Recovered eating disorder therapists using their experiential knowledge in therapy: A qualitative examination of the therapists’ and the patients’ view

Vos, Jan Alexander de; Netten, Carmen; Noordenbos, Greta

doi:10.1080/10640266.2015.1090869

Cited by 28 publications

(47 citation statements)

References 21 publications

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“…In EDs, recovered therapists can be quite empathetic, but utilizing one’s own experience effectively in the treatment of others is a complex psychotherapeutic tool that requires maturity and insight about one’s own biases, with recovery of the provider thought to be important for success as a care provider. 33–35 Unfortunately, 12% of the dietitians that did not report ever obtaining treatment of an ED (combined D-HC and D-ON groups) scored above the screening threshold suggestive of a current ED. 26,27 ED professionals that have not fully recovered may have a high risk for relapse for themselves, and may not even be aware of their own cognitive biases.…”

Section: Discussionmentioning

confidence: 99%

Orthorexia Nervosa and Eating Disorder Symptoms in Registered Dietitian Nutritionists in the United States

Tremelling¹,

Sandon²,

Vega³

et al. 2017

Journal of the Academy of Nutrition and Dietetics

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Background Dietitians are trained to identify optimal food choices for clients based on medical state and lifestyle. Orthorexia nervosa (ON) is a proposed disorder related to obsessions about eating healthfully; eating disorders (ED) are serious mental illnesses with symptoms related to eating, body image, and self-esteem. Both ON and EDs are more common amongst dietitians than the general population. Objective This study examined the prevalence of ON and EDs in dietitians in the United States and, amongst this sample, assessed whether the presence of ON symptoms related to symptoms of EDs, including weight, shape, eating, and restraint. Design A cross-sectional design compared responses for participants after dividing into three groups: those scoring at-risk for ON, those with a current or past ED, and a comparison group. Participants A sample of 2,500 registered dietitians were invited to complete surveys electronically; 636 responses were received. Main Outcome Measures Scores on the ORTO-15 and Eating Disorder Examination Questionnaire (EDE-Q) determined prevalence of ON and EDs. Differences in these measures, and body mass index (BMI) were compared in the three groups. Statistical Analyses Analysis of Variance (ANOVA) and Chi-square analyses compared the groups. Results For the entire sample, scores on the ORTO-15 suggested 49.5% were at risk for ON, and scores on the EDE-Q suggested 12.9% were at risk for an ED, with 8.2% of dietitians self-disclosing treatment for an ED. Both the group disclosing ED treatment and the group at risk for ON had a lower mean BMI, lower scores on the ORTO-15 and higher scores on the EDE-Q and all its subscales than the comparison group. Conclusions Clarifying the relationship between ON and EDs is warranted, as ON symptoms appear to be associated not only with disturbances in eating but also with elevated shape and weight concerns.

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Section: Discussionmentioning

confidence: 99%

Orthorexia Nervosa and Eating Disorder Symptoms in Registered Dietitian Nutritionists in the United States

Tremelling¹,

Sandon²,

Vega³

et al. 2017

Journal of the Academy of Nutrition and Dietetics

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“…One of the potential benefits of FBIs is that it allows patients to gain experiential knowledge of what it is like to have a different body with different physical dimensions. Experiential knowledge has the ability to enhance clinical insight from the perspectives of both the clinicians and the patients (De Vos et al, 2016). Moreover, the ability to acquire experiential knowledge within clinical settings may expand the potential of patients with a rigid thinking pattern who would otherwise drop out because of a lack of emotional engagement (Riva, 2003).…”

Section: Implications and Future Researchmentioning

confidence: 99%

Systematic Review and Meta-Analysis of Virtual Reality in Mental Healthcare: Effects of Full Body Illusions on Body Image Disturbance

Turbyne

Goedhart

Koning

et al. 2021

Front. Virtual Real.

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Background: Body image (BI) disturbances have been identified in both clinical and non-clinical populations. Virtual reality (VR) has recently been used as a tool for modulating BI disturbances through the use of eliciting a full body illusion (FBI). This meta-analysis is the first to collate evidence on the effectiveness of an FBI to reduce BI disturbances in both clinical and non-clinical populations.Methods: We performed a literature search in MEDLINE (PubMed), EMBASE, PsychINFO, and Web of Science with the keywords and synonyms for “virtual reality” and “body image” to identify published studies until September 2020. We included studies that (1) created an FBI with a modified body shape or size and (2) reported BI disturbance outcomes both before and directly after the FBI. FBI was defined as a head-mounted display (HMD)-based simulation of embodying a virtual body from an egocentric perspective in an immersive 3D computer-generated environment.Results: Of the 398 identified unique studies, 13 were included after reading full-texts. Four of these studies were eligible for a meta-analysis on BI distortion inducing a small virtual body FBI in healthy females. Significant post-intervention results were found for estimations of shoulder width, hip width, and abdomen width, with the largest reductions in size being the estimation of shoulder circumference (SMD = −1.3; 95% CI: −2.2 to −0.4; p = 0.004) and hip circumference (SMD = −1.0; 95% CI: −1.6 to −0.4; p = 0.004). Mixed results were found in non-aggregated studies from large virtual body FBIs in terms of both estimated body size and BI dissatisfaction and in small virtual body FBI in terms of BI dissatisfaction.Conclusions: The findings presented in this paper suggest that the participants' BIs were able to conform to both an increased as well as a reduced virtual body size. However, because of the paucity of research in this field, the extent of the clinical utility of FBIs still remains unclear. In light of these limitations, we provide implications for future research about the clinical utility of FBIs for modulating BI-related outcomes.

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“…Early research in this area suggests, in line with the findings from the current study, that peer-mentoring can increase hope for current sufferers [ 57 , 58 ]. A recent study has examined the effect of therapists working in the field of eating disorders with lived experience of an eating disorder themselves and found that using experiential knowledge can have advantages such as providing insights into the recovery process and enhancing hope for recovery but that this knowledge must be shared thoughtfully and without specific details about symptomatology [ 59 ]. The current study adds to the emerging research in the field of eating disorders regarding recovery-oriented approaches and lived-experience integration however, much more research is needed.…”

Section: Discussionmentioning

confidence: 99%

Are recovery stories helpful for women with eating disorders? A pilot study and commentary on future research

et al. 2018

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BackgroundAnecdotally it is well known that eating disorder memoirs are popular with people with anorexia nervosa and recovery stories are readily available online. However, no research to date has empirically explored whether such stories are helpful for current sufferers. The aim of the current pilot study was to explore the efficacy of recovery narratives as a means of improving motivation and self-efficacy and to qualitatively explore patient perspectives of such stories.MethodFifty-seven women with anorexia nervosa and subclinical anorexia nervosa participated in this online study. Participants were randomised to either receive recovery stories or to a wait-list control group. After completing baseline measures, participants read five stories about recovery, and completed post-intervention measures two weeks later.ResultsThe quantitative results indicated that reading stories of recovery had no effect on motivation and self-efficacy over a two-week period. In contrast, the qualitative results showed that the stories generated thoughts about the possibility of recovery and the majority indicated they would recommend them to others.ConclusionsThis study adds to a growing body of research exploring the integration of voices of lived experience into treatment approaches. Future research should focus on 1) identifying for whom and at which stage of illness recovery stories might be helpful; 2) the mechanism via which they might operate; and 3) the most helpful way of presenting such stories.

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Recovered eating disorder therapists using their experiential knowledge in therapy: A qualitative examination of the therapists’ and the patients’ view

Cited by 28 publications

References 21 publications

Orthorexia Nervosa and Eating Disorder Symptoms in Registered Dietitian Nutritionists in the United States

Orthorexia Nervosa and Eating Disorder Symptoms in Registered Dietitian Nutritionists in the United States

Systematic Review and Meta-Analysis of Virtual Reality in Mental Healthcare: Effects of Full Body Illusions on Body Image Disturbance

Are recovery stories helpful for women with eating disorders? A pilot study and commentary on future research

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