Improving eating disorder care for underserved groups: a lived experience and quality improvement perspective
Journal of Eating Disorders,
Год журнала:
2025,
Номер
13(1)
Опубликована: Янв. 22, 2025
Improvements
to
eating
disorder
(ED)
care
are
urgently
needed
in
the
United
Kingdom
(UK)
and
around
world.
Informed
by
my
lived
experiences,
independent
research,
involvement
underappreciated
field
of
quality
improvement
(QI),
I
have
written
this
article
offer
ideas
on
how
improve
individuals'
access
experiences
ED
care.
As
live
UK,
QI
UK's
National
Health
Service
(NHS).
However,
much
article's
content
can
be
applied
broadly
healthcare
providers
world,
as
similar
improvements
internationally.
Furthermore,
commentary
is
informed
latest
international
research.
In
paper,
will
identify
discuss
12
groups
individuals
whom
believe
more
likely
underserved
The
'underserved
groups'
(USGs)
follows:
[USG.
1]
People
with
longstanding
EDs
and/or
older-age
sufferers;
2]
Younger
children/preadolescents;
3]
under-recognised/underappreciated
EDs;
4]
higher
weights;
5]
comorbidities;
6]
neurodevelopmental
conditions
(neurodiverse
people);
7]
Digitally
excluded
people;
8]
Socioeconomically
sociogeographically
disadvantaged
9]
Ethnic/racial
minorities;
10]
Sexual
gender-diverse
11]
Males;
12]
Caregivers/loved
ones.
sufferers/caregivers
also
an
group
a
whole
general
mental
health
care,
so
broader
considerations
for
improving
explored
future
publication;
these
include
stigma,
research
biases,
inadequate
clinical
monitoring
diagnosing,
poor-quality
treatments,
disorganised
service
transitions,
systemic
problems/inefficiencies,
underfunding/under-resourcing.
Specific
recommendations
USGs
1–12
must
considered
alongside
other
issues.
Throughout
both
articles,
advocate
humanistic
model/approach
based
inexpensive
principles
compassion,
hope,
empathy,
appreciation
(of
identity),
patience
('CHEAP').
Язык: Английский
Insatisfacción corporal, ortorexia y adicción al entrenamiento en corredores de resistencia aficionados
Cuadernos de Psicología del Deporte,
Год журнала:
2024,
Номер
24(1), С. 1 - 25
Опубликована: Янв. 3, 2024
The
aim
of
the
present
study
was
to
find
out
whether
there
is
a
relationship
between
body
dissatisfaction,
orthorexia,
and
exercise
dependence
in
sample
amateur
endurance
runners,
as
well
examine
psychological
variables
such
identity,
perfectionism,
focus
by
comparing
groups
obtaining
profiles.
To
this
end,
129
runners
participating
XIII
edition
Trail
7
Colinas
de
Tartessos
2023
(96
men
33
women;
mean
age
M=45.5;
SD=8.4),
completed
Body
Shape
Questionnaire
(BSQ
14),
Orthorexia
11
(ORTO-11),
Multidimensional
Perfectionism
Inventory
Competitive
Sport
(MIPS),
Athletic
Identity
Measurement
Scale
(AIMS),
ad
hoc
Satisfaction
(CS),
Perception
Success
(POSQ).
Data
parameters
runner
were
also
recorded.
results
showed
that
15%
presented
dissatisfaction
16%
orthorexia.
In
addition,
13
%
had
both
manifestations.
A
significant
positive
correlation
found
Both
negatively
correlated
with
expressed
satisfaction
image.
However,
no
dependence,
although
components
related
variables;
component
negative
positively
sports
identity.
relevant
comparison
relation
separately
discrimination;
perfectionism
on
manifest
identity
scale
El
objetivo
del
estudio
fue
conocer
si
existe
relación
entre
la
insatisfacción
corporal,
ortorexia
y
dependencia
al
ejercicio
en
una
muestra
corredores
resistencia
aficionados,
así
como
examinar
las
psicológicas
identidad,
el
perfeccionismo
enfoque
través
comparación
grupos
obtención
perfiles.
Para
ello,
participantes
edición
hombres
mujeres;
media
edad
DT=8.4),
completaron
cuestionario
imagen
corporal
(Body
Qustionnaire,
BSQ
Inventario
multidimensional
Deporte
competición
Escala
medición
identidad
deportiva
Satisfacción
Manifiesta
Percepción
Éxito
También
se
registraron
los
datos
parámetros
corredor.
Los
resultados
mostraron
que
presentaron
16
ortorexia.
Además,
ambas
manifestaciones.
Se
encontró
correlación
significativa
positiva
Ambas
también
correlaciones
negativas
con
satisfacción
manifiesta
sobre
corporal.
Sin
embargo,
ejercicio,
aunque
componentes
esta
última
relacionaron
psicológicas;
componente
positivo
mostró
negativa
perfeccionismo,
negativo
relacionó
positivamente
deportiva.
resultaron
relevantes
ortorexia,
manera
separadas
discriminación;
escala
O
objectivo
do
estudo
foi
analisar
uma
relação
insatisfação
e
dependência
exercício
numa
amostra
amadores
endurance,
bem
variáveis
identidade,
o
foco,
através
da
comparação
obtenção
perfis.
efeito,
na
edição
em
homens
mulheres;
idade
média
DP=8.4),
preencheram
Foram
igualmente
registados
os
dados
parâmetros
enquanto
corredores.
Os
mostraram
dos
apresentavam
além
disso,
13%
manifestações.
Foi
encontrada
correlação
estavam
também
negativamente
correlacionadas
com
satisfação
expressa
imagem
No
entanto,
não
qualquer
exercício,
embora
estivessem
relacionados
evidenciou
estava
relacionado
identidade
desportiva.
foram
à
separadamente
discriminação;
manifesta
Current evidence and future perspectives in the exploration of sleep-related eating disorder–a systematic literature review
Frontiers in Psychiatry,
Год журнала:
2024,
Номер
15
Опубликована: Май 30, 2024
Sleep-related
eating
disorder
(SRED)
is
a
non-REM
parasomnia
with
potentially
significant
negative
effects
on
general
health
(dangerous
activities
during
night
episodes,
obesity,
or
metabolic
syndrome,
for
example).
Although
the
history
of
SRED
encompasses
more
than
six
decades,
public
awareness
and
even
mental
specialists
this
very
limited,
phenomenon
that
hinders
development
research
in
field.
Therefore,
systematic
review
based
PRISMA
2020
guidelines
explored
available
evidence
found
four
electronic
databases
(PubMed,
Cochrane
Collaboration,
Google
Scholar,
Clarivate/Web
Science).
A
number
94
primary
secondary
reports
were
retrieved,
investigating
aspects
regarding
risk
factors,
epidemiology,
clinical
data
differential
diagnosis,
structured
evaluation,
treatment
SRED.
Based
results
these
reports,
Z-drugs,
but
also
certain
benzodiazepines,
antidepressants,
antipsychotics,
psychostimulants
may
trigger
onset
Psychiatric
neurologic
disorders
have
been
associated
SRED,
either
as
factors
comorbid
conditions.
Cerebral
glucose
metabolism
dysfunctions,
neurotransmitter
genetic
invoked
pathogenetic
contributors.
Structured
assessment
possible,
there
dearth
instruments
dedicated
to
purpose.
Data
prevalence
exist,
good-quality
epidemiological
studies
trials
are
still
missing.
In
conclusion,
future
expected
address
shortcomings
exploration
by
creating
conditions
better
quality
larger
group
research.
The
need
such
investigation
granted
importance
pathology
its
functional
consequences.
Язык: Английский
Current Evidence and Future Perspective in the Exploration of Sleep-Related Eating Disorder—From Pathogenic Hypotheses to Treatment Approaches
Опубликована: Окт. 17, 2023
Sleep-related
eating
disorder
(SRED)
is
a
non-REM
parasomnia
with
potentially
significant
negative
effects
on
general
health
(dangerous
activities
during
night
episodes,
obesity,
or
metabolic
syndrome,
for
example).
Although
the
history
of
SRED
encompasses
more
than
six
decades,
public
awareness
and
even
mental
specialists
this
very
limited,
phenomenon
that
hinders
development
research
in
field.
Therefore,
an
updated
review,
based
narrative
methodology,
explored
available
evidence
found
four
electronic
databases
(PubMed,
Cochrane
Collaboration,
Google
Scholar,
Clarivate/Web
Science).
A
number
94
primary
secondary
reports
were
retrieved,
investigating
aspects
regarding
risk
factors,
epidemiology,
clinical
data
differential
diagnosis,
structured
evaluation,
treatment
SRED.
Based
results
these
reports,
Z-drugs,
but
also
certain
benzodiazepines,
antidepressants,
antipsychotics,
psychostimulants
may
trigger
onset
Psychiatric
neurologic
disorders
have
been
associated
SRED,
either
as
factors
comorbid
conditions.
Cerebral
glucose
metabolism
dysfunctions,
neurotransmitter
genetic
invoked
pathogenetic
contributors.
Structured
assessment
possible,
there
dearth
instruments
dedicated
to
purpose.
Data
prevalence
exist,
good-quality
epidemiological
studies
trials
are
still
missing.
In
conclusion,
future
expected
address
shortcomings
exploration
by
creating
conditions
better
quality
larger
group
research.
The
need
such
investigation
granted
importance
pathology
its
functional
consequences.
Язык: Английский