Self-Help and Stepped Care Treatments for Eating Disorders

Peterson, Carol B.; Pisetsky, Emily M.; Haut, Caroline

doi:10.1093/oxfordhb/9780190620998.013.19

Cited by 2 publications

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“…Indeed, it is a striking characteristic of all the published studies I have reviewed that beyond naming the text used and offering an occasional comment on the main areas covered (ref 57 offers the most careful descriptions), no reflections are ever made on the structure or style of the text concerned. What might we gain from attending to these aspects?…”

Section: Existing Empirical Evidence For Self-help and Creative Biblimentioning

confidence: 99%

Fiction-reading for good or ill: eating disorders, interpretation and the case for creative bibliotherapy research

Troscianko

2018

Med Humanities

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Compared with self-help bibliotherapy, little is known about the efficacy of creative bibliotherapy or the mechanisms of its possible efficacy for eating disorders or any other mental health condition. It is clear, however, that fiction is widely used informally as a therapeutic or antitherapeutic tool and that it has considerable potential in both directions, with a possibly significant distinction between the effects of reading fiction about eating disorders (which may-contrary to theoretical predictions-be broadly negative in effect) or one's preferred genre of other fiction (which may be broadly positive). Research on creative bibliotherapy, especially systematic experimental research, is lacking and requires a medical humanities approach, drawing on knowledge and methods from psychology and cognitive literary studies as well as clinical disciplines to expand our understanding of how the dynamic processes of interpretation mediate between textual structures and characteristics of mental health and illness.

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Section: Existing Empirical Evidence For Self-help and Creative Biblimentioning

confidence: 99%

Fiction-reading for good or ill: eating disorders, interpretation and the case for creative bibliotherapy research

Troscianko

2018

Med Humanities

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Working with families of adults affected by eating disorders: uptake, key themes, and participant experiences of family involvement in outpatient treatment-as-usual

et al. 2022

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Background Eating disorders are associated with significant personal and family costs. Clinical guidelines recommend family members be involved and supported during care, but little has been reported regarding the preferences of adults around carer involvement in treatment. The necessary intensity of family work with adults is also unknown. A trial of a standardised brief family involvement method was conducted in an adult eating disorder service offering treatment-as-usual. Uptake and feasibility of implementing the approach as part of standard outpatient care and the preliminary impact on issues identified by adult patients and carers were evaluated. Methods Eligible referrals at an adult eating disorders outpatient clinic were offered as needed family consultation to address presenting interpersonal problems identified by patients and their family members, and outcomes were evaluated 4 weeks later. Pre and post intervention surveys identified participant self-reported change in (i) problem frequency, (ii) distress and disruption caused, and (iii) confidence regarding presenting problems. Open text responses provided an overview of patient and carer goals for family involvement and revealed how the novel method impacted these areas as well as overall experience of, and feedback regarding, the brief family intervention. Results Twenty-four female participants aged 18–53, and 22 carers participated in 31 consultations. Common concerns raised were eating disorder related interpersonal and communication issues. The focused sessions, offered on a one-at-a-time basis, showed preliminary effectiveness for reducing both patients and carer concerns. For example, adult patients reported that life interference from interpersonal problems was lower and confidence to deal with them was higher following family consultation. Carers also reported that frequency, level of worry, and life interference around presenting problems were lower after the structured family intervention. Conclusions Brief family consultation, with a single focus on issues identified by family members and adult patients, was a safe and feasible procedure with adults affected by eating disorders. Effective at meeting the needs of participants, the framework investigated in the current study may also be a useful direction for adult services to consider when looking to support families and meet recommendations for their routine involvement in the outpatient care. Trial registration: Australian Clinical Trials Register number: ACTRN12621000047897 (www.anzctr.org.au).

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Self-Help and Stepped Care Treatments for Eating Disorders

Cited by 2 publications

References 0 publications

Fiction-reading for good or ill: eating disorders, interpretation and the case for creative bibliotherapy research

Fiction-reading for good or ill: eating disorders, interpretation and the case for creative bibliotherapy research

Working with families of adults affected by eating disorders: uptake, key themes, and participant experiences of family involvement in outpatient treatment-as-usual

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