Knowledge, Attitudes and Challenges of Healthcare Professionals Managing People With Eating Disorders: A Literature Review

Seah, Xin Yi; Tham, Xiang Cong; Kamaruzaman, Netty Ryanie Binte; Klainin‐Yobas, Piyanee

doi:10.1016/j.apnu.2016.09.002

Cited by 28 publications

(44 citation statements)

References 45 publications

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“…Our meta‐ethnography highlighted coping strategies which appear conducive to HCP and service‐user wellbeing. The emphasis on connecting with common humanity, and being humbly open to learning and support, are similar to the findings of Salzmann‐Erikson and Dahlén (), and Seah et al (). What is novel is the notion of mindfully drawing on this humanity and humility to adopt a compassionate approach that eschews the rigidity of avoidance or blame.…”

Section: Discussionsupporting

confidence: 85%

“…This is the first meta‐ethnography to focus exclusively on HCPs' lived experiences of working with people with EDs. As well as supporting the findings of previous reviews (Salzmann‐Erikson & Dahlén, ; Seah et al, ; Sibeoni et al, ; Thompson‐Brenner et al, ), it yields new insights regarding the experiences of this work, and approaches to managing challenges in clinical practice. Findings from 37 studies, which spanned 21 years and were of moderate to high quality, were synthesized to produce a key concept of “Coping with caring without curing.” The meta‐ethnography describes how those working in ED services are limited in their capacity to help, which creates a painful dissonance that can impact on enjoyment of the job, perceptions of service users, and working alliances.…”

Section: Discussionsupporting

confidence: 82%

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The lived experience of working with people with eating disorders: A meta‐ethnography

Graham

Tierney

Chisholm

et al. 2020

Intl J Eating Disorders

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Objective Working with people with eating disorders (EDs) is known to elicit strong emotional reactions, and the therapeutic alliance has been shown to affect outcomes with this clinical population. As a consequence, it is important to understand healthcare professionals' (HCPs') experiences of working with this client group. Method A meta‐synthesis was conducted of qualitative research on HCPs' lived experiences of working with people with EDs. The results from the identified studies were analyzed using Noblit and Hare's meta‐ethnographic method. Data were synthesized using reciprocal translation, and a line of argument was developed. Results Thirty‐seven studies met the inclusion criteria. Reciprocal translation resulted in a key concept: “Coping with caring without curing.” This was underpinned by the following third‐order concepts: (a) “The dissonance and discomfort of being a helper struggling to help,” (b) “Defending against the dissonance,” and (c) “Accepting the dissonance to provide safe and compassionate care.” These concepts were used to develop a line‐of‐argument synthesis, which was expressed as a new model for understanding HCPs' experiences of working with people who have an ED. Discussion Although the conflict associated with being a helper struggling to help led some HCPs to avoid and blame people with EDs, others adopted a compassionate stance characterized by humanity, humility, balance, and awareness.

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Section: Discussionsupporting

confidence: 85%

Section: Discussionsupporting

confidence: 82%

The lived experience of working with people with eating disorders: A meta‐ethnography

Graham

Tierney

Chisholm

et al. 2020

Intl J Eating Disorders

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“…Even though the true weight distribution in eating disorders is well known to eating disorder treatment professionals, most other HCPs have very little understanding of this and many other important aspects of eating disorders. Multiple studies have demonstrated a lack of knowledge about and understanding of eating disorders among multidisciplinary HCPs including physicians, nurses, dietitians and others (Anderson, Accurso, Kinasz & Le Grange, 2015; Ayton & Ibrahim, 2018, Seah, Tham, Kamaruzaman, & Yobas, ). One recent review showed that HCPs feel their knowledge about eating disorders is poor and demonstrate low confidence in their ability to identify and/or care for individuals with eating disorders.…”

Section: Discussionmentioning

confidence: 99%

“…Another study found that HCPs believed that eating disorders are rare and unlikely to be encountered in many healthcare settings (Anderson, Accurso, Kinasz, & Le Grange, ). Misunderstandings about eating disorders are understandable in light of the fact that some medical trainees receive no education on eating disorders and many receive at most <2–4 hr throughout their training (Ayton & Ibrahim, ; Seah et al, ). Studies such as the current one are one way to make more up‐to‐date and accurate knowledge available to HCPs in efforts to address these critical knowledge gaps and improve early identification of those with these serious disorders.…”

Section: Discussionmentioning

confidence: 99%

“…This is consistent with previous findings (Hudson et al, 2007) and also with the true distribution of weight in eating disorders. (Ayton & Ibrahim, 2018;Seah et al, 2017). Studies such as the current one are one way to make more up-to-date and accurate knowledge available to HCPs in efforts to address these critical knowledge gaps and improve early identification of those with these serious disorders.…”

Section: Discussionmentioning

confidence: 99%

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The prevalence and correlates of eating disorders in adult emergency department patients

Dooley-Hash

Adams

Walton

et al. 2019

Intl J Eating Disorders

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Objective This study describes the prevalence of eating disorders among adult patients who present to the emergency department for medical care and examines the relationship between eating disorders, depression, and substance use disorders. Method Emergency department patients aged 21–65 years (n = 1,795) completed a computerized questionnaire that included validated screening tools for eating disorders, risky drinking behavior, other substance use, and depression. Analyses were conducted comparing individuals who screened positive for an eating disorder with those who did not based on demographics (gender, age, race, income, education), body mass index (BMI), risky drinking behavior, other substance use, and depression. Results Nearly 16% (15.9%) of all patients screened positive for an eating disorder regardless of their reason for presenting to the emergency department. Patients who screened positive for an eating disorder were significantly more likely to have a BMI > 30 (odds ratio [OR] = 2.68, confidence interval [CI] = 1.98, 3.62, p < .001), to also screen positive for depression (OR = 3.19, CI = 2.28, 4.47, p < .001) and to be female (OR = 2.37, CI = 1.76, 3.19, p < .001). No differences in the prevalence of positive screens for eating disorders were seen across age or racial groups, level of education or income, or for any of the included substance use variables. Discussion Eating disorders are common among adult emergency department patients and are associated with high rates of comorbid depression and higher BMI. Given the significant morbidity and mortality associated with eating disorders, targeted screening may be warranted in the emergency department setting.

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Key stakeholder perspectives on primary care for young people with an eating disorder: A qualitative study

Malson

Tischner

Herzig

et al. 2021

Community & Applied Soc Psy

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This paper examines the provision of primary care for young people with an eating disorder within the UK from the perspectives of three key stakeholder groups: young people with an eating disorder, carers of young people with an eating disorder and General Practitioners (GPs). Twentytwo young people with an eating disorder (aged 16-25) and 10 carers completed qualitative questionnaires or partici-

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Knowledge, Attitudes and Challenges of Healthcare Professionals Managing People With Eating Disorders: A Literature Review

Cited by 28 publications

References 45 publications

The lived experience of working with people with eating disorders: A meta‐ethnography

The lived experience of working with people with eating disorders: A meta‐ethnography

The prevalence and correlates of eating disorders in adult emergency department patients

Key stakeholder perspectives on primary care for young people with an eating disorder: A qualitative study

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