Objectives: Validated treatments for adults with bulimia nervosa (BN) and related presentations are scarce, and the current most evidenced treatment — cognitive behaviour therapy for eating disorders — is resource intensive and has suboptimal remission rates; there is, therefore, a need to evaluate the effectiveness of other approaches for treating such conditions in routine NHS services. Design: Data from nine patients in an NHS eating disorder service who received compassion-focused therapy (CFT) for BN or bulimic presentations were analysed retrospectively. Methods: Patients routinely completed a validated scale of eating disorder severity (the EDE-Q) at baseline and end of treatment. Results: All five scales of the EDE-Q showed a mean significant reduction (N = 9), indicating a significant reduction in eating disorder symptomatology, and individual analyses showed clinically reliable reduction in seven out of nine patients’ EDE-Q scores. Conclusions: This is the first article to report a case series of patients who benefitted significantly from receiving CFT for their eating disorder. Limitations of this study are considered along with future directions for research into effective treatments for eating disorders.
Objective: to investigate nurses’ strategies to cope with patients’ deaths and to explore potentialinfluences of cultural aspects on this phenomenon. Methodology: this is a cross-sectional study.The participants were 85 Registered Nurses from a Guyanese regional hospital. Data collectionwas carried out using a sociodemographic questionnaire and the Coping Strategies Inventoryby Lazarus and Folkman. Descriptive statistics and the Spearman’s correlation test, Student’st-test and Kruskal-Wallis test were performed to explore the data obtained. Results: most of theparticipants were women (85.9%) of African descent (56.5%). The mean age was 29.63 years old(SD=8.98), varying from 20 to 55 years old. Nurses have adopted the Planful problem-solving,Self-controlling and Positive reappraisal coping strategies to deal with patients’ deaths, and religionexerted an influence on the coping style they mentioned. Years as a Registered Nurse had positivecorrelations between the Planned problem-solving, Positive reappraisal, Seeking social support andDistancing coping styles related to patients’ deaths. Nurses professing the Hindu religion presentedhigher scores related to the Escape-avoidance coping style. Conclusion: even without specifictraining in coping with death, Guyanese nurses have adopted adequate coping strategies to dealwith this phenomenon. Cultural beliefs, such as religions of different philosophical and spiritualframeworks, may influence nurses’ coping strategies in the face of patients’ deaths.
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