Measuring Clinical Efficacy Through the Lens of Audit Data in Different Adult Eating Disorder Treatment Programmes

Li, Zhuo; Dandil, Yasemin; Toloza, Cindy; Carr, Anna; Oyeleye, Oyenike; Kinnaird, Emma; Tchanturia, Kate

doi:10.3389/fpsyt.2020.599945

Cited by 13 publications

(18 citation statements)

References 48 publications

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“…The present findings lend further credence to previous work documenting that people with AN who report high levels of autistic traits have more severe psychological presentation (Li et al, 2020;Stewart et al, 2017;Tchanturia et al, 2019). Furthermore, the present findings add to the literature by highlighting that high levels of autistic traits predict poorer psychological outcome in long term.…”

Section: Resultssupporting

confidence: 88%

“…Similarly previous studies have documented that autistic traits not associated with BMI, but were strongly associated with psychological symptoms and general level of social functioning, among people with lived experience of AN (Kerr-Gaffney et al, 2020;Tchanturia et al, 2019). A recent examination of clinical audit data showed that AN patients reporting high levels of autistic traits had significantly higher BMI upon admission to inpatient care (Li et al, 2020). The focus on BMI as the measure of recovery, in particular, has been highlighted as less helpful for autistic people with AN, who discuss the psychological elements of recovery as being more difficult for them to manage (Sedgewick et al, 2021).…”

Section: Resultsmentioning

confidence: 56%

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Autism and anorexia nervosa: longitudinal prediction of eating disorder outcomes

Leppänen¹,

Sedgewick²,

Halls³

et al. 2022

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Background: Recently, elevated levels of autistic traits and autism diagnoses have been reported among people with anorexia nervosa (AN). In clinical settings high levels of autistic traits have been linked to more complex, highly comorbid illness presentation and poorer outcome. This study aimed to examine whether autistic traits predict AN symptom profile in long term. Methods: Altogether 118 women with lived experience of AN completed two autism assessments at time 1, the Autism Diagnostic Observation Schedule and the short version of the Autism Quotient. Measures assessing AN symptom profile, including eating disorders symptoms, anxiety, depression, OCD symptoms, and BMI, were also recorded. The symptom profile measures were administered again 6 months and 2 years later. We examined the extent to which the autism measures predicted AN symptom profile at each three time points.Results: Regardless of the autism measure used, high levels of autistic traits were consistently associated with worse psychological symptoms, but not BMI, across all time points. Discussion: The present findings solidify previously reported associations between autistic traits worse psychological outcome among people with AN. The findings also suggest that self-report measures may be sufficient for assessing autistic traits among people with AN. Importantly, the study highlights the need for development and further investigation of neurodiversity accommodations in the treatment of AN.

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Section: Resultssupporting

confidence: 88%

Section: Resultsmentioning

confidence: 56%

Autism and anorexia nervosa: longitudinal prediction of eating disorder outcomes

Leppänen¹,

Sedgewick²,

Halls³

et al. 2022

Preprint

Self Cite

View full text Add to dashboard Cite

show abstract

“…The present ndings lend further credence to previous work documenting that people with AN who report high levels of autistic traits have more severe psychological presentation (24,25,39). Furthermore, the present ndings add to the literature by highlighting that high levels of autistic traits predict poorer psychological outcome in long term.…”

Section: Discussionsupporting

confidence: 87%

Autism and anorexia nervosa: longitudinal prediction of eating disorder outcomes

Leppänen

Sedgewick

Halls

et al. 2022

Preprint

View full text Add to dashboard Cite

Background: Recently, elevated levels of autistic traits and autism diagnoses have been reported among people with anorexia nervosa (AN). In clinical settings high levels of autistic traits have been linked to more complex, highly comorbid illness presentation and poorer outcome. This study aimed to examine whether autistic traits predict AN symptom profile in long term. Methods: Altogether 118 women with lived experience of AN completed two autism assessments at time 1, the Autism Diagnostic Observation Schedule (ADOS) and the short version of the Autism Quotient (AQ10). Measures assessing AN symptom profile, including eating disorders symptoms, anxiety, depression, OCD symptoms, and BMI, were also recorded. The symptom profile measures were administered again 6 months and 2 years later. We conducted two analyses to examine the extent to which the ADOS and AQ10 scores predicted broad AN symptom profile at each three time points.Results: Overall, high levels of autistic traits were consistently associated with worse psychological symptoms, but not BMI, across all time points. Both the analysis using baseline ADOS scores and self-reported AQ10 scores showed similar pattern. Limitations: The sample consisted of young women only and it is therefore, difficult to ascertain whether these findings extend to other genders. Additionally, 70% of the participants who completed the self-report questionnaires at Time 1 also agreed to undergo ADOS assessment. This may have limited the power of the analysis involving ADOS scores compared to the analysis using AQ10 scores. Conclusions: The present findings solidify previously reported associations between autistic traits and worse psychological outcome among people with AN. The findings also suggest that self-report measures may be sufficient for assessing autistic traits among people with AN. Importantly, the study highlights the need for development and further investigation of neurodiversity accommodations in the treatment of AN.

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“…Kinnaird and colleagues demonstrated that patients with EDs, with and without autism spectrum comorbidity, are hypersensitive to smells, touch and noise, and hypersensitivity in different domains could be addressed in their treatment [ 4 – 6 ]. Clinical audit data shows that almost 37% of people with AN treated in inpatient and day-care programmes have high Autism Spectrum Condition (ASC) traits and are therefore likely to experience some sensory differences [ 7 ].…”

Section: Introductionmentioning

confidence: 99%

“…In the novel clinical pathway for autism and eating disorders, PEACE (Pathway for Eating disorders and Autism developed from Clinical Experience), we have started to measure sensory sensitivities in patients and have developed psychoeducation materials and experiential activities to support sensory wellbeing [ 8 ]. We also found that patients with no autistic traits as well as high autistic traits benefited from the sensory changes made in the dining room evidenced with focus groups [ 9 ]. Based on the research evidence [ 4 , 10 ], we have developed one-off workshops which offer both psychoeducational content and experiential activities to support patients by creating a soothing and helpful sensory toolkit.…”

Section: Introductionmentioning

confidence: 99%

Sensory wellbeing workshops for inpatient and day-care patients with anorexia nervosa

et al. 2021

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Summary Background The wellbeing of patients with eating disorders is one of the priorities in the “bigger picture” of treatment for eating disorders. Sensory soothing strategies for sensory sensitivities are supportive tools which could be useful in day-care and inpatient clinical programmes. Methods Evaluation of multiple separate sensory wellbeing workshops consisting of psychoeducation and experiential components delivered in inpatient and intensive day-care services was performed. Participants’ self-report questionnaires were evaluated pre- and post-workshop. Additionally, patients’ comments and qualitative feedback was collected after completion of the workshop. Results There was strong evidence that self-reported awareness of sensory wellbeing, awareness of strategies to enhance sensory wellbeing, and confidence in managing sensory wellbeing increased after the workshops with positive qualitative feedback from participants. The feedback questionnaires highlighted that patients found the sessions useful and were able to use some of the skills and strategies they learned in the workshop. Conclusion This pilot work on sensory wellbeing workshops with a protocol-based format was feasible and beneficial for the patient group. Preliminary evidence suggests that delivery of similar workshops could be sensible in addition to treatment as usual in inpatient and day-care programmes.

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Measuring Clinical Efficacy Through the Lens of Audit Data in Different Adult Eating Disorder Treatment Programmes

Cited by 13 publications

References 48 publications

Autism and anorexia nervosa: longitudinal prediction of eating disorder outcomes

Autism and anorexia nervosa: longitudinal prediction of eating disorder outcomes

Autism and anorexia nervosa: longitudinal prediction of eating disorder outcomes

Sensory wellbeing workshops for inpatient and day-care patients with anorexia nervosa

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