EDIC 2014

Programme brochure
The 3rd eaTing disorders inTernaTional ConferenCe
Institute of Education, London 13, 14 and 15 March 2014 Academy for Eating Disorders teaching event Wednesday 12 March 2014
Hosted by


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Ellern Mede Ridgeway Centre for Eating Disorders is a 22 bed specialist eating disorder inpatient unit, providing intensive treatment for young people (aged 8-18 years) including treatment under the provisions of the Mental Health Act.
Our philosophy is to engage with, and treat, our young people as a whole to facilitate their physical, mental and emotional recovery. We provide a safe and supportive environment, which respects each patient’s individuality.
We also encourage the academic progress of our young people via the on-site school so that they continue their educational aspirations whilst residing at Ellern Mede Ridgeway.
An extensive timetable of group sessions and activities supports our individual therapies offered by our clinical team. Each young person is provided with a tailored care plan, which is adjusted to suit their individual needs.
Treatment Approach; Assessment, Individualised Care, Re-feeding
Therapies; Psycho-education, Family-based Therapy, CBT, DBT- based Work, CRT, Integrative
Therapy, Psychology Groups.
Groups & Activities; Cookery, Social snack, Shopping, swimming, Yoga, Art Therapy, Pets as Therapy
The hospital offers two programs:
1. AHighDependencyUnitwhichforcomplexorchroniccasesrequiringhighly specialised physical and mental interventions.
2. ARapidResponseUnitforshortertermadmissionstosupportandstabilise patients.
WeworkcloselywithTheNHS,referringpsychiatristsandcommunityteams. We also accept privately and insurance company funded patients, both from the UK and overseas.
Ellern Mede Ridgeway, Holcombe Hill, The Ridgeway, London NW7 4HX
T: 08444 725 111 F: 08444 725 202 E: [email protected]
W: www.ellernmede.org




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Contents
04 Welcome to EDIC 2014
04 EDIC 2014 Scienti c Programme Committee
05 General information
09 Venue oor plan 09 Exhibition oor plan
10 12
14 17
20 EDIC scienti c programme by day
30 Speaker Biographies
36 Abstracts – Academy for Eating Disorders teaching event
37 Abstracts – Keynote and Plenary sessions
41
Exhibitor list
Academy for Eating Disorders teaching event programme
Programme at a glance
Scienti c programme by day
Abstracts – Scienti c Paper sessions
56 Abstracts – Workshops and Training Tracks 64 Posters
Sponsors
www.edic.org.uk | 3


Welcome
to the Eating Disorders International Conference 2014
I am delighted to welcome you to the Eating Disorders International Conference 2014.
There has been signi cant progress in our understanding of eating disorders from the eld of genetics, neuroscience, information technology, psychology and psychotherapy amongst others and our organising committee has worked hard to bring together the best presentations from world leaders in the elds of
research, clinical practice and the third sector. The result is a wide ranging programme that delegates will nd informing and inspiring. The areas on which we have concentrated are neuroscience, novel therapies, information technology, males with eating disorders, ethical issues and Severe and Enduring Eating Disorders (SEED). We have invited plenary speakers to explore the new classi cations in the DSM-5 and the ICD-11 and the place of Attachment Theory in our understanding of Eating Disorders.
One of the hallmarks of EDIC is to cater as far as we can for users and carers and especially on Saturday we will be presenting sessions that we hope will address some of their concerns.
The conference is preceded by a half day teaching event co-hosted with the Academy for Eating Disorders with in-depth workshops on three of our themes: Neuroscience, SEED and novel therapies. This session will admirably complement the rest of the conference and will give people a taste for travel to New York to the ICED on 27 March.
I am proud to be associated with EDIC 2014 and wish to thank Susan Ringwood and the rest of the organising committee
for their ideas and their devotion to the task. I thank you for choosing to spend your time with us and am con dent that you will enjoy the conference, learn from it and, we hope, be surprised by what you nd. Welcome to EDIC 2014!
Dr Paul Robinson
Consultant Psychiatrist and Senior Lecturer Barnet En eld and Haringey Mental Health Trust and University College London
EDIC 2014 Scienti c Programme Committee
Ms Susan Ringwood
Chief Executive, Beat; FAED
Dr Paul Robinson
Consultant Psychiatrist and Senior Lecturer Barnet En eld and Haringey Mental Health Trust and University College London
Dr Victoria Mountford
Clinical Psychologist, Eating Disorders Service, South London and Maudsley NHS Foundation Trust, London
Dr Dasha Nicholls MBBS MRCPsych MD FAED
Consultant Child and Adolescent Psychiatrist & Honorary Senior Lecturer, Feeding and Eating Disorders Service, Department of Child and Adolescent Mental Health, Great Ormond Street Hospital, London
Fernando Fernandez-Aranda
Professor of Psychology, Head of ED Unit and Head of CIBERobn Research Group, Department of Psychiatry, University Hospital of Bellvitge- IDIBELL and CIBERobn, Barcelona, Spain
Professor Janet Treasure PhD FRCP FRCPsych
Kings College London
Pooky Knightsmith
Author, Trainer and Researcher, In Our Hands/ Institute of Psychiatry, London
Professor Finn Skårderud
University of Oslo, Norway
Dr Agnes Ayton MD MMedSc FRCPsych MSc
Consultant Psychiatrist, Cotswold House, Oxford Health
Johan Vanderlinden PhD
Eating Disorder Unit Coordinator, University Psychiatric Center KULeuven, Campus Kortenberg, Belgium
Helen Missen NNEB RGN
Renal Dialysis Staff Nurse, Betsi Cadwaladr University Health Board; Carers Ambassador, Beat; Member F.E.A.S.T.
4 | EDIC2014


General information
Travelling to EDIC 2014
By Tube (underground)
Tube stations within a 5 to 15-minute walk of the venue include:
Location and venue
EDIC 2014 will take place at the Institute of Education, 20 Bedford Way, London, WC1H 0AL
EUSTON
EUSTON SQUARE
INSTITUTE OF EDUCATION
RUSSELL SQUARE
■ Russell Square
■ Euston
■ Euston Square
By Bus
Piccadilly Line
Northern and Victoria Lines Circle, Hammersmith & City and Metropolitan Lines
Bus number 59 stops in Tavistock Square which is a 5 minute walk from the venue
By Rail
The closest train station to the venue is Euston
Car parking
There is no car parking available at the venue. The closest public car park is on Coram Street, London, WC1H 0ND.
Please visit www.ncp.co.uk for more details. Room locations
Please refer to the programme in this brochure for the room allocations of each session. Staff will be available throughout the conference to signpost you to the correct rooms. There is also signage throughout the venue to assist you.
The room locations are as follows:
Lunches and refreshment breaks
Lunches and refreshment breaks are included in the delegate registration fees and take place during the scheduled programme breaks.
Presentation of your badge will be required to access the lunch areas. All refreshments will be served in the Jeffery Hall.
Exhibition opening hours
Speaker information
The speaker preview room is adjacent to the Logan Hall on the lower ground oor and is open at the following times:
■ Crush Hall
■ Jeffery Hall
■ Logan Hall
■ Drama Studio
■ Elvin Hall
■ Clark Hall
■ Nunn Hall
■ Room 642
Level one Level one Level one Level one Level one Level three Level four Level six
Registration and conference secretariat
Onsite registration will take place in the Jeffery Hall Foyer. The registration desks will be open during the following times:
Thursday 13 March Friday 14 March Saturday 15 March
11am – 6.30pm 8am – 5.30pm 8am – 4.30pm
Thursday 13 March Friday 14 March Saturday 15 March
8am – 9.30am 1pm – 2pm 8am – 9am 1pm – 2pm 8am – 9.30am 1pm – 2pm
Wednesday 12 March Thursday 13 March Friday 14 March Saturday 15 March
1pm – 5.30pm 8am – 5.30pm 8am – 5.30pm 8am – 4.30pm
www.edic.org.uk | 5
EUSTON RD.
ENDSLEIGH ST.
TAVITON ST.
MARCHMONT ST.
GORDON ST.
TAVISTOCK PL.
CORAM ST.
WOBURN PL.
GOWER ST.
MALET ST.
RUSSELL
SQUARE


General information
Posters
Poster viewing will take place during all of the of cial coffee and lunch breaks throughout the conference.
Posters will be on display in the Crush Hall foyer under the following categories: attachment, brain processes in eating disorders, caring for a person with an eating disorder, classi cation of eating disorders, eating disorders in males, ethical issues
in the treatment of eating disorders, ethnicity, new technologies, psychotherapies, Severe and Enduring Eating Disorders (SEED).
A Poster Stroll will take place on Thursday 13 March from 1.30pm – 2pm and Friday 14 March from 1pm – 1.30pm in the Crush Hall foyer.
Four experts will select posters and discuss the ndings with the authors and a standing audience.
SoCIAL PRogRAmmE
We invite you to join us at the following social events:
Drinks reception
Thursday 13 March 2014, 5.30pm, Jeffery Hall
Join us for drinks and nibbles and network with colleagues in the eld. We would like to thank The Priory for sponsoring the drinks reception.
meet the editors coffee reception hosted by Wiley
Thursday 13 March, 3.30pm – 4pm, Jeffery Hall
Wiley invites you to a ‘Meet the Editors’ drink reception to meet and chat informally with the Editors of the European Eating Disorders Review.
The Editors welcome discussions based around current major topics in the eld of eating disorders, the future vision for the journal as well as recommendations
to be considered when preparing a manuscript for submission to the EEDR. We hope you will join us from in the Jeffery Hall on Thursday 13 March at 3.30pm.
Beat Professional Network members lunch break
Friday 14 March, 12.30pm – 1pm, Jeffery Hall
If you are a Beat Professional Network Member join us in the Jeffery Hall on Friday 14 March at 12.30pm for an exclusive lunch and the opportunity to meet and network with other Beat members working in the eld of eating disorders.
Comedy performance
Friday 14 March, 6.15pm, Logan Hall
Join us for a comedy performance from Dave Chawner on the evening of Friday 14 March. The show takes
a satirical look into his anorexic past in order to raise awareness of eating disorders and to get people talking about positive body image.
‘Four stars’ – Three Weeks
‘For a performance that makes you laugh as well as
think’ – Broadway Baby
Beat awards
Saturday 15 March, 1.30pm, Logan Hall
We will be recognising the achievements and successes of clinicians working in the eld of eating disorders at our Beat awards ceremony. Awards will be given out under the following categories:
Young Researcher
To the young person under 25 who has made an outstanding contribution to research into eating disorders.
Lifetime Achievement Award
This award is made to the person who has gained signi cant, worldwide acclaim for their clinical work, research or advocacy on behalf of people affected by eating disorders.
Best Poster
To the author/s of the Poster judged as best presented at EDIC 2014.
Clinical Team of the Year
To the clinical team providing specialist treatment in any service setting; NHS or independent sector who have demonstrated an outstanding commitment to patient care and multidisciplinary working.
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General information
Recovery Inspiration
To the individual whose personal story of recovery has provided outstanding inspiration and hope to people affected by eating disorders and their families.
Community Team of the Year
To the community based service that has demonstrated an outstanding commitment to patient care and meeting local needs.
We hope you can join us in congratulating the winners and those shortlisted for these awards at 1.30pm on Saturday 15 March. We would like to thank The Priory for sponsoring the Beat awards ceremony.
Enacted Photo Sculpts exhibition,
throughout the event, Jeffery Hall
EDIC 2014 welcomes a photographic exhibition by our Chair Dr Paul Robinson entitled, ‘Enacted Photo Sculpts’; a photographic record of three volunteers who provided displays of a family in which the daughter has an eating disorder.
We see the point of view of each family member re ecting; how things are now, how things might be in ve years’ time if things go badly and how things may be in ve years’ time if things go well.
The family is ctitious and the family description provided to the volunteers by Paul was a mixture of family stories he has heard as a family therapist, demonstrating just one imagined, but possible set of relationships.
He hopes that Enacted Photo Sculpts will provide a way for people to enter the world of eating (and other) disorders and provide a glimpse of what the experience is like for families.
Other examples of sculpts can be seen at
www.enactedphotosculpts.co.uk
Badge policy and security
A name badge will be provided on site with your registration documents.
The badges are colour coded as follows:
Participants are requested to wear their badge at all times.
For security reasons admittance is strictly restricted to participants (of all kinds) to the meeting. If your badge is lost, a new badge will be issued. The administration cost for a new badge is £2.50.
CPD accreditation and certi cates
of attendance
EDIC 2014 and the Academy for Eating Disorders teaching event are both CPD certi ed. A CPD certi ed certi cate of attendance will be emailed to all participants after the conference, upon completion of a short evaluation questionnaire. Evaluations and certi cates will be emailed to the address supplied during registration.
Disclaimer
All best endeavours will be made to present the programme as printed. However, Eating Disorders International Conference organisers and its agents reserve the right to alter or cancel, without prior notice, any arrangements, timetables, plans or other items relating directly or indirectly to Eating Disorders International Conference 2014, for any cause beyond its reasonable control.
Eating Disorders International Conference Organisers and its agents are not liable for any loss or inconvenience caused as a result of such alteration.
Clear EDIC 2014 delegates
Blue stripe EDIC 2014 day attendees and AED teaching event attendees
Pink stripe Speakers
www.edic.org.uk | 7


General information
Programme changes
The organisers cannot assume responsibility for any change in the programme due to unforeseen or external circumstances.
Internet facilities
There are free wireless facilities available throughout the venue. To login, please use the following network and password:
List of participants
Please nd a delegate list in your packs. The list includes delegate names, institutions and locations.
Social media
Generally, weekday opening hours for banks are 9:15am – 4:45pm, although this does vary.
A limited number are open on Saturday mornings.
For exchanging foreign currency and traveller cheques, the banks usually provide the most competitive rate. However, it is also possible to change money in airports, larger rail stations, travel agents, some larger hotels (if you are a resident) and in most Post Of ces; there is usually a handling fee and commission charge.
Credit cards
Commonly accepted credit cards in hotels, restaurants and stores are American Express, Visa, MasterCard and Diners.
Electricity
The voltage in the United Kingdom is 220-240V.
Insurance policy
The organisers cannot be responsible for medical, travel or personal claims. Participants are strongly advised to take out an insurance policy covering three areas: health and accident, loss of luggage and cancellation (travel and registration).
mobile phones
It should be noted that mobile phones must be switched off when delegates are in session halls.
Smoking policy
Smoking is prohibited in all areas of the Institute of Education.
VAT – Value Added Tax
Value Added Tax and similar taxes are charged on most goods and services in the United Kingdom.
VAT in the United Kingdom is currently 20%. VAT is included in all conference fees. As a participant in the Eating Disorders International Conference, you may have the possibility – under certain conditions – to recover the VAT paid on certain types of expenses incurred. This may apply to both non-European business travellers visiting Europe and to European business travellers to other EU countries. For further information, please contact Customs and Excise on departure at the airport.
Network: BEAT2014 Password: EDICconf
Please use the hashtag #EDIC2014 when discussing the event on social media. We encourage participants to connect with fellow attendees through social media.
messages and correspondence
Messages for fellow delegates should be handed in at the registration desk in the Jeffery Hall foyer. Noti cation of messages will be displayed on the message board situated at the registration area. Please check the board daily and pick up your messages – they may be urgent.
Cloakroom and concierge
There are cloakroom and left luggage facilities available at The Institute of Education during the registration opening hours.
Lost and found
Enquiries regarding items lost or found can be made at the registration desk located in the Jeffery Hall Foyer. To minimise losses, please ensure that delegate bags are not left in any of the session halls.
Banking and currency exchange
British currency is Pound Sterling (GBP).
Branches of all the major UK banks may be found in the centre of London, the closest to the venue is HSBC, Woburn Place, WC1H.
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Venue floor plan
STAND NumBER
oRgANISATIoN
1
2
3
4
5
6
7
8
9
Charlotte’s Helix
10
Exhibition floor plan
www.edic.org.uk | 9


Exhibitor list
Beat would like to thank our supporters below who have made the Eating Disorders International Conference 2014 possible.
Sponsors of the Drinks reception and Beat Awards
Stand number 8 About Priory group
From education to hospitals, care homes and secure facilities, the Priory Group of Companies offers individually tailored, multidisciplinary treatment programmes for those with complex educational needs or requiring acute, long-term and respite mental healthcare.
The integrated strength of each service provides a seamless transition for the individual as they progress between higher and lower dependency care and across services. This unique approach ensures that every individual has the opportunity to achieve the best possible outcomes and quality of life with the Priory Group.
As 85% of our services are publicly funded and delivered in partnership with commissioners, our teams work with commissioning bodies across the country to provide transparent pricing models and evidence-based care programmes.
www.priorygroup.com | www.amorecare.co.uk www.craegmoor.co.uk
Key sponsors
Stand number 6 About Ellern mede
Ellern Mede Ridgeway Centre for Eating Disorders
is a 22 bed specialist eating disorder inpatient unit, providing intensive treatment for young people (aged 8-18 years) including treatment under the provisions of the Mental Health Act.
Our philosophy is to engage with, and treat, our young people as a whole to facilitate their physical, mental and emotional recovery. We provide a safe and supportive environment, which respects each patient’s individuality.
Stand number 1
About Newmarket House Clinic
Since opening in 1996, this independent ten bed hospital in Norwich has provided a ‘niche’ service dedicated solely to the treatment of severe eating disorders in adults. We work closely with commissioners, referring psychiatrists and community teams, aiming to deliver seamless treatment for our mainly NHS funded patients. We also accept privately and insurance company funded referrals.
Sponsors of the ‘meet the Editors’ coffee reception
About Wiley
Wiley proudly publishes European Eating Disorders Review, the professional journal of Beat. Wiley is
the leading society publisher, offering libraries and individuals 1250 online journals, thousands of books and e-books, reviews, reference works, databases,
and more.
For more information, visit www.wiley.com or our online
resource: onlinelibrary.wiley.com Exhibitors
Stand number 7
About Central and North West London NHS
Foundation Trust
Vincent Square Eating Disorder Service located in Kensington, London provides specialist eating disorder treatment through outpatient, day patient and inpatient care. We accept national referrals to all our services. CNWL is one of the largest trusts in the UK caring for people with a wide range of physical and mental health needs.
www.cnwl.nhs.uk/vincent-square/
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Exhibitor list
Stand number 5
About South London and maudsley
NHS Foundation Trust
South London & Maudsley Eating Disorders Service
– an internationally renowned service dedicated to excellence in research, assessment and treatment
of people with eating disorders and their families
for more than 25 years. Headed by Professor Janet Treasure & Professor Ulrike Schmidt, our specialist facility is for people with anorexia nervosa, bulimia nervosa, binge eating disorder or mixed eating disorder symptoms. We believe in working with each individual to match a treatment package to their stage of recovery. Our service consists of Outpatients, Day care, Inpatients & Step Up to Recovery.
www.national.slam.nhs.uk
Stand number 3 About Vivre Care
Established in 2007, Vivre Care provides cost effective, specialist support for women with eating disorders across two facilities:
- Stockwood House offers tailored support for severe and enduring clients
- Ellenbrook House is a domiciliary care unit
for clients demonstrating the ability to live more independently with specialist, graded support.
Visit our website www.vivre-care.com
Stand number 2
About South West London and St george’s
mental Health NHS Trust
SWLSTG’s Eating Disorders Service based at Spring eld University Hospital in Tooting, is one of the largest Eating Disorders Service in the world. The Service operates National and Local services which provides a fully integrated care pathway.
1 Avalon Ward is an 18 bedded unit including a 5 bedded High Dependency / intensive treatment facility for those patients requiring intensive treatment. The
ward is a therapeutic milieu providing mentalisation based therapy, with daily community meetings
at the heart and a variety of individual and group psychological therapies delivered by a highly skilled multi disciplinary team.
2 The Day service provides a structured therapeutic programme for those patients who require a more intensive level of community support and intervention in order to prevent admission to the Ward or as a step down from the ward with supportive re-integration back into community services.
3 The Community team provide assessment, diagnosis and therapeutic treatment to clients
who may be at any stage of illness including rst presentation, inpatient post-discharge follow up and chronic long term management. The service also provides specialist support to GP’s and CMHT’s to enable their teams to manage clients with complex needs and/or other psychiatric or physical co- morbidities.
4 Wisteria Ward is a ten bedded national inpatient unit for young people between the ages of 11 and 18 with severe Eating Disorders. The multi-disciplinary team are a highly experienced team in this specialist eld and offer assessment and consultation to other teams, and multi-family groups programmes in addition to the inpatient service.
Stand number 10 About Wisepress
Wisepress.com, Europe’s leading conference bookseller, has a complete range of relevant books and journals which can be purchased at the stand
or, if you would rather not carry them, posted to you
– Wisepress will deliver worldwide. We also have a comprehensive medical and scienti c online bookshop with great offers.
Contact us at: [email protected] or visit www.wisepress.com
www.edic.org.uk | 11


Academy for Eating Disorders teaching event
Wednesday 12 March 2014
Beat, in conjunction with the Academy for Eating Disorders, are hosting an afternoon teaching event on Wednesday 12 March 2014. Delegates have the opportunity to attend one of three training sessions on the topics of: Neuroscience, Severe and Enduring Eating Disorders and Novel Therapies. Attendees will cover these topics in an in-depth and practical way, giving them a signi cant insight into one of these elds of eating disorders. These themes are also carried forward into the main EDIC 2014 conference.
Programme overview
Wednesday 12 March 2014
1.30pm – 2pm
Registration, Crush Hall Foyer
2pm – 3.30pm
Elvin Hall
Drama Studio
Clark Hall
Seminar:
Treating patients with severe and enduring anorexia nervosa: New evidence and approaches
Professor Stephen Touyz, Professor of Clinical Psychology and Clinical Professor in Psychiatry, Executive Chair, Centre for Eating and Dieting Disorders (CEDD), University of Sydney
Seminar:
Where in the Brain are we? An Overview of Current Neurobiological Models of Eating Disorders
Dr Ian Frampton, Senior Lecturer
at the Centre for Clinical Neuropsychology Research, University of Exeter and Dr Sloane Madden, Clinical Lecturer, Paediatrics & Child Health, Children’s Hospital, Westmead, The University of Sydney
Seminar:
New Developments in Dialectical Behaviour Therapy (DBT)
Dr Eunice Chen, Assistant Professor, Temple University, Philadelphia, Pennsylvania
3.30pm – 3.45pm
Coffee break, Crush Hall Foyer
3.45pm – 4.30pm
Seminar:
Treating patients with severe and enduring anorexia nervosa: New evidence and approaches
Professor Stephen Touyz, Professor of Clinical Psychology and Clinical Professor in Psychiatry, Executive Chair, Centre for Eating and Dieting Disorders (CEDD), University of Sydney
Seminar:
Where in the Brain are we? An Overview of Current Neurobiological Models of Eating Disorders
Dr Ian Frampton, Senior Lecturer
at the Centre for Clinical Neuropsychology Research, University of Exeter and Dr Sloane Madden, Clinical Lecturer, Paediatrics & Child Health, Children’s Hospital, Westmead, The University of Sydney
Seminar:
New Developments in Dialectical Behaviour Therapy (DBT)
Dr Eunice Chen, Assistant Professor, Temple University, Philadelphia, Pennsylvania
4.30pm
Close
12 | EDIC2014


Academy for Eating Disorders teaching event programme
Wednesday 12 March 2014
1.30pm – 2pm
2pm – 3.30pm
REgISTRATIoN AND CoFFEE IN THE CRuSH HALL FoYER
PARALLEL SEmINARS
Seminar one: Treating Patients with severe and enduring anorexia nervosa:
New evidence and approaches
Elvin Hall
Professor Stephen Touyz, Professor of Clinical Psychology and Clinical Professor in Psychiatry, Executive Chair, Centre for Eating and Dieting Disorders (CEDD), University of Sydney
Seminar two: Where in the Brain are we? An overview of current neurobiological models of eating disorders
Drama Studio
Dr Ian Frampton, Senior Lecturer at the Centre for Clinical Neuropsychology Research, University
of Exeter and Dr Sloane Madden, Clinical Lecturer, Paediatrics & Child Health, Children’s Hospital, Westmead, The University of Sydney
Seminar three: New Developments in Dialectical Behaviour Therapy (DBT)
Clark Hall
Dr Eunice Chen, Assistant Professor, Temple University, Philadelphia, Pennsylvania CoFFEE IN THE CRuSH HALL FoYER
PARALLEL SEmINARS
Seminar one: Treating Patients with severe and enduring anorexia nervosa:
New evidence and approaches
Elvin Hall
Professor Stephen Touyz, Professor of Clinical Psychology and Clinical Professor in Psychiatry, Executive Chair, Centre for Eating and Dieting Disorders (CEDD), University of Sydney
Seminar two: Where in the Brain are we? An overview of current neurobiological models of eating disorders
Drama Studio
Dr Ian Frampton, Senior Lecturer at the Centre for Clinical Neuropsychology Research, University
of Exeter and Dr Sloane Madden, Clinical Lecturer, Paediatrics & Child Health, Children’s Hospital, Westmead, The University of Sydney
Seminar three: New Developments in Dialectical Behaviour Therapy (DBT)
Clark Hall
Dr Eunice Chen, Assistant Professor, Temple University, Philadelphia, Pennsylvania
3.30pm – 3.45pm
3.45pm – 4.30pm
www.edic.org.uk | 13


EDIC 2014 programme
at a glance – Thursday 13 March 2014
Thursday 13 March 2014
Logan Hall
Elvin Hall
Drama Studio
Nunn Hall
Clark Hall
Room 642
8.45am
Welcome
9am – 9.45am
Keynote lecture one: The DSM5 and eating disorders: What’s new and why? Professor B Timothy Walsh
9.45 – 10.30am
Keynote lecture two: The bigger picture: ICD-11 and the diagnosis of feeding and eating disorders in a global context.
Dr Rachel Bryant- Waugh
11am – 11.30am
Coffee break, Jeffery Hall
11.30am – 1pm
Scienti c Paper session: Clinical features
Scienti c Paper session: Brain processes
Scienti c Paper session: Therapies 1
Scienti c Paper session: Therapies 2
Scienti c Paper session: Caring for an eating disorder
Scienti c Paper session: Males with eating disorders
1pm – 2pm
Lunch, Jeffery Hall
1.30pm – 2pm
Poster Stroll, Crush Hall Foyer
2pm – 3.30pm
Plenary session one: Eating disorders and the brain
3.30pm – 4pm
Coffee break, Jeffery Hall
4pm – 5.30pm
Workshop 1.1:
MARSIPAN, local implementation: a workshop
Sylvia Dahabra and Paul Robinson
Workshop 1.2:
Managing severely sick young people with anorexia nervosa: a training workshop
Dr Dasha Nicholls,
Workshop 1.3:
Anorexia nervosa: a well ingrained, maladaptive habit?
Professor B Timothy Walsh
Training Track 1.1 SEED:
How to assess an individual with SEED – a biopsychosocial assessment guide
Dr Victoria Mountford and Dr Nikola Kern
Training Track 1.2 New Technologies:
Video game therapy for Eating Disorders. A complimentary strategy for emotional regulation
Professor
Fernando Fernandez-Aranda
Training Track 1.3 Therapies:
Systemic family therapy for anorexia nervosa (SFT- AN): theoretical concepts, practical application, obstacles and challenges
Professor Ivan Eisler
Dr Debra Katzman
and Graeme O’Connor
5.30pm – 6.30pm
Drinks reception sponsored by The Priory, Jeffery Hall
14 | EDIC2014


EDIC 2014 programme
at a glance – Friday 14 March 2014
Friday 14 March 2014
Logan Hall
Elvin Hall
Drama Studio
Nunn Hall
Clark Hall
Room 642
9am – 10.30am
Plenary session two: Eating disorders and males: Panel discussion
10.30am – 11am
Coffee break, Jeffery Hall
11am – 12.30pm
Workshop: 2.1
The Maudsley Model of Anorexia Treatment for Adults (MANTRA): An introduction to model, evidence- base and treatment
Ulrike Schmidt
Workshop : 2.2
Working from the bottom up- the remediation of cognitive biases in eating disorders
Valentina Cardi
Workshop: 2.3
Radically Open – Dialectical Behaviour Therapy for Over controlled Disorders
Eunice Chen
Training Track: 2.1 SEED:
A therapeutic approach to patients with Severe and Enduring Eating Disorders
Professor Stephen
Training Track 2.2 New Technologies:
Eating disorders in cyberspace. New technologies, new challenges, new possibilities
Professor Finn Skårderud
Training Track 2.3: Therapies:
CBT for eating disorders: Achievements and challenges
Riccardo Dalle Grave
Touyz
12.30pm – 1.30pm
Lunch sponsored by Newmarket House, Jeffery Hall
1pm – 1.30pm
Poster Stroll, Crush Hall Foyer
1.30pm – 2.30pm
Keynote lecture three: An attachment/ mentalizing approach to identifying endophenotypes in eating disorder patients: We may have taken DSM too seriously.
Dr Patrick Luyten
2.30pm – 4pm
Plenary session three: Ethical dilemmas and pitfalls in eating disorders
4pm – 4.30pm
Coffee break, Jeffery Hall
4.30pm – 6pm
Workshop: 3.1:
Pregnancy, motherhood and eating disorders
Nadia Micali and Dr Abigail Easter
Workshop 3.3:
Working across cultures – therapeutic challenges in engagement with adolescents and their families
Liz Dodge
Training Track 3.1 SEED:
SEED and the Recovery approach: Recovery Star how we are using it in step up programme for eating disorders?
Dr Kate Tchanturia
Training Track 3.1 SEED:
Dr Kate Tchanturia
Training Track 3.2 New Technologies:
A therapist in your pocket - the use of vodcasts to promote change
Professor Janet Treasure, Dr V Cardi and S Ambwani
Training Track 3.3 Therapies:
The use of Interpersonal Psychotherapy (IPT) for the treatment of eating disorders
Professor Jon Arcelus and Dr Jonathon Baggott
and Sandie Cottee
and Sandie Cottee
6.15pm
Comedy performance


EDIC 2014 programme
at a glance – Saturday 1 5 March
Saturday 15 March 2014
Logan Hall
Elvin Hall
Drama Studio
Nunn Hall
Clark Hall
Room 642
9.30am
Welcome
9.40am – 11am
Plenary session four: Users’ and carers’ forum: What we want from services
11am – 11.30am
Coffee break, Jeffery Hall
11.30am – 1pm
Workshop: 4.1
Using Motivational Interviewing to manage eating disorders symptoms
Charlotte Rhind
Workshop 4.2
Cultural differences in caregivers: do we care differently?
Maria Quiles
Workshop 4.3
Acceptance and commitment therapy (ACT): a new approach to the treatment of eating disorders
Katerina O’Connor
Training Track 4.1 SEED:
Outpatient treatment: Shoots and Roots: A recovery and growth perspective on working with severe and enduring eating disorders programme for eating disorders?
Emma Walton and Vicki Wise
Training Track 4.2 New Technologies:
The perils and promise of new technologies in the prevention and early intervention of eating disorders
Dr Helen Sharpe, Peter Musiat, Pooky Knightsmith and Professor Ulrike Schmidt
Training Track 4.3 Therapies:
Mentalization based therapy for eating disorders (MBT-ED): a training workshop
Professor Finn Skårderud and Dr Paul Robinson
1pm – 2.15pm
Lunch, Jeffery Hall
1.30pm – 2.15pm
Beat Awards
2.15pm – 3.45pm
Plenary session ve: Healing the brain in eating disorders
3.45pm – 4.30pm
Farewell, Logan Hall
16 | EDIC2014


EDIC 2014 scientific papers
Thursday 13 March, 11.30am – 1pm
PLEASE SEE PAgES 41 – 55 FoR THE SCIENTIFIC PAPER ABSTRACTS
Thursday 13 March
Scienti c paper sessions 11.30am – 1pm
Logan Hall
Elvin Hall
Drama Studio
Nunn Hall
Clark Hall
Room 642
Theme
Clinical features
Brain processes
Therapies one
Therapies two
Caring for an eating disorder
Males with eating disorders
11.30am
Randomised Controlled Trial: Determinates
of Refeeding Hypophosphatemia in Hospitalised Adolescents with Anorexia Nervosa
Graeme O’Connor
Neuropsychological Function in Children at Familial High Risk of Developing an Eating Disorder
Radha Kothari
Treating severe and enduring anorexia nervosa: a randomised controlled trial
Professor Stephen Touyz
Compassionate mind, compassionate body: developing skills to overcome disordered eating
Courtney Raspin
“It just seems so hard” - growing up while your sibling has an eating disorder: a thematic analysis
Jenny Grunwald
The Palatable Eating Motives Scale (PEMS) reveals sex differences behind eating tasty foods that can predict binge-eating risk
Emilee Burgess
11.45am
MotivATE: A pre-treatment motivational enhancement website for eating disorders. Development and qualitative evaluation
Sarah Williams
Neuromodulation in eating disorders: where we are and where we are going
Jessica McClelland
Spotting and supporting eating disorders in school: recommendations from school staff.
Pooky Knightsmith
Expressed Emotion, Accommodation and Enabling in carers of patients with eating disorders. Applying the New Maudsley Model in Italy
Paolo Dirindelli
A supported family meals programme to ease transition between inpatient supported eating and outpatient care in adolescents
Victoria Young
Exploring men’s experiences and understanding of binge eating disorder: an interpretative phenomenological analysis
Spyrou Spyroula
12pm
A multi-centre cohort study
of short term outcomes of hospital treatment for anorexia nervosa in the UK
Charlotte Rhind
Cognitive biases in anorexia nervosa: the role of in ated responsibility and perfectionism
Charlotte Wormald
The New Maudsley Model lands in Italy: results of two training courses in two Mental Health services in Florence area.
Maria Rita Troiani
The impact of the coach-athlete relationship upon the eating behaviours of elite gymnasts
Rachel Prest
An Anorexic Mum Jacqueline Flicker
Male clinicians’ experiences of working with patients with eating disorders
David Viljoen
12.15pm
The use of 3D body scanning with novel 3D image assessment software to quantify body image issues such as body image distortion
Graham Hutton
Relationships between emotional processing styles and clinical psychopathology and weight in eating disorders
Ciarán Newell
Eating Disorders in Athletics – Developing Best Practice and Care Pathways
Alan Currie
Refusal and coercion in the inpatient treatment of severe anorexia nervosa: Antigone and Creon in search of an equilibrium
John Adlam
Innovative approaches to the development of an intensive one day carers’ skills workshop
Sue Price
Sex Differences in the Links Between Disordered Eating and Admiration for People with Anorexia Nervosa and Muscle Dysmorphia
Scott Grif ths
12.30pm
Prevalence and correlates of disordered eating in a multi-ethnic sample: the South East London Community Health (SELCoH) study
Francesca Solm
Sociocultural aspects of eating disorders with special focus on media use
- Pilot study -
Kornelia Szabo
The implementation of dialectical behaviour therapy in the treatment of binge eating disorder
Fayza Bayraktar
The Object Relations Inventory in Patients with Eating Disorders and Symptoms of Borderline Personality Disorder
Alexandra Bogaardt
How do eating disorders affect to caregivers? Preliminary results in a Spanish sample
Yolanda Quiles
A Group for Men with Eating Disorders: When ‘‘Lone Wolves’’ Come Together
Leo Russell
12.45pm
Somatoform dissociation and body image instability in eating disorders
Antonia Koskina
Developing an iPhone and Android App for eating disorders sufferers, to aid self awareness, monitoring and treatment
Christine Vize
Intensive Community Support: A Clinical And Financial Alternative To Admission?
Hannah Turner
Strong is the new skinny: The role of sport and exercise in personal growth from anorexia and adversity
Nicola Jane Hobbs
Domestic Abuse Among Women with Eating Disorders during the Perinatal Period: Do Depression and Marital Status Affect Risk?
Radha Kothari
A Touchy Subject: Exploring Male Eating Disorders in a Northern Ireland context
Una Foye
www.edic.org.uk | 17


EDIC 2014 workshops
Thursday 13 March
Workshops and training tracks session one
4pm – 5.30pm
Logan Hall
Elvin Hall
Drama Studio
Nunn Hall
Clark Hall
Room 642
Workshop 1.1:
MARSIPAN, local implementation: a workshop
Sylvia Dahabra and Dr Paul Robinson
Workshop 1.2:
Managing severely sick young people with anorexia nervosa: a training workshop
Dr Dasha Nicholls,
Workshop 1.3:
Anorexia nervosa: a well ingrained, maladaptive habit?
Professor B Timothy Walsh
Training Track 1.1 SEED:
How to assess an individual with SEED – a biopsychosocial assessment guide
Dr Victoria Mountford and Dr Nikola Kern
Training Track 1.2 New Technologies:
Video game therapy for Eating Disorders. A complementary strategy for emotional regulation
Professor
Fernando Fernandez-Aranda
Training Track 1.3 Therapies:
Systemic family therapy for anorexia nervosa (SFT- AN): theoretical concepts, practical application, obstacles and challenges
Professor Ivan Eisler
Dr Debra Katzman
and Graeme O’Connor
Friday 14 March
Workshops and training tracks session two
11am – 12.30pm
Logan Hall
Elvin Hall
Drama Studio
Nunn Hall
Clark Hall
Room 642
Workshop: 2.1
The Maudsley Model of Anorexia Treatment for Adults (MANTRA): An introduction to model, evidence- base and treatment
Ulrike Schmidt
Workshop : 2.2
Working from the bottom up- the remediation of cognitive biases in eating disorders
Valentina Cardi
Workshop: 2.3
Radically Open – Dialectical Behaviour Therapy for Over controlled Disorders
Eunice Chen
Training Track: 2.1 SEED:
A therapeutic approach to patients with Severe and Enduring Eating Disorders
Professor Stephen
Training Track 2.2 New Technologies:
Eating disorders in cyberspace. New technologies, new challenges, new possibilities
Professor Finn Skårderud
Training Track 2.3: Therapies:
CBT for eating disorders: Achievements and challenges
Riccardo Dalle Grave
Touyz
Workshops and training tracks session three
4.30pm – 6pm
Logan Hall
Elvin Hall
Drama Studio
Nunn Hall
Clark Hall
Room 642
Workshop: 3.1:
Pregnancy, motherhood and eating disorders
Nadia Micali and Dr Abigail Easter
Workshop 3.2:
CBT in the treatment of Binge Eating Disorder and Obesity
Dr Johan Vanderlinden and Riccardo Dalle Grave
Workshop 3.3:
Working across cultures – therapeutic challenges in engagement with adolescents and their families
Liz Dodge
Training Track 3.1 SEED:
SEED and the Recovery approach: Recovery Star how we are using it in step up programme for eating disorders?
Dr Kate Tchanturia
Training Track 3.2 New Technologies:
A therapist in your pocket - the use of vodcasts to promote change
Professor Janet Treasure, Dr V Cardi and S Ambwani
Training Track 3.3 Therapies:
The use of Interpersonal Psychotherapy (IPT) for the treatment of eating disorders
Professor Jon Arcelus and Dr Jonathon Baggott
and Sandie Cottee
18 | EDIC2014


EDIC 2014 workshops
Saturday 15 March
Workshops and training tracks session four
11.30am – 1pm
Logan Hall
Elvin Hall
Drama Studio
Nunn Hall
Clark Hall
Room 642
Workshop: 4.1
Using Motivational Interviewing to manage eating disorders symptoms
Charlotte Rhind
Workshop 4.2
Cultural differences in caregivers: do we care differently?
Maria Quiles
Workshop 4.3
Acceptance and commitment therapy (ACT): a new approach to the treatment of eating disorders
Katerina O’Connor
Training Track 4.1 SEED:
Outpatient treatment: Shoots and Roots: A recovery and growth perspective on working with severe and enduring eating disorders programme for eating disorders?
Emma Walton and Vicki Wise
Training Track 4.2 New Technologies:
The perils and promise of new technologies in the prevention and early intervention of eating disorders
Dr Helen Sharpe, Peter Musiat, Pooky Knightsmith and Professor Ulrike Schmidt
Training Track 4.3 Therapies:
Mentalization based therapy for eating disorders (MBT-ED): a training workshop
Professor Finn Skårderud and Dr Paul Robinson
Posters
Poster titles and numbers can be found on page 65.
Poster stroll
Poster viewing will take place during all of the of cial coffee and lunch breaks throughout the conference. Posters will be on display in the Crush Hall foyer.
A Poster Stroll will take place on Thursday 13 March from 1.30pm – 2pm and Friday 14 March from 1pm – 1.30pm in the Crush Hall foyer. Four experts will select posters and discuss the ndings with the authors and a standing audience.
www.edic.org.uk | 19


EDIC 2014 programme
Thursday 13 March
8am – 8.45am
8.45am – 9am
9am – 9.45am
9.45am – 10.30am
10.30am – 11am
11am – 11.30am
11.30am – 11.45am 11.45am – 12pm 12pm – 12.15pm 12.15pm – 12.30pm 12.30pm – 12.45pm 12.45pm – 1pm
REgISTRATIoN AND CoFFEE IN THE CRuSH HALL FoYER
WELComE AND INTRoDuCTIoN oF KEYNoTE LECTuRES
Logan Hall
Chair: Dr Paul Robinson; Chair, EDIC 2014 Scienti c Programme Committee; Consultant Psychiatrist and Senior Lecturer Barnett, En eld and Haringey Mental Health Trust and University College London
KEYNoTE LECTuRE oNE:
Logan Hall
The DSm5 and Eating Disorders: What’s new and why?
Professor B Timothy Walsh; W&J Ruane Professor of Paediatric Psychopharmacology (in Psychiatry), Department of Psychiatry, Columbia University and the New York State Psychiatric Institute, New York
KEYNoTE LECTuRE TWo:
Logan Hall
The bigger picture: ICD-11 and the diagnosis of feeding and eating disorders in a global context
Dr Rachel Bryant Waugh; Consultant Clinical Psychologist and Joint Head, Feeding and Eating Disorders Service, Great Ormond Street Hospital NHS Trust
DISCuSSIoN oF KEYNoTES:
Logan Hall
Chair: Dr Paul Robinson; Chair, EDIC 2014 Scienti c Programme Committee; Consultant Psychiatrist and Senior Lecturer Barnett, En eld and Haringey Mental Health Trust and University College London
CoFFEE IN THE JEFFERY HALL
SCIENTIFIC PAPER SESSIoNS (PARALLEL SESSIoNS)
Logan Hall
SCIENTIFIC PAPER SESSIoN oNE: CLINICAL FEATuRES
Chair: Dr Agnes Ayton; Consultant Psychiatrist, Cotswold House, Oxford Health
Randomised Controlled Trial: Determinates of re-feeding hypophosphatemia in hospitalised adolescents with Anorexia Nervosa
O’Connor, G; Nicholls, D; Singhal, A; Great Ormond St. Children’s Hospital, UK
motivATE: A pre-treatment motivational enhancement website for eating disorders. Development and qualitative evaluation
Williams, S; Newell, C; Grif ths, J; Thomas, S; Psychology Research Centre, UK
A multi-centre cohort study of short term outcomes of hospital treatment for Anorexia Nervosa in the uK
Treasure, J; Hibbs, R; Rhind, C; Institute of Psychiatry, King’s College London, UK
The use of 3D body scanning with novel 3D image assessment software to quantify body image issues such as body image distortion
Tema, S M; Hutton, G; Body Aspect Ltd, UK
Prevalence and correlates of disordered eating in a multi-ethnic sample: the South East London Community Health (SELCoH) study
Solmi, F; Institute of Child Health, University College London, UK
Somatoform dissociation and body image instability in eating disorders
Koskina, A; Tchanturia, K; Mountford, V; Department of Psychology; Institute of Psychiatry
20 | EDIC2014


EDIC 2014 programme
Thursday 13 March
11.30am – 1pm
11.30am – 11.45am
11.45am – 12pm 12pm – 12.15pm
12.15pm – 12.30pm
12.30pm – 12.45pm 12.45pm – 1pm
11.30am – 11.45am 11.45am – 12pm 12pm – 12.15pm
12.15pm – 12.30pm 12.30pm – 12.45pm
12.45pm – 1pm
SCIENTIFIC PAPER SESSIoN TWo: BRAIN PRoCESSES
Elvin Hall
Chair: Ian Frampton; Senior Lecturer at the Centre for Clinical Neuropsychology Research, University of Exeter
Neuropsychological function in children at familial high risk of developing
an eating disorder
Kothari, R; Treasure, J; Micali, N; Behavioural and Brain Sciences Unit, UCL Institute of Child Health, UK
Neuromodulation in eating disorders: where we are and where we are going
McClelland, J; Kekic, M; Campbell, I; Schmidt, U; Institute of Psychiatry, King’s College London, UK
Cognitive biases in Anorexia Nervosa: the role of in ated responsibility and perfectionism
Wormald, C; Watkins, B; Jones, F; Great Ormond Street Hospital, UK
Relationships between emotional processing styles and clinical psychopathology and weight in eating disorders
Newell, C; Sivyer, K; Thomas, P; Baker, R; Eating Disorders, Dorset HealthCare University NHS Foundation, UK
Sociocultural aspects of eating disorders with special focus on media use - pilot study
Szabo, K; Túry, F; Szumska, I; Institute of Behavioural Sciences, Semmelweis University, Hungary
Developing an iPhone and Android App for eating disorders sufferers, to aid self awareness, monitoring and treatment
Vize, C; Cootes, R; Osman, B; Burrows, A; Liddell, J; Cotswold House, UK
SCIENTIFIC PAPER SESSIoN THREE: THERAPIES oNE
Drama Studio
Chair: Johan Vanderlinden, PhD; Eating Disorder Unit Coordinator, University Psychiatric Center KU Leuven, Campus Kortenberg, Belgium
Treating severe and enduring Anorexia Nervosa: a randomised controlled trial
Touyz, S; Le Grange, D; Lacey, H; Hay, P; Smith, R; Maguire, S; Bamford, B; Pike, K; Crosby; The University of Sydney, Austrailia
Spotting and supporting eating disorders in school: recommendations from school staff
Knightsmith, P; Treasure, J; Schmidt, U; Institute of Psychiatry, UK
The New maudsley model lands in Italy: results of two training courses in two mental Health services in Florence area
Troiani, Maria Rita; Berti, B; Caselli, M; Dirindelli, P; Innocenti, E; Lucarelli, S; Minuti, A;
Stefanini, MC; Martinetti, MG
Eating Disorders in Athletics – Developing Best Practice and Care Pathways
Currie, A; Fylan, J; Lightfoot, L; Northumberland Tyne and Wear NHS Foundation Trust, UK
The implementation of dialectical behaviour therapy in the treatment of binge eating disorder
Bayraktar, F; Bogazici University, Turkey
Intensive Community Support: A Clinical And Financial Alternative To Admission
Turner, H.M1; Bartrum, M1; Tarney, F2; Fowler, H2; 1Southern Health NHS Foundation Trust Eating Disorder Service, UK; 2Department of Psychology, University of Southampton, UK
www.edic.org.uk | 21


EDIC 2014 programme
Thursday 13 March
11.30am – 11.45am 11.45am – 12.00pm
12.00pm – 12.15pm 12.15pm – 12.30pm
12.30pm – 12.45pm 12.45pm – 1pm
11.30am – 11.45am
11.45am – 12pm
12pm – 12.15pm 12.15pm – 12.30pm
12.30pm – 12.45pm 12.45pm – 1pm
SCIENTIFIC PAPER SESSIoN FouR: THERAPIES TWo
Nunn Hall
Chair: Dr Paul Robinson; Consultant Psychiatrist and Senior Lecturer Barnett, En eld and Haringey Mental Health Trust and University College London
Compassionate mind, compassionate body: developing skills to overcome disordered eating
Raspin, C; Finnigan, JA; Altum Health, UK
Expressed emotion, accommodation and enabling in carers of patients with eating disorders - Applying the New maudsley model in Italy
Dirindelli, Paolo; Berti, B; Caselli, M; Innocenti, E; Lucarelli, S; Minuti, A; Stefanini, MC; Troiani, MR; Martinetti, MG; University of Florence, Italy
The impact of coaching culture upon the eating behaviours of elite gymnasts
Prest, R; Gervis, M; Brunel University, UK
Refusal and coercion in the inpatient treatment of severe anorexia nervosa: Antigone and Creon in search of an equilibrium
Adlam, J; SW London and St George’s Adult Eating Disorders Service
The object relations inventory in patients with eating disorders and symptoms of borderline personality disorder
Bogaardt, A; Clare, A; Robinson, P; St Ann’s Hospital, UK
Strong is the new skinny: the role of sport and exercise in personal growth from anorexia and adversity
Hobbs, N J; Brunel University, UK
SCIENTIFIC PAPER SESSIoN FIVE: CARINg FoR AN EATINg DISoRDER
Clark Hall
Chair: Susan Ringwood; Chief Executive, Beat
“It just seems so hard” – growing up while your sibling has an eating disorder; a thematic analysis
Grunwald, J; John, M; University of Surrey, UK
A supported family meals programme to ease transition between inpatient supported eating and outpatient care in adolescents
Mair, D; Lockwood, C; Young, V; Thomas, M; Riverdale Grange Specialist Eating Disorder Hospital, UK
An Anorexic mum
Flicker, J; Self Help Network Coordinator, Beat
Innovative approaches to the development of an intensive one day carers’
skills workshop
Price, S; Hawkins, J; Cottrell, J; Oxford Health Cotswold House Specialist Eating Disorders Service, UK
How do eating disorders affect to caregivers? Preliminary results in a Spanish sample
Quiles, Y; Pérez, B; Pamies, L; Escolano, M; González, L; Quiles, MJ; University Miguel Hernandez, Spain
Domestic abuse among women with eating disorders during the perinatal period: do depression and marital status affect risk?
Kothari, R; Easter, A; Lewis, R; Howard, L M; Micali, N; Behavioural and Brain Sciences Unit; 2 UCL Institute of Child Health, UK
22 | EDIC2014


EDIC 2014 programme
Thursday 13 March
11.30am – 11.45am
11.45am – 12pm
12pm – 12.15pm 12.15pm – 12.30pm
12.30pm – 12.45pm
12.45pm – 1pm
1pm – 2pm 1.30pm – 2pm 2pm – 3.30pm
SCIENTIFIC PAPER SESSIoN SIx: mALES WITH EATINg DISoRDERS
Room 642
Chair: Professor Fernando Fernandez-Aranda; Professor of Psychology, Head of ED Unit and Head of CIBERobn Research Group, Department of Psychiatry, University Hospital of Bellvitge-IDIBELL and CIBERobn, Barcelona, Spain
The Palatable Eating motives Scale (PEmS) reveals sex differences behind eating tasty foods that can predict binge-eating risk
Burgess, E; Turan, B; Lokken, K L; Morse, A; Boggiano, M M; University of Alabama at Birmingham, UK
Exploring men’s experiences and understanding of binge eating disorder: an interpretative phenomenological analysis
Spyrou, S; London Metropolitan University, UK
male clinicians’ experiences of working with patients with eating disorders
Viljoen, D; Hertfordshire Community Eating Disorders Service, UK
Sex differences in the links between disordered eating and admiration for people with Anorexia Nervosa and muscle Dysmorphia
Grif ths, S; Mond, J; Murray, S; Touyz, S; School of Psychology, University of Sydney, Australia
A group for men with eating disorders: when “Lone Wolves” come together
Leo, R; Laszlo, B; Clinical Psychology Service, Somerset Partnership NHS Foundation Trust
A touchy subject: exploring male eating disorders in a Northern Ireland context
Foye, U; Best, D; University of Ulster, UK
LuNCH, JEFFERY HALL; ExHIBITIoN AND PoSTER VIEWINg, CRuSH HALL FoYER
PoSTER STRoLL, CRuSH HALL FoYER
PLENARY SESSIoN oNE:
Logan Hall
Eating disorders and the brain
Chair: Professor Janet Treasure; Kings College London
Disordered eating and brain reward systems
Professor Paul Fletcher, Bernard Wolfe Professor of Health Neuroscience; Welcome Trust Senior Research Fellow in Clinical Science; Honorary Consultant Psychiatrist, Department of Psychiatry, Addenbrooke’s Hospital, Cambridge
Hedonics, hormones and eating disorders
Professor Palmiero Monteleone; Professor of Psychiatry at the University of Salerno, Italy
Implicit strategies to improve body satisfaction
Dr Carolien Martijn; Associate professor at the Department of Clinical Psychological Science at Maastricht University, The Netherlands
CoFFEE IN THE JEFFERY HALL, WILEY ‘mEET THE EDIToRS’ CoFFEE RECEPTIoN
3.30pm– 4pm
www.edic.org.uk | 23


EDIC 2014 programme
Thursday 13 March
4pm – 5.30pm
WoRKSHoPS AND TRAININg TRACKS SESSIoN oNE
WoRKSHoP 1.1: mARSIPAN, local implementation; a workshop
Sylvia Dahabra and Paul Robinson
Logan Hall
WoRKSHoP 1.2: managing severely sick young people with Anorexia Nervosa: a training workshop
Dr Dasha Nicholls, Dr Debra Katzman and Graeme O’Connor
Elvin Hall
WoRKSHoP 1.3: Anorexia Nervosa: a well ingrained, maladaptive habit?
Professor B Timothy Walsh
Drama Studio
TRAININg TRACK 1.1 SEED: Biopsychosocial assessment of patients with SEED
Dr Victoria Mountford
Nunn Hall
TRAININg TRACK 1.2 NEW TECHNoLogIES: Video game therapy for eating disorders. A complementary strategy for emotional regulation
Professor Fernando Fernandez-Aranda
Clark Hall
TRAININg TRACK 1.3 THERAPIES: Systemic family therapy for anorexia nervosa (SFT- AN): theoretical concepts, practical application, obstacles and challenges
Professor Ivan Eisler
Room 642
CoNFERENCE DRINKS RECEPTIoN SPoNSoRED BY THE PRIoRY
5.30Pm – 6:30Pm
24 | EDIC2014


EDIC 2014 programme
Friday 14 March
8.30am – 9am
9am – 10.30am
10.30am – 11am
11am – 12.30pm
REgISTRATIoN AND CoFFEE IN THE CRuSH HALL FoYER
PLENARY SESSIoN TWo:
Logan Hall
Eating disorders in males: Panel discussion
Chair: Professor John Morgan; Professor of Psychiatry, St Georges Hospital Medical School, London; Consultant Psychiatrist, the Yorkshire Centre for Eating Disorders
Speakers: Caroline Norton; Clinician; Leader of the Invisible Man Project, Sam Thomas, Founder and Director, ‘Men get eating disorders too’, Jenny Langley, Author, Boys Get Anorexia Too; Parent perspective
CoFFEE IN THE JEFFERY HALL
WoRKSHoPS AND TRAININg TRACKS SESSIoN TWo
WoRKSHoP 2.1: The maudsley model of Anorexia Treatment for Adults (mANTRA): An introduction to model, evidence-base and treatment
Ulrike Schmidt
Logan Hall
WoRKSHoP 2.2: Working from the bottom up – the remediation of cognitive biases in eating disorders
Valentina Cardi
Elvin Hall
WoRKSHoP 2.3: Radically open – Dialectical Behaviour Therapy for over- controlled disorders
Eunice Chen
Drama Studio
TRAININg TRACK 2.1 SEED: A therapeutic approach to patients with severe and enduring eating disorders
Professor Stephen Touyz
Nunn Hall
TRAININg TRACK 2.2 NEW TECHNoLogIES: Eating disorders in cyberspace – new technologies, new challenges, new possibilities
Professor Finn Skårderud
Clark Hall
TRAININg TRACK 2.3 THERAPIES: CBT for eating disorders: achievements and challenges
Riccardo Dalle Grave
Room 642
LuNCH SPoNSoRED BY NEWmARKET HouSE, JEFFERY HALL; ExHIBITIoN AND PoSTER VIEWINg, CRuSH HALL FoYER, BEAT PRoFESSIoNAL NETWoRK mEmBERS NETWoRKINg LuNCH, JEFFREY HALL
PoSTER STRoLL, CRuSH HALL FoYER
KEYNoTE LECTuRE THREE:
Logan Hall
Chair: Dr Paul Robinson; Chair, EDIC 2014 Scienti c Programme Committee; Consultant Psychiatrist and Senior Lecturer Barnet, En eld and Haringey Mental Health Trust and University College London
12.30pm – 1.30pm
1pm - 1.30pm
1.30pm – 2.30pm
www.edic.org.uk | 25


EDIC 2014 programme
Friday 14 March
2:30pm – 4pm
An attachment/mentalising approach to identifying endophenotypes in eating disorder patients: We may have taken DSm too seriously
Dr Patrick Luyten; Associate Professor at the Faculty of Psychology and Educational Sciences, University of Leuven (Belgium) and Reader at the Research Department of Clinical, Educational, and Health Psychology, University College London (UK)
PLENARY SESSIoN THREE:
Logan Hall
Ethical dilemmas and pitfalls in eating disorders
Chair: Dr Agnes Ayton; Consultant Psychiatrist, Cotswold House, Oxford Health
Ethical issues in evaluation of new treatments (including DBS)
Dr Jacinta Tan; Clinical Associate Professor, College of Medicine, Swansea; University Honorary Consultant Psychiatrist, Tier 3 Specialist Adult Eating Disorder Team, Abertawe Bro Morgannwg University Health Board
Hope versus despair: Recovery, rehabilitation or palliative care
Dr Anne Stewart; Consultant Child and Adolescent Psychiatrist, Oxford Health and Honorary Senior Clinical Lecturer, University of Oxford and Dr Frances Connan, Consultant Psychiatrist and Clinical Director Vincent Square Eating Disorders Service London
Discharge weights from child and adolescent services, an ethical approach
Dr Agnes Ayton; Consultant Psychiatrist, Cotswold House, Oxford Health CoFFEE IN THE JEFFERY HALL
WoRKSHoPS AND TRAININg TRACKS SESSIoN THREE
WoRKSHoP 3.1: Pregnancy, motherhood and eating disorders
Nadia Micali and Dr Abigail Easter
Logan Hall
WoRKSHoP 3.2: CBT in the treatment of Binge Eating Disorder and obesity
Dr Johan Vanderlinden and Riccardo Dalle Grave
Elvin Hall
WoRKSHoP 3.3: Working across cultures – therapeutic challenges in engagement with adolescents and their families
Liz Dodge
Drama Studio
TRAININg TRACK 3.1 SEED: SEED and the Recovery approach: Recovery Star how we are using it in step up programme for eating disorders?
Dr Kate Tchanturia and Sandie Cottee
Nunn Hall
TRAININg TRACK 3.2 NEW TECHNoLogIES: A therapist in your pocket - the use of vodcasts to promote change
Professor Janet Treasure, Dr V. Cardi and S. Ambwani
Clark Hall
TRAININg TRACK 3.3 THERAPIES: The role of interpersonal psychotherapy in the treatment of eating disorders
Professor Jon Arcelus and Dr Jonathon Baggott
Room 642
ComEDY PERFoRmANCE, LogAN HALL
4pm – 4.30pm
4.30pm – 6pm
6.15pm – 7pm
26 | EDIC2014


EDIC 2014 programme
Saturday 15 March
9am – 9.30am
9.30am – 9.45am 9.45am – 11am
11am – 11.30am
11am – 1pm
REgISTRATIoN AND CoFFEE IN THE CRuSH HALL FoYER
WELComE:
Logan Hall
Susan Ringwood; Chief Executive, Beat PLENARY SESSIoN FouR:
Logan Hall
users’ and carers’ forum: what we want from services
Chair: Susan Ringwood; Chief Executive, Beat
Speakers: Pat Ayres; Beat Self Help Network Coordinator and carer, Dr Katie Beth Walbeoff, MBCHB,
Young Ambassador, Beat, Ed Edmond, Sibling, Nic Hart, Bereaved Father CoFFEE IN THE JEFFERY HALL
WoRKSHoPS AND TRAININg TRACKS SESSIoN FouR
WoRKSHoP 4.1: using motivational Interviewing to manage eating disorders symptoms
Charlotte Rhind
Logan Hall
WoRKSHoP 4.2: Cultural differences in caregivers: do we care differently?
Maria Quiles
Elvin Hall
WoRKSHoP 4.3: Acceptance and commitment therapy (ACT): a new approach to the treatment of eating disorders
Katerina O’Connor
Drama Studio
TRAININg TRACK 4.1 SEED: outpatient treatment “Shoots and Roots”: a recovery and growth perspective on working with severe and enduring eating disorders programme for eating disorders
Emma Walton and Vicki Wise
Nunn Hall
TRAININg TRACK 4.2 NEW TECHNoLogIES: The perils and promise of new technologies in the prevention and early intervention of eating disorders
Dr Helen Sharpe, Peter Musiat, Pooky Knightsmith and Professor Ulrike Schmidt
Clark Hall
TRAININg TRACK 4.3 THERAPIES: mentalisation based therapy for eating disorders: a training workshop
Professor Finn Skårderud and Dr Paul Robinson
Room 642
www.edic.org.uk | 27


EDIC 2014 programme
Saturday 15 March
1pm – 2.15pm
1.30pm – 2.15pm
2.15pm – 3.45pm
LuNCH, JEFFERY HALL; ExHIBITIoN AND PoSTER VIEWINg, CRuSH HALL FoYER
BEAT AWARDS SPoNSoRED BY THE PRIoRY, LogAN HALL
PLENARY SESSIoN FIVE:
Logan Hall
Healing the brain in eating disorders
Chairs: Dr Dasha Nicholls MBBS MRCPssych MD FAED; Consultant Child and Adolescent Psychiatrist and Honorary Senior Lecturer, Feeding and Eating Disorders Service, Department of Child and Adolescent Mental Health, Great Ormond St Hospital, London and Helen Missen NNEB RGN, Renal Dialysis Staff Nurse, Betsi Cadwaladr University Health Board; Carers Ambassador, Beat; Member F.E.A.S.T
Brain disorder language
Laura Collins Lyster-Mensh; M.S, Policy Director F.E.A.S.T
Neuroscience and recovery
Dr Sloane Madden; Child and Adolescent Psychiatrist, Co-Director Eating Disorder Service, The Children’s Hospital Westmead, Sydney, Australia
Parent healing and resilience
Sue Shepherd; Mum; School Governor; Member F.E.A.S.T FAREWELL, LogAN HALL; CoFFEE IN JEFFERY HALL
3.45pm – 4.30pm
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Biographies
Academy for Eating Disorders teaching event
Professor Stephen Touyz
PhD., FAED, University of Sydney
Stephen Touyz is a professor of clinical psychology and honorary professor in the discipline of psychiatry at the University of Sydney. He is also the Chair of the executive committee of the Centre for Eating and Dieting Disorders.
He was the Professor responsible for the clinical psychology postgraduate training programme at the University of Sydney from 1996-2012. Professor Touyz is also a senior consultant to the Adult Eating Disorders Program at Westmead Hospital which
he founded in 1988. He is a former head of the Department of Psychology at the University of Sydney. He was also the inaugural treasurer of the Australian and New Zealand Academy of Eating Disorders.
He is the Co-editor in Chief of the Journal of Eating Disorders and a member of the editorial advisory boards of the International Journal of Eating Disorders, European Eating Disorders Review and Advances in Eating Disorders: Theory, Research and Practice. He
is also a member of the steering committee of the National Collaboration on Eating Disorders funded by the Commonwealth Government of Australia. In 2012, he was given a Leadership in Research Award by the prestigious Academy of Eating Disorders (USA).
Dr Ian Frampton
Senior Lecturer at the Centre for Clinical Neuropsychology Research, University of Exeter
Ian trained on the Clinical and Community Psychology Doctoral Programme at Exeter University and held
the post doctoral Fellowship in Developmental Neuropsychology at the Institute of Psychiatry from 1996–1998. During this time, he worked with children with cerebral palsy and other neurodevelopmental disorders including obsessive compulsive disorder and Tourette syndrome.
He is currently Consultant in Paediatric Psychology in Cornwall, UK and Senior Lecturer at the Centre for Clinical Neuropsychology Research at the University of Exeter. He is a visiting Research Consultant to the Eating Disorders Research Team at Oslo University Hospital, Norway. His current research focus is the neuroscience of eating disorders.
Dr Sloane madden
Clinical Lecturer, Paediatrics & Child Health, Children’s Hospital, Westmead, The University of Sydney
Dr Madden’s research has three major foci, early onset eating disorders, the treatment of anorexia nervosa and the neurobiology of eating disorders and he is the author of over 50 peer reviewed journal articles, clinical abstracts and book chapters. Dr Madden is President of the Australian and New Zealand Academy of Eating Disorders and on the board of
the Academy of Eating Disorders.
Dr. Eunice Chen
Assistant Professor, Temple University, Philadelphia, Pennsylvania
Eunice Chen, PhD, is an Assistant Professor in the Clinical Psychology program. Dr. Chen received her PhD in Clinical Psychology from the University of Sydney, Australia and following this completed two Postdoctoral Fellowships, one at Yale University and the other at the University of Washington, Seattle.
Prior to moving to Temple, she was an Assistant Professor in Psychiatry and Behavioral Neuroscience at the University of Chicago where she ran an adult eating and weight disorders program. Her primary research interest is the etiology and treatment of individuals with eating and weight disorders. A focus of this work is on the development of psychosocial treatments for subgroups of individuals with eating disorders for whom standard treatments fail (e.g. non-responders to Cognitive Behavior Therapy as well as individuals with eating disorders and co- occurring disorders, adults with anorexia nervosa).
To this end she has developed treatments for eating disorders utilizing Dialectical Behavior Therapy and Family Based Therapy. In addition, she is interested in the psychophysiology and brain circuitry associated with eating disorders and how they are impacted by psychosocial treatment.
Her work is funded by the National Institute of
Mental Health. She is a member of the American Psychological Association, Association for Psychological Science, Society for Psychophysiological Research and the Association for Behavioral and Cognitive Therapies.
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Biographies
EDIC 2014 Keynote speakers
Dr Paul Robinson
Consultant Psychiatrist and Senior Lecturer Barnet En eld and Haringey Mental Health Trust and University College London
Dr Robinson is a consultant psychiatrist in eating disorders with many years experience. He is a founder member of what has become EDSECT and was the second chair.
His responsibilities have included the rst and second national surveys of eating disorder services in the UK, the curriculum for eating disorders psychiatry and
the MARSIPAN group, addressing the problems of severely ill patients with anorexia nervosa in medical wards. He works at St Ann’s Eating Disorder service in Tottenham as a Research Consultant Psychiatrist.
He has written two books on eating disorders, Community Treatment of Eating Disorders in 2006 and Severe and Enduring Eating Disorders in 2009. He is soon to complete a Randomised Controlled trial of Mentalization Based Therapy versus Specialist Supportive Clinical Management in patients with eating disorders complicated by symptoms of Borderline Personality Disorder, funded by the National Institute of Health Research.
He chaired the organizing committees for EDIC in 2012 and 2014. He is a photographer and has recently developed Enacted Photo Sculpting to portray emotional relationships in mental disorders including eating disorders.
Professor B Timothy Walsh
W&J Ruane Professor of Pediatric Psychopharmacology (in Psychiatry), Department of Psychiatry, Columbia University, and the New York State Psychiatric Institute, New York
B Timothy Walsh, M.D., a graduate of Princeton University and of Harvard Medical School, joined the staff of Columbia University Medical Center
in 1979 and established the Eating Disorders Research Unit at New York State Psychiatric Institute.
Dr Walsh is currently the Ruane Professor of Pediatric Psychopharmacology in the Department of Psychiatry at the College of Physicians & Surgeons, Columbia University, and Director of the Division of Clinical Therapeutics at New York State Psychiatric Institute. Professor Walsh’s research group has examined biological and psychological abnormalities which contribute to the development
and perpetuation of disturbances in eating behavior, and investigated both psychological and pharmacological treatments for Anorexia Nervosa, Bulimia Nervosa and Binge Eating Disorder.
Professor Walsh was a member of the DSM-5 Task Force and chaired the Eating Disorders Workgroup for DSM-5. He is a past president of the Academy for Eating Disorders, and of the Eating Disorders Research Society.
Dr Rachel Bryant-Waugh
Consultant Clinical Psychologist, Great Ormond Street
Dr Rachel Bryant-Waugh is Joint Head of the Feeding and Eating Disorders Service and Lead Psychologist in the Department of Child and Adolescent Mental Health at Great Ormond Street Hospital.
She specialises in feeding problems in young children, selective eating and other childhood eating disturbances, and early onset eating disorders, in particular anorexia nervosa. She also has a special interest in mothers with eating disorders and their children.
Dr Bryant-Waugh is recipient of the British Psychological Society’s May Davidson Award for her outstanding contribution to the eld of childhood eating disorders. She has also received the Academy for Eating Disorders 2012 Leadership Award for Clinical, Educational and Administrative Services.
Dr Patrick Luyten
Associate Professor at the Faculty of Psychology and Educational Sciences, University of Leuven (Belgium) and Reader at the Research Department of Clinical, Educational, and Health Psychology, University College London (UK)
Patrick Luyten, PhD is Associate Professor
at the Faculty of Psychology and Educational Sciences, University of Leuven (Belgium) and Reader at the Research Department of Clinical, Educational, and Health Psychology, University College London (UK).
His main research interest focuses on the role of attachment and mentalizing in various disorders, including borderline personality disorder, functional somatic syndromes and eating disorders.
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Biographies
EDIC 2014 Plenary speakers
Professor Janet Treasure
OBE, PhD, FRCP, FRCPsych, Kings College London
Professor Treasure works in research and teaching
at Kings College London and as a clinician at the South London and Maudsley NHS Foundation Trust. Professor Treasure’s research interests include conjoint working with patients and carers using translational research to develop new forms of treatment.
Professor Paul Fletcher
Bernard Wolfe Professor of Health Neuroscience, Wellcome Trust Senior Research Fellow in Clinical Science, Honorary Consultant Psychiatrist, Department of Psychiatry, Addenbrooke’s Hospital, Cambridge
Paul Fletcher trained in medicine before taking a PhD in cognitive neuroscience. He was elected to the Bernard Wolfe Professorship of Health Neuroscience, University of Cambridge, in 2008 and was also awarded a Wellcome Trust Senior Clinical Fellowship in Clinical Science. He is a Fellow of the Royal College of Psychiatrists and Fellow of the Academy of Medical Sciences.
His research uses combinations of functional neuroimaging and psychopharmacological manipulations to explore the brain basis of disturbances in learning, inference, motivation
and decision-making. Early work developing an understanding of the contributions of the frontal lobes to human learning were followed by a series of studies aimed at furthering understanding of dynamic brain responses during associative learning, demonstrating that key parts of the mesocorticolimbic system are disrupted in psychosis for both classical causal learning tasks and operant, reward-based learning.
He has gone on to explore learning and motivational changes that characterise the health-harming behaviours of hyperphagia and obesity. This has led to collaborations with metabolic physicians, aiming at drawing together neurobehavioural insights
from hyperphagic patients who have undergone sophisticated metabolic characterisation but in whom reward-related behaviour has been only sparsely studied.
Professor Palmiero monteleone
Professor of Psychiatry at the University of Salerno, Italy
Palmiero Monteleone is Full Professor of Psychiatry
at the University of Salerno, Italy and coordinates
the activities of the Eating Disorders Centre of the Department of Psychiatry of the University of Naples S.U.N. He is chair of the WPA Eating Disorders Section, and member of the ICD-11 Expert Consultation Group on the Classi cation of Feeding and Eating Disorders of the WHO.
Dr Carolien martijn
Associate professor at the Department of Clinical Psychological Science at Maastricht University Department of Clinical Psychological Science, Maastricht University, The Netherlands
Carolien Martijn is an associate professor at the Department of Clinical Psychological Science at Maastricht University. Carolien Martijn was trained as an experimental social psychologist and is interested how theories and ndings in social cognition may
be translated to explain clinical issues. She lives in Valkenburg (the pearl of the hill country of Limburg).
Professor John morgan
Professor of Psychiatry, St Georges Hospital Medical School, London. Consultant Psychiatrist, the Yorkshire Centre for Eating Disorders
John Morgan is chair of the St Georges Eating Disorder research team and also runs the Yorkshire Centre for Eating Disorders in Leeds, a 20-bedded unit. He trained at Cambridge University and London. He is chair of the Royal College of Psychiatrists’ Eating Disorder Section and Chair of the Royal College of Psychiatrists’ Patient Safety Group. He is the author of ‘The Invisible Man: A self help guide for men with eating disorders, compulsive exercise and bigorexia’.
Caroline Norton
Clinician and leader of the Invisible Man Project
Caroline Norton has worked within the Eating Disorder Service for the last sixteen years. For the rst thirteen years, she worked on the in-patient unit. In 2010 she was promoted to Team Leader at Out-patients and Day Care Service. At this time, the unit became a pilot study for the Productive Wards initiative. It was through this that the work on the Invisible Man Project began.
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Biographies
EDIC 2014 Plenary speakers
Sam Thomas
Founder and Director ‘Men get eating disorders too’
Sam founded Men Get Eating Disorders Too in Spring 2009 following his own experience of an eating disorder throughout his teens. Having had bulimia
for eight years, he managed to recover in his early twenties. Re ecting on his experiences he realised being male was largely why he found it dif cult to
get appropriate support. In response to this he set up the original MGEDT website with the support of ITV Fixers to raise awareness of male eating disorders and provide information and advice that is speci c to mens’ needs.
Sam is dedicated to raising awareness of male
eating disorders and frequently talks about his experiences and of the issue of male eating disorders in the media and at conferences. Sam’s work has been recognised in the Shelia McKechnie Campaigner Awards, Beacon Prize, Beat Awards and the Talk Talk Digital Heroes Awards.
Jenny Langley
Author, Boys Get Anorexia Too
Since her son recovered from anorexia 10 years ago, Jenny Langley has campaigned to raise awareness of eating disorders in boys and men, and also to provide practical help and support to families affected by eating disorders in the South East of England.
Through her website and book (www.boyanorexia.com and Boys Get Anorexia Too) Jenny provides support and hope to many families from all over the world who are struggling with a male eating disorder in their midst.
Jenny is passionate about providing support to carers. Jenny and her husband facilitate a Beat af liated carers support group in Kent. (www.eda-westkent.org.uk). In addition Jenny works closely with the Eating Disorder Research team of The Institute of Psychiatry, and is trained in the New Maudsley method. She has become an “expert carer” coach for the research programmes and, as a Beat Empowering Families champion, delivers regular skills workshops for carers in Kent.
Jenny is also an Associate Trainer for Beat, and delivers a wide range of sessions on eating disorders and body image and self esteem, to students, school staff and parents.
Jenny lives in Sevenoaks in Kent and has six children age between 24 years and 10 years.
Dr Agnes Ayton mD mmedSc FRCpsych
mSc
Consultant Psychiatrist, Cotswold House, Oxford Health
Dr Ayton has recently taken up the consultant psychiatrist post at Cotswold House Oxford. She has extensive experience in the assessment and treatment of severe eating disorders both in the NHS and in
the independent sector. Dr Ayton has a longstanding commitment to improving quality of care. At a national level, she has been an active member of
the Royal College of Psychiatrists Centre for Quality Improvement, including serving on the QNIC Executive Committee and the QNIC Routine Outcome Measure advisory group, and more recently, on the Eating Disorders Section (EDSECT). She also has a strong interest in the ethical and legal aspects of care, and in the improvement of patient experience, and she has published on these topics. She is the author Anorexia nervosa: hope for recovery and a co-author
of the ‘Junior MARSIPAN’ Guidelines.
Dr Jacinta Tan
Clinical Associate Professor, College of Medicine, Swansea University Honorary Consultant Psychiatrist, Tier 3 Speacialist Adult Eating Disorder Team, Abertawe Bro Morgannwg University Health Board
Jacinta Tan is an Honorary Consultant Psychiatrist
with the Tier 3 Swansea Adult Eating Disorder Team
at the Abertawe Bro Morgannwg University Health Board, Wales. She is a Clinical Associate Professor
at the College of Medicine, Swansea University, and
a medical ethicist with a background in philosophy, psychology and sociology. She is the convenor of
the Mental Health Research Network Cymru’s Eating Disorder Research Development Group which
brings together interested patients, family members, clinicians and academics of various disciplines and seeks to develop a culture of research in Eating Disorders within the Welsh NHS. Her research interests are: capacity and consent, psychiatric ethics, ethics
of eating disorders and their treatment, and ethics of research.
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Biographies
EDIC 2014 Plenary speakers
Dr Anne Stewart
Consultant Child & Adolescent Psychiatrist, Oxford Health and Honorary Senior Clinical Lecturer, University of Oxford
Anne Stewart is a Consultant Child & Adolescent Psychiatrist working in Tier 3 CAMHS, Oxford Health, and Honorary Senior Clinical Lecturer, University of Oxford. She has a lead role in CAMHS eating disorder services in her Trust and has a particular interest in bridging the gaps between CAMHS and adult services. Her research interests are in patient and carer perspectives on disorders and treatment, ethical issues in eating disorders, the role of the internet
in self harm and psychological interventions in post natal depression.
Dr Frances Connan
Consultant Psychiatrist & Clinical Director, Vincent Square Eating Disorders Service, London
Frances Connan is a Consultant Psychiatrist in Eating Disorders and Clinical Director of the Vincent Square Eating Disorder Service, London. She is an Honorary Senior Clinical Lecturer at Imperial College. Her interests include application of the Mental Capacity Act (2005) in Eating Disorders and management of severe and enduring anorexia nervosa.
Pat Ayres
Beat Self Help Network co-ordinator and carer
Pat’s daughter unfortunately suffered with anorexia/ bulimia from late teens whilst at University and this carried through all her 20’s into her 30’s. In 2003 Pat founded the Cirencester eating disorder self help group for sufferers and carers and became involved with Gloucestershire Carers as a surgery link visitor and volunteer. Pat has been elected as a governor for the 2gether NHS Foundation Trust for mental health.
Pat was awarded an MBE by the Queen in 2001 for services to the community. She was nominated in 2008 as Tesco mum of the year winning the Best Achieving Mum category and was invited to No.10 to have coffee with the Prime Minister’s wife Sarah Brown. In 2011 Pat was presented with the National Golden Award brooch which is the highest award a member of the Royal British Legion Women’s Section can receive.
Dr Katie Beth Walbeoff
MBCHB, Young Ambassador, Beat
Dr Katie Beth Walbeoff is a junior doctor currently working in South Wales. Following her own experience of anorexia nervosa as a teenager she is passionate about her work as a Young Ambassador for Beat; fundraising, promoting the hope of recovery and aiming to reduce the stigma that so often surrounds such illnesses. Her ultimate career goal is to become
a General Practitioner with a special interest in eating disorders.
Ed Edmond
Sibling
Edward is currently working as a helpline support worker. His experience of eating disorders rst started at the age of 11 when his brother was diagnosed with Anorexia Nervosa. He was involved in supporting his sibling through three hospital admissions and the outpatient support which followed, alongside the
day to day struggles at home. Edward recognised
the need for support for anyone affected by eating disorders and volunteered on the Beat helpline during 2012 whilst continuing his studies in chemistry.
Nic Hart
Bereaved father
Nic Hart’s daughter Avril died just 10 weeks after starting University. He has become a passionate campaigner for improved services, and an end to unavoidable deaths. He has contributed to the recently updated Marsipan guidelines on the treatment of eating disorders in medical settings, and is determined that other families should not have to face the tragedy that has affected his own.
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Biographies
EDIC 2014 Plenary speakers
Dr. Dasha Nicholls mBBS mRCPssych mD FAED
Consultant Child and Adolescent Psychiatrist & Honorary Senior Lecturer, Feeding and Eating Disorders Service, Department of Child and Adolescent Mental Health, Great Ormond St Hospital, London
Dr Dasha Nicholls is Lead for the Eating Disorders service at Great Ormond Street Hospital. Primarily a clinician working with children and young adolescents, she has authored over 50 peer reviewed research articles, reviews and book chapters, as well as the Junior MARSIPAN guidelines for the care of seriously ill young people with anorexia nervosa. She is past President of the Academy for Eating Disorders and Co-founder of the Child and Adolescent Psychiatric Surveillance System (CAPSS) for the epidemiological research of rare disorders in child mental health.
Laura Collins Lyster-mensh
M.S., Policy Director. F.E.A.S.T.
Laura Collins Lyster-Mensh, M.S. is a writer from Virginia who became an activist for improved eating disorder treatment after the recovery of her teen daughter from anorexia. Her book, “Eating With Your Anorexic” (McGraw Hill), is a memoir of her family’s experience. Collins serves on the Steering Committee for Charlotte’s Helix. Laura served as F.E.A.S.T.’s Executive Director from its incorporation in 2009 until the end of 2012, when she took on the new role of Policy Director.
Dr Sloane madden
Clinical Lecturer, Paediatrics & Child Health, Children’s Hospital, Westmead, The University of Sydney
Dr Madden’s research has three major foci, early onset eating disorders, the treatment of anorexia nervosa and the neurobiology of eating disorders and he is the author of over 50 peer reviewed journal articles, clinical abstracts and book chapters. Dr Madden is President of the Australian and New Zealand Academy of Eating Disorders and on the board of the Academy of Eating Disorders.
Sue Shepherd
Mum, School Governor, member of F.E.A.S.T., Hertfordshire, UK
Sue Shepherd is the working mother of a young adult who developed anorexia nervosa (AN). She is passionate about the positive role parents can play in recovery and the need for better education and awareness about the causes and consequences of eating disorders.
34 | EDIC2014


Beat’s Professional Network Membership
Sign up today to join our network of eating disorders professionals
Bene ts of Professional Network Membership:
■ Members only area of the website containing exclusive Beat information, research and opportunities
■ Quarterly membership e-newsletters
■ Free subscription to Upbeat, our supporters magazine
■ A reduced subscription rate to HelpFinder
■ Over 45% discount (normal price £187) on a subscription to the European Eating Disorders Review (EEDR)
■ Reduced fees at Beat conferences and training events, including EDIC
■ Opportunity to circulate free research or query emails to other Professional Network Members
■ Chance to feature on the membership area of the website and e-newsletters
Professional Network Members are invited to our exclusive lunch on Friday 14 March in the Jeffery Hall at 12.30pm
Professional Network Membership costs £65 + VAT a year
To sign up, complete the order form on the back page of your brochure and hand it to a member of
the Beat team on stand 4
The European Eating Disorders Review Journal (EEDR)
The bi-monthly EEDR includes authoritative and accessible articles which review or report original research and outline innovations and experience in the clinical management of eating disorders.
Edited by Professor Fernando Fernandez-Aranda, the journal focuses on implications for best practice and provides a forum for discussion. EEDR can only be purchased alongside Professional Network Membership.
Learn more about the EEDR and meet the editors at Wiley’s ‘Meet the Editors’ coffee reception on Thursday 13 March 2013 at 3.30pm in the Jeffery Hall
The European Eating Disorders review annual subscription costs £99, and can only be purchased alongside Professional Network Membership
How do I sign up?
To purchase Professional Membership and EEDR please complete the booking form at the back of your brochure and return it to a Beat staff member on stand 4
Alternatively please contact the Business Development team on 01603 753304 or email help [email protected]
Take a look at our HelpFinder directory at http://help nder.b-eat.co.uk/ where service users and carers can nd treatment and support for eating disorders in their area. If you are interested in listing your services on the HelpFinder contact the Business Development team on the above number or email.


Abstracts
Academy for Eating Disorders teaching event
SEmINAR
2pm – 5pm, Elvin Hall
Wednesday 12 March 2014
Where in the Brain are we? An overview of Current Neurobiological models of Eating Disorders
Aims
1 Participants will be aware of the latest neuroimaging and neuropsychological ndings in eating disorders
2 Participants will be aware of key neurobiological models in eating disorders
3 Participants will be able to apply key ndings from current research to their clinical practice
Content
Research tells us that anorexia nervosa is a brain disease... while the symptoms are behavioural, this illness has a biological core with genetic components (and) changes in brain activity and neural pathways... (Thomas Insel – Director NIMH)
The past decade has seen an explosion of neurobiological research in eating disorders. While ndings remain disparate and at times contradictory a number of key neurobiological models have attempted to draw ndings together into coherent and testable models. The increasing interest in the neurobiological basis of eating disorders has not only been led by clinicians and researchers but increasingly by carers
and consumers in an attempt to both understand this complex disorder but also to guide future treatment options. This workshop will provide an introduction and overview of current neuroimaging, neuropsychological and neurophysiological ndings, key new technologies and current neurobiological models of eating disorders.
SEmINAR
2pm – 5pm, Clark Hall Wednesday 12 March 2014
Dr Eunice Chen; Assistant Professor, Temple University, Philadelphia, Pennsylvania
New Developments in Dialectical Behaviour Therapy
This talk will summarise the latest developments and ndings utilising Dialectical Behaviour Therapy (DBT) for eating disorders and other disorders. This includes the latest ndings from a trial examining the use of DBT for late responders to brief cognitive behaviour therapy and open trials using new adaptations of DBT.
Professor Stephen Touyz; Professor of Clinical Psychology and Clinical Professor in Psychiatry, Executive Chair, Centre for Eating and Dieting Disorders (CEDD), University of Sydney
Treating patients with severe and enduring anorexia nervosa: New evidence and approaches
One in ve people with anorexia nervosa (AN) have a severe and enduring illness course with subsequent reduced quality of life and impoverished and isolated living circumstances. Notwithstanding a limited evidence base, outcomes without treatment are likely poor with high mortality and therapeutic nihilism is common.
A recent randomised controlled trial (RCT) using modi ed specialist psychotherapies found patients responded to therapy with meaningful improvements in social, psychological and physical status. In this trial Cognitive Behaviour Therapy for AN (CBT-AN) was compared to Specialist Supportive Clinical Management (SSCM). Both therapies were highly acceptable with a very low attrition (15%) rate. Both fostered a therapeutic relationship that promoted adherence to treatment and did not impose assumptions about change or weight regain.
Speci c modi cations made to CBT-AN included increased exibility in approach and an extension of the motivational enhancement section of the manual. The workshop will:
1 Present an overview of and the evidence base for psychological approaches in chronic anorexia nervosa
2 Report the outcomes of the RCT
3 Detail the modi cations to the specialist therapies
applied in the RCT and describe the process of therapy in the context of the particular challenges in care for these patients
SEmINAR
2pm – 5pm, Drama Studio Wednesday 12 March 2014
Dr Ian Frampton; Senior Lecturer at the Centre for Clinical Neuropsychology Research, University of Exeter and Dr Sloane Madden, Clinical Lecturer, Paediatrics & Child Health, Children’s Hospital, Westmead, The University of Sydney
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Abstracts
EDIC 2014 Keynotes
KEYNoTE
9am – 9.45am, Logan Hall
Thursday 13 March 2014
Professor B Timothy Walsh; W&J Ruane Professor of Pediatric Psychopharmacology (in Psychiatry), Department of Psychiatry, Columbia University, and the New York State Psychiatric Institute, New York
The DSm5 and Eating Disorders: What’s new and why?
KEYNoTE
9.45am – 10.30am, Logan Hall Thursday 13 March 2014
Dr Rachel Bryant-Waugh; Consultant Clinical Psychologist and Joint Head Feeding and Eating Disorders Service, Great Ormond Street Hospital NHS Trust
The bigger picture: ICD-11 and the diagnosis of feeding and eating disorders in a global context
KEYNoTE
1.30pm – 2.30pm, Logan Hall Friday 14 March 2014
Dr Patrick Luyten; Associate Professor at the Faculty of Psychology and Educational Sciences, University of Leuven (Belgium) and Reader at the Research Department of Clinical, Educational, and Health Psychology, University College London (UK)
An attachment/mentalizing approach to identifying endophenotypes in eating disorder patients: We may have taken DSm too seriously
Although eating disorders (EDs) are among the most common chronic conditions in adolescents and young adults, our understanding of this group of incapacitating disorders is still very incomplete. Recently, attachment/ mentalizing approaches to eating disorders have increased in popularity, primarily because of their comprehensive developmental approach, and their immediate implications for the treatment of EDs, as is exempli ed by Mentalization-Based Treatment for EDs (MBT-ED). This lecture will provide an update of the mentalizing approach to EDs in light of recent ndings, but it will also address some common misconceptions of this approach.
Mentalizing is the capacity to understand ourselves and others in terms of mental states (needs, wishes, desires, feelings, beliefs and goals). It is deeply rooted in attachment relationships, with secure attachment fostering the development of mentalizing, affect
regulation and self-control. Disruptions in attachment relationships are associated with impairments in the capacity to re ect on the self and others, a typical feature of various disorders characterized by pathology of the self. With regard to EDs, impairments with regard to mentalizing about the embodied self are speci cally seen as playing an important role. Different types of mentalizing impairments in EDs that have immediate implications for clinical interventions, regardless of one’s theoretical orientation, have been delineated.
It is here, however, that important misunderstandings of the mentalizing approach may emerge. These include the view that the mentalizing approach reduces EDs
to attachment or pre-morbid mentalizing problems, or that this approach neglects the notable heterogeneity within ED patients. I will stress the need in this context to situate EDs within a dynamic, person-centered developmental psychopathology approach, and will discuss the wide ranging implications of these views for research, assessment and intervention.
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Abstracts
EDIC 2014 Plenary sessions
PLENARY
Eating disorders and the brain
2pm – 3.30pm, Logan Hall Thursday 13 March 2014
Professor Paul Fletcher; Bernard Wolfe Professor of Health Neuroscience, Wellcome Trust Senior Research Fellow in Clinical Science, Honorary Consultant Psychiatrist, Department of Psychiatry, Addenbrooke’s Hospital, Cambridge
Disordered eating and brain reward systems
The rise of obesity and sub-optimal patterns of consumption demand a clearer understanding of hunger, satiety and other mechanisms governing eating. I propose a neuroscienti c perspective, drawing inspiration from animal models of reward and reinforcement learning and suggesting ways in which the brain’s reward and decision systems may be explored in the context of eating. I suggest that combinations pharmacological manipulation and neuroimaging measures may powerfully supplement careful behavioural observations and subjective measures and will give examples of tasks being developed and the insights these may offer to normal and disordered eating.
PLENARY
Eating disorders and the brain
2pm – 3.30pm, Logan Hall Thursday 13 March 2014
Professor Palmiero Monteleone; Professor of Psychiatry at the University of Salerno, Italy
Hedonics, hormones and eating disorders
Hedonic eating is characterized by the consumption of food uniquely because of its gustatory rewarding properties, so the subject eats also when he is not
in a state of short-term energy depletion. It is intuitive that hedonic eating may powerfully stimulate food intake; hence, understanding its physiological modulation could help to contrast obesity and other eating disorders.
PLENARY
Eating disorders and the brain
2pm – 3.30pm, Logan Hall
Thursday 13 March 2014
Dr Carolien Martijn; Associate professor at the Department of Clinical Psychological Science at Maastricht University Department of Clinical Psychological Science, Maastricht University, The Netherlands
Implicit strategies to improve body satisfaction
Older and recent surveys show that the majority of women dislike their bodies and a signi cant part of them intensely loathe their shapes and weight. A negative body image is a strong predictor for eating disorders such as bulimia or binge eating. A series of studies performed at our Maastricht Eating Lab and
at Stanford University (VS) did manage to improve negative body image on short and longer term. Our interventions heavily lean on recent social psychological insights about evaluative conditioning and implicit learning. The implications of our ndings for clinical practice will be discussed.
PLENARY
Eating disorders in males: Panel discussion
9am – 10.30am, Logan Hall Friday 14 March 2014
Professor John Morgan; Professor of Psychiatry, St Georges Hospital Medical School, London. Consultant Psychiatrist, the Leeds Centre for Eating Disorders
Caroline Norton; Clinician and leader of the Invisible Man Project Sam Thomas; Founder and Director, ‘Men get eating disorders too’ Jenny Langley
How can we make eating disorder services more male friendly?
Delegates will be invited to submit questions and comments regarding males and eating disorders throughout EDIC 2014 for discussion at Friday’s plenary. The plenary will begin with introductions from each of the speakers, followed by a debate of the questions raised by attendees.
38 | EDIC2014


Abstracts
EDIC 2014 Plenary sessions
PLENARY
Ethical dilemmas and pitfalls in eating disorders
2.30pm – 4pm, Logan Hall Friday 14 March 2014
Dr Jacinta Tan; Clinical Associate Professor, College of Medicine, Swansea University Honorary Consultant Psychiatrist, Tier 3 Speacialist Adult Eating Disorder Team, Abertawe Bro Morgannwg University Health Board
Ethical issues in evaluation of new treatments (including DBS)
The ethics of therapeutic research in eating disorders are very different to the ethics of treatment of eating disorders. In this talk, I will brie y outline how the history of research ethics has led to a very different approach to research ethics as compared to ethics
of clinical care. I will examine the particular ethical challenges of research in eating disorders, and suggest a way forward.
PLENARY
Ethical dilemmas and pitfalls in eating disorders
2.30pm – 4pm, Logan Hall Friday 14 March 2014
Dr Anne Stewart; Consultant Child & Adolescent Psychiatrist, Oxford Health and Honorary Senior Clinical Lecturer, University of Oxford and Dr Frances Connan, Consultant Psychiatrist & Clinical Director Vincent Square Eating Disorders Service, London
Closing the gap – an integrated developmental perspective to adolescent transitions
When a young person has an eating disorder, moving from CAMHS to adult services can be a dif cult time both for the young person and their parents. We will outline the clinical and ethical issues that arise at this transition, discuss relevant research ndings and make some recommendations for a way forward, taking a developmental perspective.
PLENARY
Ethical dilemmas and pitfalls in
eating disorders
2.30pm – 4pm, Logan Hall Friday 14 March 2014
Dr Agnes Ayton; Consultant Psychiatrist, Cotswold House, Oxford Health
Discharge weights from child and adolescent services, an ethical approach
The successful treatment of severe eating disorders, such as anorexia nervosa, remains a challenge. Despite signi cant recent research efforts developing new psychological treatment approaches, recovery often takes many years. Approximately 20-30 % of patients suffer for decades and the risk of mortality is amongst the highest of psychiatric disorders.
The usual age of onset of anorexia nervosa is in adolescence, and signi cant proportion of these young patients require hospitalisation. However, the value of inpatient treatment has been increasingly questioned, partially due to the cost, and partially due to the high rate of deterioration after discharge. Whilst hospital treatment can be life-saving, the high risk of relapse greatly reduces its long-term effectiveness. Most studies report a 40% relapse rate in the rst year, and randomised trials have found no signi cant differences between long term outcomes of inpatient and outpatient treatment.
Adolescence is a time of rapid development, and chronic malnutrition associated with protracted eating disorders has a detrimental effect on the physical and psychological development of young sufferers. There is a concern that some of these consequences are irreversible. At present, there is still signi cant variation in target weights between services, due to the limited evidence base. This paper will examine how services can reduce harm and improve outcomes.
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Abstracts
EDIC 2014 Plenary sessions
PLENARY
users’ and carers’ forum
9.45am – 11am, Logan Hall
Saturday 15 March 2014
Pat Ayres; Beat Self Help Network co-ordinator, and carer Dr Katie Beth Walbeoff MBCHB; Young Ambassador, Beat Ed Edmond; Sibling
Nick Hart; Bereaved father
What we want from services
This plenary will hear from families, carers and people with direct experience of eating disorders. They will talk about how the eating disorder they or their loved one has experienced affected them.
The panel will include a mother whose adult daughter is now recovered and well; a Beat Young Ambassador who had an eating disorder and is now a medical student; a bereaved father whose daughter died from her eating disorder; and a young man whose brother currently still has an eating disorder.
They will share their insights and experiences, and talk about how the medical profession and clinical teams have helped them. They will also be invited to share a ‘top tip’ for what one thing they wish could have been done differently, or should be done everywhere, for all.
PLENARY
Healing the brain in eating disorders
2.15pm – 3.45pm, Logan Hall
Saturday 15 March 2014
Laura Collins Lyster-Mensh; M.S., Policy Director. F.E.A.S.T.
The term ‘brain disorder’: a compass or a map?
A long time parent advocate offers a perspective on the term ‘brain disorder’ used in describing eating disorders. This controversial term has often been met with anger, derision, and confusion. Collins will explain why the term holds special meaning in the parent community: offering relief and clarity as well as a break with myths of the past. Negative responses to the term may tell us more about the status of eating disorder science as well as schisms in the eld over etiology and treatment. Limitations of this language will also
be addressed.
PLENARY
Healing the brain in eating disorders
2.15pm – 3.45pm, Logan Hall Saturday 15 March 2014
Dr Sloane Madden; Child and Adolescent Psychiatrist, Co-Director Eating Disorder Service, The Children’s Hospital Westmead, Sydney, Australia
The Neuroscience of Eating Disorders: What Does it mean for Recovery?
Eating Disorders are biologically based serious mental illnesses. Neuroscience research is identifying at
risk pro les in individuals with eating disorders that have the potential to more accurately guide the development and provision of treatment. This talk with look at current neurobiological models for eating disorders and their implications for recovery
PLENARY
Healing the brain in eating disorders
2.15pm – 3.45pm Logan Hall
Saturday 15 March 2014
Sue Shepherd; Mum, School Governor, member of F.E.A.S.T., Hertfordshire, UK
The difference that makes the difference – the role of parents in facilitating recovery from an eating disorder
When Sue’s 22 year old daughter was diagnosed with restrictive AN in January 2011, 35 years in senior commercial management had not prepared her for what lay ahead. She had to call on many different resources to secure her daughter’s future as a healthy and happy adult, free from anorexia.
Her talk will give an insight into how one parent dealt with the discovery that her daughter was suffering from a potentially deadly mental illness, and her re ections and observations on what was both helpful and unhelpful in the struggle to restore her daughter to
full health.
Understanding the biological nature of the illness, its potential genetic component and the working
of the insula, helped Sue and her daughter to understand the past, and plan for a future free of the illness much better.
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Abstracts
Scientific paper sessions
PARALLEL SESSIoN oNE:
CLINICAL FEATuRES
11.30am – 11.45am, Logan Hall Thursday 13 March 2014
Randomised Controlled Trial: Determinates of
Refeeding Hypophosphatemia in Hospitalised
Adolescents with Anorexia Nervosa
O’Connor, G; Nicholls, D; Singhal, A; Great Ormond St. Children’s Hospital, UK
Background
Refeeding some low weight adolescents with anorexia nervosa (AN) can cause refeeding hypophosphatemia. It is unclear what risk factors contribute to refeeding hypophosphatemia.
objective
This is the rst randomised controlled trial that sought to identify determinates of refeeding hypophosphatemia whilst refeeding low weight hospitalised adolescents with AN.
methods
A National multi-centre trial (U.K) recruited adolescents (10-16yrs) diagnosed with AN who had a percentage median body mass index <78% (%BMI). Participants were randomly allocated to a refeeding programme that started at 1200kcal/ day (high-calorie) or at the current European recommendation of 500kcal/ day (low-calorie). Primary outcome measure was serum phosphate (mmol/l). Electrolytes, white blood cells (WBC), glucose and insulin were monitored throughout the 10 days of refeeding.
Results
prophylactic phosphate prior to refeeding. Refeeding hypophosphatemia could not be correlated with energy intake or carbohydrate intake when starting refeeding at 1200kcal/day.
11.45am – 12.00pm, Logan Hall Thursday 13 March 2014
motivATE: A pre-treatment motivational
enhancement website for eating disorders.
Development and qualitative evaluation
Williams, S1; Newell, C2; Grif ths, J2; Thomas, S2; 1Psychology Research Centre; 2
objective
Motivation to change in eating disorders (EDs) is complex and around 30% of people referred to ED services never attend their rst treatment appointment. Ambivalence regarding the functional nature of the
ED, denial about problematic behaviours and low con dence to change all contribute. Motivational enhancement interventions exist but these rely on treatment attendance. This presentation will describe the development and qualitative evaluation of MotivATE – a web-based programme delivered whilst people would normally be on a waiting list for assessment prior to treatment. MotivATE aims to improve con dence and readiness to change and ultimately improve treatment attendance.
methods
MotivATE was designed by people with lived experience of EDs, clinicians and researchers and is based on materials and activities used in practice. To evaluate the four website sessions, 7 people with lived experience
of EDs took part in up to 4 interviews. Participants were asked to think-aloud as they used the sessions to give in-the-moment perspectives of the session content.
Results
The presentation will describe the themes which emerged in the development and evaluation of the intervention: positive perspectives of MotivATE, a strong sense of relatedness, the need to tailor the sessions for different motivational needs, addressing fears about recovery, self-esteem needs, and ED-speci c aspects
of designing a web-based intervention. Conclusions: Addressing motivation to change for people with EDs needs to acknowledge individual concerns and needs. The qualitative evaluation allowed us to incorporate: tailoring to meet these needs, participants’ stories
and suggestions for activities within the intervention, increasing MotivATE’s acceptability and usefulness for future users. We will also discuss future plans for research and testing the effectiveness of MotivATE.
36 (18 high-calorie, 18 low-calorie) adolescents were recruited. Seven participants (19%) developed refeeding hypophosphatemia (2 in low-calorie and 5 in the high- calorie group. A correlation was found between post refeeding phosphate and WBC x109/l (R2 0.2; 95% CI 0.03 to 0.2mmol/l; P=0.01). Furthermore, correlation with post refeeding phosphate and %BMI was found (R2 0.1; 95% CI 0.01-0.04mmol/l; P=0.03). No correlation between post refeeding phosphate and energy intake (kcal/ kg/day) or carbohydrate intake (g/ kg/ day) could be found (R2 0.02; 95% CI -0.01 to 0.01mmol/l; P=0.9 and R2 0.07; 95%CI -0.003 to 0.002mmol/l; P=0.7, respectively).
Conclusion
Total WBC (x109/l) and %BMI may be useful markers in identifying individuals at higher risk of developing refeeding hypophosphatemia in adolescents
with AN. Participants who have WBC <3.5 x109/ l and/ or <68%BMI should consider commencing
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Abstracts: Scientific paper sessions
12.00pm – 12.15pm, Logan Hall Thursday 13 March 2014
A multi-centre cohort study of short term outcomes of hospital treatment for anorexia nervosa in the uK
Treasure, J; Hibbs, R; Rhind, C; Institute of Psychiatry, King’s College London, UK
Background
There is a large amount of uncertainty about the management of patients with severe, persisting eating disorders. In part, this is re ected in the cultural and temporal changes in the use of inpatient treatment and the variation in service level treatment parameters in Europe and in the USA and Canada.
Aims
Individual, family and service level characteristics and outcomes are described for adult and adolescent patients receiving specialist inpatient or day patient treatment for anorexia nervosa. Potential predictors of treatment outcome are explored.
methods
Admission and discharge data were collected from 177 patients admitted to 14 UK hospital treatment units (adult units N = 12; adolescent units N = 2) for anorexia nervosa over a period of three years.
Results
Following inpatient care, physical improvement was moderate/good with a large increase in BMI, although most patients continued to have a clinical level of eating disorders symptoms at discharge. The potentially modi able predictors of outcome included con dence to change, social functioning and carer expressed emotion and control.
Conclusions
Overall, the response to inpatient treatment was modest particularly in the group with a severe enduring form of illness. Adolescents had a better response. Although inpatient treatment produces an improvement in physical health there was less improvement in other eating disorder and mood symptoms. As predicted
by the carer interpersonal maintenance model, carer behaviour contributed to the response to inpatient care as did social functioning and con dence to change.
12.15pm – 12.30pm, Logan Hall Thursday 13 March 2014
novel 3D body image assessment software that can
be used in conjunction with 3D body scanning to quantify body image distortion and dissatisfaction. This represents a signi cant advancement on tools that focus on comparisons with 2D imagery only.
method
A unique 3D image assessment tool has been developed that allows a subject to alter the size and shape of a realistic 3D body image. The user is able to create 3D images that relate to perceived image, desired image and an average of subjects within
the normal BMI range. The girth and volumetric measurements of these constructed images can be compared against each other, and against an actual 3D body scan, in order to quantify the extent of body image issues such as the body image distortion and body image dissatisfaction of a subject.
Results
A rudimentary version of the software was featured in several TV programmes including a BBC documentary Am I Normal. In 2006 it was included as part of Channel 4’s How To Look Good Naked programme in which eight women with varying degrees of body dysmorphia and lack of body con dence were scanned and shown how to use the software. The women were asked to rate how their view of their bodies had changed as a result of the process, and the average rating rose from 23% to 68%.
Conclusion
The success of the software for women featured in the TV programmes, in conjunction with positive encouragement from clinicians, causes the authors to believe that this innovative software should receive serious attention as a potential tool within the eld of eating disorders.
12.30pm – 12:45pm, Logan Hall Thursday 13 March 2014
Prevalence and correlates of disordered eating in a multi-ethnic sample: the South East London Community Health (SELCoH) study
Solmi, F; Institute of Child Health, University College London, UK
Background
Disordered eating has been shown to be more prevalent than full eating disorders diagnoses. However, research on its prevalence, socio-demographic, psychological correlates, and patterns of service use in multi-ethnic samples is still limited.
Aim
This paper explores these associations in a South London-based (UK) sample.
methods
The South East London Community Health Study (SELCoH) is a general population survey (N=1,698)
The use of 3D body scanning with novel 3D image assessment software to quantify body image issues such as body image distortion
Tema, S M; Hutton, G; Body Aspect Ltd, UK
objective
Recent studies have examined how 3D body scanning technology might be useful in the treatment of eating disorders. This paper describes the development of
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of individuals aged 16+. Disordered eating was de ned as ¡Ý 2 positive answers at the SCOFF questionnaire. Crude and adjusted logistic and multinomial logistic regression models were t to investigate associations between socio-demographic characteristics, disordered eating, psychiatric comorbidity, and service use.
Results
A total of 164 (10%) participants reported disordered eating and the majority were from ethnic minorities. In adjusted models, Asian ethnicity was associated with purging, loss of control eating and preoccupation with food. Individuals with disordered eating had higher odds of screening positive for post traumatic stress disorder and personality disorders and of having anxiety/ mood disorders, suicidal ideation/attempts, hazardous levels of drinking, and used drugs in the previous year. Only 36% of individuals with disordered eating had sought professional help in the previous 12 months mostly through their general practitioner (27.4%), followed by psychotherapists (12.8%) and mental health specialists (5.5%).
Conclusions
This study found a high prevalence of disordered eating, especially amongst ethnic minorities, and associations with a number of psychiatric conditions. Overall few participants accessed specialist services. These ndings suggest that both disordered eating manifestations amongst ethnic minorities and access to care need better investigation.
12.45pm – 1pm, Logan Hall Thursday 13 March 2014
Somatoform dissociation and body image instability in eating disorders
Koskina, A1; Tchanturia, K; Mountford, V; 1Department of Psychology; Institute of Psychiatry
Background
Dissociation is commonly reported in eating disordered (ED) individuals and research suggests somatoform dissociation may be related to body dissatisfaction
and body image instability in a causal manner (Fuller- Tyszkiewicz & Mussap, 2008). This study investigates the relationship between somatoform dissociation, body image instability (using the rubber hand illusion (RHI), and body image disturbance in ED, dieting and non- dieting individuals.
objectives
The research aims to further understand the relationship between somatoform dissociation and body image, and uncover the extent to which plasticity of body image acts as a mediating variable.
methods
60 participants: 20 ED, 20 healthy controls (HC) and
20 dieting individuals were recruited. Participants completed the RHI paradigm, the Body Image Assessment Software (BIAS) measuring body image distortion and dissatisfaction, and a variety of questionnaire measures designed to assess somatoform and psychological dissociation, body image, body checking behaviour, and ED symptomatology.
Results
Preliminary analysis using one-way ANOVAs showed signi cant group differences between ED, HC, and dieters on primary outcome measures including the RHI embodiment scale (F[2,59]=7.10, p<0.005), BIAS total body image distortion (F[2,59]=6.36, p<0.005) and somatoform dissociation questionnaire (SDQ) scores (F[2,59]=19.76, p<0.001). Pearson correlations also showed signi cant positive associations between SDQ and RHI embodiment scale scores (r=0.28, p<0.05) and also SDQ and BIAS total body image distortion scores (r=0.27, p<0.001).
Conclusions
Findings suggest relationships exist between body image instability, somatoform dissociation and body image disturbance in individuals with an ED. Experiences of somatoform dissociation may increase an individual’s vulnerability to body image instability in ED individuals, dieters and HCs. Clinical implications will be discussed.
PARALLEL SESSIoN 2: BRAIN PRoCESSES
11.30am – 11.45pm, Elvin Hall Thursday 13 March 2014
Neuropsychological Function in Children at Familial High Risk of Developing an Eating Disorder
Kothari, R1; Treasure, J; Micali, N; 1Behavioural and Brain Sciences Unit, UCL Institute of Child Health, UK
Background
Evidence suggests that diagnosis of an eating disorder (ED) is associated with differential cognitive functioning. It is not clear whether differences observed in clinical and recovered groups are present prior to onset, possibly contributing to development of an ED, or are a consequence.
objective
1 To investigate whether differences are present prior to onset, by investigating neuropsychology in children at high-risk due to being born to mothers with an ED.
2 To take into account the instability of ED diagnosis by using a lifetime maternal diagnosis as an indicator of risk.
3 To consider the limitations of diagnostic criteria by comparing maternal lifetime diagnosis and lifetime behavioural phenotype as indicators of risk.
methods
The neuropsychological pro le of children at familial high risk of developing an ED was investigated in a large
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Abstracts: Scientific paper sessions
population-based sample (n=900). Data on maternal ED behaviours over the whole lifetime was collected through in-depth clinical interviews.
Results
Children of women with AN-R showed better global cognition, high VIQ (B:7.05, 95%CI:1.43,12.67, p=0.01), and better working memory (B:0.32, 95%CI:0.004,0.63, p=0.05), in comparison to children not at risk. Children of women with Atypical AN showed poor sustained attention (OR:2.60,95% CI:1.02,6.68,p=0.05). Findings varied slightly when using behavioural phenotype, e.g. children of women with a purging (not bingeing) phenotype showed comparatively poor sustained attention (OR:2.66, 95%CI:1.04, 6.80, p=0.04), while children of women with a restricting only phenotype just trended towards having high VIQ (B:3.71, 95%CI:- 0.34,7.77, p=0.07).
Discussion
Differences in neuropsychological function appear
to be present prior to onset, possibly contributing to development of an ED. Findings will be discussed in light whether use of a lifetime diagnosis or a lifetime behavioural phenotype leads to more accurate results.
11.45am – 12pm, Elvin Hall Thursday 13 March 2014
Neuromodulation in eating disorders: where we are and where we are going
Wormald, C; Watkins, B; Jones, F; Great Ormond Street Hospital
Background
Theory suggests that cognitive biases in obsessive compulsive disorder (OCD) may occur in individuals with anorexia nervosa (AN) and anorexia nervosa /eating disorder not otherwise speci ed (AN/EDNOS), which may partly explain the large co-morbidity between the two disorders.
objectives
The aim of the current study was to investigate the cognitive biases of in ated responsibility (IR) and perfectionism in children and adolescents who had been diagnosed with AN and AN/EDNOS. An additional
aim was to investigate the relationship between IR and perfectionism and to test an interaction effect of these two cognitive biases on AN severity.
methods
A cross-sectional multi-site pilot study using standardised questionnaires was conducted. Full ethical approval was gained and 30 young people diagnosed with AN and AN/EDNOS participated. One sample T-tests and multiple regression were used.
Results
Children and adolescents with AN and AN/EDNOS reported signi cantly higher levels of IR and perfectionism, compared to the published data for non-clinical norms. Self-orientated perfectionism was associated with frequency of IR thoughts. There was also a signi cant interaction effect: young people who had
a higher frequency of IR thoughts and self-orientated perfectionism had lower BMI percentiles.
Discussion
This is the rst empirical study to show the presence of IR in a child and adolescent eating disorder population. IR should be considered in the assessment and treatment of child and adolescent AN and AN/EDNOS, both in individual and systemic interventions. This research also adds to the growing body of literature examining cognitive biases of OCD in an AN population, which may offer some insight into the overlap between the two disorders.
12.15pm – 12.30pm, Elvin Hall Thursday 13 March 2014
Relationships between emotional processing
styles and clinical psychopathology and weight in
eating disorders.
Newell, C1; Sivyer, K; Thomas, P; Baker, R; 1Eating Disorders, Dorset HealthCare University NHS Foundation
Background
Research has established a strong link between eating disorder (ED) psychopathology and dif culties with emotional processing, including dif culties with emotion recognition and emotion regulation.
McClelland, J; Kekic, M; Campbell, I; Schmidt, U; Institute of Psychiatry, King’s College London
Over the past decade much progress has been made in understanding the neural underpinnings of eating disorders (ED). Functional magnetic resonance imaging studies have revealed altered neuronal activity in ED patients in several anatomical regions. Emerging neural models of EDs, together with current unsatisfactory treatment outcomes, provide a rationale for the use
of targeted brain-directed interventions, particularly
in severe and enduring cases. Neuromodulation techniques, such as repetitive transcranial magnetic stimulation (rTMS), are widely used in the both research and clinical settings for several neuropsychiatric disorders. There is strong interest from patients, clinicians and carers, and a growing body of research into the potential of neuromodulation techniques in the treatment of ED. Existing literature will be summarised and information on our current trials and future aims will be discussed, in order to further establish this line of research within the eld.
12pm – 12.15pm, Elvin Hall Thursday 13 March 2014
Cognitive biases in anorexia nervosa: the role of in ated responsibility and perfectionism.
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Abstracts: Scientific paper sessions
Aim
The aim of the current study was to investigate the relationship between emotional processing styles and clinical psychopathology and weight in patients with eating disorders (EDs).
methods
Fifty-four patients with anorexia nervosa (AN) and twenty-nine patients with bulimia nervosa (BN) completed the Emotional Processing Scale (EPS), Eating Disorder Examination-Questionnaire (EDE-Q), Beck’s Depression Inventory-II (BDI-II) and the Rosenberg Self- Esteem Scale (RSES) at assessment and at discharge (or six months).
Results
Results indicated greater emotional processing dif culties in both AN and BN compared to the healthy population, although no differences between AN and BN were found.
Discussion
However, relationships between psychopathology, weight and emotional processing style appeared
to differ between the two diagnoses. How eating disorder psychopathology and emotional processing interrelates may play an important role in eating disorder presentation. Such differences may be of importance in treating these disorders.
12.30pm – 12.45pm, Elvin Hall Thursday 13 March 2014
Sociocultural aspects of eating disorders with special focus on media use - Pilot study -
Szabo, K1; Túry, F; Szumska, I; 1Institute of Behavioural Sciences, Semmelweis University
Introduction
sectional design. Self-administered instruments and demographic data were collected via single online assessment among Hungarian college and university students in Budapest. Instruments measured media use, eating disorder related symptomatology and related factors.
Results
The rst results showed that participants (n=129; 18 male and 111 female; mean age 27, SD=4.5) who spend more time reading (fashion/beauty & health/ tness/diet related) magazines or spend more time browsing similar content on the internet are more dissatis ed with their bodies. We also found a connection between media use and self-esteem as well. Mediating factors such as social comparison will be discussed.
Conclusion
The sociocultural theory underlines the importance
of media in shaping values and norms. The study explored potential associations between eating disorder symptomatology and media (magazine - TV - internet) use. Preliminary results will be discussed. This pilot
study may provide further insights on media and its maintenance role in eating disorders.
12.45pm – 1pm, Elvin Hall Thursday 13 March 2014
Developing an iPhone and Android App for eating disorders sufferers, to aid self awareness, monitoring and treatment
Vize, C1; Cootes, R; Osman, B; Burrows, A; Liddell, J; 1Cotswold House;
Background
Sufferers from eating disorders often want to monitor their progress with self-help or treatment, and have a ready source of advice and information to help keep them motivated. They want such logs to be easy to access
and complete. Cotswold House, the Eating Disorders Service at Oxford Health, is working with The App Garden to develop an app to meet the needs of patients in treatment, as well as sufferers who are not receiving support from services.
Aims
The app will initially be available for Apple and Android devices. It will incorporate meal planning, a food log, a record of compensatory behaviours like purging or over exercising, thoughts and feelings, weight and BMI, and personal goals. Numerical entries and Likert scales will
be presented graphically to track progress over time. The summaries can be emailed to, or shared with, a therapist. Guidelines and information will be available in written, video or audio format. Further functions will be developed based on user feedback.
methods
A small survey of inpatients was used to inform the initial
According to the bio-psycho-social model of eating disorders in the development and maintenance of these disorders many contributing factors are participating. The model suggests that complex interactions are between social, environmental, psychological, and biological factors. In western societies a great emphasis is placed on shape, weight and more generally on bodily appearance. The sociocultural factors manifest on different levels and in uence body weight regulation indirectly. Media has utmost importance in shaping values and norms.
objective
In this pilot study the aim was to investigate the relationship between media (magazines, internet and television) consumption and eating disorder symptomatology, with special focus on body dissatisfaction, self-esteem and social comparison.
methods
In the study we implemented a single-occasion, cross
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Abstracts: Scientific paper sessions
design. Currently available apps aimed at sufferers
from eating disorders were examined, but were few
in number and did not provide all the functions that people wanted. Patients indicated that they would feel able to trust an app developed by NHS eating disorders specialists. The prototype will be tested with the assistance of 10 in, day or community patients, who will be lent devices to use if they do not have one of their own. This phase of testing will be completed before
the conference.
Discussion
The results of this pilot phase will be presented at
the workshop, together with a demonstration of the functions of the app. The workshop will be interactive throughout. Details of the app will be made available so that interested participants are able to download it before the workshop. Feedback from the workshop will be used to further re ne the app.
PARALLEL SESSIoN 3: THERAPIES oNE
11.30am – 11.45am, Drama Studio Thursday 13 March 2014
Treating severe and enduring anorexia nervosa: a
randomised controlled trial
Touyz, S; Le Grange, D; Lacey, H; Hay, P; Smith, R; Maguire, S; Bamford, B; Pike, K; Crosby, The University of Sydney
Background
There are no evidence-based treatments for severe and enduring anorexia nervosa (SE-AN).
Aim
This study evaluated the relative ef cacy of cognitive behavioural therapy (CBT-AN) and specialist supportive clinical management (SSCM) for adults with SE-AN.
method
Sixty-three participants with a diagnosis of AN, who
had at least a 7-year illness history, were treated in a multi-site randomized controlled trial (RCT). During 30 out-patient visits spread over 8 months, they received either CBT-AN or SSCM, both modi ed for SE-AN. Participants were assessed at baseline, end of treatment (EOT), and at 6- and 12-month post-treatment follow- ups. The main outcome measures were quality of
life, mood disorder symptoms and social adjustment. Weight, eating disorder (ED) psychopathology, motivation for change and health-care burden were secondary outcomes.
Results
Thirty-one participants were randomized to CBT-AN and 32 to SSCM with a retention rate of 85% achieved at the end of the study. At EOT and follow-up, both groups showed signi cant improvement. There were no differences between treatment groups at EOT. At the 6-month follow-up, CBT-AN participants had higher
scores on the Weissman Social Adjustment Scale (WSAS; p=0.038) and at 12 months they had lower Eating Disorder Examination (EDE) global scores (p=0.004)
and higher readiness for recovery (p=0.013) compared to SSCM.
Conclusions
Patients with SE-AN can make meaningful improvements with both therapies. Both treatments were acceptable and high retention rates at follow-up were achieved. Between-group differences at follow-up were consistent with the nature of the treatments given.
11.45am – 12pm, Drama Studio Thursday 13 March 2014
Spotting and supporting eating disorders in school: recommendations from school staff
Knightsmith, P1; Treasure, J; Schmidt, U; 1Institute of Psychiatry, UK
Background
Eating disorders have a high rate of onset in school- aged children. School staff are in an excellent position to spot the early warning signs and offer support during recovery.
objective
The study explored the ndings from focus groups conducted with 63 members of staff from 29 UK schools with the aims of (a) understanding whether they are
in a good position to support students with eating disorders and (b) to generate recommendations regarding school staff’s training needs for spotting and supporting eating disorders.
methods
Participants took part in semi-structured focus groups. These were transcribed and analysed using content analysis principles.
Results
Five key themes emerged:
1 Many staff don’t have a basic understanding of eating disorders
2 Eating disorders are taboo in the staffroom
3 Staff don’t feel comfortable talking to students about eating disorders
4 Support is needed to ensure the teacher-parent relationship is a positive one
5 School staff would welcome practical ideas for how they can best support students during the recovery period. Conclusions: The ndings showed that school staff currently feel ill-equipped to support students with eating disorders and endorse a need for focused training for school staff to better enable them to support students with eating disorders.
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12pm – 12.15pm, Drama Studio Thursday 13 March 2014
The New maudsley model lands in Italy: results of
two training courses in two mental Health services in
Florence area
Troiani, Maria Rita; Berti, B; Caselli, M; Dirindelli, P; Innocenti, E; Lucarelli, S; Minuti, A; Stefanini, MC; Martinetti, MG
Background and objectives
In Eating Disorders (ED) Interpersonal factors (accommodation and enabling, expressed emotion) have an important role in maintaining symptoms. This study aims to evaluate how anxiety, depression, stress, expressed emotion, accommodation and enabling change in carers of patients with ED, after a training course of 6 sessions based on the New Maudsley Model.
Tools and methods
We carried out two training courses for carers in the ED Unit at Careggi Florence Hospital and in the outpatient ED Service of Empoli. 30 carers, all parents (12 M 18 F, mean age 48.53 ± 4.56) of patients with ED (mean age 17.10 ± 4.04; 14 <18 years-old; mean disease duration of 3.24 ±2.86 years; 23 with restrictive, 7 with binge- purging symptoms; 15 inpatients and 15 outpatients) were assessed with Depression Anxiety Stress Scale 21 (DASS-21), Family Questionnaire (FQ), Accommodation and Enabling Scale for ED (AESED) at the beginning (t0) and at the end (t1) of the training.
Results
Background
Eating disorders are prevalent in athletics and impact signi cantly on both health and performance.
objectives
British Athletics seeks a sporting environment that encourages participation and fosters excellence without compromising the health of participants by
- disseminating best practice in coaching and nutrition - ensuring early detection of disordered eating
- describing a clear pathway for assessment and
possible treatment.
methods
British Athletics Welfare Department met with eating disorder experts to
- deviseaneducationalseminarforkeymembersof British athletics support staff
- produceasupportingresourcepack
- videotheseminarforaccessbyallsupportstaffand
the wider volunteer coach workforce at ucoach.com
- describetwopathwaystoassessment/treatment:
1 A specialist referral pathway supervised by the Chief Medical Of cer (CMO) for funded athletes.
2 For all other athletes, a sign-posted referral pathway to a range of support services managed by the Welfare Department.
Results
All key personnel attended the seminar. 100% rated
the resource pack as good or excellent. 96.3% rated improved understanding of eating disorders in athletics. 92.3% felt con dent with the referral pathways. 92.6% were more aware of external sources of support for athletes, parents and coaches. Resource Pack cascaded to 800 coaches. Videos viewed by over 1500 coaches.
Conclusions
Prevention, early detection and prompt treatment are important in reducing the impact of disordered eating. British Athletics has developed a process to educate staff, ensure best practice in coaching and nutrition and support athletes to receive timely specialist help.
12.30pm – 12.45pm, Drama Studio Thursday 13 March 2014
The implementation of dialectical behavior therapy in the treatment of binge eating disorder
Bayraktar, F; Bogazici University, Turkey
Background
Dialectical behavior therapy (DBT) has been developed for the treatment of Borderline Personality Disorder (BPD) by Marsha Linehan and then has been adapted to treat other psychological problems. DBT has been implemented in the treatment of eating disorders
and the recent studies emphasized that learning DBT
All mothers present themselves as primary carers, 5 on 12 fathers declare themselves secondary carers. 24 carers spend at least 15 hours per week with their children,
and only 5 carers don’t live with them. 5 carers have had previous eating problems, while 16 (53.3%) carers have or have had a psychiatric illness. There was a decrease
in mean scores between t0 and t1, as regards Stress
(t 3.5, p <.01), Emotional Over involvement (t 2.6, p <.05), Criticism (t 2.5; p <.05), Avoidance and Modifying Routine and Control of Family (t 2.2 respectively, p <.05 et 2.6 p <.05), and for the AESED total score (t 2.9, p <.01).
Conclusions
Data for the rst two training courses are encouraging about modifying the interpersonal maintenance factors in carers of patients presenting with an ED. Regarding the AESED most signi cant changes are recorded in carers of young patients. The treatment also produces signi cant changes in the majority of carers of patients with a long disease duration.
12.15pm – 12.30pm, Drama Studio Thursday 13 March 2014
Eating Disorders in Athletics – Developing Best Practice and Care Pathways
Currie, A; Fylan, J; Lightfoot, L; Northumberland Tyne and Wear NHS Foundation Trust, UK
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Abstracts: Scientific paper sessions
skills (mindfulness, emotion regulation, interpersonal effectiveness, distress tolerance) and applying them
to the daily life help individuals with eating disorders, especially with binge eating disorder, cope with mindless eating, mood swings, interpersonal problems and stress leading to pathological eating. Plus, DBT is an effective therapeutic intervention for eating disorders with Axis I or Axis II comorbidities.
The main treatment goal in DBT for eating disorders is to support individual for changing problematic emotional, cognitive and behavioral patterns related to disordered eating and accepting the facts in life that cannot be changed at the moment. Using dialectical behavior therapy in the treatment of eating disorders may be especially effective while working with individuals with binge eating disorder and/or individuals who have Axis
I or Axis II disorders in addition to eating disorders and/ or individuals who have dif culties in emotion regulation and acceptance of what they cannot change.
objectives
Participants of this training will learn how DBT is effective for binge eating disorder and bulimia nervosa.
Participants will learn how to use DBT skills ( mindfulness, interpersonal effectiveness, emotion regulation, and distress tolerance).
Participants will learn how to teach DBT skills to eating disorders patients.
Participants will learn the limitations and the differences between cognitive behavior therapy and dialectical behavior therapy in the treatment of eating disorders.
12.45pm – 1pm, Drama Studio Thursday 13 March 2014
Intensive Community Support: A Clinical And Financial Alternative To Admission?
Turner, H.M1; Bartrum, M1; Tarney, F2; Fowler, H2; 1Southern Health NHS Foundation Trust Eating Disorder Service, UK; 2Department of Psychology, University of Southampton, UK
10 hours a day, 5 days a week and includes a group program alongside supported meals and outreach support.
The programme is delivered by a MDT that work closely with GPs, families and 3rd sector organisations, with a focus on physical as well as psycho-social rehabilitation. Clinical material and routine outcome data will be used to illustrate relevant themes and points. Time will also be given to discussion, during which attendees will be able to discuss the bene ts and challenges of using this type of service model, both in relation to day-to-day clinical care and interfaces with other NHS services. It is hoped that this workshop will prompt discussion and debate in relation to both the challenges and risks associated with ICS, as well as the potential clinical and nancial bene ts that this type of service may offer.
PARALLEL SESSIoN FouR:
THERAPIES TWo
11.30am – 11.45am, Nunn Hall Thursday 13 March 2014
Compassionate mind, compassionate body: developing skills to overcome disordered eating Raspin, C1; Finnigan, JA; 1Altum Health
Background
Compassion focussed therapy was designed to meet the needs of clients high in shame and self-criticism who did not respond favourably to traditional CBT treatment. It is known that a proportion of ED sufferers also t these criteria (Kelly et al, 2013).
While some research has been done in the area of eating dif culties and compassion (Goss, 2011), this work has focussed mainly on overeaters. In uenced by this work as well as that of Gilbert & Choden (2013), Neff (2011), & Germer (2009), the authors were inspired to research and create a transdiagnostic 8-week group for eating disorder sufferers.
Aims
To create an 8-week group therapy programme and explore how teaching the skills of self-compassion could be used and modi ed to better meet the needs of ED sufferers.
methods
Fourteen participants for two groups were recruited through the client data base of a private ED service. Groups were 2-hours long and each was structured to be half didactic and half experiential.
Content included mindfulness, exploring Gilbert’s 3 Circle Model of Affect, the rationale for learning and practicing self-compassion, teaching the skills and attributes of compassion, and devising a compassionate formulation.
The high cost of in-patient care combined with uncertainty regarding effectiveness has prompted the development of alternative community interventions such as day care. Preliminary evidence indicates some positive outcomes and it is possible that intensive community support may offer an opportunity for patients to access comprehensive treatment that is exible and relatively local to home.
This workshop will begin with a brief welcome and session overview. A review of the current research literature relating to day care will be presented, followed by an outline of our recently extended Intensive Community Support Service (ICS). This programme aims to offer intensive but exible care to those working towards recovery. The programme is open for up to
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Compassion practices were recorded by the facilitators onto a 2 CD set for home practice. Participants completed pre and post group measures of self- compassion (FSCRS, Gilbert, 2004; SCS-F, Neff, 2011) the EDE-E (Fairburn, 2008) as well as a group feedback sheet.
Conclusions
While the sample is very small, the pre and post measures, as well as participant feedback were encouraging with regards to changes in self-compassion.
sample in both dimensions studied (Criticism 23,5 vs. 20.1, p <.01; Emotional Over involvment 28.4 vs. 25.5, p <.001).
Conclusions
The overlap of AESED results con rms the importance of a speci c training following the New Maudsley Model also with Italian carers. Some differences emerged in expressed emotion and in some AESED subdimensions.
These could be explained in part by the heterogeneity of the sample respect to gender, age and diagnosis
of patients; new studies could investigate the cultural component of this heterogeneity.
12pm – 12.15pm, Nunn Hall Thursday 13 March 2014
The impact of coaching culture upon the eating behaviours of elite gymnasts
Prest, R; Gervis, M; Brunel University, UK
Background and objectives
This study investigates the effect of coach behaviour upon the eating behaviours of elite Acrobatic gymnasts. Previous research focussed primarily on prevalence of abuse within the coach-athlete relationship, with little attention given to higher levels of Eating Disorders (ED) in speci c elite samples.
methods
Fifteen (males (n=2) and females (n=13)) former elite gymnasts, aged 18-26, participated in retrospective semi-structured interviews to investigate coach impact upon eating behaviours. This was split into six key themes: Perceived appearance, weight management, weight loss techniques, eating behaviour, controlling coach behaviour and long term eating behaviours.
Each participant had competed at a minimum of Junior International level, training with their previous coach for a minimum two years. Seven individuals had also competed as a member of the Great Britain National team.
Results
Results showed that all of the participants (n=15) reported appearance concerns, attempted to lose weight and held concerns over their coaches opinion on their weight. 93% of participants (n=14) reported disordered eating behaviours, including eating a signi cantly lower than recommend calorie intake, 53% (n=8) recounted the use of vomiting in order to lose weight and 67% (n=10) reported a period of starvation. Participants reported feeling fearful, embarrassed, horri ed and humiliated as a consequence of their coaches actions.
Conclusions
These results provide evidence that coaching behaviour can have a signi cant in uence over the eating habits
Moreover, a tremendous amount was learned about modifying compassion interventions/experiential exercises for this population, and the authors wish to share these learnings with others interested in using self- compassion with ED sufferers.
11.45am – 12pm, Nunn Hall Thursday 13 March 2014
Expressed Emotion, Accommodation and Enabling in carers of patients with eating disorders. Applying New maudsley model in Italy
Dirindelli, Paolo1; Berti, B; Caselli, M; Innocenti, E; Lucarelli, S; Minuti, A; Stefanini, MC; Troiani, MR; Martinetti, MG; 1Neuroscience, pharmacology, children care, University of Florence, Italy
objective
To investigate the possibility of application of the New Maudsley Model for carers of patients with eating disorders in the Italian reality by comparing the Italian sample with the literature.
Tools
83 Carers of patients consecutively referred to the Department of Child and Adolescence Psychiatry, University Hospital of Careggi, Florence and to the Center for Diagnosis and Treatment for Eating Disorders of USL11 Empoli, Florence from May 2012 - May 2013 lled Family Questionnaire (FQ) and Accommodation and Enabling Scale for Eating Disorders (AESED) at admission.
Results
English and Italian samples are homogeneous for age (49.6 years old vs. 48.5), for the time spent with children (more than 16 hours per week), while they are not for gender (14.5% of males vs. 42.2%, p <.01), marital status (69% living together vs. 92%, p <.01), mean age (21.3 vs. 17.6, p <.05) and diagnosis (70% Anorexia Nervosa vs. 70.5) of patients.
The AESED total score is homogeneous between the two groups (48.3 vs. 43.7), with no signi cant differences between the subscales Turning a Blind Eye and Control of Family. Avoidance and Modifying Routine (p <.01) and Meal rituals (p <.05) subscales are higher in the English sample, while Reassurance Seeking is higher in the Italian sample (p <.001).
Family Questionnaire scores are higher in the English
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and weight management of gymnasts, sometimes reported as encouraging disordered behaviour, and often resulting in behaviours which could be classi ed upon the ED continuum.
12.15pm – 12.30pm, Nunn Hall Thursday 13 March 2014
Refusal and coercion in the inpatient treatment of severe anorexia nervosa: Antigone and Creon in search of an equilibrium
Adlam, J; SW London and St George’s Adult Eating Disorders Service
Background
12.30pm – 12.45pm, Nunn Hall Thursday 13 March 2014
The object Relations Inventory in Patients with Eating Disorders and Symptoms of Borderline Personality Disorder
Bogaardt, A; Clare, A; Robinson, P; St Ann’s Hospital, UK
objective
Patients with eating disorders and symptoms of borderline personality disorder (BPD-ED) present particular therapeutic challenges as related behaviours and unstable relationships can interfere with the treatment of their ED. This poster aims to examine
the relationship between object relations, re ective functioning borderline and eating disorder symptoms to provide support for the provision of mentalization based therapy for BPD-ED as part of a randomised controlled trial. This poster will address how Object Relations, Mentalization, Re ective Function and emotional Theory of Mind vary with positioning on the continuous spectrum of BPD symptoms or BPD diagnosis and conversely, how these mentalization factors vary with ED diagnosis and symptom severity.
methods
Baseline assessment for 72 patients included the Object Relations Inventory, the Zan-BPD questionnaire, Reading the Mind in the Eyes test and the SCID-II. The Differentiation-Relatedness Scores (DR-S) were assigned to the ORIs by 2 independent researchers. Scores for inter-class correlation coef cient we obtained before comparative analysis.
Results
ORI scores were divided into low and high mentalizers and a cluster analytic approach was used to examine the impact of mentalization ability on eating disorder aetiology and BPD symptoms. We predict that patients with differing severity of BPD symptoms will show a range of scores on the DR-S and which may relate to the severity of the ED and BPD symptoms observed. The association between DR-S scores and measures
of ED and BPD symptoms as well as measures of general psychiatric symptoms and functioning and measures of mentalizing and re ective function will also be examined.
Discussion
Implications regarding treatment for the differential needs of these patients and points towards the imperative of providing psychotherapies tailored to the individual dif culties of the patient are discussed.
12.45pm – 1pm, Nunn Hall Thursday 13 March 2014
Strong is the new skinny: The role of sport and exercise in personal growth from anorexia and adversity
I examine dynamics of refusal and coercion in the reciprocal relationship between traumatised individuals suffering from severe anorexia nervosa and traumatised systems of care engaged in the clinical endeavour to press food upon them. Inpatient services using various forms of force-feeding face the clinical challenge of refusal: refusal to eat -- to comply with treatment --
to ‘get better’. The ‘irresistible force’ of compulsory treatment meets the ‘immovable object’ of the individual sufferer’s refusal to accept food and treatment on the terms offered. Refusal becomes the problem.
Aim
I interrogate the pathologising of problematic refusal in anorexia nervosa in order to open up less oppositional positions for both clinical ‘irresistible forces’ and individual ‘immovable objects’.
methods
I use a psychosocial approach working alongside a small group of anonymous experts by experience who have commented upon and approved successive drafts -- I also use my own clinical experience of these painful collisions. To preserve the anonymity of the experts
by experience and to describe a wider group, I take as my ‘case material’ the collision between Creon and Antigone, representing the societal ‘irresistible force’ and the individual ‘immovable object’ and I analyse different accounts of the story.
Results
There are sufferers with co-morbid presentations for whom the paradigm of anorexia nervosa offers an inadequate descriptive/explanatory model. Their shared histories and shared roots in the aesthetics of starvation in Western culture are traceable back to the Antigone myth.
Conclusions
The collision between force-feeding (‘Creon’) and refusal of food (‘Antigone’) has the quality of an organising mythology both for sufferers and for the treating
team and both parties have a valency to take up xed positions and roles within this overarching narrative. A radical re-imagining of the terms of the encounter is needed.
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