Family involvement in eating disorder treatment among Latinas

Reyes‐Rodríguez, Mae Lynn; Watson, Hunna J.; Barrio, Concepción; Baucom, Donald H.; Silva, Yormeri; Luna-Reyes, Kiara L.; Bulik, Cynthia M.

doi:10.1080/10640266.2019.1586219

Cited by 19 publications

(22 citation statements)

References 28 publications

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“…Other Level 2 studies identified by the scoping review that, whilst not conceptually original, offered transferable findings included: general family education and support (Gisladottir et al, 2017; Gísladóttir & Svavarsdóttir, 2011), integrated approaches to treatment of adults that combine medical, nutritional and psychological treatment with family sessions (Onnis et al, 2012; Reyes‐Rodríguez et al, 2013; Reyes‐Rodríguez et al, 2019), brief strategic family therapy (Doba et al, 2013), a parental counseling intervention derived from brief Adlerian psychodynamic psychotherapy (Amianto et al, 2014), a relational/motivational adaptation of the multifamily therapy group model (Tantillo et al, 2015), and a couple‐based intervention for binge‐eating disorder integrated with cognitive‐behavioral therapy principles (Runfola et al, 2018). This range of progressive development demonstrates the variety of approaches and varying intensity of current FIT options for adults affected by EDs.…”

Section: Resultsmentioning

confidence: 99%

“…Offering additional context, key issues of importance in implementation and direction for clinical practice can be extrapolated. A recent example of this was, in order to investigate the role of family in the treatment of adult Latina patients with binge EDs, sessions with relatives adapted from the UNiting couples in the Treatment of Eating disorders‐BED edition (UNITE‐BED) model were offered aside CBT (Reyes‐Rodríguez et al, 2019).…”

Section: Resultsmentioning

confidence: 99%

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How are families included in the treatment of adults affected by eating disorders? A scoping review

Fleming

Brocque

Healy

2020

Intl J Eating Disorders

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Objective The involvement of families in the treatment of adults with eating disorders is recommended as a core component of comprehensive care, yet little is known about the optimal way to implement or routinely facilitate this. This article evaluates the recent evidence on the inclusion of families in treatment programs for adults with eating disorders. Method A systematic literature search was conducted to identify evidence of family inclusive treatment approaches for adults with eating disorders. A scoping review framework was applied to assess and synthesize findings. Results Sixty‐eight studies were identified. Substantial conceptual research contributing to the theoretical basis of current practice with families of adults with eating disorders and clinical applications in current use were identified. Most research used uncontrolled studies with few experimental designs, reflecting the standing of the extant literature. Common elements of existing approaches have been distinguished and shared core components of interventions identified. Discussion Results confirmed that family members of adults were willing to be involved with eating disorder treatment services and appeared to respond to interventions of varying intensity and duration. The impact on individual patients, and effect on treatment outcomes, are yet to be established. The localized settings of existing studies, the homogenous nature of interventions used, and the limited diversity in research subjects, make it difficult to generalize from the results to the wide range of adult eating disorder presentations seen in practice. Suggestions for future research and further clinical developments are discussed.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

How are families included in the treatment of adults affected by eating disorders? A scoping review

Fleming

Brocque

Healy

2020

Intl J Eating Disorders

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“…Existing empirically supported treatments for EDs do not explicitly discuss discrimination (Pennesi & Wade, 2016). Although researchers have begun to modify cognitive behavioral therapy to address culture specific factors for Latine individuals (e.g., Reyes‐Rodríguez et al, 2019; Shea et al, 2012), no treatment has been modified to address discrimination specifically. Treatments that effectively provide coping strategies to manage discriminatory experiences and reduce binge eating could improve both effectiveness of treatment and retention rates by more adequately addressing the unique experiences and realities of being Latine.…”

Section: Discussionmentioning

confidence: 99%

The impact of discrimination on binge eating in a nationally representative sample of Latine individuals

Johnson

Forbush

Swanson³

2022

Intl J Eating Disorders

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Objective: Latines have higher rates of eating disorders characterized by binge eating compared to their non-Latine white counterparts, yet culturally and socially relevant factors related to binge eating in Latines have been largely understudied. The purpose of the current study was to examine how discrimination and acculturative stress were associated with binge eating in a nationally representative sample of Latines.An additional aim was to test the extent to which family cohesion and social support could buffer against the effects of discrimination and acculturative stress on binge eating.Method: Participants (56% female, N = 2550) were Latines enrolled in the National Latino and Asian American Study. Structural equation modeling using 1000 resampled data sets built from machine learning iterative sampling procedures was used to examine the effects of discrimination, acculturative stress, family cohesion, and social support on binge eating.Results: Results indicated that only discrimination was significantly associated with binge eating. Neither the direct effect of acculturative stress, interaction of family cohesion and acculturative stress, interaction of social cohesion and acculturative stress, nor the interaction of social support and discrimination were significantly associated with binge eating.Discussion: This study highlights the need for mental-health providers to understand and assess discrimination among Latines presenting with concerns of binge eating.Treatments that effectively provide coping strategies to manage discriminatory experiences and reduce binge eating could improve both effectiveness of treatment and retention rates for Latine individuals with binge eating.Public Significance: This study examined the association of discrimination, acculturative stress, family cohesion, and social support with binge eating in Latines. Only discrimination was significantly associated with binge eating, highlighting the importance for providers to assess discrimination among Latines with binge-eating concerns and to improve equity, inclusion, and belonging at a societal level. Modifying existing treatments to address coping with discrimination could improve the effectiveness for Latines with binge-eating concerns.The term Latine is used throughout the manuscript to refer to people of Latin American descent in an attempt to use gender-inclusive language. However, it should be acknowledged that individuals in this group may choose to identify using different terms, including but not limited to Hispanic, Latino, Latino/a, Latinx, and Latin@.

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“…Die existierenden Berichte verwendeten teilweise lediglich Fragebögen ohne direkte Interviews der Beteiligten, fokussierten ausschließlich auf bestimmte Diagnosen, z. B. Essstörungen, oder bezogen entweder Patienten zusammen mit Bezugspersonen oder Behandlern ein, nicht jedoch alle 3 Gruppen [19][20][21]. Daher war das Ziel dieser Studie alle Interessensgruppen in einer repräsentativen Befragung mittels semi-strukturierter, direkter Interviews in unterschiedlichen Behandlungssettings (Tageskliniken, offene und geschützte stationäre Bereiche) zu untersuchen, um dadurch ein besseres Verständnis für das Ausmaß der aktuellen Einbeziehung von Bezugspersonen, die Erwartungen und Wünsche aller Interessensgruppen und die tatsächlich thematisierten Inhalte zu gewinnen.…”

Section: Conclusion Whether Caregivers Were Contacted and Involvedunclassified

Einbeziehung von Bezugspersonen im Rahmen eines psychiatrisch-stationären Behandlungsverlaufes

Schuster¹,

Holzhüter²,

Heres³

et al. 2021

Nervenheilkunde

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ZUSAMMENFASSUNG Ziele Die Einbeziehung von Angehörigen in die stationär-psychiatrische Behandlung wurde kaum durch repräsentative Studien untersucht. Ziel dieser Studie war es daher, die Einbeziehung von Angehörigen in die stationär-psychiatrische Routineversorgung anhand einer repräsentativen Stichprobe unter Beteiligung aller 3 Parteien (Patienten, Psychiater und Angehörige) zu untersuchen. Mit Hilfe von persönlich durchgeführten Interviews, bestehend aus geschlossenen und offenen Fragen, wollten wir ein tieferes Verständnis dafür gewinnen, wann Angehörige in die Behandlung einbezogen werden und welche Themen hauptsächlich zur Sprache kommen. Methoden In diese Querschnittsstudie wurden Patienten von 55 akut-psychiatrischen Stationen aus 10 psychiatrischen Kliniken, die behandelnden Psychiater und, wenn möglich, die zugehörigen Angehörigen einbezogen. Jeder Psychiater nannte zunächst 2–3 Patienten, die kurz vor der Entlassung standen, diese Patienten wurden um Studienteilnahme gebeten. Nachdem ein Patient in die Studienteilnahme eingewilligt hatte, wurde ein persönliches Interview durch einen Forscher durchgeführt. Zusätzlich wurde der behandelnde Psychiater und, wenn möglich, ein vom Patienten benannter Angehöriger befragt. Insgesamt konnten 247 Patienten und 247 Psychiater sowie 94 Angehörige in unsere Studie eingeschlossen werden. Ergebnisse Laut Patienten und Psychiater fand ein Kontakt zwischen Angehörigen und Psychiatern nur in einem Drittel der Fälle statt. Prädiktoren für den Arzt-Angehörigen-Kontakt waren die Diagnose des Patienten, die Anzahl der vorherigen stationär-psychiatrischen Aufenthalte und das behandelnde Krankenhaus. Nach Angaben der Psychiater wurden mit den Angehörigen am häufigsten therapeutische Fragestellungen besprochen sowie organisatorische und sozialpsychiatrische Themen geklärt. Patienten und Angehörige gaben dagegen an, dass die psychiatrische Behandlung und die diagnostische Einordnung der psychischen Erkrankung die häufigsten Gesprächsthemen waren. Die subjektive Wahrnehmung, dass die Einbeziehung eines Angehörigen in die Behandlung nicht notwendig ist, war der in allen Gruppen am häufigsten genannte Grund für eine ausbleibende Einbeziehung. Schlussfolgerung Ob ein Kontakt zwischen Angehörigen und Psychiatern stattfindet hängt stark vom zuständigen Krankenhaus ab. Daher könnte die Einbeziehung von Angehörigen in die stationär-psychiatrische Behandlung dadurch verbessert werden, dass bestehende Strukturen und Abläufe im Krankenhaus verändert werden. Auch ob Angehörige während eines stationären Aufenthaltes kontaktiert und einbezogen wurden, hing stark von der jeweiligen Klinik ab. Alle Parteien (Patienten, Angehörige und Psychiater) gaben zudem am häufigsten an, dass Angehörige nicht in die Behandlung einbezogen wurden, da dies unnötig sei. Dies steht im klaren Gegensatz zur existierenden Evidenz, welche zeigt, dass eine Angehörigeneinbeziehung einen positiven Einfluss auf den Behandlungsverlauf und das Wohlbefinden der Angehörigen selbst hat. Es ist daher notwendig, Wissen über die positiven Effekte der Angehörigeneinbeziehung zu vermitteln.

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Family involvement in eating disorder treatment among Latinas

Cited by 19 publications

References 28 publications

How are families included in the treatment of adults affected by eating disorders? A scoping review

How are families included in the treatment of adults affected by eating disorders? A scoping review

The impact of discrimination on binge eating in a nationally representative sample of Latine individuals

Einbeziehung von Bezugspersonen im Rahmen eines psychiatrisch-stationären Behandlungsverlaufes

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