PSY2003 W6 Eating Disorders 2 - (L) Flashcards
How many clinicians report using the strongest therapy for eating disorder?
38% Report using strongest therapy, but they may take out key elements
How many clinicians report using evidenece-based treatment manuals?
Only 6% report using evidence based tretment manuals.
What do other therapies do clinicians deliver?
more deliver unevidenced ‘eclectic’ or ‘integrative’ therapies and many are untrained in the therapy they are using
What are some concerns about treatment of eating disorder that were identified by Scott Lilienfeld et al. 2013?
Over 600 therapies were identified in total, quite a few could be seen as wacky, many described as evidence-based, very few were evidence based
Matching intervention to the pathology: what makes different therapies different?
Different therapies have focused on different elements in the aetiology and maintenance of eating disorder.
What are some focus points of different therapies?
Biology, Genes, Family interaction, Sociocultural influences, trauma, bullying and teasing, negative life expereinces and many more
The most effective interventions focus on what factors?
Maintenance factors
What are some types of maintenance factors?
Safety behaviours, cognitive patterns, emotional patterns, social maintenance, family accommodation of symptoms, nutrition ( neurobiology)
What is an obvious approach in treating eating disorder?
Prevention methods
When would it be ideal to implement prevention methods?
Late childhood/early adolescence
Why is this method a good idea? - link to gov/economy
Massive potential benefits for limited investment
What are potential targets?
Lowering of eating and other cnocerns in the rpesent. Lower level of future development of eating disorders
Is prevention always good?
No it is not always risk- free, exampel with carter et al 1997 and Baronowski and Heatherington’s prevention interventions
Briefly explain Carter 2001 and Baronowski’s preventions
Both tried psychoeducation about dieting and eating disorder, targeted on schoolchildren aged 11-14.
What was the results of carter et al. 1997 and Baronowski & Heatherington 2001 prevention intervention?
Both cases the level of pathology got worse, Baronowski - short term, Carter - long term
What was problematic of the conclusions of these cases?
Carter did report this as a problem but others reproted it as success
What are some prevention approaches that work?
Le et al. (2017 - Clinical Psychology Review), Media Literacy approaches, Cognitive dissonance appraoches, CBT and weight manageemnt interventions
What was Le et al 2017 review ?
Carried out a review and meta-analysis, based on 58 studies, a lot fo the studies were weak, limiting the conclusions
What is the effect of a media literacy approache?
It reduces shape and weight concersn for everyone in the whole young population
What is the effect of Cognitive dissonance approaches?
Reduce eating behaviours and attitudes in high-risk groups
What is the CBT affect?
Reduce risk of dieting
What affect does weight management have?
Reduce some risk factors
What evidence for reduction in risk factors/current pathology?
Dissonance based approaches Stice et al, 2013
What do the authors of prevention approaches stres?
That we need to get better at reducing those numbers of cases, jusitifying the effort spent on prevention work