The quality of treatment of eating disorders: A comparison of the therapists' and the patients' perspective

Rie, Simone de la; Noordenbos, Greta; Donker, Marianne; Furth, Eric F. van

doi:10.1002/eat.20494

Cited by 50 publications

(51 citation statements)

References 34 publications

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“…According to the patients' view, the therapist and especially a feeling of trust toward the therapist were the most important elements of what they considered high-quality therapy [18,19]. The patients believed that a good therapist needs to have "good communication skills, knowledge of and experience with EDs, the ability to facilitate engaging in a relationship with the patient, to listen to the patient, to stand beside the patient and work together, and to focus on the person and not the disorder" [18].…”

Section: The Therapist's Characteristicsmentioning

confidence: 99%

“…The patients believed that a good therapist needs to have "good communication skills, knowledge of and experience with EDs, the ability to facilitate engaging in a relationship with the patient, to listen to the patient, to stand beside the patient and work together, and to focus on the person and not the disorder" [18]. Therapists having specific expertise in EDs seem to be very important elements for a positive outcome of the therapy, both for the patients and their families [19].…”

Section: The Therapist's Characteristicsmentioning

confidence: 99%

“…Moreover, in terms of differences across diagnostic groups, individuals with a diagnosis of AN were found to have lower psychological and physical/ cognitive QoL than those with an OSFED or BN diagnosis [24]. Even after long-term treatment or recovery from EDs, the expatients reported only a slight improvement in their QoL [18]. In most cases, the QoL remained poorer than controls [25,26].…”

Section: Quality Of Lifementioning

confidence: 99%

See 2 more Smart Citations

The Patient’s Perspective: Exploring Factors that Contribute to Recovery from Eating Disorders

Gonidakis¹,

Karapavlou²

2017

Eating Disorders - A Paradigm of the Biopsychosocial Model of Illness

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Eating Disorders (EDs) are quite distinct and difficult to treat mental disorders. Remarkably, when reviewing studies on the recovery process of ED's, the patients' experience of the therapeutic process has rarely been taken into account. To address the issue of the patients perspective on their recovery a study was conducted among ED patients. The main aims of the study were to investigate treatment factors, according to the patients view, that contributed to their recovery. Also, if there was any significant improvement within the first six months of the treatment and whether subjective improvement was in accordance with objective ED improvement and finally possible, if any, differences between different diagnostic groups.Overall, four major conclusions were produced. First, most of the patients appreciate a structured therapy in a specialized unit for EDs with a caring therapist that can form a strong therapeutic alliance with them. Second, most of the patients regard as recovery a change that goes beyond ED symptomatology to a more "holistic" improvement. Third, the patients opinion on therapy and recovery is not influenced by the diagnosis of the ED. Finally, the opinion of the patient and the objective evaluation of recovery present more similarities than differences.

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Section: The Therapist's Characteristicsmentioning

confidence: 99%

Section: The Therapist's Characteristicsmentioning

confidence: 99%

Section: Quality Of Lifementioning

confidence: 99%

See 1 more Smart Citation

The Patient’s Perspective: Exploring Factors that Contribute to Recovery from Eating Disorders

Gonidakis¹,

Karapavlou²

2017

Eating Disorders - A Paradigm of the Biopsychosocial Model of Illness

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“…However, previous research suggests that there are significant differences between aspects of treatment valued by providers and patients (de la Rie et al, 2008), and learning about the sufferer's perspective could contribute to developing interventions which may be more effective.…”

Section: Introductionmentioning

confidence: 99%

Treatments for Eating Disorders: The Patients' Views

Escobar-Koch¹,

Cruzat־Mandich²,

Urzúa³

2012

Relevant Topics in Eating Disorders

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“…Esto cobra mayor relevancia aún en el caso de los trastornos alimentarios, debido a que existen escasas investigaciones cualitativas referidas a la evaluación del proceso terapéutico desde la perspectiva de los terapeutas, encontrándose solo investigaciones que comparan las percepciones de pacientes y terapeutas (de la Rie, Noordenbos, Donker & van Furth, 2008;Kelley, 2005;Rial, Castañeiras, García, Gómez & Fernández-Álvarez, 2006;Vanderlinden, Buis, Pieters & Probst, 2007), las que no se refieren centralmente al proceso terapéutico.…”

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Proceso Psicoterapéutico Desde la Perspectiva de Terapeutas que Tratan Trastornos Alimentarios: Un Estudio Cualitativo

Besser

Moncada

2013

Psykhe (Santiago)

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La presente investigación tuvo como objetivo conocer la evaluación subjetiva de la terapia y el proceso de cambio terapéutico, así como los elementos que lo hacen posible, desde la perspectiva de 8 terapeutas mujeres que trabajan con pacientes mujeres con anorexia nerviosa, tanto en centros especializados como en atención particular. Se utilizó una metodología cualitativa, aplicando entrevistas episódicas, las que fueron analizadas según los fundamentos de la grounded theory. Los resultados proponen la existencia de 3 etapas, denominadas psicoeducación, interpretativa y mantención, que estarían contribuyendo a la explicación de la evolución del proceso psicoterapéutico en este tipo de pacientes, así como los factores que estarían facilitando u obstaculizando la consecución de cambios terapéuticos. Entre los facilitadores, se establece la alianza como el factor primordial que promueve el cambio terapéutico, mientras que las características propias de la anorexia, tales como la resistencia al cambio, se presentan como el mayor obstaculizador. Se discuten los hallazgos encontrados a la luz de la proposición de un modelo explicativo del fenómeno. Palabras clave: proceso psicoterapéutico, cambio terapéutico, trastorno alimentario, terapeutaThis study aimed to understand the subjective evaluation of therapy and the process of therapeutic change, as well as the elements that make this possible, from the perspective of 8 women therapists working with patients with anorexia nervosa, both in specialized centers and private practice. A qualitative methodology was applied, using episodic interviews, which were analyzed using the principles of grounded theory. The results suggest the existence of 3 stages that have been labeled psychoeducation, interpretative, and maintenance, which may help to explain the evolution of the psychotherapeutic process in these patients, as well as the factors that facilitate or hinder the achievement of therapeutic changes. Among the facilitators, alliance is established as the primary factor that promotes therapeutic change, while the characteristics of anorexia, such as resistance to change, are presented as the strongest hindering factors. The findings are discussed in light of a proposed explanatory model of the phenomenon.Keywords: psychotherapeutic process, therapeutic change, eating disorders, therapist Los trastornos alimentarios constituyen en la actualidad cuadros de gran relevancia social, especialmente en la población de más alto riesgo: mujeres jóvenes y adolescentes de países desarrollados o en vías de desarrollo (Peláez, Labrador & Raich, 2005). Se trata de enfermedades psicosomáticas que figuran entre los problemas de salud que se presentan con mayor frecuencia entre los adolescentes y cuya letalidad es la más alta entre los problemas psiquiátricos (Cruzat, Ramírez, Melipillán & Marzolo, 2008). A esto se suma que la incidencia de la anorexia nerviosa María Cecilia Besser Spichiger, Escuela de Psicología, Pontificia Universidad Católica de Chile, Santiago, Chile; Laura Moncada Ar...

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The quality of treatment of eating disorders: A comparison of the therapists' and the patients' perspective

Cited by 50 publications

References 34 publications

The Patient’s Perspective: Exploring Factors that Contribute to Recovery from Eating Disorders

The Patient’s Perspective: Exploring Factors that Contribute to Recovery from Eating Disorders

Treatments for Eating Disorders: The Patients' Views

Proceso Psicoterapéutico Desde la Perspectiva de Terapeutas que Tratan Trastornos Alimentarios: Un Estudio Cualitativo

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