating disorder literature. Difficulty admitting the eating disorder may link with eating disorder psychopathology as well as gender-specific issues. Implications for clinical practice and future research are discussed.

scholarly journals Eating disorders in Scotland: starved of resources?

2001 ◽  
Vol 25 (7) ◽  
pp. 256-260 ◽  
Author(s):  
Camille Lemouchoux ◽  
Harry Millar ◽  
Simon Naji
Keyword(s):  
Eating Disorders ◽  
Eating Disorder ◽  
Service Provision ◽  
Total Population ◽  
Postal Questionnaire ◽  
Clinical Implications ◽  
Health Board ◽  
National Strategy ◽  
Specialist Service

Aims and MethodTo describe eating disorder services in Scotland. Fifty-two services completed a postal questionnaire.ResultsSix of the mainland health board areas, with a total population of 1.5 million, were not covered by any (self-defined) ‘specialist’ service. Although most services had access to in-patient facilities, we identified only one designated bed in Scotland for eating disorder patients, and this in a non-specialist service. In many other ways, services did not meet published recommendations for the provision of eating disorders services.Clinical ImplicationsIt is suggested that a national strategy should be formulated, and a model of service provision is proposed.

Early Life Loss and Trauma

2013 ◽  
Vol 8 (2) ◽  
pp. 121-136 ◽  
Author(s):  
Lynne McCormack ◽  
Vivienne Lewis ◽  
Jonathan R. Wells
Keyword(s):  
Eating Disorders ◽  
Eating Disorder ◽  
Life Histories ◽  
Eating Behaviors ◽  
Middle Age ◽  
Single Case ◽  
Delayed Onset ◽  
Depth Analysis ◽  
Attachment Disruption ◽  
Men With Eating Disorders

The onset of an eating disorder in middle-age men is poorly researched as are eating disorders in men generally. Therefore, life events that influence eating disorders in men, including delayed onset of an eating disorder remains unknown. Given the limited understanding of males with eating disorders and limited access to large samples of men with eating disorders, an in-depth analysis of a single case of a male in middle age with an eating disorder was chosen to gain insight and understanding into this phenomenon. A Life History approach explored the case of Joseph (pseudonym), who was diagnosed at age 44 years with an Eating Disorder Not Otherwise Specified. Data were collected through (a) life course open-ended questioning through interviews, (b) written statements, and (c) comments on transcripts. Three themes emerged, loss and unworthiness, becoming bigger, and wanting to change reflecting eating behaviors associated with attachment disruption, loss and trauma, body dissatisfaction, and negative affect. Later in life, an emotional “tipping point” precipitated an eating disorder. Results indicate traumatic loss leading to early attachment disruption as influential in Joseph’s delayed onset of an eating disorder. The value of thorough narrative life histories during therapy when eating disorders occur late in life is discussed as well as the significance for men.

scholarly journals The changing climate for women patients in medium secure psychiatric units

2001 ◽  
Vol 25 (9) ◽  
pp. 340-342 ◽  
Author(s):  
Yonette Hassell ◽  
Annie Bartlett
Keyword(s):  
Private Sector ◽  
Continuity Of Care ◽  
Telephone Survey ◽  
Clinical Implications ◽  
Women Patients ◽  
Single Gender ◽  
England And Wales ◽  
Changing Climate ◽  
Psychiatric Units ◽  
Mixed Gender

Aims and MethodWe conducted a telephone survey of medium secure units in England and Wales to determine the distribution of women patients.ResultsThe survey identified 1836 medium secure beds, housing 342 women patients. Women in the NHS were housed primarily in mixed-gender units (170 women, 94%). Most NHS beds in single-gender units were for men (56 beds), whereas most private sector beds in single-gender units were for women (79 beds).Clinical ImplicationsIncreased awareness of the often inappropriateness of services for women in mixed-gender units has led to units deciding not to admit women patients and, inadvertently, more single-gender beds for men in NHS units than for women. The NHS units have to rely on private sector units to provide beds in single-gender units for women, perhaps at the expense of effective continuity of care.

scholarly journals Delivering CBT-E In an Online Group Format: A Pilot Study in a Child and Adolescent Eating Disorder Service

2021 ◽  
Author(s):  
Layla Hamadi ◽  
Reece Hilson ◽  
Amy Lunn ◽  
Emily Ralph ◽  
Evangeline Rodrigues ◽  
...  
Keyword(s):  
Eating Disorders ◽  
Eating Disorder ◽  
Pilot Study ◽  
Behavioral Therapy ◽  
Child And Adolescent ◽  
Service Evaluation ◽  
Psychosocial Impairment ◽  
Medical Risk ◽  
Qualitative Feedback ◽  
Online Group

Abstract Background: The increased prevalence of eating disorders during the COVID-19 pandemic has placed services for children and adolescents under immense pressure. The high number of people at medical risk has led to longer waiting lists for psychological support for those who are physically stable. A pilot study was conducted to evaluate the feasibility and effectiveness of providing group enhanced cognitive behavioral therapy for eating disorders (CBT-E), in a virtual setting, as a way of increasing the provision of evidence-based treatment during the pandemic.Method: Clinicians in a child and adolescent eating disorder service were invited to refer patients to take part in a six-session course of therapy comprising the CBT-E Stage Three Body Image module. Primary outcomes were acceptance rates, completion rates, qualitative feedback and quantitative data from routine measures of eating disorder psychopathology and psychosocial impairment.Results: From 22 eligible referrals, 12 participants accepted and enrolled in therapy. Eight completed all six sessions. Qualitative feedback was positive. Both the content and group nature of the intervention were described as helpful. There was an improvement in all scores on the psychometric tests. Conclusions: This pilot study demonstrated that online group CBT-E was a feasible method of providing psychological therapy within the service. A larger trial is recommended to robustly test the effectiveness of the intervention compared to one-to-one in-person CBT-E, and to test whether other modules of the CBT-E protocol can be similarly delivered in this population.Trial registration: This study was pre-registered and approved as a clinical service evaluation by the Oxford Health NHS Foundation Trust, United Kingdom

scholarly journals Don't forget EDNOS (eating disorder not otherwise specified): patterns of service use in an eating disorders service

2005 ◽  
Vol 29 (4) ◽  
pp. 134-136 ◽  
Author(s):  
Eric J. Button ◽  
Elizabeth Benson ◽  
Claire Nollett ◽  
Robert L. Palmer
Keyword(s):  
Eating Disorders ◽  
Eating Disorder ◽  
Significant Relationship ◽  
Catchment Area ◽  
Service Use ◽  
Diagnostic Group ◽  
Clinical Implications ◽  
Not Otherwise Specified ◽  
Clinical Records ◽  
Outpatient Appointments

Aims and MethodThe aim of the study was to track service consumption in adult referrals to a specialised NHS eating disorders service over a 3-year period. We examined clinical records of a year's cohort (1999) of 147 referrals (96% female) assessed from the local catchment area.ResultsThe most common diagnostic group (42.8%) presented with some form of eating disorder not otherwise specified (EDNOS). There was no significant relationship between diagnosis and service consumption, so that full syndrome eating disorders were no more labour-intensive overall than EDNOS patients. Indeed, EDNOS patients accounted for 50% of all outpatient appointments and over a half of all in-patient days.Clinical ImplicationsThe results suggest that those planning services for eating disorders need to take into account the substantial demand from EDNOS patients.

scholarly journals Problems across care pathways in specialist adult eating disorder services

2009 ◽  
Vol 33 (1) ◽  
pp. 26-29 ◽  
Author(s):  
Glenn Waller ◽  
Ulrike Schmidt ◽  
Janet Treasure ◽  
Katie Murray ◽  
Joana Aleyna ◽  
...  
Keyword(s):  
Eating Disorders ◽  
Eating Disorder ◽  
Resource Utilisation ◽  
Clinical Implications ◽  
Evidence Based ◽  
Care Pathways ◽  
Patient Journey ◽  
End Of Treatment ◽  
Complete Treatment ◽  
Evidence Based Care

Aims and MethodDespite considerable knowledge of outcomes for patients who complete treatment for eating disorders, less is known about earlier stages in the treatment journey. This study aimed to map the efficiency of the anticipated patient journey along care pathways. Referrals to specialist eating disorder services (n=1887) were tracked through the process of referral, assessment, treatment and discharge.ResultsThe patient mortality rate was low. However, there were serious problems of attrition throughout the care pathways. of the original referrals where a meaningful conclusion could be reached, in approximately 35% the person was never seen, only half entered treatment and only a quarter reached the end of treatment.Clinical ImplicationsThis study demonstrates considerable inefficiency of resource utilisation. Suggestions are made for reducing this inefficiency, to allow more patients the opportunity of evidence-based care.

Internal Structure of the Spanish Adaptation of the Eating Disorder Inventory-3

2012 ◽  
Vol 28 (1) ◽  
pp. 25-31 ◽  
Author(s):  
Paula Elosua ◽  
Alicia López-Jáuregui
Keyword(s):  
Eating Disorders ◽  
Eating Disorder ◽  
Internal Structure ◽  
Internal Consistency ◽  
Clinical Sample ◽  
Temporal Stability ◽  
Second Order ◽  
Order Structure ◽  
Eating Disorder Inventory ◽  
High Internal Consistency

In this study the Eating Disorder Inventory-3 was adapted to Spanish and analyzed the internal psychometric properties of the test in a clinical sample of females with eating disorders. The results showed a high internal consistency of the scores as well as high temporal stability. The factor structure of the scale composites was analyzed using confirmatory factor analysis. The results supported the existence of a second-order structure beyond the psychological composites. The second-order factor showed high correlation with the factor related to eating disorders. Overall, the Spanish version of the EDI-3 showed good psychometric qualities in terms of internal consistency, temporal stability and internal structure.

Pharmacotherapy for Eating Disorders

2017 ◽  
Author(s):  
Susan McElroy ◽  
Anna I. Guerdjikova ◽  
Nicole Mori ◽  
Paul E. Keck
Keyword(s):  
Eating Disorders ◽  
Anorexia Nervosa ◽  
Eating Disorder ◽  
Mental Disorders ◽  
Bulimia Nervosa ◽  
Binge Eating ◽  
Binge Eating Disorder ◽  
Night Eating Syndrome ◽  
Night Eating

This chapter addresses the pharmacotherapy of the eating disorders (EDs). Many persons with EDs receive pharmacotherapy, but pharmacotherapy research for EDs has lagged behind that for other major mental disorders. This chapter first provides a brief rationale for using medications in the treatment of EDs. It then reviews the data supporting the effectiveness of specific medications or medication classes in treating patients with anorexia nervosa (AN), bulimia nervosa (BN), binge eating disorder (BED), and other potentially important EDs, such as night eating syndrome (NES). It concludes by summarizing these data and suggesting future areas for research in the pharmacotherapy of EDs.

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