Anorexia: a literature review of young people’s experiences of hospital treatment

Williams, Rhona; Smith, Matthew; Wright, David

doi:10.7748/ncyp.2020.e1313

Cited by 6 publications

(6 citation statements)

References 17 publications

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“…On the other hand, as discussed above, a face‐to‐face program provides more accountability for example through supervised meals, which is valuable for weight restoration. Given the process of weight gain generally being a challenging and distressing experience for people with EDs (Matthews et al., 2019 ; Williams et al., 2021 ), it is suggested that in the face‐to‐face treatment group, where significant changes to BMI were seen, the distress from the weight gain may have impacted on other indications of recovery, for example, leaving little energy and mental capacity for patients to work on addressing mood, relationships, social and home life, and so forth. Importantly, the additional impact of COVID‐19 itself must also be considered here, with reported increases in worry, loneliness, restlessness, and general sadness in some individuals with AN during the COVID‐19 lockdown (Schlegl et al., 2020 ), which would be likely to influence ED symptoms as well as occupational and social functioning which could be reflected in EDEQ and WSAS scores.…”

Section: Discussionmentioning

confidence: 99%

Therapy outcome of day treatment for people with anorexia nervosa before and during the COVID‐19 pandemic

Carr

Toloza

et al. 2022

Brain and Behavior

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Objective: The current research aimed to compare clinical outcome measures of two National Eating Disorder (ED) Day Services at the Maudsley Hospital from before the COVID‐19 lockdown, when treatment was face to face, with after the lockdown when treatment moved online. Method: Clinical outcome measures collected as part of the admission and discharge process were compared from the beginning and end of treatment for patients treated either via face‐to‐face or online delivery. Twenty‐nine patients’ data were analyzed (89% of them female, 11% male, 89% from White ethnic backgrounds, 11% from BAME ethnic backgrounds and a mean age of 25.99 years). Additionally, the mean change in outcome measures was also compared between the two groups (pre‐lockdown face to face and during lockdown online). Results: Treatment delivered face to face led to significant improvements in body mass index (BMI) but not in Eating Disorder Examination Questionnaire (EDEQ) Global and Work and Social Adjustment Scale (WSAS) Total scores. In contrast, treatment delivered online led to significant improvements in EDEQ Global and WSAS Total scores but not in BMI. Neither one of the delivery modalities created significantly larger mean changes in any of the clinical outcome measures than the other. Conclusions: Both face‐to‐face and online delivery of eating disorder day treatment show some success. Suggested improvements for using online delivery of treatment include implementing additional support opportunities, adapting the online format to improve communication and commitment and using a hybrid model of specific face‐to‐face elements with some online treatment.

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Section: Discussionmentioning

confidence: 99%

Therapy outcome of day treatment for people with anorexia nervosa before and during the COVID‐19 pandemic

Carr

Toloza

et al. 2022

Brain and Behavior

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“…It is worthwhile mentioning the possible therapeutic role of SGAs for patients with eating disorders, specifically, anorexia nervosa, where weight gain remains a challenge ( Williams et al, 2021 ). A systematic review and meta-analysis has shown a positive effect on weight gain ( Han et al, 2022 ).…”

Section: Discussionmentioning

confidence: 99%

Eating cognitions, emotions and behaviour under treatment with second generation antipsychotics: A systematic review and meta-analysis

Mutwalli¹,

Keeler²,

Bektas³

et al. 2023

Journal of Psychiatric Research

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“…11 To enable a turning point towards recovery for persons with AN, it is of great importance for the care to focus on both physical and psychological well-being. 17 Personal recovery from AN is characterised by being seen and understood as an individual, by receiving support in finding meaning in life beyond illness, by feeling hope for recovery and by regaining control and assuming responsibility over life. 18 Research indicates that care is influenced by societal gender norms, which in turn affect how healthcare professionals interact with patients and interpret patient complaints.…”

Section: Strengths and Limitations Of This Studymentioning

confidence: 99%

General psychiatric inpatient care for persons with anorexia nervosa—an integrative literature review protocol

Sandsten,

Lindgren,

Strömbäck

et al. 2023

BMJ Open

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IntroductionPeople diagnosed with anorexia nervosa are offered or compelled to undergo various treatments and therapies. In Sweden, the lack of highly specialised eating disorder services means that people with anorexia nervosa might be cared for in general psychiatric wards. However, there has been limited research attention paid to how this specific context might benefit or harm persons with anorexia nervosa. There is also limited evidence regarding which form of care is most effective in anorexia nervosa and which type of treatment is optimal in general psychiatric inpatient care. Our intention is to highlight personal and professional perspectives of care for patients with anorexia nervosa in this context, with a focus on person-centred care, gender and power. This protocol describes an integrative literature review aiming to synthesise existing knowledge on general psychiatric inpatient care for persons with anorexia nervosa.Methods and analysisThe study will be an integrative literature review following Whittemore and Knafl. We will search the academic databases PubMed, CINAHL and PsycInfo in accordance with a specific search strategy determined in collaboration with a librarian with expertise on systematic reviews. Data will be analysed using a constant comparison method. Persons with their own experience of anorexia nervosa in general psychiatric inpatient care will be involved as coresearchers.Ethics and disseminationAs this is a literature review, formal ethical review is not required. The findings will be disseminated through peer-reviewed publication and presented at conferences related to this field.AmendmentsIf we need to amend this protocol, we will give the date of each amendment, describe the change and give the rationale in this section.PROSPERO registration numberCRD42023426095.

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Anorexia: a literature review of young people’s experiences of hospital treatment

Cited by 6 publications

References 17 publications

Therapy outcome of day treatment for people with anorexia nervosa before and during the COVID‐19 pandemic

Therapy outcome of day treatment for people with anorexia nervosa before and during the COVID‐19 pandemic

Eating cognitions, emotions and behaviour under treatment with second generation antipsychotics: A systematic review and meta-analysis

General psychiatric inpatient care for persons with anorexia nervosa—an integrative literature review protocol

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