Carer Outcomes From a Residential Treatment Service for Eating Disorders.

IF 3.9 2区 心理学 Q1 PSYCHIATRY
Sinead Day, Deborah Mitchison, Katherine Gill, Rebekah Rankin, W Kathy Tannous, Phillipa Hay
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Abstract

Objective: Eating disorders often result in distress, relationship impairment, and emotional, social, and financial burden for family members and other loved ones. However, carer outcomes from eating disorder treatment are under-researched, particularly residential settings. This study aimed to examine carer outcomes from a transdiagnostic residential service for eating disorders, which included therapist-led psychoeducation and peer support for carers.

Method: Measures of carer burden, accommodation and enabling of eating disorder symptoms, psychological distress, and health-related quality of life were completed at pre-treatment and three months' post-treatment by 51 carers (66.7% parents).

Results: Linear mixed effects modelling found significant improvement in carer burden (b = -5.80, p = 0.033), accommodation and enabling of eating disorder symptoms (b = -13.32, p = 0.003), and psychological distress (b = -3.19 p = 0.026), with medium to large effect sizes (d = -0.76-1.32). Averaged across time, women reported significantly greater carer burden than men (b = 12.42, p = 0.011).

Conclusions: Findings support the effectiveness of residential treatment for carers, including improvement in behaviours that are likely to support eating disorder recovery. Future research is needed to determine what elements in residential treatment, the caregiving relationship, and beyond contribute to these positive outcomes.

Trial registration: The study was prospectively registered on the Australian and New Zealand Clinical Trials Registry in November 2021, registration number ACTRN12621001651875.

饮食失调症住院治疗服务的护理结果。
目的:饮食失调通常会导致痛苦,关系受损,以及家庭成员和其他亲人的情感,社会和经济负担。然而,饮食失调治疗的护理结果尚未得到充分研究,特别是在住宅环境中。本研究旨在检查饮食失调的跨诊断住宿服务的护理结果,其中包括治疗师主导的心理教育和对护理人员的同伴支持。方法:51名照护者(66.7%为父母)在治疗前和治疗后3个月完成了照护者负担、饮食失调症状的适应和使能、心理困扰和健康相关生活质量的测量。结果:线性混合效应模型发现,照顾者负担(b = -5.80, p = 0.033)、饮食失调症状的适应和使能(b = -13.32, p = 0.003)和心理困扰(b = -3.19 p = 0.026)均有显著改善,效应量为中到大(d = -0.76-1.32)。从时间上看,女性的照料负担明显高于男性(b = 12.42, p = 0.011)。结论:研究结果支持对护理人员进行住院治疗的有效性,包括改善可能有助于饮食失调康复的行为。未来的研究需要确定哪些因素在住院治疗,护理关系,以及其他方面有助于这些积极的结果。试验注册:该研究于2021年11月在澳大利亚和新西兰临床试验注册中心前瞻性注册,注册号为ACTRN12621001651875。
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来源期刊
European Eating Disorders Review
European Eating Disorders Review PSYCHOLOGY, CLINICAL-
CiteScore
8.90
自引率
7.50%
发文量
81
期刊介绍: European Eating Disorders Review publishes authoritative and accessible articles, from all over the world, which review or report original research that has implications for the treatment and care of people with eating disorders, and articles which report innovations and experience in the clinical management of eating disorders. The journal focuses on implications for best practice in diagnosis and treatment. The journal also provides a forum for discussion of the causes and prevention of eating disorders, and related health policy. The aims of the journal are to offer a channel of communication between researchers, practitioners, administrators and policymakers who need to report and understand developments in the field of eating disorders.
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