“Sharing lived experience”: Describing a virtual counselor-facilitated LGBTQ+ support group for disordered eating.

Brownstone, Lisa M.; Hunsicker, Madeline J.; Palazzolo, LP A.; Dinneen, Jamie L.; Kelly, Devin A.; Stennes, John; Scanga, Sabrina

doi:10.1037/sgd0000660

Cited by 3 publications

(1 citation statement)

References 77 publications

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“…Gerson, et al [23] Zimmerman, et al [24] Hollis, et al [25] Brownstone, et al [26] Wang, ,et al, [27] Penwell, et al [28] Conroy, et al [ Zaccari, et al [32] El Ayadi, et al [33] Mendelson, et al [34] Ali, etal. [ qualitative semi structured interview.…”

Section: Table 2 -Studies Using Group Digital Interventions For 3 And...mentioning

confidence: 99%

The Journey from Non-Immersive to Immersive Multi-user Applications in Mental Health Care: Systematic Review (Preprint)

Fajnerova,

Hejtmánek,

Sedlák

et al. 2024

Preprint

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BACKGROUND Over the past 25 years, the development of multi-user applications has seen significant advancements and challenges. The technological development in this field has emerged from simple chatrooms, through videoconferencing tools to the creation of complex, interactive, and often multisensory virtual worlds. These multi-user technologies have gradually found their way into mental health care, where they are used in both dyadic counseling and group interventions. However, some limitations in hardware capabilities, user experience designs, and scalability may have hindered the effectiveness of these applications. OBJECTIVE The present systematic review aimed at summarizing the progress made and the potential future directions in this field while evaluating various factors and perspectives relevant to remote multi-user interventions. METHODS The systematic review was performed based on Web of Science (WoS) and PubMed database search covering articles in the English language published from January 1999 to March 2024 related to multi-user mental health interventions. Several inclusion and exclusion criteria were determined before and during the records screening process performed in several steps. RESULTS We have identified 49 records exploring the multi-user applications in mental health care, ranging from text-based interventions to interventions set in fully immersive environments. The number of publications exploring this topic is growing since 2015, with a large increase during COVID-19 pandemic. The majority of digital interventions were delivered in a form of video-conferencing, with only a few implementing immersive environments. The studies utilized professional or peer supported group interventions or a combination of both approaches. The research studies targeted diverse groups and topics, from nursing mothers to psychiatric disorders or various minority groups. Most group sessions happened weekly, or in case of the peer-suport groups, often with flexible schedule. CONCLUSIONS We have identified many benefits to multi-user digital interventions for mental healthcare. These approaches provide distributed, always available and affordable peer support that can be used to deliver necessary help to people living outside of areas where in-person interventions are easily available. While immersive virtual environments have become a common tool in many areas of psychiatric care, such as exposure therapy, our results suggest that this technology in multi-user settings is still in its early stages. Most identified studies investigated mainstream technologies, such as video conferencing or text-based support, substituting immersive experience for convenience and ease of use. While many studies discuss useful features of virtual environments in group interventions, such as anonymity or stronger engagement with the group, we discuss persisting issues with these technologies, which currently prevent their full adoption. CLINICALTRIAL N/A

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Section: Table 2 -Studies Using Group Digital Interventions For 3 And...mentioning

confidence: 99%

The Journey from Non-Immersive to Immersive Multi-user Applications in Mental Health Care: Systematic Review (Preprint)

Fajnerova,

Hejtmánek,

Sedlák

et al. 2024

Preprint

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Measuring Risk and Protective Factors for Eating and Body Image Concerns in LGBTGEQIAP+ Communities: An Instrument Development and Validation Study

Labarta,

Emelianchik-Key,

Peluso

et al. 2024

Int J Adv Counselling

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A living experience proposal for the co-occurring diagnosis of avoidant/restrictive food intake disorder and other eating disorders

Sharpe

2024

J Eat Disord

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The eating and feeding disorder section of the Diagnostic and Statistical Manual of Mental Disorders 5 Text Revision (DSM-5-TR) is organized by a diagnostic algorithm that limits the contemporaneous assignment of multiple eating disorder diagnoses. Avoidant/restrictive food intake disorder (ARFID) is a disturbance in food intake typically associated with lack of interest in food, food avoidance based on sensory characteristics, and/or fear of aversive consequences from eating. According to the DSM-5-TR, an ARFID diagnosis cannot be made when weight or shape disturbances are present, and ARFID cannot be co-diagnosed with other eating disorders characterized by these disturbances. However, emerging evidence from both clinical and lived experience contexts suggests that the co-occurrence of ARFID with multiple other types of eating disorders may be problematically invisibilized by this trumping scheme. The diagnostic criteria for ARFID can contribute to inappropriate diagnosis or exclusion from diagnosis due to excessive ambiguity and disqualification based on body image disturbance and other eating disorder pathology, even if unrelated to the food restriction or avoidance. This harmfully limits the ability of diagnostic codes to accurately describe an individual’s eating disorder symptomatology, impacting access to specialized and appropriate eating disorder care. Therefore, revision of the DSM-5-TR criteria for ARFID and removal of limitations on the diagnosis of ARFID concurrent to other full-syndrome eating disorders stands to improve identification, diagnosis, and support of the full spectrum of ARFID presentations.

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“Sharing lived experience”: Describing a virtual counselor-facilitated LGBTQ+ support group for disordered eating.

Cited by 3 publications

References 77 publications

The Journey from Non-Immersive to Immersive Multi-user Applications in Mental Health Care: Systematic Review (Preprint)

The Journey from Non-Immersive to Immersive Multi-user Applications in Mental Health Care: Systematic Review (Preprint)

Measuring Risk and Protective Factors for Eating and Body Image Concerns in LGBTGEQIAP+ Communities: An Instrument Development and Validation Study

A living experience proposal for the co-occurring diagnosis of avoidant/restrictive food intake disorder and other eating disorders

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