Eating disorder symptoms and quality of life: Where should clinicians place their focus in severe and enduring anorexia nervosa?

Bamford, Bryony; Barras, Christina; Sly, R. Michael; Stiles‐Shields, Colleen; Touyz, Stephen; Grange, Daniel Le; Hay, Phillipa; Crosby, Ross D.; Lacey, Hubert

doi:10.1002/eat.22327

Cited by 58 publications

(46 citation statements)

References 35 publications

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“…In addition, those with more severe symptoms, depression, older age and the purging subtype of anorexia nervosa appeared to benefit more from CBT [24]. Within therapy predictors of outcome included the quality of the therapeutic alliance [28] and improved eating disorder symptoms and BMI [25].…”

Section: Randomized Controlled Trials Of Treatmentmentioning

confidence: 99%

Treatment of patients with severe and enduring eating disorders

Hay

Touyz

2015

Current Opinion in Psychiatry

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The staging model appears to have validity and clinical utility in anorexia nervosa, but this is less clear in other eating disorders. Most literature on treatment, including new randomised controlled trials, is on underweight individuals, and there is a small literature on emerging psychological therapies that may improve outcomes. There is an expectation that with better treatment engagement, there may also be a reduced need for involuntary interventions.

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Section: Randomized Controlled Trials Of Treatmentmentioning

confidence: 99%

Treatment of patients with severe and enduring eating disorders

Hay

Touyz

2015

Current Opinion in Psychiatry

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“…Results of Klatzkin et al 5 are also relevant, since eating disorders also lead to significant physical, social, psychological and health diseases (e.g. coronary problems, growth problems, unregulated electrolyte balance) and can even lead to death 9 .…”

Section: Introductionmentioning

confidence: 99%

Adaptação transcultural para o português dos Questionários de Desejos Intensos por Comida – Estado ou Traço (QDIC-E e QDIC-T) dos State and Trait Food-Cravings Questionnaires (FCQ-S and FCQ-T)

Ulian

Sato

Benatti

et al. 2017

Ciênc. saúde coletiva

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“…The term "severe and enduring eating disorders" (SEED) (Robinson, 2009) is a contemporary term used in clinical settings to identify people with an ED who experience the condition in a severe and enduring form. To date there is little consensus on the definition of SEED (Arkell and Robinson, 2008;Bamford et al, 2014;Elbaky et al, 2014;Long et al, 2012;Wonderlich et al, 2012). For example, six, seven and ten years duration of the illness have been used, in addition to the number of failed treatment attempts or body mass index.…”

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confidence: 99%

Comparing carer wellbeing: implications for eating disorders

Linacre

Heywood-Everett

Sharma

et al. 2015

Mental Health Review Journal

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Purpose -Around 50 per cent of carers of people with eating disorders (EDs) experience mental health difficulties. The purpose of this paper is to investigate well-being of carers of people with ED and carers of people with severe and enduring eating disorders (SEEDs). Design/methodology/approach -Carers (n ¼ 104) were recruited from UK support groups and stratified using duration of the care recipient's ED (0-2, 2-6, W6 years), with the W6 years category classified as SEED. Data were compared with existing carer well-being studies of other patient groups. Findings -Carers of people with SEED were not significantly different on reported well-being to carers of people with ED. However, carers of people with ED reported significantly less well-being than community norms, carers of people with brain injury and of people with dementia. Specifically, poorer social functioning was reported.Research limitations/implications -Further research on carers of people with SEED is warranted as carers of people with SEED were not equally balanced in gender. It would be beneficial if support groups and skill-based workshops were more available for carers. Originality/value -This is the first known study to compare carer well-being of people with SEED with carers of other clinical populations. Further research is required to identify the needs of carers.

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Eating disorder symptoms and quality of life: Where should clinicians place their focus in severe and enduring anorexia nervosa?

Abstract: Findings suggest that improvements in QoL may be dependent on symptom change and weight gain. Treatments seeking solely to improve QoL may be unlikely to produce lasting change and clinicians should maintain a focus on weight and behavioral symptoms as much as on improvements in QoL.

Cited by 58 publications

References 35 publications

Treatment of patients with severe and enduring eating disorders

Treatment of patients with severe and enduring eating disorders

Adaptação transcultural para o português dos Questionários de Desejos Intensos por Comida – Estado ou Traço (QDIC-E e QDIC-T) dos State and Trait Food-Cravings Questionnaires (FCQ-S and FCQ-T)

Comparing carer wellbeing: implications for eating disorders

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