A framework for conceptualising early intervention for eating disorders

被引:31
作者
Allen, Karina L. [1 ,2 ]
Mountford, Victoria A. [2 ,3 ]
Elwyn, Rosiel [4 ]
Flynn, Michaela [2 ]
Fursland, Anthea [5 ]
Obeid, Nicole [6 ]
Partida, Georgina [1 ]
Richards, Katie [2 ]
Schmidt, Ulrike [1 ,2 ]
Serpell, Lucy [7 ,8 ]
Silverstein, Scout [9 ]
Wade, Tracey [10 ]
机构
[1] South London & Maudsley NHS Fdn Trust, Maudsley Hosp, Eating Disorders Outpatients Serv, London, England
[2] Kings Coll London, Inst Psychiat Psychol & Neurosci, Dept Psychol Med, London, England
[3] LightHouse Arabia, Dubai, U Arab Emirates
[4] Univ Sunshine Coast, Thompson Inst, Gubbi Gubbi Country, Qld, Australia
[5] Swan Ctr, Perth, WA, Australia
[6] Childrens Hosp Eastern Ontario, Res Inst, Ottawa, ON, Canada
[7] UCL, Dept Clin Educ & Hlth Psychol, London, England
[8] North East London NHS Fdn Trust, Eating Disorder Serv, Essex, England
[9] Equip Hlth, Carlsbad, CA USA
[10] Flinders Univ S Australia, Flinders Inst Mental Hlth & Wellbeing, Adelaide, SA, Australia
基金
英国科研创新办公室;
关键词
anorexia nervosa; bulimia nervosa; early intervention; eating disorders; mental health; ANOREXIA-NERVOSA; BULIMIA-NERVOSA; 1ST EPISODE; SELF-HELP; CARE; HEALTH; TIME; DISSONANCE; ILLNESS; TRIAL;
D O I
10.1002/erv.2959
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
ObjectiveThis paper outlines the evidence base for early intervention for eating disorders; provides a global overview of how early intervention for eating disorders is provided in different regions and settings; and proposes policy, service, clinician and research recommendations to progress early intervention for eating disorders. Method and ResultsCurrently, access to eating disorder treatment often takes many years or does not occur at all. This is despite neurobiological, clinical and socioeconomic evidence showing that early intervention may improve outcomes and facilitate full sustained recovery from an eating disorder. There is also considerable variation worldwide in how eating disorder care is provided, with marked inequalities in treatment provision. Despite these barriers, there are existing evidence-based approaches to early intervention for eating disorders and progress is being made in scaling these. ConclusionsWe propose action steps for the field that will transform eating disorder service provision and facilitate early detection, treatment and recovery for everyone affected by eating disorders, regardless of age, socioeconomic status and personal characteristics.
引用
收藏
页码:320 / 334
页数:15
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