Children/adolescents with Eds Flashcards
Statistics of EDs in children
3 in 100,000 children <13 yrs old develop clinical EDs. The age at which they present is reducing (van sol et al.)
At what age are weight concerns evident from in children?
5 years old (Daivson et al.,)
At what age are they aware of and internalise an ‘ideal body image’?
6 years old.
What are the psychological variables involved with disordered eating attitudes?
Experiences of weight stigma, internalisation of appearance ideals and perfectionism leading to body dissatisfaction.
What are the emotional responses family give? (Treasure et al.,)
Ostrich - kinda sticking their head in the sand a bit and pretending it isn’t happening until it reaches something serious.
Jellyfish - emotions are uncontained, a bit wobbly.
What are the behavioural responses family give? (Treasure et al.,)
Rhino - firming tellings to the child, assertive.
Kangaroo - want to protect the child, quite unhelpful, babying the child, promotes reinforcement of compensatory behaviours.
What is needed both behaviourally and emotionally?
St Bernard Approach (behaviourally) - calm and steady, keeping emotions contained for the sake of the child.
Dolphin (emotionally) - gentle nudges, as and when needed.
What is the Maudsley family based treatment approach?
Is an intensive, outpatient treatment. It opposes the view that the family is part of the problem and views them as an essential resource for recovery. involves 15-20 min sessions over 12 months.
What is phase 1 of FT-AN?
Weight restoration
- focus on the consequences of the AN-associated malnutrition inc growth hormone levels.
- therapist assesses the family’s typical interaction and eating habits.
- assists w / refeeding the child.
What is phase 2 of FT-AN?
Returning control over eating to the adolescent
- weight gain w / minimum tension is encouraged.
What is phase 3 of FT-AN?
Establishing healthy adolescent identity
- when the child is able to maintain their weight above 95% of their ideal on their own.
- support w / personal autonomy.
What is phase 4 of FT-AN?
Ending and discussion of future plans
- relapse prevention
What did Russel et al. find when comparing family based treatment to individual treatment?
That family based treatment was more effective for those aged <19 yrs old, with <3 yrs duration of their illness. 90% of patients achieved normal weight.
What did Eisler et al. find when the Maudsley approach was conducted separately - i.e. parents and patient were seen on separate occasions?
Found that 70% returned to their normal weight.
