Specialist supportive clinical management for anorexia nervosa

McIntosh, Virginia V.W.; Jordan, Jennifer; Luty, Suzanne E.; Carter, Frances A.; McKenzie, Janice M.; Bulik, Cynthia M.; Joyce, Peter R.

doi:10.1002/eat.20297

Cited by 115 publications

(99 citation statements)

References 38 publications

(40 reference statements)

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“…However, given the position of SSCM as an atheoretical treatment with broad underpinnings found in clinical management and supportive psychotherapy, it was expected that the SSCM items may load across all factors. 14 …”

Section: Appendix A: Interrater Reliabilitymentioning

confidence: 99%

See 1 more Smart Citation

Evaluating the efficacy of a self-guided Web-based CBT intervention for reducing cancer-distress: a randomised controlled trial

Beatty

Koczwara

Wade

2015

Support Care Cancer

118

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Section: Appendix A: Interrater Reliabilitymentioning

confidence: 99%

“…14 The aims were to (1) develop and test a measure of therapist adherence for use in the SWAN study, (2) assess therapist adherence to the treatments under investigation, and (3) examine inter-site differences in therapist adherence.…”

Section: Introductionmentioning

confidence: 99%

Evaluating the efficacy of a self-guided Web-based CBT intervention for reducing cancer-distress: a randomised controlled trial

Beatty

Koczwara

Wade

2015

Support Care Cancer

118

View full text Add to dashboard Cite

show abstract

“…There is therefore a clear need for further research to facilitate this development. And, whilst outcome studies assessing and comparing the efficacy of the various treatment approaches continue to be vital, there is also, we would argue, a particular need for additional research which engages with a broader range of methodologies and theoretical perspectives to address a wider variety of aspects of treatment including, for example, investigation of patients' and health care workers' experiences of treatment (see Burns, 2004;Eivors et al, 2003;Gremillion, 2003;Malson, Finn, Treasure, Clarke, & Anderson, 2004;Ramjan, 2004) and of non-specific factors in treatment (see Le Grange & Gelman, 1998;McIntosh, Jordan, Luty, McKenzie, & Joyce, 2004) which may not be revealed in quantitative research.…”

Section: Introductionmentioning

confidence: 99%

Discursive constructions of ‘eating disorders nursing’: an analysis of nurses' accounts of nursing eating disorder patients

Ryan¹,

Malson

Clarke

et al. 2006

Eur. Eat. Disorders Rev.

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The contribution of nurses is a significant but notably underresearched aspect of hospital-based eating disorders treatment. This paper reports a qualitative interview-based study in which 15 nurses were interviewed about nursing children and adolescents diagnosed with eating disorder. A discourse analytic methodology was employed to analyse the resulting interview transcripts and focuses, in particular, on elucidating the various ways in which 'eating disorders nursing' was construed in participants' accounts. Three key constructions were revealed in which 'eating disorders nursing' was discursively constituted (i) as 'loving' or empathetic support, (ii) as a surveillance and disciplining of patients and (iii) as a constant and ever-present care. The implications of these constructions are discussed.

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“…127 Full details are given in McIntosh et al 140 There is a manual for therapists (available from the authors), 132 which contains patient handouts giving them relevant information on topics such as the risks of commonly used weight control behaviours and the impact of starvation on body and mind. These handouts are used flexibly throughout treatment.…”

Section: Specialist Supportive Clinical Managementmentioning

confidence: 99%

Treatment of anorexia nervosa: a multimethod investigation translating experimental neuroscience into clinical practice

Schmidt

Sharpe

Bartholdy

et al. 2017

Programme Grants Appl Res

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BackgroundAnorexia nervosa (AN) is a severe psychiatric condition and evidence on how to best treat it is limited.ObjectivesThis programme consists of seven integrated work packages (WPs) and aims to develop and test disseminable and cost-effective treatments to optimise management for people with AN across all stages of illness.MethodsWP1a used surveys, focus groups and a pre–post trial to develop and evaluate a training programme for school staff on eating disorders (EDs). WP1b used a randomised controlled trial (RCT) [International Standard Randomised Controlled Trial Number (ISRCTN) 42594993] to evaluate a prevention programme for EDs in schools. WP2a evaluated an inpatient treatment for AN using case reports, interviews and a quasi-experimental trial. WP2b used a RCT (ISRCTN67720902) to evaluate two outpatient psychological therapies for AN. WP3 used a RCT (ISRCTN06149665) to evaluate an intervention for carers of inpatients with AN. WP4 used actimetry, self-report and endocrine assessment to examine physical activity (PA) in AN. WP5 conducted a RCT (ISRCTN18274621) of an e-mail-guided relapse prevention programme for inpatients with AN. WP6 analysed cohort data to examine the effects of maternal EDs on fertility and their children’s diet and growth. WP7a examined clinical case notes to explore how access to specialist ED services affects care pathways and user experiences. Finally, WP7b used data from this programme and the British Cohort Study (1970) to identify the costs of services used by people with AN and to estimate annual costs of AN for England.ResultsWP1a: a brief training programme improved knowledge, attitudes and confidence of school staff in managing EDs in school. WP1b: a teacher-delivered intervention was feasible and improved risk factors for EDs in adolescent girls. WP2a: both psychological therapies improved outcomes in outpatients with AN similarly, but patients preferred one of the treatments. WP2b: the inpatient treatment (Cognitive Remediation and Emotional Skills Training) was acceptable with perceived benefits by patients, but showed no benefits compared with treatment as usual (TAU). WP3: compared with TAU, the carer intervention improved a range of patient and carer outcomes, including carer burden and patient ED symptomatology. WP4: drive to exercise is tied to ED pathology and a desire to improve mood in AN patients. PA was not increased in these patients. WP5: compared with TAU, the e-mail-guided relapse prevention programme resulted in higher body mass index and lower distress in patients at 12 months after discharge. WP6: women with an ED had impaired fertility and their children had altered dietary and growth patterns compared with the children of women without an ED. WP7a: direct access to specialist ED services was associated with higher referral rates, lower admission rates, greater consistency of care and user satisfaction. WP7b: the annual costs of AN in England are estimated at between £45M and £230M for 2011.ConclusionsThis programme has produced evidence to inform future intervention development and has developed interventions that can be disseminated to improve outcomes for individuals with AN. Directions for future research include RCTs with longer-term outcomes and sufficient power to examine mediators and moderators of change.Trial registrationCurrent Controlled Trials ISRCTN42594993, ISRCTN67720902, ISRCTN06149665 and ISRCTN18274621.FundingThis project was funded by the National Institute for Health Research (NIHR) Programme Grants for Applied Research programme and will be published in full inProgramme Grants for Applied Research; Vol. 5, No. 16. See the NIHR Journals Library website for further project information.

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Specialist supportive clinical management for anorexia nervosa

Abstract: Possible effective components of SSCM are discussed.

Cited by 115 publications

References 38 publications

Evaluating the efficacy of a self-guided Web-based CBT intervention for reducing cancer-distress: a randomised controlled trial

Evaluating the efficacy of a self-guided Web-based CBT intervention for reducing cancer-distress: a randomised controlled trial

Discursive constructions of ‘eating disorders nursing’: an analysis of nurses' accounts of nursing eating disorder patients

Treatment of anorexia nervosa: a multimethod investigation translating experimental neuroscience into clinical practice

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